The high-affinity calcium sensor synaptotagmin-7 serves multiple roles in regulated exocytosis

Controlled release of neurotransmitters and hormones from secretory cells occurs through the process of exocytosis. Exocytosis is triggered by a rise in intracellular Ca²⁺ (Douglas and Rubin, 1961; Katz and Miledi, 1965; Augustine and Neher, 1992), with members of the synaptotagmin (Syt) protein family acting as the Ca²⁺ sensors that trigger vesicle-to-plasma-membrane fusion (Brose et al., 1992). Synaptotagmins interact with soluble N-ethyl maleimide–sensitive factor attachment protein receptor (SNARE) proteins, which constitute the core membrane fusion machinery, as well as anionic phospholipid membranes, as part of the mechanism used to couple Ca²⁺ binding to opening of the fusion pore (Söllner et al., 1993b; Chapman, 2008; Südhof and Rothman, 2009; Südhof, 2013). There are 17 different isoforms of synaptotagmin present in mammals, 8 of which trigger membrane fusion in response to Ca²⁺ over a range of affinities and with different activation kinetics (Bhalla et al., 2008; Gustavsson and Han, 2009; Craxton, 2010; Moghadam and Jackson, 2013). A growing number of studies are revealing how different synaptotagmin isoforms exert characteristic effects on the rate and extent of exocytosis, and how synaptotagmin diversity may permit multilayered modulation of content release through isoform-specific effects on fusion dynamics (Schonn et al., 2008; Zhang et al., 2011; Rao et al., 2014, 2017). This review focuses on Syt-7, a high-affinity Ca²⁺ sensor that has been implicated in regulating exocytosis across a wide range of cellular and physiological contexts.

The synaptotagmins share a common molecular architecture comprising an N-terminal transmembrane domain that anchors the protein to lipid bilayers, a linker region, and tandem cytoplasmic Ca²⁺ binding domains, termed C2A and C2B (Südhof and Rizo, 1996). Synaptotagmin isoforms possess a range of Ca²⁺ affinities, with some exhibiting no detectable Ca²⁺ binding (von Poser et al., 1997; Bhalla et al., 2005; Hui et al., 2005; Wang et al., 2005). The C2A and C2B domains interact with multiple effectors in Ca²⁺-independent and -dependent ways. Notable interaction partners include the t-SNAREs, syntaxin and SNAP-23/25, on the plasma membrane (Rao et al., 2004; Bhalla et al., 2006; Zhang et al., 2010; Weber et al., 2014; Zhou et al., 2017). Additionally, the C2 domains of synaptotagmins bind membranes containing anionic phospholipids such as phosphatidylserine (PS) and phosphatidylinositol-(4,5)-bisphosphate (Davletov and Südhof, 1993; Chapman and Jahn, 1994; Schiavo et al., 1996; Lynch et al., 2007, 2008; Stein et al., 2007; Wan et al., 2011; Park et al., 2012; van den Bogaart et al., 2012). Binding of Ca²⁺ to the C2 domains prompts their insertion into lipid bilayers. The interaction of synaptotagmin, Ca²⁺, and anionic phospholipids is thought to play a key role in stimulus-secretion coupling (Sutton et al., 1995; Bai et al., 2004a; Hui et al., 2006). Among the known synaptotagmin isoforms, Syt-7 has the highest Ca²⁺ sensitivity, capable of binding anionic phospholipids and stimulating membrane fusion in vitro at Ca²⁺ concentrations <1 µM (Sugita et al., 2002; Bhalla et al., 2005).

Studies of exocytosis using optical imaging techniques and electrophysiological measurements have provided many examples of how different synaptotagmin isoforms confer distinct effects on exocytosis dynamics by affecting the probability, extent, and rate of content release, as well as determining the choice among alternate fusion modes (Zhang et al., 2011; Rao et al., 2014, 2017). The large variety of synaptotagmin isoforms present in mammalian cells, combined with coexpression of multiple isoforms within the same cell, suggests the potential for fine tuning of secretory outputs in response to different stimuli or physiological circumstances.

Historically, the most widely studied synaptotagmin isoform has been Syt-1, which triggers fast, synchronous neurotransmitter release in neurons and neuroendocrine cells (Geppert et al., 1994). Although the intent of this review is to focus on the properties and activities of Syt-7, reference will occasionally be made to mechanistic studies performed using Syt-1, to the extent that they highlight features that can reasonably be assumed to be shared among synaptotagmin family members. Additionally, it will often prove instructive to compare and contrast Syt-1 and Syt-7 activities to draw attention to what makes Syt-7 stand apart. In many cases, the functions attributed to Syt-7 occur in cells coexpressing Syt-1 (or the closely related Syt-2 or Syt-9 isoforms), and indeed, it is often the juxtaposition of their competing activities that gives rise to the observed effects (Wen et al., 2010; Bacaj et al., 2013; Rao et al., 2014; Luo and Sudhof, 2017). Therefore, an appreciation of the differences between Syt-7 and other isoforms—especially with respect to biochemistry and structure—is necessary for understanding how regulatory functions attributed to Syt-7 become manifest. Syt-7, by dint of the high Ca²⁺-dependent phospholipid affinity of its C2 domains, is well suited for processes operating at low intracellular Ca²⁺. As is discussed in this review, such properties provide a mechanistic framework for understanding Syt-7’s actions at synapses, in neuroendocrine tissue, and within a variety of other cellular contexts.

Syt-7 has been shown to act as the Ca²⁺ sensor for regulated exocytosis in a variety of cellular contexts (Table 1). Expression of Syt-7 is widespread in mammals (Fig. 1). Despite its ubiquitous expression, Syt-7 knockout (KO) mice are viable into adulthood (Martinez et al., 2000). Thus, it is very likely that another isoform compensates for Syt-7’s essential functions.

One of the first characterized cellular functions for Syt-7 was in Ca²⁺-dependent lysosomal exocytosis (Martinez et al., 2000). During this process, lysosomes fuse with the plasma membrane, providing a means to repair tears or breaks in the membrane after damage (Martinez et al., 2000; Reddy et al., 2001). Lysosomal exocytosis, mediated by Syt-7, is also responsible for supplying excess membrane and releasing bone-degrading molecules at the ruffled border of osteoclasts, which resorb old bone during healing and repair (Zhao et al., 2008). Bone maintenance, remodeling, and repair further depend on secretion of bone matrix proteins from osteoblasts, a process that is mediated by Syt-7 present on secretory vesicles. These functions are compromised in Syt-7 KO mice, which have reduced bone volume and are susceptible to osteoporosis (Zhao et al., 2008). Syt-7–dependent delivery of excess membrane to the cell surface through lysosome exocytosis also figures prominently in neurite outgrowth (Arantes and Andrews, 2006) and the ability of macrophages to engulf and take up foreign particles for phagocytic degradation (Czibener et al., 2006; Becker et al., 2009).

A key role has also been identified for Syt-7 in regulating Ca²⁺-dependent exocytotic events that contribute to maintenance of glucose homeostasis. Syt-7 positively regulates Ca²⁺-stimulated secretion of insulin from large dense-core vesicles in pancreatic β cells (Gustavsson et al., 2008) and Ca²⁺-stimulated release of glucagon from vesicles in pancreatic α-cells (Gustavsson et al., 2009). In adipocytes and skeletal muscle cells, Syt-7 promotes incorporation of the GLUT4 glucose transporter into the plasma membrane (Li et al., 2007). Disruption of these processes in Syt-7 KO mice results in glucose intolerance (Li et al., 2007; Gustavsson et al., 2008). A decrease in glucose-stimulated insulin secretion was also observed after knockdown of Syt-7 in human pancreatic β cells (Dolai et al., 2016).

Ca²⁺-triggered secretion of vesicle contents depends on Syt-7 in other specialized settings, including release of norepinephrine from cardiac sympathetic nerve terminals (Shih et al., 2016) and release of lytic enzymes from T-cell lymphocytes that destroy target cells (Fowler et al., 2007). The fact that Syt-7 regulates exocytosis in all of these different contexts may indicate a requirement for exocytosis to be activated efficiently by small increases in intracellular Ca²⁺, for which Syt-7 is particularly well suited given its high Ca²⁺ sensitivity (Sugita et al., 2002). Although Syt-7 was identified as a key player in controlling the Ca²⁺-dependent membrane fusion events described above, it may function jointly with other isoforms in mediating exocytosis in these instances. For example, insulin secretion is decreased by only ∼40% in Syt-7 KO mice, suggesting that other Ca²⁺ sensors—such as Syt-9, which is expressed at comparable levels in pancreatic islets—are likely involved (Gustavsson et al., 2008; Gustavsson and Han, 2009). Syt-7 was identified as the principal Ca²⁺ sensor behind nearly all glucagon secretion from α-cells, but this appears to be the exception rather than the rule (Gustavsson et al., 2009).

In several cell types, the interplay between the activities of Syt-7 and other synaptotagmin isoforms has been studied to some extent. Syt-7 is highly and ubiquitously expressed in the brain (Fig. 1), where it is commonly found with one or more of the lower-affinity isoforms Syt-1, 2, and/or 9 (Li et al., 1995, 2017; Ullrich and Südhof, 1995; Wen et al., 2010; Bacaj et al., 2013, 2015; Moghadam and Jackson, 2013; Luo et al., 2015). The juxtaposition of these isoforms with Syt-7 may allow for modulation of the secretory response as a function of spatial and temporal variations in the Ca²⁺ signal and can have interesting physiological consequences (Wen et al., 2010; Bacaj et al., 2013, 2015; Luo et al., 2015; Li et al., 2017; Luo and Sudhof, 2017). It has been hypothesized that combination of synaptotagmins with different Ca²⁺ sensitivities could afford a range of possibilities for fusion output, based on differential activation of synaptotagmin isoforms according to the strengths or patterns of stimulation in excitable cells (Moghadam and Jackson, 2013).

