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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell Dev. Biol.</journal-id>
<journal-title>Frontiers in Cell and Developmental Biology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell Dev. Biol.</abbrev-journal-title>
<issn pub-type="epub">2296-634X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">765316</article-id>
<article-id pub-id-type="doi">10.3389/fcell.2021.765316</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cell and Developmental Biology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The Polarized Redistribution of the Contractile Vacuole to the Rear of the Cell is Critical for Streaming and is Regulated by PI(4,5)P2-Mediated Exocytosis</article-title>
<alt-title alt-title-type="left-running-head">Fadil and Janetopoulos</alt-title>
<alt-title alt-title-type="right-running-head">PI(4,5)P2 in CV Exocytosis</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Fadil</surname>
<given-names>Sana A.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Janetopoulos</surname>
<given-names>Chris</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1223467/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Biological Sciences, University of the Sciences in Philadelphia</institution>, <addr-line>Philadelphia</addr-line>, <addr-line>PA</addr-line>, <country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Natural product, Faculty of Pharmacy, King Abdulaziz University</institution>, <country>Saudia Arabia</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>The Science Research Institute</institution>, <institution>Albright College</institution>, <addr-line>Reading</addr-line>, <addr-line>PA</addr-line>, <country>United States</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>The Department of Cell Biology at Johns Hopkins University School of Medicine</institution>, <addr-line>Baltimore</addr-line>, <addr-line>MD</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/547807/overview">Robin S. B. Williams</ext-link>, University of London, United Kingdom</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1466303/overview">Richard McCann</ext-link>, Mercer University School of Medicine, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1150448/overview">Hua Su</ext-link>, Huazhong University of Science and Technology, China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Chris Janetopoulos, <email>cjanetopoulos@albright.edu</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Molecular and Cellular Pathology, a section of the journal Frontiers in Cell and Developmental Biology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>19</day>
<month>07</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>9</volume>
<elocation-id>765316</elocation-id>
<history>
<date date-type="received">
<day>26</day>
<month>08</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>10</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Fadil and Janetopoulos.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Fadil and Janetopoulos</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>
<italic>Dictyostelium discoideum</italic> amoebae align in a head to tail manner during the process of streaming during fruiting body formation. The chemoattractant cAMP is the chemoattractant regulating cell migration during this process and is released from the rear of cells. The process by which this cAMP release occurs has eluded investigators for many decades, but new findings suggest that this release can occur through expulsion during contractile vacuole (CV) ejection. The CV is an organelle that performs several functions inside the cell including the regulation of osmolarity, and discharges its content via exocytosis. The CV localizes to the rear of the cell and appears to be part of the polarity network, with the localization under the influence of the plasma membrane (PM) lipids, including the phosphoinositides (PIs), among those is PI(4,5)P2, the most abundant PI on the PM. Research on <italic>D. discoideum</italic> and neutrophils have shown that PI(4,5)P2 is enriched at the rear of migrating cells. In several systems, it has been shown that the essential regulator of exocytosis is through the exocyst complex, mediated in part by PI(4,5)P2-binding. This review features the role of the CV complex in <italic>D. discoideum</italic> signaling with a focus on the role of PI(4,5)P2 in regulating CV exocytosis and localization. Many of the regulators of these processes are conserved during evolution, so the mechanisms controlling exocytosis and membrane trafficking in <italic>D. discoideum</italic> and mammalian cells will be discussed, highlighting their important functions in membrane trafficking and signaling in health and disease.</p>
</abstract>
<kwd-group>
<kwd>contractile vacuole</kwd>
<kwd>polarity</kwd>
<kwd>phosphoinositide (4, 5)-bisphosphate</kwd>
<kwd>signal relay</kwd>
<kwd>chemotaxis</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Chemotaxis is a form of migration where cells migrate directionally, typically towards a gradient of chemicals known as chemoattractants. During this process, cells often have asymmetric responses and develop a polarized morphology, where they have a distinct front and rear (<xref ref-type="bibr" rid="B21">Devreotes and Janetopoulos, 2003</xref>). In the model organism <italic>Dictyostelium discoideum,</italic> a soil-living amoeba, cells move towards one another in a head-to-tail fashion and align in streams (<xref ref-type="bibr" rid="B73">Kriebel et al., 2008</xref>). The cyclic adenosine monophosphate (cAMP) is the chemoattractant that leads to aggregation of the amoebas into multicellular structures during starvation conditions (<xref ref-type="bibr" rid="B70">Konijn et al., 1969</xref>; <xref ref-type="bibr" rid="B34">Goldbeter, 1975</xref>; <xref ref-type="bibr" rid="B35">Goldbeter, 2006</xref>). Although many researchers have studied intracellular signaling in <italic>D. discoideum</italic>, the mechanism by which cAMP release occurs, setting up a gradient at the rear of individual cells, has remained elusive. How does signal relay produce an effective, localized chemotactic response from the rear of a cell? The enzyme that synthesizes cAMP, adenylyl cyclase (ACA), has been reported to be in a gradient along the periphery of the cell, with more accumulated in the rear (<xref ref-type="bibr" rid="B73">Kriebel et al., 2008</xref>). ACA also appears to be enriched in intracellular vesicles within the cell and multivesicular bodies left behind migrating cells. In this same study, Kriebel et al. suggested that cAMP is released from the rear of migrating cells <italic>via</italic> these extracellular vesicles (<xref ref-type="bibr" rid="B74">Kriebel et al., 2018</xref>).</p>
