19 results on '"Bassam Tawfik"'
Search Results
2. Synaptotagmin-7 places dense-core vesicles at the cell membrane to promote Munc13-2- and Ca2+-dependent priming
- Author
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Bassam Tawfik, Joana S Martins, Sébastien Houy, Cordelia Imig, Paulo S Pinheiro, Sonja M Wojcik, Nils Brose, Benjamin H Cooper, and Jakob Balslev Sørensen
- Subjects
neurotransmitter release ,chromaffin cell ,SNARE-proteins ,synaptotagmin-7 ,vesicle priming ,capacitance measurements ,Medicine ,Science ,Biology (General) ,QH301-705.5 - Abstract
Synaptotagmins confer calcium-dependence to the exocytosis of secretory vesicles, but how coexpressed synaptotagmins interact remains unclear. We find that synaptotagmin-1 and synaptotagmin-7 when present alone act as standalone fast and slow Ca2+-sensors for vesicle fusion in mouse chromaffin cells. When present together, synaptotagmin-1 and synaptotagmin-7 are found in largely non-overlapping clusters on dense-core vesicles. Synaptotagmin-7 stimulates Ca2+-dependent vesicle priming and inhibits depriming, and it promotes ubMunc13-2- and phorbolester-dependent priming, especially at low resting calcium concentrations. The priming effect of synaptotagmin-7 increases the number of vesicles fusing via synaptotagmin-1, while negatively affecting their fusion speed, indicating both synergistic and competitive interactions between synaptotagmins. Synaptotagmin-7 places vesicles in close membrane apposition (
- Published
- 2021
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- View/download PDF
3. Phosphatidylinositol 4,5-bisphosphate optical uncaging potentiates exocytosis
- Author
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Alexander M Walter, Rainer Müller, Bassam Tawfik, Keimpe DB Wierda, Paulo S Pinheiro, André Nadler, Anthony W McCarthy, Iwona Ziomkiewicz, Martin Kruse, Gregor Reither, Jens Rettig, Martin Lehmann, Volker Haucke, Bertil Hille, Carsten Schultz, and Jakob Balslev Sørensen
- Subjects
phosphatidylinositols ,exocytosis ,adrenal chromaffin cell ,synaptotagmin ,Munc13 ,optical uncaging ,Medicine ,Science ,Biology (General) ,QH301-705.5 - Abstract
Phosphatidylinositol-4,5-bisphosphate [PI(4,5)P2] is essential for exocytosis. Classical ways of manipulating PI(4,5)P2 levels are slower than its metabolism, making it difficult to distinguish effects of PI(4,5)P2 from those of its metabolites. We developed a membrane-permeant, photoactivatable PI(4,5)P2, which is loaded into cells in an inactive form and activated by light, allowing sub-second increases in PI(4,5)P2 levels. By combining this compound with electrophysiological measurements in mouse adrenal chromaffin cells, we show that PI(4,5)P2 uncaging potentiates exocytosis and identify synaptotagmin-1 (the Ca2+ sensor for exocytosis) and Munc13-2 (a vesicle priming protein) as the relevant effector proteins. PI(4,5)P2 activation of exocytosis did not depend on the PI(4,5)P2-binding CAPS-proteins, suggesting that PI(4,5)P2 uncaging may bypass CAPS-function. Finally, PI(4,5)P2 uncaging triggered the rapid fusion of a subset of readily-releasable vesicles, revealing a rapid role of PI(4,5)P2 in fusion triggering. Thus, optical uncaging of signaling lipids can uncover their rapid effects on cellular processes and identify lipid effectors.