Syt-7, via interactions with effector proteins, could also regulate exocytosis upstream of the fusion event. Loss of Syt-7 activity in KO cells causes a reduction of sustained release during stimulus trains, which was suggested to result from a role of Syt-7 in replenishment of the readily releasable vesicle pool (Liu et al., 2014). The effect of Syt-7 removal was recapitulated by loss of calmodulin, and Syt-7 was found to associate tightly with calmodulin in a manner that depended on Ca²⁺ binding to its C2 domains. These data suggest that the Syt-7–calmodulin complex plays a fundamental role in regulating vesicle replenishment at synapses (Liu et al., 2014).

Syt-1 and Syt-7 are the major synaptotagmin isoforms present in adrenal chromaffin cells (Maximov et al., 2008; Schonn et al., 2008; Matsuoka et al., 2011). Chromaffin cells secrete a cocktail of bioactive agents into the bloodstream in response to sympathetic activation (Carmichael and Winkler, 1985). Strong stimulation of secretion from chromaffin cells has revealed rapid and delayed exocytotic components (Heinemann et al., 1993, 1994; Chow et al., 1994), with the initial fast phase corresponding to release from the readily releasable pool (RRP) and a delayed release component from the slowly releasable pool (SRP) of vesicles (Sørensen, 2004; Schonn et al., 2008). Membrane capacitance measurements combined with Ca²⁺ uncaging in Syt-1 KO mice showed that the rapid phase of release is eliminated in the absence of Syt-1 (Voets et al., 2001; Schonn et al., 2008). The remaining delayed component exhibits a Ca²⁺ threshold that closely mirrors the low, micromolar-range sensitivity of Syt-7 for binding to phospholipids in the presence of Ca²⁺ (Sugita et al., 2002). Furthermore, deletion of Syt-7 in a Syt-1 KO background almost completely eliminates the slow phase of release (Schonn et al., 2008). Syt-7 has been hypothesized to affect exocytosis kinetics either by interacting with and modulating the release rate of Syt-1–containing vesicles (Schonn et al., 2008; Weber et al., 2014) or by triggering fusion of a subpopulation of predominantly Syt-7–containing vesicles (Rao et al., 2014). In either case, the combination of Syt-1 and Syt-7 could permit fine-tuning of secretory outputs. For example, the ability of Syt-7 to promote fusion at much lower Ca²⁺ concentrations may provide the basis for constitutive release of neurotransmitters in response to low-level, basal stimulation (Fulop et al., 2005).

The fact that Syt-7 regulates exocytosis in such a wide array of cellular contexts raises the question of whether it imparts control over fusion through a common mechanism in all cases, or whether different functional modes are exploited in different circumstances. One piece of information that seems necessary for answering this question is the subcellular localization of Syt-7. In neurons, based on immunostaining of endogenous Syt-7 combined with light and electron microscopy, Syt-7 was found close to presynaptic active zones but did not appear to overlap with clusters of vesicles (Sugita et al., 2001). Thus, it was concluded that Syt-7 is bound to the plasma membrane, an interpretation further supported by subcellular fractionation measurements (Sugita et al., 2001). Other studies have subsequently reported a plasma membrane localization of Syt-7 in neurons (Virmani et al., 2003; Weber et al., 2014; Jackman et al., 2016).

These results stand in sharp contrast with studies indicating that Syt-7 is targeted primarily to internal organelles, including large dense-core vesicles in both primary and immortalized neuroendocrine cells (Fukuda et al., 2002b, 2004; Wang et al., 2005; Tsuboi and Fukuda, 2007; Zhang et al., 2011; Rao et al., 2014, 2017; Dolai et al., 2016) and lysosomes in nonneuronal cells (Martinez et al., 2000; Reddy et al., 2001). One such study performed quantitative immunostaining of tag-free, up-regulated Syt-7 in PC12 cells and found significant colocalization of Syt-7 with vesicle and lysosome markers but minimal overlap with the plasma membrane marker syntaxin-1a (Wang et al., 2005; Fig. 2). Similarly, numerous studies have localized GFP-tagged Syt-7 to the surface of large dense-core vesicles in PC12 cells and chromaffin cells (Fukuda et al., 2004; Zhang et al., 2011; Rao et al., 2014, 2017; Bendahmane et al., 2018). Thus, there is considerable evidence that in neuroendocrine cells Syt-7 does not act as a plasma membrane Ca²⁺ sensor but instead regulates exocytosis directly from the vesicle surface, perhaps acting similarly to Syt-1 but with a different Ca²⁺ sensitivity.

Wang et al. (2005) found a significant degree of overlap between Syt-7 and Syt-1 in PC12 cells, suggesting that multiple synaptotagmin isoforms can reside on the same secretory vesicle. The divalent metal dependence of catecholamine release in these cells was sensitive to Syt-7 expression level; dose–response curves shifted to lower concentrations when Syt-7 was overexpressed and to higher concentrations when Syt-7 expression was knocked down with RNAi. This correlation suggests that the ratio of Syt-7 to Syt-1 on each vesicle dictates the metal sensitivity of release (Wang et al., 2005). Other studies using fluorophore-tagged synaptotagmin constructs found that Syt-1 and Syt-7 were largely sorted to separate vesicle populations, indicating that different vesicle pools may be endowed with distinct fusion properties via selective isoform sorting (Rao et al., 2014). Colocalization studies of Syt-1, 4, 7, and 9 in PC12 and primary rat chromaffin cells suggested that vesicles can harbor multiple synaptotagmin isoforms (Matsuoka et al., 2011). In PC12s, Syt-1 and Syt-7 have lower colocalization (∼45%) than other isoform pairs. Partial spatial segregation of Syt-1 and Syt-7 could be achieved through differential sorting based on vesicle size, with Syt-1 and Syt-7 showing preference for smaller and larger vesicles, respectively (Zhang et al., 2011). This size preference was also noted in primary rat chromaffin cells (Matsuoka et al., 2011).

The presence of Syt-7 on the plasma membrane versus secretory vesicles, and the degree of cosorting with other synaptotagmin isoforms, could be influenced by a variety of factors. Intracellular trafficking could be affected by experimental variables such as fluorescent protein tags and their placement and/or higher-than-normal protein expression levels causing spillover to nonphysiological sites. Although we have consistently observed overexpressed Syt-7 to have a predominantly vesicular localization (Rao et al., 2014), the relative abundance of protein on the plasma membrane of bovine chromaffin cells is variable from cell preparation to preparation. The balance of its localization may be affected by overexpression, which in turn, has the potential to alter the balance of anterograde and retrograde trafficking reactions within a cell. It is also possible that physiologically relevant differences in Syt-7 trafficking occur according to cell type or context that allow targeting of Syt-7 activity to a specific subcellular location or regulation of its mode of action.

Posttranslational protein modifications may affect the intracellular trafficking of synaptotagmins (Chapman et al., 1996; Veit et al., 1996; Fukuda, 2002; Heindel et al., 2003; Han et al., 2004; Kang et al., 2004; Kanno and Fukuda, 2008; Flannery et al., 2010; Kwon and Chapman, 2012). In one study, N-glycosylation was shown to play a critical role in proper targeting of Syt-1 to vesicles in both neurons and PC12 cells (Han et al., 2004). A point mutation (N24Q) that abolished N-glycosylation altered Syt-1 localization from PC12 secretory vesicles to the plasma membrane. Surprisingly, in Syt-1 KO neurons expressing the glycosylation mutant, synchronous release was restored despite the protein being missorted (Han et al., 2004). A different study showed that vesicular sorting of Syt-1 N- and O-glycosylation mutants was disrupted only when proteins were expressed in a wild-type rather than Syt-1 KO background (Kwon and Chapman, 2012). Thus, glycosylation’s role in proper Syt-1 sorting, and thereby synaptic function, may be context dependent.

Syt-7 also undergoes several posttranslational modifications in the cell. Three cysteine residues located within and adjacent to the Syt-7 transmembrane domain are palmitoylated, and palmitoylation was shown to be necessary for targeting of Syt-7 to lysosomes (Flannery et al., 2010). Potentiation of insulin secretion requires phosphorylation of Syt-7 at Ser103 by protein kinase A, and Syt-7 is likely to be phosphorylated at other sites as well (Wu et al., 2015). Whether posttranslational modifications could account for some of the apparent discrepancies in the literature with respect to Syt-7 localization remains to be determined.

Context-dependent effects of Syt-7 could also be related to alternative splicing. The standard form of Syt-7 is 403 amino acids long, with a molecular weight of ∼45 kD (Gustavsson and Han, 2009). However, multiple Syt-7 protein variants resulting from alternative splicing of the Syt-7 gene primary transcript have been identified. These variants exhibit temporally and spatially regulated patterns of expression during development (Sugita et al., 2001). In rat brain, at least 12 variants have been identified that range in size from 122 to 687 amino acids; some are truncated versions missing the C2 domains, whereas others harbor extended linker regions (Sugita et al., 2001). Truncated and extended isoforms were found to have competing effects on synaptic vesicle recycling in rat hippocampal neurons, in that recycling was enhanced by a truncated isoform and decelerated by an extended-linker isoform (Virmani et al., 2003). In mouse brain, three isoforms have been identified: the dominant canonical isoform, Syt-7α, and two alternate isoforms, Syt-7β and Syt-7γ, whose spacer regions contain insertion sequences of 44 and 116 amino acids, respectively (Fukuda et al., 2002b). Similarly, pancreatic β-cells have been found to express the α, β, and δ isoforms of Syt-7; the δ isoform is a truncated version that localized to a different vesicle population and inhibited insulin secretion upon overexpression in INS-1E cells (Gauthier et al., 2008). The functional differences among isoforms with different linker lengths are not yet well understood.

Although Syt-7 is expressed in nonneural tissues, it is particularly enriched in the brain (Li et al., 1995). Syt-7’s prominent neuronal expression and high Ca²⁺ affinity immediately led to suggestions that in neurons Syt-7 could serve as a specialized high-affinity sensor to support two forms of presynaptic plasticity that are driven by submicromolar Ca²⁺ signals: asynchronous release and facilitation (Zucker, 1996; Zucker and Regehr, 2002; Hui et al., 2005).