<p>The main regulator of ACA, known as the Cytosolic Regulator of Adenylyl Cyclase (CRAC), contains a pleckstrin homology (PH) domain which regulates the translocation to the leading edge of the cell during each transient activation of ACA (<xref ref-type="bibr" rid="B54">Insall et al 1994</xref>; <xref ref-type="bibr" rid="B78">Lilly and Devreotes 1994</xref>; <xref ref-type="bibr" rid="B104">Parent et al., 1998</xref>; <xref ref-type="bibr" rid="B115">Ruchira et al., 2004</xref>). This PH domain of CRAC binds to PI(3,4)P2 and PI(3,4,5)P3, with these two PIs being synthesized at the very front of the cell. This PH domain is required for ACA function, suggesting that the membrane localization of CRAC brings the regulator in close proximity to ACA for activation (<xref ref-type="bibr" rid="B115">Ruchira et al., 2004</xref>). It is unclear how or if CRAC at the leading edge of the cell activates the ACA at the trailing edge. If it somehow leads to ACA activity at the rear, the cAMP will still need to be somehow released from the cell.</p>
<p>Interestingly, another potential regulator of cAMP signaling from the rear of the cell has emerged. <xref ref-type="bibr" rid="B27">Fadil et al. (2022)</xref> discovered that the CV is redistributed to the rear of migrating cells and regulates cell streaming and cAMP secretion. In this mechanism, CRAC recruitment and ACA activity at the leading edge can synthesize cAMP, which then would diffuse through the cytosol and be pumped into the CV network. The mechanism controlling the CV redistribution is still under investigation, however evidence is emerging that higher levels of PI(4,5)P2 and potentially other charged lipids may play a role in the CV localization. The CV appears to be part of the overall polarity network, localizing to areas of actomyosin contraction.</p>
<p>In addition to being targeted to particular regions of the periphery of the cell, once there, the CV regulates the discharge of water by a kiss-and-run exocytic event (<xref ref-type="bibr" rid="B26">Essid et al., 2012</xref>). Exocytosis is an essential membrane trafficking process that can discharge soluble and insoluble intracellular protein contents including neurotransmitters, hormones, and cytokines, as well as many other small molecules and metabolites into the extracellular space (<xref ref-type="bibr" rid="B131">Voets, 2000</xref>; <xref ref-type="bibr" rid="B112">Rettig and Neher, 2002</xref>; <xref ref-type="bibr" rid="B126">Sudhof, 2013</xref>; <xref ref-type="bibr" rid="B53">Imig et al., 2014</xref>). As described here, PI(4,5)P2, plays a role in many of the PM-related cellular activities, including regulated vesicle exocytosis (<xref ref-type="bibr" rid="B135">Wenk et al., 2001</xref>). PI(4,5)P2 has been found to be critical for exocytosis in several mammalian cell types and is involved in neuronal function and disrupted in several human diseases (<xref ref-type="bibr" rid="B124">Stokes et al., 1978</xref>; <xref ref-type="bibr" rid="B17">Cremona et al., 1999</xref>; <xref ref-type="bibr" rid="B98">Nandez et al., 2014</xref>; <xref ref-type="bibr" rid="B77">Li et al., 2020</xref>). This review describes the importance of the polarity network regulating CV localization and highlights the important role PI(4,5)P2 plays in mediating vesicle fusion and CV-PM interactions.</p>
</sec>
<sec id="s2">
<title>Contractile Vacuoles and Exocytosis in <italic>Dictyostelium discoideum</italic>
</title>
<p>Freshwater protists like the amoeba, Heliozoans, and many Ciliates regulate water&#x2019;s penetration by a complex organelle responsible for their osmoregulation. This organelle is known as the contractile vacuole (<xref ref-type="bibr" rid="B116">Schneider, 1960</xref>; <xref ref-type="bibr" rid="B20">De Chastellier et al., 1978</xref>; <xref ref-type="bibr" rid="B106">Patterson, 1980</xref>; <xref ref-type="bibr" rid="B46">Hausmann and Patterson, 1984</xref>; <xref ref-type="bibr" rid="B2">Allen, 2000</xref>; <xref ref-type="bibr" rid="B31">Frankel, 2000</xref>). In <italic>D. discoideum,</italic> the CV organelle is composed of an extensive network of tubules and bladders linked to the PM. This is critical when the cell encounters hypotonic environments where maintaining osmoregulation is critical (<xref ref-type="bibr" rid="B147">Gerisch et al., 2002</xref>). The excess water accumulates in the tubules, filling the vacuoles, which then fuse with the PM to expel the water into the extracellular medium (<xref ref-type="bibr" rid="B48">Heuser et al., 1993</xref>). After ejection of water through the vacuole, the tubules elongate again and collect water for resuming the cycle. Late in the cycle, the CV ejects its content in a focal kiss-and-run exocytic event where the CV and PM transiently interconnect (<xref ref-type="bibr" rid="B2">Allen, 2000</xref>; <xref ref-type="bibr" rid="B97">Allen and Naitoh, 2002</xref>; <xref ref-type="bibr" rid="B31">Frankel, 2000</xref>; <xref ref-type="bibr" rid="B26">Essid et al., 2012</xref>; <xref ref-type="bibr" rid="B93">McKanna, 1973</xref>, <xref ref-type="bibr" rid="B94">1976</xref>).</p>