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- 2017
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4. Patient journey for hypertension and dyslipidemia in Saudi Arabia: highlighting the evidence gaps
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Amir, Ashraf, Alasnag, Mirvat, Al-Raddadi, Rajaa, Al-Bassam, Tawfik, Saeed, Kanwal, Yazıcıoğlu, Mehmet, and Shabana, Ayman
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- 2023
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5. Patient Journey for Hypertension and Dyslipidemia in Saudi Arabia: Highlighting the Evidence Gaps
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Amir, Ashraf, primary, Alasnag, Mirvat, additional, Al-Raddadi, Rajaa, additional, Al-Bassam, Tawfik, additional, Saeed, Kanwal, additional, Yazıcıoğlu, Mehmet, additional, and Shabana, Ayman, additional
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- 2022
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6. Low grade oncocytic tumour of the kidney: report of 2 cases
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Wei Ling Yeoh, Tiffany Symes, Bassam Tawfik, George Mirmilstein, Paul Kearns, and Laurence A. Galea
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Pathology and Forensic Medicine - Published
- 2023
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7. Chicken or the egg: an unusual presentation of Crohn's disease
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Ashleigh Kapnoullas, William Connell, Karen Dwyer, Bassam Tawfik, Penelope Mckelvie, Michael Homewood, Georgina Cameron, Matthew Read, and Lauren Beswick
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Internal Medicine - Published
- 2022
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8. Author response: Synaptotagmin-7 places dense-core vesicles at the cell membrane to promote Munc13-2- and Ca2+-dependent priming
- Author
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Cordelia Imig, Sonja M. Wojcik, Sébastien Houy, Benjamin H. Cooper, Paulo S. Pinheiro, Joana S Martins, Jakob B. Sørensen, Nils Brose, and Bassam Tawfik
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Cell membrane ,medicine.anatomical_structure ,Chemistry ,medicine ,Dense Core Vesicles ,Priming (immunology) ,Synaptotagmin 1 ,Cell biology - Published
- 2021
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9. Synaptotagmin-7 places dense-core vesicles at the cell membrane to promote Munc13-2- and Ca2+-dependent priming
- Author
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Cordelia Imig, Nils Brose, Paulo S. Pinheiro, Joana S Martins, Jakob B. Sørensen, Benjamin H. Cooper, Sonja M. Wojcik, Bassam Tawfik, and Sébastien Houy
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Electron Microscope Tomography ,endocrine system ,Vesicle fusion ,animal structures ,Mouse ,QH301-705.5 ,Science ,Chromaffin Cells ,synaptotagmin-7 ,Nerve Tissue Proteins ,Membrane Fusion ,General Biochemistry, Genetics and Molecular Biology ,Synaptotagmin 1 ,Exocytosis ,Synaptotagmins ,Cell membrane ,Mice ,capacitance measurements ,chromaffin cell ,medicine ,Animals ,Biology (General) ,General Immunology and Microbiology ,Chemistry ,General Neuroscience ,Vesicle ,Secretory Vesicles ,Cell Membrane ,Intracellular Signaling Peptides and Proteins ,technology, industry, and agriculture ,General Medicine ,Secretory Vesicle ,Mice, Inbred C57BL ,vesicle priming ,medicine.anatomical_structure ,neurotransmitter release ,nervous system ,Chromaffin cell ,SNARE-proteins ,Biophysics ,Medicine ,Calcium ,lipids (amino acids, peptides, and proteins) ,Research Article ,Neuroscience - Abstract
Synaptotagmins confer calcium-dependence to the exocytosis of secretory vesicles, but how coexpressed synaptotagmins interact remains unclear. We find that synaptotagmin-1 and synaptotagmin-7 when present alone act as standalone fast and slow Ca2+-sensors for vesicle fusion in mouse chromaffin cells. When present together, synaptotagmin-1 and synaptotagmin-7 are found in largely non-overlapping clusters on dense-core vesicles. Synaptotagmin-7 stimulates Ca2+-dependent vesicle priming and inhibits depriming, and it promotes ubMunc13-2- and phorbolester-dependent priming, especially at low resting calcium concentrations. The priming effect of synaptotagmin-7 increases the number of vesicles fusing via synaptotagmin-1, while negatively affecting their fusion speed, indicating both synergistic and competitive interactions between synaptotagmins. Synaptotagmin-7 places vesicles in close membrane apposition (2+-dependent priming as a prelude to fast and slow exocytosis triggering.