Asynchronous release refers to the delayed, slow release of neurotransmitter that persists after the end of a single action potential or a train of action potentials. The term originates from early descriptions of evoked release at the frog neuromuscular junction (NMJ; Barrett and Stevens, 1972; Goda and Stevens, 1994). These classic electrophysiological studies demonstrated the possibility of separable Ca²⁺-dependent release mechanisms based on the fact that exocytosis followed multiple, kinetically distinguishable rates (Goda and Stevens, 1994). Facilitation involves the transient elevation of release probability after an action potential, which can drastically increase the amount of neurotransmitter released if a second action potential arrives shortly after the first (Jackman and Regehr, 2017). Because facilitation and asynchronous release both rely on the same submicromolar Ca²⁺ signal, reflect a transient increase in release probability, and exhibit similar decay kinetics, it was suggested early on that they might use the same mechanism (Rahamimoff and Yaari, 1973).

Action potentials cause brief, large Ca²⁺ signals in the immediate vicinity of open voltage-gated Ca²⁺ channels (Llinás et al., 1992; Atluri and Regehr, 1996; Zenisek et al., 2003). These “nanodomains” of Ca²⁺ are thought to reach tens or hundreds of micromolar (Simon and Llinás, 1985), which would activate low-affinity Ca²⁺ sensors such as Syt-1 and Syt-2 to drive synchronous vesicle fusion and neurotransmitter release. Nanodomains quickly collapse at the end of an action potential when voltage-gated Ca²⁺ channels close, after which a modest amount of residual free Ca²⁺ persists in the presynaptic terminal before being buffered by endogenous Ca²⁺-binding proteins, sequestered into intracellular organelles, or extruded (Cooper et al., 1996; Zucker and Regehr, 2002). It is in the context of this “residual Ca²⁺ hypothesis” that the role of Syt-7 might be best understood, where it acts as a high-affinity sensor to detect modest Ca²⁺ signals and increase vesicle release probability (Katz and Miledi, 1968; Jackman and Regehr, 2017).

Early studies of neuronal synapses detected no discernible effect of Syt-7 on synaptic transmission. At the Drosophila melanogaster larval NMJ, knockdown of Syt-7 caused no change in either the initial release probability or short-term plasticity (Saraswati et al., 2007). Similarly, at inhibitory synapses between cultured mouse cortical neurons, Syt-7 KO had no effect on baseline release, short-term plasticity, or delayed release after train stimulation (asynchronous release; Maximov et al., 2008). These results are somewhat surprising and difficult to explain, given that subsequent studies found that Syt-7 plays a role in both facilitation and asynchronous release. However, in the case of the D. melanogaster NMJ, an earlier study failed to detect presynaptic Syt-7 in wild-type animals, which may explain why Syt-7 knockdown did not change the properties of synaptic transmission (Adolfsen et al., 2004). Similarly, it is not known whether Syt-7 is normally present at inhibitory synapses in cortical cultures. Moreover, cultured neurons often fail to exhibit normal short-term plasticity, possibly because cultured neurons fail to develop the normal complement of synaptic proteins and/or because cultured neurons are often studied using nonphysiological extracellular Ca²⁺ concentrations.

The first indication that Syt-7 plays a role in synaptic transmission came from the zebrafish NMJ, where knockdown of Syt-7 led to a marked decrease in asynchronous release (Wen et al., 2010). At the zebrafish NMJ, prolonged train stimulation results in two separate forms of release. Early in the train, release is synchronized to each action potential. Later in the train, release becomes less synchronized, and more release events occur in between action potentials. Knockdown of Syt-7 left synchronous release intact but abolished asynchronous release. Knockdown of Syt-2 (the dominant low-affinity synaptotagmin isoform at this synapse) had the opposite effect, preserving asynchronous release while abolishing the early synchronous component. Thus at the zebrafish NMJ, these two synaptotagmin isoforms mediate kinetically distinguishable forms of neurotransmitter release.

Syt-7’s role in asynchronous release has been subsequently proposed at many other synapses. These include cultured hippocampal neurons (Bacaj et al., 2013; Li et al., 2017), excitatory synapses between hippocampal CA1 pyramidal neurons and the subiculum (Bacaj et al., 2013), retinal bipolar cell synapses (Luo et al., 2015), the cerebellar basket cell synapse (Chen et al., 2017), the calyx of Held (Luo and Sudhof, 2017), and cerebellar parallel fiber synapse (Turecek and Regehr, 2018; but see Liu et al., 2014; Weber et al., 2014 for conflicting studies). Syt-7–mediated asynchronous release is substantial after action potential trains, which could allow presynaptic cells to exert sustained impact on postsynaptic activity for hundreds of milliseconds (Maximov and Südhof, 2005; Luo et al., 2015).

Syt-7 has recently been shown to be required for synaptic facilitation at multiple synapses in the hippocampus and thalamus (Jackman et al., 2016). At these synapses, facilitation driven by a single action potential causes a ∼2-fold enhancement of synaptic vesicle release, which decays with a time constant of ∼100 ms. In global Syt-7 KO animals, facilitation was completely abolished. Notably, facilitation could be restored in adult animals in a cell-autonomous fashion by virally driven rescue expression of Syt-7, suggesting that the loss of facilitation was not a result of abnormal development in global Syt-7 KO animals (Jackman et al., 2016). Rescue expression of Syt-7 with a mutated Ca²⁺-binding C2A domain did not restore facilitation, showing that Syt-7’s high-affinity Ca²⁺ binding is essential for facilitation.

Subsequent studies have revealed a novel function for Syt-7–mediated facilitation. Several synapses in the cerebellum and medial vestibular nucleus display net synaptic depression despite exhibiting prominent Syt-7 expression (Chen et al., 2017; Turecek et al., 2017). Interestingly, these synapses share an uncommon trait: in response to repeated stimulation, they depress to the same steady-state response amplitude regardless of the stimulus frequency. It is possible these synapses have a hidden component of facilitation that perfectly counters depression to create a “frequency-invariant” synapse, because use-dependent vesicle depletion (the primary cause of depression) and use-dependent facilitation (driven by Syt-7) both increase with stimulus frequency. Indeed, at the cerebellar Purkinje cell synapse, prominent facilitation was revealed when the initial release probability was decreased by lowering extracellular Ca²⁺, and frequency invariance was lost in Syt-7 KO animals (Turecek et al., 2017). Thus, Syt-7 may be responsible for an underappreciated class of synapses that are perfectly able to transmit the rate of presynaptic activity by maintaining constant responses over a wide range of firing frequencies.

The mechanism by which Syt-7 produces either asynchronous release or facilitation remains to be determined. The conventional view is that it does so from the plasma membrane by increasing the probability of fusion of Syt-1–bearing vesicles (Sugita et al., 2001; Jackman et al., 2016). The structural similarities between Syt-1 and Syt-7 suggest that the two isoforms might use similar mechanisms (discussed in detail in later sections) to drive the fusion of synaptic vesicles with the plasma membrane. Recent studies support the idea that Syt-1 and Syt-7 are equally and independently capable of driving vesicle fusion (Bacaj et al., 2015).

Synaptic vesicle fusion depends critically on Syt-1’s ability to bind anionic lipids in a Ca²⁺-dependent manner (Chapman, 2008; Jahn and Fasshauer, 2012). Upon binding Ca²⁺, Syt-1 pulls synaptic vesicles closer to the plasma membrane, which may lower the energy barrier for fusion (Chang et al., 2018). Ca²⁺-bound C2 domains can also insert deeply into membranes, inducing curvature that further lowers the energy barrier (Martens et al., 2007; Hui et al., 2009). Insertion into the membrane appears to be especially important, as a point mutation to a membrane-inserting hydrophobic residue completely abolishes Syt-1–mediated synaptic vesicle fusion (Bai et al., 2002; Herrick et al., 2006; Paddock et al., 2011).

Recently, an author of this review (Jackman et al., 2016) proposed a model of synaptic release based solely on the observed membrane-binding properties of Syt-1 and Syt-7 (Brandt et al., 2012; Fig. 3). According to this model, the 40-k_BT energy barrier for fusion (Kuzmin et al., 2001) decreases when presynaptic Ca²⁺ binds to either Syt-1 or Syt-7. The rate constant for fusion is then predicted by the Arrhenius equation. Syt-1’s low Ca²⁺ affinity and fast membrane-binding kinetics allow it to quickly bind and unbind from membranes during an action potential, leading to synchronous vesicle fusion. In contrast, Syt-7’s high Ca²⁺ affinity and slow binding kinetics keep it bound to membranes in between action potentials, which may lower the energy barrier for fusion and facilitate the action of Syt-1 during subsequent action potentials. A necessary constraint of this model is that Syt-7 is less effective than Syt-1 at lowering the energy barrier, as the model otherwise predicts high rates of sustained fusion in between action potentials. However, even in the absence of Ca²⁺-bound Syt-1, the model predicts that Syt-7 will drive very low rates of fusion for ∼100 ms after an action potential. This could explain Syt-7’s role in asynchronous release. Indeed, when Syt-1 is removed from the model, the predicted fusion rates display striking similarities to Syt-7–driven release recorded from Syt-1 KO neurons (Bacaj et al., 2013).

Until recently, it was unclear whether Syt-7 could simultaneously support both asynchronous release and facilitation. Studies of the role of Syt-7 in asynchronous release were performed using synapses that do not show facilitation (Wen et al., 2010; Bacaj et al., 2013), whereas studies of facilitation were performed at synapses without prominent asynchronous release (Jackman et al., 2016; Turecek et al., 2017). Two recent studies examined synapses that possess asynchronous release and facilitation and found that deletion of Syt-7 profoundly impaired both forms of plasticity (Chen et al., 2017; Turecek and Regehr, 2018). This supports the hypothesis that a single mechanism underlies the two phenomena (Rahamimoff and Yaari, 1973; Van der Kloot and Molgó, 1994). Syt-7 likely produces a prolonged increase in the probability of release after an action potential, which can manifest as either a low rate of sustained fusion (asynchronous release) or dramatic increase in subsequent Syt-1–driven fusion (facilitation). It is interesting to speculate whether asynchronous release might be an inevitable consequence of facilitation, or vice versa.