<p>There are several critical proteins that control CV function, including calmodulin (<xref ref-type="bibr" rid="B95">Moniakis et al., 1995</xref>). In fact, antibodies against calmodulin were one of the first markers used to identify the CV in fixed cells (<xref ref-type="bibr" rid="B147">Gerisch et al., 2002</xref>; <xref ref-type="bibr" rid="B145">Zhu and Clarke, 1992</xref>). LvsA (large volume sphere), a protein that binds to calmodulin, has been shown to localize to the CV and is required for osmoregulation (<xref ref-type="bibr" rid="B33">Gerald et al., 2001</xref>; <xref ref-type="bibr" rid="B87">Malchow et al., 2006</xref>). Mutant cells missing the LvsA protein are osmo-sensitive and impaired in the vacuole discharge (<xref ref-type="bibr" rid="B33">Gerald et al., 2001</xref>). Another protein, Disgorgin, which is a GAP for Rab8a is also required for CV discharge mediated by fusion with the PM (<xref ref-type="bibr" rid="B23">Du et al., 2008</xref>). Disgorgin and LvsA, together with GTP hydrolysis by Rab8a, are also essential for the CV detachment from the PM after discharging its contents (<xref ref-type="bibr" rid="B26">Essid et al., 2012</xref>) while Rab2 and RabS have also been shown to be localize to the CV and be important for osmoregulation (<xref ref-type="bibr" rid="B89">Maringer et al., 2016</xref>). The distribution of adaptor proteins AP 1 (<xref ref-type="bibr" rid="B76">Lefkir et al., 2003</xref>) or AP 180 (<xref ref-type="bibr" rid="B122">Stavrou and O&#x2019;Halloran, 2006</xref>) each caused disruption in osmoregulation. Proteins that govern this specialized organelle&#x2019;s activities in <italic>D. discoideum</italic> have been conserved throughout evolution and many of their orthologs have been shown to regulate mammalian membrane trafficking (<xref ref-type="bibr" rid="B24">Duhon and Cardelli, 2002</xref>; <xref ref-type="bibr" rid="B100">Neuhaus et al., 2002</xref>).</p>
<p>The connections between the CV and the PM are regulated by the exocyst complex, and contain Rab GTPases localized to the CV, which assist in regulating fusion with the PM (<xref ref-type="bibr" rid="B141">Yeaman et al., 2001</xref>; <xref ref-type="bibr" rid="B26">Essid et al., 2012</xref>; <xref ref-type="bibr" rid="B148">He and Guo, 2009</xref>; <xref ref-type="bibr" rid="B89">Maringer et al., 2016</xref>). Exocytosis and vesicular transport are known to be regulated by PIs (<xref ref-type="bibr" rid="B103">Paolo et al., 2004</xref>). In particular, PI(4,5)P2 is involved in the priming of the vesicle to the targeted membrane and fusion step (<xref ref-type="bibr" rid="B17">Cremona et al., 1999</xref>; <xref ref-type="bibr" rid="B103">Paolo et al., 2004</xref>; <xref ref-type="bibr" rid="B50">Holz et al., 2000</xref>; <xref ref-type="bibr" rid="B55">James et al., 2008</xref>; <xref ref-type="bibr" rid="B149">Milosevic et al., 2005</xref>; <xref ref-type="bibr" rid="B90">Martin, 2001</xref>; <xref ref-type="bibr" rid="B135">Wenk et al., 2001</xref>). The exocyst complex is an octameric complex of the subunits Sec3, Sec5, Sec6, Sec8, Sec10, Sec15, Exo70, and Exo84 and contains other components, including the SNARE (soluble N-ethylmaleimide-sensitive factor (NSF) attachment protein receptors)- associated protein SecA that have also been shown to be required for the CV discharge function (<xref ref-type="bibr" rid="B121">Sriskanthadevan et al., 2009</xref>; <xref ref-type="bibr" rid="B142">Zanchi et al., 2010</xref>; <xref ref-type="bibr" rid="B26">Essid et al., 2012</xref>). Among different Rab GTPase proteins, RabD (<xref ref-type="bibr" rid="B68">Knetsch et al., 2001</xref>; <xref ref-type="bibr" rid="B42">Harris and Cardelli, 2002</xref>), Rab4 (<xref ref-type="bibr" rid="B12">Bush et al., 1994</xref>, <xref ref-type="bibr" rid="B13">1996</xref>), Rab8a (<xref ref-type="bibr" rid="B26">Essid et al., 2012</xref>), and Rab11 (<xref ref-type="bibr" rid="B44">Harris et al., 2002</xref>) are identified as regulators for discharge function.</p>
<sec id="s2-1">
<title>The Role of Rear Contractile Vacuole in cAMP Secretion</title>
<p>During the process of polarization, the CV redistributes to the rear of <italic>D. discoideum</italic> cells and is critical for the streaming phenomena mediated by the chemoattractant cAMP (<xref ref-type="fig" rid="F1">Figure 1</xref>) (<xref ref-type="bibr" rid="B27">Fadil et al., 2022</xref>). The cAMP binds to the serpentine cAMP receptors, triggering heterotrimeric G signaling with the cell. Downstream responses include the activation of PI3 Kinase, which leads to the recruitment of the CRAC protein, triggering the synthesis of cAMP from ATP by ACA. In this new model, cAMP diffuses within the cytosol and is pumped into the CV network by the AbcC8 transporter (<xref ref-type="bibr" rid="B27">Fadil et al., 2022</xref>). The cell then discharges cAMP, likely along with Ca<sup>&#x2b;2</sup> (<xref ref-type="bibr" rid="B27">Fadil et al., 2022</xref>; <xref ref-type="bibr" rid="B105">Parkinson et al., 2014</xref>) from the cell&#x2019;s rear through the CV vacuole tethered to PM. This provides the localized cAMP release from the back of the cells and supports the head to tail streaming characterized during early aggregation. The Dajumin-GFP (<xref ref-type="bibr" rid="B147">Gerisch et al., 2002</xref>) labeled the CV vacuoles and tubules and was localized to the rear of migrating cells (<xref ref-type="fig" rid="F1">Figure 1</xref>). The cAMP transporter AbcC8 has recently been identified as the main cAMP transporter (<xref ref-type="bibr" rid="B74">Kriebel et al., 2018</xref>), and when fluorescently tagged, its localization mirrored that of Dajumin, localizing throughout the CV and tubules (<xref ref-type="bibr" rid="B27">Fadil et al., 2022</xref>). Thus, the presence of the AbcC8 transporter within the CV network provides a mechanism for cAMP to enter the CV tubules, with cAMP being released from the rear of the cell during the ejection phase of the CV cycle.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>The CV is localized at the rear of migrating cells. <bold>(A)</bold> Phase contrast image of the CV at the rear of the polarized migrating cell. <bold>(B)</bold> The same cell as in 1C expressing Dajumin-GFP moving toward a micropipette filled with chemoattractant cAMP. Arrow indicates the localization of the CV. Courtesy of <xref ref-type="bibr" rid="B27">Fadil et al., 2022</xref>.</p>