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- 2021
- Full Text
- View/download PDF
10. Synaptotagmin-7 places dense-core vesicles at the cell membrane to promote Munc13-2- and Ca2+-dependent priming
- Author
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Cordelia Imig, Paulo S. Pinheiro, Nils Brose, Sébastien Houy, Bassam Tawfik, Sonja M. Wojcik, Benjamin H. Cooper, Joana S Martins, and Jakob B. Sørensen
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Cell membrane ,Apposition ,medicine.anatomical_structure ,Vesicle fusion ,Membrane ,Chemistry ,Vesicle ,medicine ,Priming (psychology) ,Exocytosis ,Synaptotagmin 1 ,Cell biology - Abstract
The functional consequences of the co-expression of synaptotagmin-1 and synaptotagmin-7 are unclear. We show that when present separately, synaptotagmin-1 and synaptotagmin-7 act as standalone fast and slow Ca2+-sensors for vesicle fusion in mouse chromaffin cells. When present together, synaptotagmin-7 stimulates Ca2+-dependent vesicle priming and inhibits depriming. The priming effect of Synaptotagmin-7 extends to the Readily Releasable Pool, whose fusion is executed by synaptotagmin-1, indicating synergistic action of the two Ca2+-sensors, although they are only partially colocalized. Synaptotagmin-7 promotes ubMunc13-2-dependent priming and the absence of synaptotagmin-7 renders phorbolesters less effective in stimulating priming, although synaptotagmin-7 independent priming is also observed. Morphologically, synaptotagmin-7 places vesicles in close membrane apposition (< 6 nm); in its absence vesicles accumulate out of reach of the fusion complex (20-40 nm). We suggest that a synaptotagmin-7-dependent movement toward the membrane is involved in Munc13-2/phorbolester/Ca2+-dependent priming and sets the stage for fast and slow exocytosis triggering.
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- 2020
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11. Poroid hidradenocarcinoma and atypical hidradenoma papilliferum of the vulva – Two cases
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Julie M Lamont, Bassam Tawfik, Tom Manolitsas, Dhaval Joshi, and Monica F.G. McGauran
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medicine.medical_specialty ,Hidradenoma ,business.industry ,Hidradenocarcinoma ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Obstetrics and Gynecology ,Gynecology and obstetrics ,medicine.disease ,Dermatology ,Vulva ,Dermatopathology ,Sweat gland carcinoma ,medicine.anatomical_structure ,Oncology ,Case Reports and Case Series ,RG1-991 ,medicine ,Hidradenoma papilliferum ,business ,RC254-282 - Abstract
Benign and malignant tumours may arise from eccrine and apocrine sweat glands. Hidradenocarcinoma is a rare malignant eccrine sweat gland tumour representing
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- 2021
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12. Synaptic competition: ‘to be or not to be’ the calyx of Held?
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Bassam Tawfik and Lu-Yang Wang
- Subjects
Competition (economics) ,0303 health sciences ,03 medical and health sciences ,0302 clinical medicine ,Physiology ,Synapses ,Neurotransmission ,Biology ,Synaptic Transmission ,Calyx of Held ,Neuroscience ,030217 neurology & neurosurgery ,030304 developmental biology - Published
- 2020
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13. Correction: MUNC18-1 regulates the submembrane F-actin network, independently of syntaxin1 targeting, via hydrophobicity in β-sheet 10 (doi:10.1242/jcs.234674)
- Author
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Maria Pons-Vizcarra, Jan R.T. van Weering, Julia Kurps, Jakob B. Sørensen, Bassam Tawfik, and Matthijs Verhage
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Biophysics ,Beta sheet ,Cell Biology ,Biology ,Merge (version control) ,Actin - Abstract
There was an error in J. Cell Sci. (2019) 132 , [jcs234674][1] ([doi:10.1242/jcs.234674][2]). The merge panels in [Fig. 1][3]G were inadvertently duplicated. The corrected and original panels are shown below; both the online full text and PDF versions of the paper have been corrected. The authors
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- 2019
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14. Case report: primary basal cell carcinoma of the prostate – Histopathological and biological features and recent new findings in its molecular pathology
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Wei Wei Yong, Bassam Tawfik, and Frances Lee
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Pathology ,medicine.medical_specialty ,medicine.anatomical_structure ,Primary (chemistry) ,Prostate ,business.industry ,Molecular pathology ,medicine ,Basal cell carcinoma ,medicine.disease ,business ,Pathology and Forensic Medicine - Published
- 2020
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15. Author response: Phosphatidylinositol 4,5-bisphosphate optical uncaging potentiates exocytosis
- Author
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Rainer H. Müller, Bassam Tawfik, Jakob B. Sørensen, Volker Haucke, Paulo S. Pinheiro, Carsten Schultz, Martin Kruse, Martin Lehmann, Gregor Reither, Anthony W. McCarthy, Bertil Hille, Keimpe D. Wierda, Iwona Ziomkiewicz, Alexander M. Walter, Jens Rettig, and André Nadler