Asynchronous release is not completely abolished by the removal of Syt-7 (Bacaj et al., 2013; Chen et al., 2017; Turecek and Regehr, 2018). Thus, it is likely that other presynaptic Ca²⁺ sensors perform functions that partly or completely overlap with Syt-7. Doc2 proteins are likely candidates for such functions (Yao et al., 2011; Xue et al., 2015). Similar to synaptotagmins, Doc2α and Doc2β possess a pair of Ca²⁺-binding C2 domains, but they lack a transmembrane domain (Yao et al., 2011). Doc2 interacts with SNARE proteins and membranes in a Ca²⁺-dependent manner, but with higher Ca²⁺ affinity and slower binding kinetics than Syt-1 (Yao et al., 2011). Although Doc2 is cytoplasmic, upon binding Ca²⁺, it translocates to the plasma membrane and contributes to asynchronous release in cultured hippocampal neurons as well as dense-core vesicle exocytosis from chromaffin cells (Xue et al., 2015; Houy et al., 2017).

A small component of facilitation also persists at Syt-7 KO synapses at the cerebellar parallel fiber synapse (Turecek and Regehr, 2018) and calyx of Held (Luo and Sudhof, 2017). The remaining facilitation exhibits a decay that is faster than the facilitation driven by Syt-7. Early studies of facilitation at the frog NMJ detected two distinct components of facilitation, termed F₁ and F₂ (Mallart and Martin, 1967). These two components of facilitation decayed with time constants roughly equal to facilitation observed in the absence of Syt-7 (F₁) and facilitation driven by Syt-7 at wild-type synapses (F₂). Revealing the mechanism behind F₁ is an important step toward understanding the functional role of this fast form of facilitation in synaptic transmission.

Cell-based, biophysical studies on dynamics of the fusion pore have revealed characteristic effects of Syt-7 on the steps of fusion pore opening and subsequent dilation/expansion (Segovia et al., 2010; Zhang et al., 2011; Rao et al., 2014). In considering these effects, it is useful to contrast Syt-7’s effects on the rate and extent of fusion with the corresponding activities of Syt-1, to highlight unique aspects of Syt-7 function. Both isoforms are present in neurons (Geppert et al., 1994; Li et al., 1995; Ullrich and Südhof, 1995; Sugita et al., 2001) and chromaffin cells (Fukuda et al., 2004; Schonn et al., 2008), and differences in fusion pore dynamics suggest that the interplay of their activities can produce multilayered regulatory control over fusion outcomes. In the discussion below, particular emphasis is placed on the role of Syt-7 in the control of exocytosis in adrenomedullary chromaffin cells.

Vesicle fusion progresses from a prefusion contact point to the eventual generation of a fusion pore, an aqueous connection between the vesicle interior and cell exterior through which cargos are discharged. One of the important intermediates in this pathway is thought to be “hemifusion,” which is operationally defined as lipid mixing without aqueous content mixing (Chernomordik et al., 2006). Studies in reconstituted systems suggest that the prevalence of hemifusion, and the stability of such an intermediate in general, depends on the characteristics of the lipids (intrinsic curvature, liposome size, etc.) and identity of proteins involved in the fusion reaction (Chernomordik et al., 1998; Yoon et al., 2006; Kyoung et al., 2011; Diao et al., 2012; Hernandez et al., 2012). In chromaffin cells, the hemifused state may actually constitute a regulated step in the transition from vesicle–plasma membrane contact to pore opening, or from pore opening to dynamin-dependent fission (Zhao et al., 2016). Whether Syt-1 has a role in these processes besides accelerating the transition from the hemifused state to pore opening is unclear (Kyoung et al., 2011). However, Syt-7 has features that distinguish it from Syt-1 and suggest it may more effectively stabilize highly curved intermediates along the fusion pathway (see Fig. 8). The stabilization of such intermediates may delay the transition from hemifusion to pore formation (Zhao et al., 2016) and/or pore formation to expansion (Rao et al., 2014). Hemifused intermediates may represent energetically favorable sites for dynamin-dependent fission mechanisms (Liu et al., 2011) which work to counter the tendency for pores to expand (Anantharam et al., 2011; Zhao et al., 2016). This idea is supported by evidence showing an increased likelihood of a “kiss-and-run” form of endocytosis occurring at sites of Syt-7 vesicle fusion (Rao et al., 2014).

Once formed, the fusion pore can be viewed as a narrow channel that enables the outward flux of neurotransmitter molecules. With amperometry, which allows the most sensitive measure of content flux through an open pore, the nascent pore is characterized by a distinctive “prespike foot” (Wightman et al., 1991; Chow et al., 1992). The prespike foot consists of small-amplitude current flickers that likely correspond to the trickle of neurotransmitter escaping the pore while it is still narrow (Alvarez de Toledo et al., 1993; Zhou et al., 1996). The fusion pore may then expand to permit rapid release of the remaining neurotransmitter contents in a burst represented by a large spike in the amperometric trace (Wightman et al., 1991; Chow et al., 1992; Schroeder et al., 1996); alternatively, it may reseal to produce kiss-and-run events in which only a fraction of the vesicle’s contents is released (Graham et al., 2002; Wang et al., 2003a, 2006; Fulop et al., 2005). These kiss-and-run events are indicated by stand-alone feet in the amperometric traces (Zhou et al., 1996). The narrow angstrom-scale diameter of the fusion pore permits passage of small neurotransmitter molecules and retention of larger peptide cargo molecules (MacDonald et al., 2006). Therefore, kiss-and-run events provide a mechanism for controlling the quantity and identity of content being released. Many of these concepts, including the structure and possible regulators of fusion pores, are reviewed elegantly by Chang et al. (2017).

Amperometric measurements of norepinephrine release from PC12 cells were the first to reveal Syt-dependent effects on control of fusion pore opening and stability (Wang et al., 2001, 2003a,b; Bai et al., 2004b; Zhang et al., 2010). The main effects of overexpressed Syt-7 were an overall increased frequency of fusion events as well as a stabilization of the fusion pore compared with Syt-1 and Syt-9 (Zhang et al., 2010, 2011). The degree of fusion pore stabilization was correlated with in vitro measurements of synaptotagmin binding to PS-containing lipids. In contrast, there was no evidence for a correlation between the strength of Ca²⁺-independent and -dependent interactions with SNARE proteins syntaxin and SNAP-25 or for the ability of synaptotagmin to facilitate SNARE complex assembly with stabilization of the fusion pore (Zhang et al., 2010). It was concluded that isoform-specific differences in interactions with anionic phospholipid effectors may underlie differences in rates of fusion pore transitions (Zhang et al., 2010).

In primary chromaffin cells, endogenous synaptotagmin isoforms number two (Syt-1 and -7; Schonn et al., 2008) or four (Syt-1, -4, -7, and -9; Matsuoka et al., 2011). However, only Syt-1 and Syt-7 have been identified on dense-core vesicles. Isoform-specific effects on the fusion pore, its expansion, and the concomitant release of cargo proteins are evident in chromaffin cells imaged with conventional or polarized TIRF (pTIRF) microscopy (Anantharam et al., 2010; Rao et al., 2014). pTIRF microscopy relies on the use of a lipophilic dye (DiI or DiD) that embeds in the membrane with a fixed orientation. Upon fusion, the dye diffuses from the plasma membrane into the vesicle membrane. Alternate excitation by light polarized parallel or perpendicular to the coverslip and detection of the resultant emissions can be used to identify regions of high curvature and deduce membrane geometries associated with pore expansion (Anantharam et al., 2010).

The stability of localized regions of curvature representing the fused vesicle/plasma membrane domain is substantially enhanced after fusion of Syt-7–bearing vesicles (Fig. 4; Rao et al., 2014). In contrast, indentations associated with Syt-1 fusion events have a much shorter lifetime, suggesting that they are more likely to collapse into the plasma membrane after fusion (Rao et al., 2014). Accordingly, fluorescent cargos are discharged slowly from vesicles bearing fluorescent Syt-7 (Rao et al., 2017; Bendahmane et al., 2018). These results indicate that Syt-7 stabilizes areas of high membrane curvature during exocytosis in cells, which seems to be in agreement with amperometric measurements of fusion pore stabilization (Zhang et al., 2011).

It should be noted here that the long persistence of fusion-site membrane curvature observed by optical methods represents a much slower process than the transition from prespike foot to burst of neurotransmitter release captured by amperometry recordings, which occurs in a matter of milliseconds (Alvarez de Toledo et al., 1993; Albillos et al., 1997; Alés et al., 1999). Though both phenomena have been interpreted as expansion of the fusion pore, they are likely to represent sequential kinetic steps in the process of exocytosis, and we propose drawing a distinction between them. A fast initial widening of the fusion pore (<3 nm; Albillos et al., 1997) could allow complete release of small neurotransmitters but may not increase the pore diameter to the extent required for passage of larger peptide cargo. This step would occur too quickly to be resolved by the frame rate of the fluorescence measurements, which is on the order of 10 Hz. A subsequent, more extensive opening, which is the step observed by pTIRF, would permit exit of peptides and larger molecules from the vesicle (Taraska et al., 2003; Perrais et al., 2004; MacDonald et al., 2006). This two-step model would be consistent with proposals that the fusion pore acts as a size filter for selective cargo release (Perrais et al., 2004; Moghadam and Jackson, 2013).