</caption>
<graphic xlink:href="fcell-09-765316-g001.tif"/>
</fig>
<p>To confirm the importance of a functional CV in cell streaming, two different mutant cell lines were tested that have major defects in assembling a functional CV, Huntingtin null and LvsA null cells. The exact function of both proteins is not known, with evidence suggesting they are involved in membrane trafficking. In mammals, the huntingtin protein is critical for neuronal function, but like its ortholog, the role of this protein is not clear. While still having the ability to chemotax, both <italic>D. discoideum</italic> cell lines displayed decreased stability of head-to-tail cell contacts and lacked the normal streaming behavior seen in wild-type cells. Additionally, the periodic cAMP waves seen during early aggregation were disrupted, as was visualized using the cytosolic cAMP indicator, Flamindo2 (<xref ref-type="bibr" rid="B27">Fadil et al., 2022</xref>; <xref ref-type="bibr" rid="B150">Hashimura et al., 2019</xref>). Thus, the ability of the cells to perform signal relay was dramatically inhibited in cells with defective CV function.</p>
</sec>
<sec id="s2-2">
<title>Involvement of PI(4,5)P2 in Polarity Network and Contractile Vacuole Localization</title>
<p>PI(4,5)P2 has been suggested to be elevated at the cell&#x2019;s trailing edge in <italic>D. discoideum</italic> and in neutrophils (<xref ref-type="bibr" rid="B59">Janetopoulos et al., 2005</xref>; <xref ref-type="bibr" rid="B49">Hind et al., 2016</xref>; <xref ref-type="bibr" rid="B52">Iijima et al., 2004</xref>). PIs are regulated by different phosphatases and kinases localized at distinct areas in the cell (<xref ref-type="bibr" rid="B6">Balla, 2013</xref>; <xref ref-type="bibr" rid="B16">Choi et al., 2016</xref>). Phosphoinositide 3-kinases (PI3Ks) are the enzymes that convert PI(4)P and PI(4,5)P2 into PI(3,4)P2 and PI(3,4,5)P3, respectively. PI3Ks localize to the leading edge of migrating cells, while the phosphatase and tensin homolog (PTEN), the phosphatase that utilizes PI(3,4,5)P3 has a substrate, and synthesizes PI(4,5)P2, localizes to the rear of migrating cells (<xref ref-type="bibr" rid="B21">Devreotes and Janetopoulos, 2003</xref>; <xref ref-type="bibr" rid="B32">Funamoto et al., 2002</xref>; <xref ref-type="bibr" rid="B72">Kriebel et al., 2003</xref>; <xref ref-type="bibr" rid="B83">Luo et al., 2003</xref>). PTEN activity and the sharp localization at the rear of the polarized cell is, in part, regulated by PI(4,5)P2 binding motif at the N terminus of PTEN (<xref ref-type="bibr" rid="B52">Iijima et al., 2004</xref>; <xref ref-type="bibr" rid="B101">Nguyen et al., 2014</xref>). Similar morphology has been shown in cells during cytokinesis and in polarized neutrophils (<xref ref-type="bibr" rid="B59">Janetopoulos et al., 2005</xref>; <xref ref-type="bibr" rid="B75">Lacalle et al., 2007</xref>; <xref ref-type="bibr" rid="B81">Lokuta et al., 2007</xref>). The net charge of PI(4,5)P2 is -4, which enables this lipid to contribute to the localization and the activity of various proteins by interacting with their polybasic clusters (<xref ref-type="bibr" rid="B25">Ellenbroek et al., 2011</xref>). During the process of aggregation, it is possible that SNARE proteins or other proteins with polybasic motifs, link the CV to the plasma membrane, as discussed below, and contribute to the rearward distribution of the CV to the back of <italic>D. discoideum</italic> cells (<xref ref-type="bibr" rid="B27">Fadil et al., 2022</xref>) (<xref ref-type="fig" rid="F1">Figure 1</xref>). Interestingly, this polarized localization can occur in drug treated cells lacking an actin cytoskeleton or functional microtubule network, suggesting that the direct interaction with the PM is responsible for CV localization. CVs were still able to accumulate towards the low side of the chemoattractant gradient, when cells were in the presence of drugs that disrupted the actin cytoskeleton, similar to the movements that can be seen with the reciprocal regulation of PI3K and PTEN (<xref ref-type="bibr" rid="B60">Janetopoulos et al., 2004</xref>). The CV and PI(4,5)P2 are elevated in areas of the cell where there are not membrane protrusions (<xref ref-type="bibr" rid="B27">Fadil et al., 2022</xref>), which suggests a key role for this lipid in regulating the CV organelle&#x2019;s localization. The CV disassembles at metaphase, when PI(4,5)P2 levels reach an intermediate level across the entire periphery of the cell, and then begin to reassemble in the furrow during telophase and the initiation of cytokinesis, as PI(4,5)P2 levels elevate (<xref ref-type="bibr" rid="B59">Janetopoulos et al., 2005</xref>). The CVs regenerate during the final stages of cytokinesis, with primordial CVs often formed on the trailing edge of the two daughter cells. In budding yeast, the exocyst components, specifically Sec3 and Exo70 (see below) have also been shown to localize to the cleavage furrow throughout cytokinesis (<xref ref-type="bibr" rid="B138">Wu and Guo 2015</xref>). Interestingly, in mammalian cells, the exocyst is also enriched at the cleavage furrow and is under the control of Rab11 and RalA (<xref ref-type="bibr" rid="B29">Fielding et al., 2005</xref>; <xref ref-type="bibr" rid="B15">Chen et al., 2006</xref>; <xref ref-type="bibr" rid="B99">Neto et al., 2013</xref>). The amplification of PI(4,5)P2 in the back of the cell during migration and in the cleavage furrow during cytokinesis likely contributes to the CV localization and could provide the proper targeting of proteins needed for regulating exocytosis. This may also assist in the targeted release of smaller vesicles, sometimes termed exosomes, that have also have been postulated to play a role in the release of cAMP at the rear of the cell (<xref ref-type="bibr" rid="B74">Kriebel, et al., 2018</xref>). Therefore, in addition to helping position the CV within the cell, elevated levels of PI(4,5)P2 appear to regulate CV fusion with the PM during vegetative growth and at the rear of migrating cells.</p>