- Subjects
chemistry.chemical_compound ,Phosphatidylinositol 4,5-bisphosphate ,chemistry ,Exocytosis ,Cell biology - Published
- 2017
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16. Phosphatidylinositol 4,5-bisphosphate optical uncaging potentiates exocytosis
- Author
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Anthony W. McCarthy, Gregor Reither, Alexander M. Walter, Martin Lehmann, Bassam Tawfik, Keimpe D. Wierda, Rainer Müller, Volker Haucke, Paulo S. Pinheiro, Martin Kruse, Bertil Hille, Carsten Schultz, Jens Rettig, Jakob B. Sørensen, André Nadler, and Iwona Ziomkiewicz
- Subjects
0301 basic medicine ,Phosphatidylinositol 4,5-Diphosphate ,optical uncaging ,Vesicle fusion ,phosphatidylinositols ,Mouse ,QH301-705.5 ,Science ,Chromaffin Cells ,Cytological Techniques ,Munc13 ,Nerve Tissue Proteins ,General Biochemistry, Genetics and Molecular Biology ,Exocytosis ,Synaptotagmin 1 ,Cell Line ,03 medical and health sciences ,chemistry.chemical_compound ,Mice ,0302 clinical medicine ,Journal Article ,Ultraviolet light ,Animals ,Phosphatidylinositol ,Biology (General) ,adrenal chromaffin cell ,General Immunology and Microbiology ,General Neuroscience ,Vesicle ,Intracellular Signaling Peptides and Proteins ,Membrane Proteins ,General Medicine ,Cell Biology ,Cell biology ,synaptotagmin ,030104 developmental biology ,Membrane protein ,chemistry ,Phosphatidylinositol 4,5-bisphosphate ,Synaptotagmin I ,Medicine ,Carrier Proteins ,mouse ,cell biology ,neuroscience ,exocytosis ,030217 neurology & neurosurgery ,Research Article ,Neuroscience - Abstract
Phosphatidylinositol-4,5-bisphosphate [PI(4,5)P2] is essential for exocytosis. Classical ways of manipulating PI(4,5)P2 levels are slower than its metabolism, making it difficult to distinguish effects of PI(4,5)P2 from those of its metabolites. We developed a membrane-permeant, photoactivatable PI(4,5)P2, which is loaded into cells in an inactive form and activated by light, allowing sub-second increases in PI(4,5)P2 levels. By combining this compound with electrophysiological measurements in mouse adrenal chromaffin cells, we show that PI(4,5)P2 uncaging potentiates exocytosis and identify synaptotagmin-1 (the Ca2+ sensor for exocytosis) and Munc13-2 (a vesicle priming protein) as the relevant effector proteins. PI(4,5)P2 activation of exocytosis did not depend on the PI(4,5)P2-binding CAPS-proteins, suggesting that PI(4,5)P2 uncaging may bypass CAPS-function. Finally, PI(4,5)P2 uncaging triggered the rapid fusion of a subset of readily-releasable vesicles, revealing a rapid role of PI(4,5)P2 in fusion triggering. Thus, optical uncaging of signaling lipids can uncover their rapid effects on cellular processes and identify lipid effectors., eLife digest Cells in our body communicate by releasing compounds called transmitters that carry signals from one cell to the next. Packages called vesicles store transmitters within the signaling cell. When the cell needs to send a signal, the vesicles fuse with the cell's membrane and release their cargo. For many signaling processes, such as those used by neurons, this fusion is regulated, fast, and coupled to the signal that the cell receives to activate release. Specialized molecular machines made up of proteins and fatty acid molecules called signaling lipids enable this to happen. One signaling lipid called PI(4,5)P2 (short for phosphatidylinositol 4,5-bisphosphate) is essential for vesicle fusion as well as for other processes in cells. It interacts with several proteins that help it control fusion and the release of transmitter. While it is possible to study the role of these proteins using genetic tools to inactivate them, the signaling lipids are more difficult to manipulate. Existing methods result in slow changes in PI(4,5)P2 levels, making it hard to directly attribute later changes to PI(4,5)P2. Walter, Müller, Tawfik et al. developed a new method to measure how PI(4,5)P2 affects transmitter release in living mammalian cells, which causes a rapid increase in PI(4,5)P2 levels. The method uses a chemical compound called “caged PI(4,5)P2” that can be loaded into cells but remains undetected until ultraviolet light is shone on it. The ultraviolet light uncages the compound, generating active PI(4,5)P2 in less than one second. Walter et al. found that when they uncaged PI(4,5)P2 in this way, the amount of transmitter released by cells increased. Combining this with genetic tools, it was possible to investigate which proteins of the release machinery were required for this effect. The results suggest that two different types of proteins that interact with PI(4,5)P2 are needed: one must bind PI(4,5)P2 to carry out its role and the other helps PI(4,5)P2 accumulate at the site of vesicle fusion. The new method also allowed Walter et al. to show that a fast increase in PI(4,5)P2 triggers a subset of vesicles to fuse very rapidly. This shows that PI(4,5)P2 rapidly regulates the release of transmitter. Caged PI(4,5)P2 will be useful to study other processes in cells that need PI(4,5)P2, helping scientists understand more about how signaling lipids control many different events at cellular membranes.