Biochemical and optical measurements cited above raise the intriguing possibility that C2 domain lipid interactions regulate structural changes at multiple points during progressive widening of the pore (Wang et al., 2003a,b, 2006; Segovia et al., 2010). In support of this idea, a chimera of Syt-1, whose C2B domain Ca²⁺-binding loops were exchanged for those of Syt-7, exhibits a higher affinity for anionic phospholipids in the absence of Ca²⁺ and slower dissociation from phospholipids in the presence of Ca²⁺ and, importantly, exerts slowing effects on fusion pore expansion and cargo release kinetics compared with the wild-type protein (Bendahmane et al., 2018). The tight binding of the Syt-7 C2 domains to lipids constituting the fusion pore (Voleti et al., 2017) could be a determining factor of pore stabilization, exerting regulatory control over the probabilities for the fusion pore to open, expand, or reseal (Fig. 5). According to this view, it is possible that the remarkably slow rates of pore expansion of Syt-7 vesicles relative to Syt-1 are linked to the slow dissociation of Syt-7 from target membranes (Hui et al., 2005; Rhee et al., 2005; Bendahmane et al., 2018).

TIRF-based measurements of lysosomal exocytosis in mouse embryonic fibroblasts reveal similar inhibitory effects of Syt-7 on fusion pore expansion (Jaiswal et al., 2004). The majority of fusion events from wild-type cells resulted in partial release of lysosome contents. By measuring release of different sized fluorescent dextran molecules, the diameter of the fusion pore during partial release was estimated to be 30 nm, which prevented egress of larger cargoes. However, in Syt-7 KO cells, full release was favored over partial release, and fusion pores were wide enough to permit release of all sizes of dextrans tested. Thus, it was concluded that Syt-7 restricts expansion of the fusion pore during lysosomal exocytosis (Jaiswal et al., 2004, 2009). Interestingly, lysosomal exocytosis was triggered by Ca²⁺ even in the absence of Syt-7, suggesting either that Syt-7 regulates lysosomal exocytosis in a fundamentally different way from synaptic vesicle and dense-core vesicle exocytosis, where it couples Ca²⁺ binding to fusion, or that alternative Ca²⁺ sensors are present that take over in the absence of Syt-7 (Jaiswal et al., 2004).

Recent optical imaging studies in bovine chromaffin cells show how the different Ca²⁺ sensitivities of Syt-1 and Syt-7 impact fusion kinetics of their respective vesicle populations (Rao et al., 2017). Small elevations from baseline cytosolic Ca²⁺ levels are generally ineffective at driving fusion of vesicles bearing Syt-1 but much more effective at driving fusion of vesicles bearing Syt-7. This is again consistent with prior in vitro studies, which demonstrated that Syt-7 binds membranes and triggers fusion at far lower Ca²⁺ concentrations compared with Syt-1 (Hui et al., 2005; Wang et al., 2005; Bhalla et al., 2008). As the Ca²⁺ concentration rises (in cells, ostensibly as a result of membrane depolarization), both populations of vesicles fuse with higher efficiency. These data show that the response times of Syt-1 versus Syt-7 vesicles are finely tuned to levels of intracellular Ca²⁺ in a way that reflects the intrinsic biochemical properties of the synaptotagmin isoforms themselves. From these data emerges a model whereby vesicles that fuse in response to mild depolarization typically release cargos through slowly expanding pores, and vesicles that fuse in response to strong depolarization exhibit a range of pore behaviors, including rapid and more complete release of cargos (Fulop et al., 2005, 2008; Fulop and Smith, 2007; Rao et al., 2014).

Vesicles bearing fluorescence-tagged Syt-1 or Syt-7 exhibit differences in their preferred fusion locations within cells and are also characterized by different degrees of mobility in their travel to fusion sites (Rao et al., 2017). A fusion location bias might suggest that Syt isoforms are differentially dependent on Ca²⁺ channel subtypes for fusion. Bovine chromaffin cells, in which these studies were performed, express P/Q, N-, and L-type channels, with P/Q channels carrying the majority of the Ca²⁺ current (García et al., 2006). Evidence also exists for direct physical coupling between Syt-1 and channel subtypes (Charvin et al., 1997; Sheng et al., 1997; Wiser et al., 1999; Mahapatra et al., 2012). Based on its lower intrinsic affinity for Ca²⁺, one might predict that vesicles bearing Syt-1 are closely positioned to channels to maximize probability of release (Young and Neher, 2009). However, multiple in vitro studies demonstrate that Syt-7’s Ca²⁺ sensitivity for binding membranes exceeds that of Syt-1 by more than an order of magnitude (Bhalla et al., 2005; Hui et al., 2005). Thus, vesicles harboring Syt-7 may not be as dependent on close coupling to channels. The clustered (Syt-7 vesicles) versus dispersed (Syt-1 vesicles) fusion locations of chromaffin vesicles may also reflect the requirement for different target SNAREs or preferential binding to different ordered versus disordered lipid phases (Wan et al., 2011) and not channel locations per se. There is not yet convincing evidence that synaptotagmin isoforms require different SNAREs or accessory proteins for fusion. However, given the number of interfaces over which Syt–SNARE interactions are possible (Zhou et al., 2015, 2017), such differences may play an important role in early or later stages of fusion.

The question of why Syt-bearing vesicles exhibit differences in mobility is an intriguing one (Rao et al., 2017). The most complete biophysical descriptions of vesicle motion, in general, have been provided by Holz, Axelrod, and colleagues (Allersma et al., 2004, 2006; Degtyar et al., 2007; Holz and Axelrod, 2008). The fundamental observation that such behavior is common (Ng et al., 2002, 2003; Griesinger et al., 2005; Shakiryanova et al., 2005; Levitan et al., 2007) challenges the assumption that the final moments (within 100 ms) before fusion are characterized by stable protein–protein/lipid interactions. Travel can occur over large distances (tens to even hundreds of nanometers), and travel even increases in the moments before fusion, suggesting that essential steps necessary to prepare a vesicle for fusion, such as priming, do not require a stable interaction between the vesicle and plasma membrane lipids (Eberhard et al., 1990; Hay et al., 1995; Holz and Axelrod, 2002). On a related note, the observation that vesicles have the capacity to fuse almost immediately after entering the evanescent field—termed “newcomers”—raises questions about what constitutes docking from a molecular or even morphological perspective (Rao et al., 2017).

What, then, are the molecular origins of vesicle mobility, and why do they differentially impinge on vesicles bearing different synaptotagmin isoforms? The motions are clearly greater than electrostatic, van der Waals, or hydrogen bond distances (Allersma et al., 2006; Degtyar et al., 2007), and even the length scale over which SNAREs zipper (Sutton et al., 1998). One presumes that known modulators of motion, including actin and myosin, are somehow involved (Lang et al., 2000; Li et al., 2004; Neco et al., 2004; Desnos et al., 2007; Berberian et al., 2009; Peng et al., 2012; Villanueva et al., 2012); myosin’s activities are modified by Ca²⁺ and ATP (Murphy et al., 2001; Rosé et al., 2002; Krementsov et al., 2004). Whether these or additional proteins act to affect vesicle mobility to different degrees, or whether different proteins act to promote or hinder travel independently, are questions that have yet to be answered. The fundamental reason mobility may be greater for some vesicles than others may be a practical one. Motion may allow a vesicle to sample new, unexplored regions of the membrane where fruitful interactions leading to fusion are more likely to exist (Degtyar et al., 2007). Based on this logic, larger-scale motions are less evident in Syt-7 bearing vesicles because they are somehow shepherded to regions more “favorable” for fusion. A goal for future studies might be to identify what privileges those regions—including their protein and lipid constituents—as exocytotic sites.

The studies referenced above demonstrate the influence of Syt-7 activity on the fusion properties of individual vesicles and suggest the type of behavior that would be expected for vesicles regulated solely or predominantly by one synaptotagmin isoform. However, it may not always be true that each vesicle is paired with a particular synaptotagmin isoform that determines its fusion properties. Electrophysiological studies in chromaffin cells have suggested that Syt-1 and Syt-7 activities jointly contribute to regulation of the same vesicle pools (Schonn et al., 2008). Upon stimulation, exocytosis measured by capacitance and amperometry occurred in stages, with the initial fast phase corresponding to release from the RRP and a delayed release component from the SRP of vesicles (Sørensen, 2004; Schonn et al., 2008). In Syt-1 and Syt-7 double KO cells, both the fast and slow components disappeared, and overall exocytosis was reduced by more than 70%, leaving behind only a very slow secretory component (Schonn et al., 2008). Although it would be tempting to attribute release from the RRP to activation by Syt-1 and release from the SRP to activation by Syt-7, the data suggest a more complicated picture involving overlapping regulatory effects. The fast burst of release is eliminated in Syt-1 KO cells, showing that Syt-1 is indeed required for RRP release. However, Syt-7 concurrently modulates release from this subpool of vesicles as shown by a smaller fast burst of release with a quicker time constant in Syt-7 KO cells compared with wild type. Similarly, although Syt-7 is responsible for triggering the slow burst of exocytosis in a Syt-1 KO background, a minor component of the slow burst phase is still observed in Syt-7 KO cells. This suggests that Syt-1 may also contribute to triggering exocytosis from the SRP (Schonn et al., 2008). Thus, a complex interplay of competing Syt-1 and Syt-7 activities appears to determine the fate of vesicles in both the RRP and SRP.