</sec>
<sec id="s2-3">
<title>Involvement of PI(4,5)P2 in Contractile Vacuole Exocytosis</title>
<p>PI(4,5)P2, which is the most abundant negatively charged PI on the PM, has multiple roles within a cell, coordinating actin dynamics, contributing to cell polarity and appears to be critical in exocytosis (<xref ref-type="bibr" rid="B22">Di Paolo and De Camilli 2006</xref>; <xref ref-type="bibr" rid="B50">Holz et al., 2000</xref>; <xref ref-type="bibr" rid="B90">Martin, 2001</xref>; <xref ref-type="bibr" rid="B91">Martin, 2015</xref>). PI(4,5)P2 interacts with various positively charged proteins in the exocyst complex, suggesting a major role for this PI in regulating the CV organelle&#x2019;s exocytosis (<xref ref-type="bibr" rid="B26">Essid et al., 2012</xref>). This binding of exocyst subunits to the PM delivers the vesicles to the targeted PI(4,5)P2 within the PM for the tethering step. It has been demonstrated that the exocyst subunits Sec3 and Exo70 bind to PI(4,5)P2 at the PM (<xref ref-type="bibr" rid="B47">He et al., 2007</xref>; <xref ref-type="bibr" rid="B79">Liu et al., 2007</xref>; <xref ref-type="bibr" rid="B144">Zhang et al., 2008</xref>; <xref ref-type="bibr" rid="B118">Shewan et al., 2011</xref>; <xref ref-type="bibr" rid="B109">Pleskot et al., 2015</xref>). Furthermore, it is well-established that polarized exocytosis, which is a multistep vesicular trafficking process, transfers signals and proteins to specific PM sites, and is mediated by PI(4,5)P2 (<xref ref-type="bibr" rid="B79">He and Guo, 2009</xref>). SecA, a <italic>D. discoideum</italic> homolog of the yeast Sec1p and the mammalian Munc18 protein, localizes to the CV. Cells with a defect in SecA cannot regulate their osmotic pressure and have a defect in CV discharge (<xref ref-type="bibr" rid="B142">Zanchi et al., 2010</xref>). Sec1p and Munc18 proteins are essential for different exocytosis steps as they interact with exocytic SNARE proteins during vesicle docking and fusion, also mediated by PI(4,5)P2 (see below) (<xref ref-type="bibr" rid="B14">Carr et al., 1999</xref>; <xref ref-type="bibr" rid="B38">Grote et al., 2000</xref>; <xref ref-type="bibr" rid="B117">Shen et al., 2007</xref>; <xref ref-type="bibr" rid="B125">Sudhof and Rothman, 2009</xref>). SecA is therefore necessary for CV fusion to the PM and water discharge. A recent study suggested that PI(4,5)P2 regulates the trafficking of the CV to the fusion site and cells with a defect in Dd5P4, the enzyme which uses the 5-phosphates of PI(4,5)P2 as substrate, displayed inefficient CV fusion (<xref ref-type="bibr" rid="B84">Luscher et al., 2019</xref>).</p>
<p>Exocytosis associated with CV function is regulated by SNARE proteins. There are four homologs of mammalian SNAREs present in <italic>D. discoideum</italic>: vesicle-associated membrane protein 7 (v-SNARE VAMP7), and three t-SNAREs, syntaxin 7, syntaxin 8 and Vti1(<xref ref-type="bibr" rid="B11">Bogdanovic et al., 2000</xref>, <xref ref-type="bibr" rid="B10">2002</xref>). It has been reported that VAMP7 and syntaxin 7 are present in the bladder of the CV. The other two SNARE proteins, syntaxin 8 and Vti1 have been seen in both the CV&#x2019;s bladders and tubular networks (<xref ref-type="bibr" rid="B151">Bennett et al., 2008</xref>). Some of the SNARE proteins have also been identified as interactors with PI(4,5)P2 (<xref ref-type="bibr" rid="B96">Murray and Tamm 2009</xref>). Clathrin assembly proteins, such as AP180 and AP1, are also related to CV activity. AP180 null cells show unusual large CVs and are osmo-sensitive (<xref ref-type="bibr" rid="B122">Stavrou and O&#x2019;Halloran, 2006</xref>). Moreover, AP180 has been reported to interact with another SNARE, Vamp7B (<xref ref-type="bibr" rid="B134">Wen et al., 2009</xref>). AP180 also binds to PI(4,5)P2, through the NH2-terminal homology domain known as ANTH (AP180 N-terminal homology) and assists in clathrin assembly on lipid monolayers (<xref ref-type="bibr" rid="B30">Ford et al., 2001</xref>). The ANTH domain is conserved among all members of the AP180 family (<xref ref-type="bibr" rid="B102">Norris et al., 1995</xref>; <xref ref-type="bibr" rid="B140">Ye et al., 1995</xref>; <xref ref-type="bibr" rid="B41">Hao et al., 1997</xref>; <xref ref-type="bibr" rid="B30">Ford et al., 2001</xref>; <xref ref-type="bibr" rid="B88">Mao et al., 2001</xref>; <xref ref-type="bibr" rid="B122">Stavrou and O&#x2019;Halloran, 2006</xref>). Thus, PI(4,5)P2 has been shown to be a critical regulator of exocytic events in both <italic>D. discoideum</italic> and many eukaryotes, including mammals.</p>
</sec>
</sec>
<sec id="s3">
<title>The General Role of PI(4,5)P2 in Eukaryotic Exocytosis</title>
<p>In addition to exocytosis being a critical component of CV dynamics, it is also essential for vesicles to eject their contents in metazoans. Exocytosis is a membrane trafficking process that can discharge soluble and insoluble protein contents including neurotransmitters, hormones, and cytokines, as well as many other small molecules and metabolites to the extracellular space. In eukaryotes, this process also mediates the polarized delivery of vesicular trafficking proteins and lipids to specific PM domains. As has been mentioned, several studies show that PI(4,5)P2 and its effectors play critical roles in all steps of exocytosis (<xref ref-type="fig" rid="F2">Figure 2</xref>) (<xref ref-type="bibr" rid="B17">Cremona et al., 1999</xref>; <xref ref-type="bibr" rid="B103">Paolo et al., 2004</xref>; <xref ref-type="bibr" rid="B50">Holz et al., 2000</xref>; <xref ref-type="bibr" rid="B55">James et al., 2008</xref>; <xref