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- 2017
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17. A Post-Docking Role of Synaptotagmin 1-C2B Domain Bottom Residues R398/399 in Mouse Chromaffin Cells
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Thomas H. Söllner, Andrea Scheutzow, J. R. T. van Weering, H. de Wit, Jörg Malsam, G. H. Kedar, A. S. Munch, Matthijs Verhage, Sébastien Houy, Bassam Tawfik, Jakob B. Sørensen, Human genetics, NCA - Brain mechanisms in health and disease, Functional Genomics, and Neuroscience Campus Amsterdam - Brain Mechanisms in Health & Disease
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Male ,endocrine system ,Patch-Clamp Techniques ,Vesicle fusion ,Chromaffin Cells ,Vesicle docking ,Mice, Transgenic ,Biology ,Membrane Fusion ,Synaptic Transmission ,Synaptotagmin 1 ,Mice ,SDG 3 - Good Health and Well-being ,Animals ,Cells, Cultured ,Secretory pathway ,Microscopy, Confocal ,Secretory Pathway ,General Neuroscience ,Lipid bilayer fusion ,SNAP25 ,Articles ,Embryo, Mammalian ,Secretory Vesicle ,Protein Structure, Tertiary ,Cell biology ,Microscopy, Electron ,Docking (molecular) ,Synaptotagmin I ,Mutation ,Calcium ,Female ,Synaptic Vesicles ,SNARE Proteins - Abstract
Synaptotagmin-1 (Syt1) is the principal Ca2+sensor for vesicle fusion and is also essential for vesicle docking in chromaffin cells. Docking depends on interactions of the Syt1-C2B domain with the t-SNARE SNAP25/Syntaxin1 complex and/or plasma membrane phospholipids. Here, we investigated the role of the positively charged “bottom” region of the C2B domain, proposed to help crosslink membranes, in vesicle docking and secretion in mouse chromaffin cells and in cell-free assays. We expressed a double mutation shown previously to interfere with lipid mixing between proteoliposomes and with synaptic transmission, Syt1-R398/399Q (RQ), insyt1null mutant cells. Ultrastructural morphometry revealed that Syt1-RQ fully restored the docking defect observed previously insyt1null mutant cells, similar to wild type Syt1 (Syt1-wt). Small unilamellar lipid vesicles (SUVs) that contained the v-SNARE Synaptobrevin2 and Syt1-R398/399Q also docked to t-SNARE-containing giant vesicles (GUVs), similar to Syt1-wt. However, unlike Syt1-wt, Syt1-RQ-induced docking was strictly PI(4,5)P2-dependent. Unlike docking, neither synchronized secretion in chromaffin cells nor Ca2+-triggered SUV–GUV fusion was restored by the Syt1 mutants. Finally, overexpressing the RQ-mutant inwild typecells produced no effect on either docking or secretion. We conclude that the positively charged bottom region in the C2B domain—and, by inference, Syt1-mediated membrane crosslinking—is required for triggering fusion, but not for docking. Secretory vesicles dock by multiple, PI(4,5)P2-dependent and PI(4,5)P2-independent mechanisms. The R398/399 mutations selectively disrupt the latter and hereby help to discriminate protein regions involved in different aspects of Syt1 function in docking and fusion.SIGNIFICANCE STATEMENTThis study provides new insights in how the two opposite sides of the C2B domain of Synaptotagmin-1 participate in secretory vesicle fusion, and in more upstream steps, especially vesicle docking. We show that the “bottom” surface of the C2B domain is required for triggering fusion, but not for docking. Synaptotagmin-1 promotes docking by multiple, PI(4,5)P2-dependent and PI(4,5)P2-independent mechanisms. Mutations in the C2B bottom surface (R398/399) selectively disrupt the latter. These mutations help to discriminate protein regions involved in different aspects of Synaptotagmin-1 function in docking and fusion.