To define the functional properties of Syt-7 and what differentiates those properties from Syt-1 or other isoforms, one should begin by considering the C2 domains that form most of the cytoplasmic region of the protein. Current data suggest that the relative importance of the tandem C2 domains in regulation of exocytosis may differ between Syt-1 and Syt-7. One study addressed this point by comparing exocytosis in wild-type mice, Syt-7 KO mice, and knock-in (KI) mice expressing a mutant in which Ca²⁺ binding to Syt-7 C2B was disrupted (Segovia et al., 2010). Dual-capacitance and amperometry measurements indicated that the number of exocytotic events was decreased in the Syt-7 KO but not the Syt-7 KI. However, when Ca²⁺ binding to C2B was disrupted, the fusion pores were prone to closing, yielding an increase in kiss-and-run fusion events indicated by transient increases in membrane capacitance coincident with reduced amplitude amperometric spikes. Thus, C2A activity was deemed necessary and sufficient for fusion pore opening, whereas C2B was additionally required for stabilizing the fusion pore and promoting its expansion (Segovia et al., 2010). Although disruption of Ca²⁺ binding to Syt-7 C2A but not C2B prevented rescue of asynchronous release in Syt-1 and Syt-7 double-deficient hippocampal neurons, the opposite was true for rescue of Syt-1–mediated fast, synchronous release (Bacaj et al., 2013). Thus, the relative importance of the C2 domains are reversed, with Ca²⁺ binding to C2A required for Syt-7–triggered release and Ca²⁺ binding to C2B required for Syt-1–triggered release. In the same study, Syt-7 overexpression reduced the frequency of spontaneous, mini-release in Syt-1 KO neurons (Bacaj et al., 2013). The ability of Syt-7 to clamp miniature inhibitory postsynaptic currents was disrupted by mutation of Ca²⁺ binding sites in C2A but not C2B, again demonstrating a special importance for the Syt-7 C2A domain.

Presumably, Syt-7–specific effects on exocytosis arise from unique structural and biochemical characteristics. This is a puzzling problem given the high degree of sequence and structural similarity between conserved domains in Syt-1 and Syt-7, which suggests that subtle structural variations (Fig. 6) coalesce to produce substantial functional differences (Evans et al., 2015; Voleti et al., 2017; Bendahmane et al., 2018). Perhaps the most important biochemical signature of Syt-7 that sets it apart from the other synaptotagmin isoforms is its extreme Ca²⁺ sensitivity. Syt-7 stimulation of SNARE-mediated liposome fusion occurs with a 400-fold higher sensitivity to Ca²⁺ than that of Syt-1 (Bhalla et al., 2005).

The Ca²⁺-sensing ability of the synaptotagmins arises from their C2A and C2B domains, which are members of the protein kinase C family of C2 domains known for binding intracellular membranes in a Ca²⁺-dependent manner (Nalefski and Falke, 1996). Each C2 domain consists of an eight-stranded β sandwich in an oblong shape ∼4 nm long and 2 nm wide, with flexible loops projecting from each end (Fig. 6, A and D; Corbalan-Garcia and Gómez-Fernández, 2014). Three Ca²⁺-binding loops located on one end of each C2 domain (CBL1-3 in Fig. 7) contain five conserved aspartate residues that coordinate Ca²⁺ ions (Fig. 6, B, C, E, and F; and Fig. 7; Sutton et al., 1995). The much higher Ca²⁺ sensitivity of Syt-7 relative to Syt-1 is surprising considering their high degree of structural similarity. The Syt-7 C2A and C2B domains are essentially superimposable on the corresponding domains of Syt-1, with overlap observed for even many of the individual amino acid side-chain orientations (Xue et al., 2010; Voleti et al., 2017). Furthermore, the Ca²⁺ affinities of the isolated Syt-1 and Syt-7 C2A domains in solution are nearly identical, even though the Syt-7 C2A domain binds PS-containing membranes at ∼50-fold lower Ca²⁺ concentrations (Sugita et al., 2002; Maximov et al., 2008). This suggests that the enhanced Ca²⁺ sensitivity arises from stronger membrane binding by the Ca²⁺-loaded state of Syt-7 relative to Syt-1 (Brandt et al., 2012; Voleti et al., 2017). In alignments of the respective C2A and C2B domain structures, the most noticeable difference is the presence of a C-terminal α-helix on Syt-1 C2B (the HB helix) that is absent from Syt-7 C2B (Fernandez et al., 2001; Cheng et al., 2004; Xue et al., 2010). Subtle differences also exist in the positioning of residues in the HA helices and loops in both domains, although the latter may be attributable to crystal contacts (Fig. 6, A and D).

Still, even small differences in positioning, dynamics, or flexibility of the loops may endow the isoforms with different divalent ion binding characteristics. Although the solution structure of the Syt-1 C2B domain contains two Ca²⁺ ions in the Ca²⁺-binding pocket, the C2B domain from Syt-7 as well as C2A domains from both proteins bind three Ca²⁺ each (Shao et al., 1998; Fernandez et al., 2001; Xue et al., 2010; Voleti et al., 2017). The Syt-1 C2B domain has been crystallized with three Ca²⁺ at extremely high Ca²⁺ concentrations (>50 mM) or when bound to a soluble form of PS, suggesting that the membrane-bound state may involve three Ca²⁺ (Cheng et al., 2004; Honigmann et al., 2013). The greater Ca²⁺ binding ability of the Syt-7 C2B domain may arise from the presence of a Ser side chain (Ser362) that is not present in most Syt C2B domains but is conserved among Ca²⁺-sensitive Syt C2A domains (Zhang et al., 1998; Fernandez et al., 2001; Fig. 6, D and E). The synaptotagmin isoforms also exhibit different divalent ion selectivities, with Syt-7 but not Syt-1 capable of binding liposomes containing 15% PS and stimulating SNARE-mediated membrane fusion with the larger Sr²⁺ and Ba²⁺ ions as well as Ca²⁺ (Bhalla et al., 2005). The ability to bind these larger cations appears to be a property of the Syt-7 metal-binding loops, as an engineered chimera of Syt-1 containing loops from Syt-7 efficiently coupled Sr²⁺ binding to membrane fusion in vitro and to exocytosis in mouse hippocampal neurons (Evans et al., 2015).

Ca²⁺ binding to the C2 domains’ loop regions neutralizes the negative charge of the aspartic acid residues and promotes penetration of the Ca²⁺ binding loops into anionic lipid bilayers (Zhang et al., 1998; Ubach et al., 2001; Herrick et al., 2006; Hui et al., 2006). The synaptotagmin isoforms have been grouped according to the speed with which they dissociate from PS-containing liposomes after chelation of Ca²⁺ by EDTA, with Syt-7 showing by far the slowest dissociation kinetics (Hui et al., 2005). Electron paramagnetic resonance measurements indicate that the Syt-7 C2A domain may insert more deeply into lipid bilayers than Syt-1 C2A (Osterberg et al., 2015). Biochemical experiments and atomistic molecular dynamics simulations demonstrate a large hydrophobic component to C2A lipid interactions that plays a role in increasing binding stability. A significant contribution to the energetic stabilization arises from the phenylalanine residues at the tips of Ca²⁺ binding loops 1 and 3 including Phe167, which corresponds to a methionine in Syt-1 (Brandt et al., 2012; Chon et al., 2015; Vermaas and Tajkhorshid, 2017). Recently, a second important residue was also identified in the Syt-7 C2A binding loop: Arg231, whose forked guanidino group binds more efficiently to PS than the lysine found at the corresponding position in Syt-1. Combined mutation of both Arg231 and Phe167 in the C2A domain of Syt-7 significantly weakens its lipid binding, although the mutant Syt-7 C2A domain still binds membranes much more strongly than Syt-1 (Voleti et al., 2017). The same study also reported that the Syt-7 C2B domain binds more tightly to membranes than its counterpart in Syt-1, consistent with molecular modeling results that showed more contacts with PS lipids for both C2 domains of Syt-7 compared with their counterparts in Syt-1 (Vermaas and Tajkhorshid, 2017; Voleti et al., 2017).

Further defining the molecular determinants of Syt-7’s stronger binding and slower dissociation from membranes may be relevant for understanding the mechanisms through which Syt-7 regulates various stages of exocytosis. Indeed, limited mutations that slightly enhance Syt-1’s membrane affinity have outsized effects on fusion pore formation, pore expansion rates, and even the likelihood of fusion (Bendahmane et al., 2018). Isoform-specific effects of synaptotagmins on exocytosis may even be attributable to differentiable, biophysical properties of their respective C2A and C2B domains (Sugita et al., 1996, 2002; Sugita and Südhof, 2000; Hui et al., 2005, 2009; Segovia et al., 2010; Bacaj et al., 2013; Voleti et al., 2017). For example, the Ca²⁺-saturated Syt-7 C2A domain binds membranes with or without PIP2 much more strongly than does Syt-1 C2A, and its affinity is comparable to that of Syt-7 C2B in the presence of PIP2 (Voleti et al., 2017). In contrast, the C2B domain of Syt-1, in the presence of PIP2 (and Ca²⁺), binds membranes more strongly than the Syt-1 C2A domain (Voleti et al., 2017). These differences in strength of membrane binding of the Syt-1 versus Syt-7 C2A/B appear to correlate with their relative functional importance during exocytosis (Segovia et al., 2010; Bacaj et al., 2013). On the other hand, the functional importance of the Syt-1 C2A domain may be greater than originally believed; a charge-conserving mutation that blocks Ca²⁺ binding in this domain decreased the efficiency of synchronous neurotransmitter release by ∼80% (Striegel et al., 2012).

Aside from the C2 domains, synaptotagmins exhibit substantial variation in amino acid sequence in the region between the transmembrane domain and the C2A domain. In Syt-1, the N- and C-terminal portions of this linker region are rich in basic and acidic residues, respectively, and have been suggested to comprise an electrostatic zipper that contributes to regulation of fusion pore opening and protein–lipid binding (Lai et al., 2013; Lu et al., 2014; Fealey et al., 2016). The sequence of the canonical Syt-7 linker region displays a somewhat similar electrostatic pattern, although the overall sequence conservation is low (Fig. 7). The role of this region of Syt-7 is relatively unexplored, other than its role in alternative splicing as discussed above.