ref-type="bibr" rid="B149">Milosevic et al., 2005</xref>; <xref ref-type="bibr" rid="B90">Martin, 2001</xref>; <xref ref-type="bibr" rid="B135">Wenk et al., 2001</xref>). To perform this function, secretory vesicles undergo three defined trafficking steps during exocytosis (<xref ref-type="fig" rid="F2">Figure 2</xref>): the docking process for recruiting vesicles to the PM, the priming process for maturing the vesicles, the fusion process to fuse with the PM, and the release of vesicle contents (<xref ref-type="bibr" rid="B131">Voets, 2000</xref>; <xref ref-type="bibr" rid="B112">Rettig and Neher, 2002</xref>; <xref ref-type="bibr" rid="B126">Sudhof, 2013</xref>; <xref ref-type="bibr" rid="B53">Imig et al., 2014</xref>). PI(4,5)P2 is capable of engaging in a multitude of cellular functions that are temporally and spatially controlled by the localized distribution of PI(4,5)P2 along the PM (<xref ref-type="bibr" rid="B5">Bai et al., 2004</xref>). PI(4,5)P2 has been shown to be enriched in domains at the PM and at the vesicle exocytosis sites (<xref ref-type="bibr" rid="B128">Trexler et al., 2016</xref>). Furthermore, the recruitment of enzymes that hydrolyze PI(4,5)P2 at the docking sites results in inefficient docking of the vesicles to the PM (<xref ref-type="bibr" rid="B17">Cremona et al., 1999</xref>; <xref ref-type="bibr" rid="B51">Honigmann et al., 2013</xref>). This initial priming step of exocytosis is controlled by different proteins and their effectors such as the Ca<sup>2&#x2b;</sup>-dependent activator protein for secretion (CAPS) and Munc13 (<xref ref-type="bibr" rid="B119">Shin et al., 2010</xref>; <xref ref-type="bibr" rid="B65">Kabachinski et al., 2014</xref>; <xref ref-type="bibr" rid="B91">Martin, 2015</xref>). These proteins are also regulated by PI(4,5P)2, with the PH domain of CAPS binding to PI(4,5)P2 for activation (<xref ref-type="bibr" rid="B37">Grishanin et al., 2004</xref>; <xref ref-type="bibr" rid="B65">Kabachinski et al., 2014</xref>; <xref ref-type="bibr" rid="B91">Martin, 2015</xref>). SNAREs also interact with PI(4,5)P2 for vesicle fusion (<xref ref-type="bibr" rid="B90">Martin, 2001</xref>; <xref ref-type="bibr" rid="B55">James et al., 2008</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Involvement of PI(4,5)P2 in the exocytosis steps. PI(4,5)P2 is required for mediating tethering of vesicles to the PM. In the priming step, PI(4,5)P2 modulates the vesicles priming by interacting with Munc13 and CAPS. PI(4,5)P2 controls vesicles fusion by interacting with SNARE complex.</p>
</caption>
<graphic xlink:href="fcell-09-765316-g002.tif"/>
</fig>
<sec id="s3-1">
<title>Involvement of PI(4,5)P2 With the Exocyst Complex</title>
<p>The exocyst complex has been involved in various cellular processes including exocytosis, cell growth, cytokinesis, cell migration, primary ciliogenesis and tumorigenesis. Furthermore, the exocyst protein complex has a crucial role in polarized membrane protein trafficking (<xref ref-type="bibr" rid="B148">He and Guo, 2009</xref>). The exocyst complex (<xref ref-type="fig" rid="F2">Figure 2</xref>) consists of eight subunits (Sec3, Sec5, Sec6, Sec8, Sec10, Sec15, Exo70, and Exo84) that mediate the vesicles&#x2019; tethering to the PM and is conserved among the eukaryotic kingdom (<xref ref-type="bibr" rid="B148">He and Guo, 2009</xref>; <xref ref-type="bibr" rid="B141">Yeaman et al., 2001</xref>). Exocyst subunits interact with each other in pairs: such as Sec3&#x2013;Sec5, Sec6&#x2013;Sec8, and Sec10&#x2013;Sec15 (<xref ref-type="bibr" rid="B40">Guo et al., 2000</xref>; <xref ref-type="bibr" rid="B152">Katoh et al., 2015</xref>; <xref ref-type="bibr" rid="B153">Heider et al., 2016</xref>; <xref ref-type="bibr" rid="B92">Matern et al., 2001</xref>; <xref ref-type="bibr" rid="B154">Munson and Novick 2006</xref>; <xref ref-type="bibr" rid="B155">Vega and Hsu 2001</xref>). The exocyst complex mediates localization and tethering of vesicles to targeted membranes and enables the assembly of SNARE complexes before the fusion step (<xref ref-type="bibr" rid="B108">Pfeffer, 1999</xref>; <xref ref-type="bibr" rid="B40">Guo et al., 2000</xref>; <xref ref-type="bibr" rid="B133">Waters and Hughson., 2000</xref>; <xref ref-type="bibr" rid="B136">Whyte and Munro, 2002</xref>). Exo70 is localized near cell-cell contacts on the PM, meaning that Exo70 can mediate PM interaction in these cells independently of the remaining exocyst components (<xref ref-type="bibr" rid="B92">Matern et al., 2001</xref>). Indeed, the exocyst needs to interact with the target membrane to achieve tethering function after the delivery of the vesicles. This process appears to be mediated by direct binding of Sec3 and Exo70 subunits with PI(4,5)P2 enriched at the inner leaflet of the PM (<xref ref-type="bibr" rid="B47">He et al., 2007</xref>; <xref ref-type="bibr" rid="B79">Liu et al., 2007</xref>; <xref ref-type="bibr" rid="B144">Zhang et al., 2008</xref>; <xref ref-type="bibr" rid="B118">Shewan et al., 2011</xref>; <xref ref-type="bibr" rid="B109">Pleskot et al., 2015</xref>). Exo70 exhibits a positively charged surface domain at its C-terminus in mammalian cells which mediates the binding to PI(4,5)P2. Interestingly, the C-terminal sequence of Exo70 is the most evolutionarily conserved region of the protein, suggesting this PI(4,5)P2 is critical for many organisms. The same study has also revealed that Exo70 can recruit the other exocyst components to the PM (<xref ref-type="bibr" rid="B79">Liu et al., 2007</xref>). Furthermore, studies on yeast have shown that Exo70 is an effecter of the GTPase Rho3, which plays regulatory roles in actin organization and exocytosis (<xref ref-type="bibr" rid="B1">Adamo et al., 1999</xref>; <xref ref-type="bibr" rid="B114">Robinson et al., 1999</xref>). The disruption of the Exo70&#x2013;lipid interaction resulted in exocyst mis-localization and ablation of the enzyme secretion responsible for yeast cell growth. On the other hand, disruption of