- Published
- 2015
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18. The BAR Domain Protein PICK1 Controls Vesicle Number and Size in Adrenal Chromaffin Cells
- Author
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Paulo S. Pinheiro, Ulrik Gether, H. de Wit, Bassam Tawfik, Kenneth L. Madsen, Jakob B. Sørensen, Anna M. Jansen, Matthijs Verhage, Human genetics, NCA - Brain mechanisms in health and disease, Functional Genomics, and Neuroscience Campus Amsterdam - Brain Mechanisms in Health & Disease
- Subjects
endocrine system ,Chromaffin Cells ,PDZ domain ,Green Fluorescent Proteins ,Cell Cycle Proteins ,Mice, Transgenic ,Biology ,Exocytosis ,Membrane Potentials ,Mice ,Catecholamines ,Microscopy, Electron, Transmission ,Adrenal Glands ,Vascular Capacitance ,BAR domain ,Animals ,Secretion ,Cells, Cultured ,General Neuroscience ,Vesicle ,Secretory Vesicles ,Nuclear Proteins ,Articles ,Viral rescue ,Secretory Vesicle ,Cell biology ,Protein Transport ,Animals, Newborn ,Amphiphysin ,Calcium ,Carrier Proteins - Abstract
Protein Interacting with C Kinase 1 (PICK1) is a Bin/Amphiphysin/Rvs (BAR) domain protein involved in AMPA receptor trafficking. Here, we identify a selective role for PICK1 in the biogenesis of large, dense core vesicles (LDCVs) in mouse chromaffin cells. PICK1 colocalized with syntaxin-6, a marker for immature granules. In chromaffin cells isolated from a PICK1 knockout (KO) mouse the amount of exocytosis was reduced, while release kinetics and Ca(2+) sensitivity were unaffected. Vesicle-fusion events had a reduced frequency and released lower amounts of transmitter per vesicle (i.e., reduced quantal size). This was paralleled by a reduction in the mean single-vesicle capacitance, estimated by averaging time-locked capacitance traces. EM confirmed that LDCVs were fewer and of markedly reduced size in the PICK1 KO, demonstrating that all phenotypes can be explained by reductions in vesicle number and size, whereas the fusion competence of generated vesicles was unaffected by the absence of PICK1. Viral rescue experiments demonstrated that long-term re-expression of PICK1 is necessary to restore normal vesicular content and secretion, while short-term overexpression is ineffective, consistent with an upstream role for PICK1. Disrupting lipid binding of the BAR domain (2K-E mutation) or of the PDZ domain (CC-GG mutation) was sufficient to reproduce the secretion phenotype of the null mutant. The same mutations are known to eliminate PICK1 function in receptor trafficking, indicating that the multiple functions of PICK1 involve a conserved mechanism. Summarized, our findings demonstrate that PICK1 functions in vesicle biogenesis and is necessary to maintain normal vesicle numbers and size.
- Published
- 2014
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19. Diagnostic issues with significant tumour displacement in breast biopsies
- Author
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Stephen B. Fox, Nicole Lightfoot, and Bassam Tawfik
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Pathology ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Wide local excision ,medicine.medical_treatment ,Carcinoma in situ ,General Medicine ,Ductal carcinoma ,medicine.disease ,Pathology and Forensic Medicine ,Biopsy Site ,Biopsy ,Carcinoma ,Medicine ,Implant ,Overdiagnosis ,skin and connective tissue diseases ,business - Abstract
It is well recognised that breast biopsy procedure can ‘implant’ tumour nests into the stroma such that displaced neoplastic epithelium may be interpreted as invasive carcinoma at subsequent wide local excision or biopsy. Usually the presence of reactive changes abrogates the probability of overdiagnosis of invasive disease. The diagnosis of invasive carcinoma of breast requires great certainty, as there are significant treatment differences between in situ and invasive disease, and the presence of invasion has profound implications for the patient and their families. We write to outline the case of a diagnosed invasive breast carcinoma occurring within a biopsy site that subsequently was shown to be displaced in situ carcinoma that was exceptional in the extent of implanted tumour material spanning 25 mm of excision tissue. An elderly female presented for investigation of palpable breast lump and bloody nipple discharge. Breast core biopsy was performed and a diagnosis of pure ductal carcinoma in situ (DCIS) was rendered. The patient subsequently underwent a wide local excision. The original pathology reported a 25 mm Grade 1 invasive ductal carcinoma of no special type, arising in a background of extensive intermediate-grade DCIS. The …
- Published
- 2014
- Full Text
- View/download PDF
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