Multiple models explain how synaptotagmin regulates exocytosis, but most agree that regulation involves interactions with anionic phospholipids (Stein et al., 2007; Park et al., 2012, 2015), probably in conjunction with SNAREs (Chapman, 2008; Chicka et al., 2008; Paddock et al., 2008; Hui et al., 2009; Südhof and Rothman, 2009; Zhou et al., 2013, 2015, 2017; Brewer et al., 2015). The t-SNAREs syntaxin and SNAP-23/25, together with the vesicle v-SNARE synaptobrevin/VAMP, constitute the minimal complement of proteins required for vesicle fusion in vitro (Söllner et al., 1993a,b; Weber et al., 1998; Tucker et al., 2004). Inclusion of the soluble C2AB fragment of synaptotagmin in an in vitro liposome fusion assay dramatically increases the rate and extent of fusion in the presence of Ca²⁺ (Tucker et al., 2004; Gaffaney et al., 2008). Syt-7 stimulates SNARE-driven membrane fusion with half-maximum activity at 0.30 µM Ca²⁺, a Ca²⁺ sensitivity more than 400 times higher than that of Syt-1, and the highest in the Syt family (Bhalla et al., 2005). Synaptotagmin may exist in dynamic equilibrium between SNARE-bound and unbound states; complexin binding to the SNARE complex might enhance and stabilize the SNARE-bound state of synaptotagmin (Cai et al., 2008; Lin et al., 2013). It should be noted, however, that complexin has also been characterized as a fusion clamp, preventing SNARE zippering without the energy imparted from Syt-Ca²⁺/membrane binding (Giraudo et al., 2008; Krishnakumar et al., 2011).

Synaptotagmin–SNARE interactions—and in particular, Syt-1–SNARE interactions—have been implicated in both clamping spontaneous release and triggering fusion in response to Ca²⁺ (Gaffaney et al., 2008; Lynch et al., 2008; Hui et al., 2011; Kim et al., 2012; Bai et al., 2016). Several different interaction surfaces have been identified (Zhou et al., 2015, 2017) with more than one study pinpointing the lysine-rich polybasic patch on the β-4 strand of C2B in binding the syntaxin/SNAP-25 heterodimer in a Ca²⁺-independent manner (Bai and Chapman, 2004; Bai et al., 2004b; Rickman et al., 2004a). We note that these interactions are highly sensitive to ionic strength, and the physiological significance of these interactions has been the subject of some debate (Park et al., 2015). One possibility is that multiple modes of weak Syt–SNARE interaction may be tuned for rapid reversibility in the crowded and dynamic environment of a fusion pore.

A comparative analysis of Syt-1 and Syt-7 SNARE binding detected no substantial differences in overall SNARE-binding affinity (Rickman et al., 2004b); however, sequence differences could have subtle regulatory effects on Syt–SNARE interactions. For example, the Syt-7 C2A domain binds syntaxin in vitro at low micromolar Ca²⁺ concentrations, whereas by comparison Syt-1 C2A requires 200 µM Ca²⁺ (Li et al., 1995). Interestingly, three Ca²⁺-independent interfaces recently identified in a crystal structure of Syt-1 and SNARE proteins are not conserved in Syt-7 (Zhou et al., 2015). Thus, the relevance of these Syt-1/SNARE complexes to Syt-7 function is not yet clear. However, given the multitude of interfaces identified between Syt-1 C2AB and SNAREs (Zhou et al., 2015, 2017), it is possible that other contacts between Syt-7 and SNARE proteins regulate its isoform-specific functions in the successive steps of docking, priming, fusion, and pore expansion.

Syt-7 functions in processes such as insulin secretion that use the common SNARE isoforms syntaxin-1a, VAMP2, and SNAP-25 (Gaisano, 2017); however, Syt-7 also interacts with SNAP-23. A specific interaction between SNAP-23 and Syt-7 was identified that contributes to docking of Syt-7–containing vesicles (Chieregatti et al., 2004). When SNAP-23 was substituted in place of SNAP-25 in glutamatergic hippocampal neurons, activities associated with Syt-7–mediated fusion were enhanced, including spontaneous release events. The number of spontaneous release events was increased further upon Syt-7 deletion, signifying that Syt-7 clamps release in the absence of stimulation but overall is a leakier Ca²⁺ sensor than Syt-1. In contrast, Syt-7 KO in the presence of SNAP-25 had little effect on exocytosis. It was concluded that Syt-7 pairs with SNAP-23 and Syt-1 pairs with SNAP-25, and that the specific Syt/SNAP pairing determines fusion kinetics and fidelity (Weber et al., 2014). Optical measurements using pHluorin-tagged synaptotagmins indicated the presence of Syt-1 on vesicles undergoing Syt-7/SNAP-23–mediated fusion, which suggests that, at least in some cases, Syt-7 may not act as the exclusive Ca²⁺ sensor for fusion events but instead may alter the fusion properties of Syt-1–containing vesicles.

It has also been reported that synaptotagmins, especially Syt-7, undergo Ca²⁺ dependent homo- and hetero-oligomerization mediated by their C2 domains (Fukuda and Mikoshiba, 2000a,b; Fukuda et al., 2002a). Oligomerization of Syt-1 has long been a subject of debate, with some studies indicating self-association and others suggesting the interactions are mediated by other factors (Desai et al., 2000; Ubach et al., 2001). An author of this review has provided evidence against direct oligomerization of Syt-7 C2 domains (Brandt et al., 2012; Vasquez et al., 2014). Recently, Syt-1 has been observed to form ring-shaped oligomers via cryo-EM, mediated by anionic lipids or polyanionic solutes, the latter of which produces rings that are insensitive to Ca²⁺ (Wang et al., 2014, 2017). Ring formation is conserved among synaptotagmin isoforms including Syt-7, which forms them somewhat more potently than Syt-1 in the presence of anionic membranes (Zanetti et al., 2016). If synaptotagmins oligomerize in vivo, either directly or indirectly, these structures could serve to regulate steps in the fusion process, and hetero-oligomerization of different synaptotagmin isoforms could provide a means for suppressing or enhancing each other’s activities (Bhalla et al., 2008). However, such rings have not yet been observed in vivo, and the role of synaptotagmin oligomerization in the context of exocytosis is currently unclear.

The interactions between synaptotagmin C2 domains and anionic phospholipids play crucial roles in Ca²⁺-triggered fusion. This is a property that Syt-1 and Syt-7 share, suggesting that the two proteins’ membrane interactions may have similar functions in the mechanism of Syt/SNARE/Ca²⁺-triggered membrane fusion. Syt-1 C2A and C2B domains both bind anionic lipids such as PS in a Ca²⁺-dependent manner, mainly via interactions with the Ca²⁺-binding pocket (Zhang et al., 1998; Nalefski et al., 2001; Ubach et al., 2001; Pérez-Lara et al., 2016), and Syt-7 does the same, albeit with greater Ca²⁺ sensitivity owing to stronger hydrophobic lipid interactions (Sugita et al., 2002; Brandt et al., 2012; Vasquez et al., 2014; Voleti et al., 2017). The C2B domains bind PIP2 at a polybasic region centered on the β-4 strand (PBR1 in Figs. 6 and 7) in a manner that is Ca²⁺ independent but enhanced by Ca²⁺ (Tucker et al., 2003; Hui et al., 2006; Radhakrishnan et al., 2009; Voleti et al., 2017). The Syt-7 C2B domain has a robust sensitivity toward PIP2 in vitro (Voleti et al., 2017), even though it contains a Lys-to-Glu substitution at position E318 in the β-4 polybasic region (Fig. 7). Liposome fusion assays are commonly conducted with lipid membranes containing a mixture of PS and phosphatidylcholine, with or without PIP2. Omission of PS and PIP2 from the liposomes results in inability of synaptotagmin to stimulate membrane fusion, indicating anionic lipids to be a critical cofactor for synaptotagmin activity (Bhalla et al., 2005; Kreutzberger et al., 2017). Upon Ca²⁺ binding to the C2A and C2B domains, they penetrate into the lipid bilayer (Bai et al., 2002; Frazier et al., 2003; Rufener et al., 2005; Osterberg et al., 2015). This allows synaptotagmin to bend and deform membranes, as indicated by tubulation of liposomes initiated by the Syt-1 C2B or C2AB domain (Martens et al., 2007). The ability of Syt-1 to bend membranes and generate positive curvature is suggested to be an essential part of the mechanism used to stimulate membrane fusion, as tubulation-defective mutants preferentially induced fusion of high-curvature vesicles in vitro (Hui et al., 2009). Membrane penetration by the synaptotagmin C2 domains and generation of positive curvature may help to overcome an energy barrier along the pathway to hemifusion and/or fusion, e.g., by stabilizing a highly curved intermediate state (Fig. 8).

Another shared property of Syt-1 and Syt-7 C2 domains is their ability to bridge between membrane bilayers and induce aggregation of liposomes in vitro. The C2AB tandem and isolated C2B domain of Syt-1 induce liposome clustering (Araç et al., 2006; Hui et al., 2011; Seven et al., 2013), and the C2A domain of Syt-7 was recently reported to do the same (Hamilton et al., 2017; Voleti et al., 2017). The liposome aggregation effect has complicated the study of Syt-mediated curvature generation in vitro and led to questions about the importance of membrane bridging in synaptotagmin function. Syt-1 C2AB tandem domains can exhibit a wide range of orientations with respect to each other, both in solution and when bound to liposome membranes, including a bridging conformation in which the Ca²⁺-binding loops of C2A and C2B point in opposite directions (Herrick et al., 2009; Choi et al., 2010; Seven et al., 2013). Binding to PIP2/syntaxin-1 clusters via the β-4 polybasic region in Syt-1 C2B enhances bridging, as the Ca²⁺-binding loops insert in trans into PS-containing membranes (Honigmann et al., 2013). A second basic cluster comprising Arg398 and Arg399 (PBR2 in Figs. 6 and 7) also contributes to liposome bridging by Syt-1 C2B (Xue et al., 2008; Honigmann et al., 2013); however, these residues have also been implicated in protein–protein interactions, and how the interactions balance in vivo is not yet clear (Gaffaney et al., 2008; Hui et al., 2011; Zhou et al., 2015).