Exo70&#x2013;Rho3 interaction did not show any noticeable defects (<xref ref-type="bibr" rid="B47">He et al., 2007</xref>). The binding affinity of Exo70 for PI(4,5)P2 is higher than PI(3,5)P2, PI(3)P or PI(4)P (<xref ref-type="bibr" rid="B47">He et al., 2007</xref>). The other component that mediates the delivery of the vesicles to the targeted membrane is Sec3. The association between the amino-terminal PH domain of Sec3 and PI(4,5)P2 mediates Sec3&#x2019;s localization to the PM (<xref ref-type="bibr" rid="B82">Luo et al., 2014</xref>). It has been reported that the PH domain of Sec3 also interacts with small GTPases such as Cdc42 and Rho1 (<xref ref-type="bibr" rid="B40">Guo et al., 2000</xref>; <xref ref-type="bibr" rid="B143">Zhang et al., 2001</xref>; <xref ref-type="bibr" rid="B144">Zhang et al., 2008</xref>). Small GTPases and PI(4,5)P2 can synergistically influence the exocyst complex&#x2019;s position and function at the PM. When both Exo70 and Sec3 are impaired, it is no longer possible to anchor the exocyst complex to the targeted membrane (<xref ref-type="bibr" rid="B47">He et al., 2007</xref>). Thus, Exo70 and Sec3 bind to PI(4,5)P2 and function in concert to mediate the association of the exocyst complex with the PM.</p>
</sec>
<sec id="s3-2">
<title>PI(4,5)P2 is the Binding Site for CAPS and Munc-13</title>
<p>CAPS and Munc-13 are major contributors to the priming step in exocytosis of synaptic vesicles and dense-core vesicles (<xref ref-type="fig" rid="F2">Figure 2</xref>) (<xref ref-type="bibr" rid="B137">Wojcik and Brose, 2007</xref>; <xref ref-type="bibr" rid="B123">Stevens and Rettig, 2009</xref>; <xref ref-type="bibr" rid="B58">James and Martin, 2013</xref>). These synaptic vesicles and dense core vesicles play an essential role in neuronal communication and brain development (<xref ref-type="bibr" rid="B112">Rettig and Neher, 2002</xref>; <xref ref-type="bibr" rid="B127">Sudhof and Rizo, 2011</xref>). It has been reported that Munc-13 is critical for synaptic vesicle exocytosis, while CAPS plays a central role in dense-core vesicles (<xref ref-type="bibr" rid="B4">Augustin et al., 1999</xref>; <xref ref-type="bibr" rid="B130">Varoqueaux et al., 2002</xref>; <xref ref-type="bibr" rid="B37">Grishanin et al., 2004</xref>; <xref ref-type="bibr" rid="B120">Speese et al., 2007</xref>; <xref ref-type="bibr" rid="B80">Liu et al., 2008</xref>). Moreover, CAPS and Munc-13 have been shown to regulate SNARE assembly with the vesicles and are crucial for exocytosis (<xref ref-type="bibr" rid="B9">Basu et al., 2005</xref>; <xref ref-type="bibr" rid="B57">James et al., 2009</xref>; <xref ref-type="bibr" rid="B18">Daily et al., 2010</xref>; <xref ref-type="bibr" rid="B66">Khodthong et al., 2011</xref>; <xref ref-type="bibr" rid="B85">Ma et al., 2011</xref>; <xref ref-type="bibr" rid="B132">Wang et al., 2017</xref>). CAPS and Munc13 proteins have interconnected C-terminal SNARE protein&#x2013;binding domains (<xref ref-type="bibr" rid="B69">Koch et al., 2000</xref>; <xref ref-type="bibr" rid="B39">Guan et al., 2008</xref>; <xref ref-type="bibr" rid="B107">Pei et al., 2009</xref>). Deleterious mutations in the PH domain of CAPS result in controlled exocytosis failure (<xref ref-type="bibr" rid="B36">Grishanin et al., 2002</xref>). Also, CAPS interacts with syntaxin-1 near its PI(4,5)P2 binding site, indicating that PI(4,5)P2 is an essential co-factor for activating CAPS via binding to its PH domain. On the other hand, Munc13 binds to PI(4,5)P2 in a Ca<sup>2&#x2b;</sup>-dependent manner through its C2B domain (<xref ref-type="bibr" rid="B56">James et al., 2010</xref>; <xref ref-type="bibr" rid="B119">Shin et al., 2010</xref>). Moreover, a study on neuroendocrine cells has shown that Munc-13 is cytoplasmic and translocates to PI(4,5)P2-rich PM domains in response to Ca<sup>2&#x2b;</sup> influx (<xref ref-type="bibr" rid="B65">Kabachinski et al., 2014</xref>; <xref ref-type="bibr" rid="B91">Martin, 2015</xref>). In line with this, Munc13-1-GFP translocation to microdomains was blocked by overexpression of the high-affinity PI(4,5)P2-binding PH domain of PLC&#x3b4;1, demonstrating their affinity for the same PM site (<xref ref-type="bibr" rid="B65">Kabachinski et al., 2014</xref>). Indeed, both CAPS and Munc13 can promote the recruitment of vesicles to PI(4,5)P2-rich membranes in a Ca2&#x2b;-dependent manner (<xref ref-type="bibr" rid="B63">Junge et al., 2004</xref>; <xref ref-type="bibr" rid="B146">Zikich et al., 2008</xref>; <xref ref-type="bibr" rid="B64">Kabachinski et al., 2016</xref>; <xref ref-type="bibr" rid="B71">Kreutzberger et al., 2017</xref>).</p>
</sec>
<sec id="s3-3">
<title>PI(4,5)P2 interacts With SNARE Complex</title>
<p>SNARE proteins are the central components of the fusion step, the final process in exocytosis vesicle trafficking (<xref ref-type="fig" rid="F2">Figure 2</xref>). All SNARE family members have a distinctive preserved homolog stretch of 60&#x2013;70 amino acids, known as the SNARE motif (<xref ref-type="bibr" rid="B8">Barg et al., 2010</xref>). Among a large number of SNARE proteins, three complexes were carefully studied and identified. These complexes are Syntaxin-1, synaptosome-associated protein (SNAP-25), and synaptobrevin2/vesicle-associated membrane protein 2 (VAMP2) (<xref ref-type="bibr" rid="B8">Barg et al., 2010</xref>; <xref ref-type="bibr" rid="B113">Rickman et al., 2010</xref>; <xref ref-type="bibr" rid="B7">Bar-On et al., 2012</xref>; <xref ref-type="bibr" rid="B62">Ji et al., 2015</xref>). It has been reported that PI(4,5)P2 activates syntaxin-1 promoting assembly with SNAP-25 (<xref ref-type="bibr" rid="B96">Murray and Tamm 2009</xref>). Furthermore, syntaxin interactions with PI(4,5)P2 play a positive role in vesicle fusion with the membrane by localizing the protein on the membrane or promoting SNAP-25 interactions (<xref ref-type="bibr" rid="B129">Van den Bogaart et al., 2011</xref>). Fusion-competent vesicles in PC12 have been suggested to localize preferentially