Central to the bridging question is how the two C2 domains work together, including their relative orientation when bound to membranes. For Syt-1, cis and trans membrane binding exist in a delicate balance, in which relative accessibility of target membranes plays a major role (Vennekate et al., 2012). Both fluorescence of insertion-dependent dyes and electron paramagnetic resonance depth measurements have been used to show that Syt-1 C2A and C2B insert more deeply into liposome membranes when present as a tandem, relative to the individual domains in isolation (Bai et al., 2002; Herrick et al., 2006). These results suggest that the two domains of Syt-1 cooperate to bind and insert into their target membranes, a finding also reported based on force measurements (Takahashi et al., 2010). However, the effect may be different for Syt-7; lateral diffusion measurements of Syt-7 C2A, C2B, and C2AB domains on supported lipid bilayers were consistent with independent membrane interactions of the two domains, indicating the absence of substantial intermolecular contacts of C2A with C2B (Vasquez et al., 2014). Liposome binding measurements from the same study further revealed lack of cooperativity in binding and dissociation of Syt-7 from phospholipid membranes. In principle, cooperativity between Syt-7 C2 domains may be unnecessary because of their strong membrane affinity; in Syt-1, interdomain cooperativity could promote rapid and efficient coinsertion despite the relatively modest membrane affinity of its C2A domain. One recent study probed the relative orientation of the two C2 domains in Syt-1 during membrane binding and exocytosis by systematically replacing the C2A-C2B linker with polyproline helices of varying lengths, each constraining the C2A and C2B domains in a particular relative orientation. Results both in vitro and in neurons showed a clear periodicity, indicating that fusion is most efficient when the two domains point their Ca²⁺-binding loops in the same direction (Bai et al., 2016). Although the Ca²⁺-binding loops represent the primary site of membrane interaction, a full picture of synaptotagmin membrane binding requires consideration of the polybasic regions as well as the Ca²⁺-binding loops on both domains.

Collectively, the bridging, curvature, and coinsertion data support a structural model in which Syt–lipid interactions stabilize fusion pores by simultaneously inducing positive curvature in the ring of the pore via insertion of the Ca²⁺-binding loops and bridging between the secretory vesicle and plasma membrane in the orthogonal dimension via polybasic regions on both C2 domains (Fig. 8). This model is similar to the transition state in a previous structural hypothesis of synaptotagmin function (Martens et al., 2007), with the added observation that the polybasic regions of the two domains should be accessible to bind opposing membrane surfaces when their Ca²⁺-binding loops point in the same direction (Fig. 8 A). Presumably, the β-4 region of C2B (PBR1 in Fig. 6) orients toward the plasma membrane and binds PIP2, whereas the polybasic region of C2A orients toward the vesicle. Although the polybasic region of synaptotagmin C2A domains is not particularly selective for PIP2 binding because of the presence of a glutamate residue at a key position (Guillén et al., 2013), it is nevertheless present in Syt-1 as a region of positive surface charge density and has a greater surface potential in Syt-7 (Chon et al., 2015). The model in Fig. 8 allows for both the Ca²⁺-binding loops and polybasic regions of C2A and C2B to interact with membranes simultaneously and further predicts that fusion pore stabilization should depend on lipid binding via combined effects of all of these interactions.

It was recently shown that fusion of large dense-core vesicles in chromaffin cells and β-cells, two populations that use Syt-7, proceeds via a hemifused intermediate state (Zhao et al., 2016). The orientation shown in Fig. 8 could conceivably stabilize higher-energy states involved in formation of the hemifused intermediate and/or conversion of the hemifused intermediate to the fully fused state along with other SNARE fusion machinery proteins. Although Fig. 8 omits SNARE complexes and other accessory proteins for clarity, SNARE proteins are well known to form the core of the fusion machinery (Südhof and Rothman, 2009). Proper SNARE assembly is required for fusion, and synaptotagmin was unable to rescue fusion in vitro from a docked state formed by mutant SNARE complexes incapable of complete zippering (Hernandez et al., 2012). Our model is also not intended to reflect stoichiometry of synaptotagmin or SNARE complexes in the fusion pore, which has been a subject of active investigation (Mohrmann and Sørensen, 2012). It is possible that Syt C2AB domains may interact with SNAREs or other proteins during fusion pore stabilization (Dai et al., 2007; Gaffaney et al., 2008). Syt–SNARE interactions are also reported to be associated with clamping fusion before Ca²⁺ entry (Gaffaney et al., 2008; Zhou et al., 2017) and/or accelerating postfusion pore expansion (Lynch et al., 2008).

The orientation shown in Fig. 8 may represent a high-energy intermediate or transition state and does not specify the trajectory by which this orientation is reached upon Ca²⁺ entry. One possibility is that upon Ca²⁺ entry, the two C2 domains initially interact with whatever membrane is closest, and then are funneled together to the nascent fusion pore neck. (We note that in the crystal structure of the “primed” Syt/SNARE/complexin complex, the Ca²⁺-binding loops of the C2B domain at the tripartite interface orient outward toward the SNARE N termini, an orientation that would place them readily accessible to Ca²⁺ signals [Zhou et al., 2017].) After initial rapid fusion is a phase of fusion pore expansion, which is also accelerated by synaptotagmin in a Ca²⁺-dependent manner; the rate of expansion is much greater for Syt-1 vesicles than for Syt-7 vesicles (Rao et al., 2014). For Syt-1, rapid fusion pore expansion appears to involve interaction of the C2 domains with both SNARE proteins and membranes (Lynch et al., 2008). Chimeras between Syt-1 and Syt-7 exhibit intermediate rates of fusion pore expansion (Bendahmane et al., 2018); the intermolecular interactions responsible for this effect are not yet clear.

Syt-7 was originally identified as a Ca²⁺ sensor for lysosomal exocytosis, but the repertoire of known Syt-7 activities has since expanded to include roles in secretion from many different cell types (Table 1). Sometimes Syt-7 acts as the principal Ca²⁺ sensor, such as in glucagon secretion from pancreatic α-cells, but for the most part Syt-7 acts in concert with other, faster synaptotagmin isoforms such as Syt-1 to give rise to nuanced secretory outputs in response to different strengths and rates of stimulation, most notably in chromaffin cells and presynaptic axon terminals of the central nervous system. Biophysical studies have shown that Syt-7 exerts differential control over fusion pore opening and expansion, with stabilization of curved membrane structures such as the fusion pore being a hallmark of Syt-7 activity. The high Ca²⁺ sensitivity of Syt-7 and the slow dissociation of its C2 domains after penetration into phospholipid bilayers are just two of its well-established biochemical features. Such features are likely to play a role in the mechanisms Syt-7 uses to exert specialized control over exocytosis dynamics, ultimately enabling modulation of the type, rate, and extent of cargo release in a stimulus- and context-dependent manner. Syt-7 also interacts with many different effector molecules, often through the same structural motifs on the C2A and C2B domains. The overlapping nature of these binding interactions suggests that some may be mutually exclusive. Thus, Syt-7 may participate in a stepwise series of interactions with different partners along the trajectory from vesicle docking, to priming, to fusion pore opening, to fusion pore expansion. The timing of the interactions with different effectors, as well as the mechanistic roles they play in regulating exocytosis dynamics, requires further investigation.

Despite the significant progress made, questions remain about Syt-7’s mechanism of action. For example, when do C2 domains insert into the membrane and when are they released relative to fusion pore opening and expansion? Do C2A and C2B domains both penetrate the same membrane, or do they bridge vesicle and plasma membranes? How do C2A and C2B engage their respective effectors, and as mentioned above, do interaction modes change to regulate docking, priming, fusion pore opening, or fusion pore expansion? The ability to start addressing these questions will likely require structural studies of Syt-7 in complex with components of the SNARE apparatus and/or lipid bilayers.

It is also not yet completely understood how the modest sequence and structural differences in the C2 domains of Syt-7 compared with other synaptotagmin isoforms give rise to such substantial differences in fusion pore dynamics. Structural data show highly overlapping folds and positioning of Ca²⁺ ligands comparing Syt-7 with Syt-1, which offers few clues as to the molecular origin of their biochemical and functional differences. It could be that Syt-1 and Syt-7, though highly similar in structure, exhibit important dynamical differences such as specific intra- and/or interdomain conformational changes that regulate biochemical and functional activities, and we suggest that future studies explore this possibility. Analysis of chimeras containing Syt-7 structural elements grafted onto another synaptotagmin isoform or vice versa may also continue to be useful in teasing apart structure–function relationships.

Several apparent discrepancies regarding Syt-7 function remain incompletely resolved, namely: does endogenous Syt-7 exert its regulatory effects from the vesicle or the plasma membrane, and does it regulate individual fusion events independently or in concert with other isoforms, for example by clamping or otherwise modulating fusion kinetics of Syt-1–containing vesicles? These questions point to the larger issue of whether Syt-7 operates via a common mechanism in all cases. The possibilities described above are not necessarily mutually exclusive. Given the large number of cell types in which Syt-7 is expressed and the multitude of fusion processes in which it participates, it would not be entirely surprising to encounter different Syt-7 trafficking patterns, molecular interaction partners, and splice variants in different contexts that alter, in some way, its mode of action. It is possible that Syt-7’s versatility in regulating exocytosis dynamics in such a wide array of settings may be paralleled by changes in localization and mode of action that are context dependent.

The authors thank Drs. Volker Kiessling, Reinhard Jahn, and Josep Rizo for critical feedback and Jasmine Vazquez for illustrations.

Grant support was provided by the National Institutes of Health (GM102866 to J.D. Knight; GM111997 to A. Anantharam) and the American Heart Association (SDG14420049 to A. Anantharam).

The authors declare no competing financial interests.

Author contributions: D.D. MacDougall, S.L. Jackson, J.D. Knight, and A. Anantharam wrote the paper; Z. Lin, N.L. Chon, S.L. Jackman, H. Lin, J.D. Knight, and A. Anantharam prepared tables and figures; J.D. Knight and A. Anantharam assembled and edited the paper.

Lesley C. Anson served as editor.