to PM sites that contain either PI(4,5)P2 domains or PI(4,5)P2 domains co-localized with syntaxin-1 clusters (<xref ref-type="bibr" rid="B129">Van den Bogaart et al., 2011</xref>). Other studies demonstrated that a subset of docked vesicles are actually present in PI(4,5)P2-enriched areas where exocytosis occurs under optimal Ca<sup>2&#x2b;</sup> influx conditions (<xref ref-type="bibr" rid="B62">Ji et al., 2015</xref>; <xref ref-type="bibr" rid="B61">Ji and Lou, 2016</xref>). Syntaxin-1 interacts with PIs through a membrane-proximal sequence of basic residues which includes K<sup>260</sup>ARRKK<sup>265</sup>. Importantly, syntaxin-1 clusters were eliminated by treatment of PC12 cells with the 5-phosphatase synaptojanin-1. Synaptotagmin1, another calcium sensor for exocytosis, is anchored to the membrane of secretory organelles which is mediated by PI(4,5)P2 clusters in plasma domains (<xref ref-type="bibr" rid="B156">Aoyagi et al., 2005</xref>; Gandasi and Barg, 2014; <xref ref-type="bibr" rid="B96">Murray and Tamm, 2009</xref>). Moreover, the interaction between PI(4,5)P2 and Synaptotagmin increases the excitation-secretion in response to Ca<sup>2&#x2b;</sup> (<xref ref-type="bibr" rid="B5">Bai et al., 2004</xref>). SNARE proteins therefore play a critical role in the fusion step and are regulated by local PI(4,5)P2 levels as they modulate vesicle exocytosis.</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>The contractile vacuole is part of the polarity circuit and is enriched at the rear of migrating cells, with this localization being critical for cAMP secretion. PI(4,5)P2 is the most abundant PIs in the PM and has been shown to be elevated at the rear of the cell and in areas reciprocally regulated with PI(3,4,5)P3 and membrane protrusions. PI(4,5)P2 has multiple roles in the cell, and is intimately involved in membrane trafficking, endocytosis and exocytosis. The regulatory factors governing exocytosis are highly conserved across species and as highlighted in this review are relevant to many mammalian cell trafficking pathways. The rear CV enrichment and exocytosis described here may be related to this migracytosis mechanism recently described which has been implicated in cell-cell communication in mammalian cells. Migrasomes exist in many cell types such as normal rat kidney cells, macrophages, primary neurons, human breast cancer cells, and embryonic stem cells (<xref ref-type="bibr" rid="B86">Ma et al., 2015</xref>). Migracytosis is a cell migration-dependent mechanism for releasing cellular contents by migrasome organelles which localize at the rear of the cell and play a potential role in cell-cell communication.</p>
<p>PI(4,5)P2 pathway dysregulation and failure of proper exocytosis has been identified in many different diseases such as Lowe syndrome, neuronal disorders and various forms of cancer (<xref ref-type="bibr" rid="B19">Dannemann et al., 2012</xref>; <xref ref-type="bibr" rid="B67">Kim et al., 2017</xref>; <xref ref-type="bibr" rid="B110">Prosseda et al., 2017</xref>; <xref ref-type="bibr" rid="B111">Raghu et al., 2019</xref>). Lowe oculocerebrorenal syndrome, a congenital disease characterized by low IQ, and defective kidney proximal tubule resorption, is caused by a defect in the OCRL gene. OCRL is an inositol polyphosphate 5-phosphatase that hydrolyzes the 5-phosphate of PI(4,5)P2 into PI4P (<xref ref-type="bibr" rid="B110">Prosseda et al., 2017</xref>). Interestingly, a recent study in <italic>D. discoideum</italic> has shown that OCRL-like protein of <italic>D. discoideum</italic>, Dd5P4, is recruited to the CV membrane upon the kiss-and-run exocytic event (<xref ref-type="bibr" rid="B84">Luscher et al., 2019</xref>). Therefore, it is possible that the exocytic function of ORCL contributes to the pathological process of Lowe syndrome. Chediak-Higashi syndrome (CHS) is an autosomal human disorder characterized by immunodeficiency and the formation of giant lysosomes or lysosome-related organelles. In <italic>D. discoideum,</italic> the homolog to one of the Chediak-Higashi syndrome (CHS) proteins is LvsA, which interestingly enough labels the CV bladder and remains associated throughout the discharge phase until fusion with the PM (<xref ref-type="bibr" rid="B33">Gerald et al., 2002</xref>). In addition, it also seems plausible that the localized fusion that occurs with CV discharge is correlated with the small extracellular vesicles documented during <italic>D. discoideum</italic> streaming (<xref ref-type="bibr" rid="B74">Kreibel, et al., 2018</xref>). Extracellular vesicles are critical for many aspects in tumor progression (<xref ref-type="bibr" rid="B139">Xavier et al., 2020</xref>), so studying these processes is of utmost importance. Given that PI(4,5)P2 levels are critical to so many processes in the cell, there are certain to many critical roles and potential therapeutic interventions that can be performed by regulating PI(4,5)P2 levels. Understanding the basic function of PI(4,5)P2 in CV ejection or neurotransmitter release may even help with diseases of the brain. PI(4,5)P2 levels are decreased in the brain of Alzheimer&#x2019;s patients, for instance, although the exact role in Alzheimer&#x2019;s disease has yet to be elucidated (<xref ref-type="bibr" rid="B124">Stokes et al., 1978</xref>; <xref ref-type="bibr" rid="B3">Arancio., 2008</xref>). There are many steps in CV localization and function where PI(4,5)P2 seems to be required, so understanding the basic functions to their targeting and function should enhance our understating of exocytosis-related diseases.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Author Contributions</title>
<p>SF wrote the majority of the manuscript with editorial assistance from CJ. SF designed and made the figures.</p>
</sec>
<sec sec-type="COI-statement" id="s6">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s7">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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