Background & Aims: Neuroendocrine cells and tumors derived therefrom c
ontain hormone-storing large dense core vesicles and neuron-like small
synaptic vesicle analogues with unknown function. The aim of this stu
dy was to characterize the small synaptic vesicle pathway in detail. M
ethods: In human pancreatic neuroendocrine tumors and corresponding ma
mmalian cell lines, the expression of key proteins of regulated secret
ion were detected by immunofluorescence microscopy. Using H-3-gamma-am
inobutyric acid (GABA), uptake and release by small synaptic vesicle a
nalogues were studied. Results: Tumor tissues obtained from 14 patient
s expressed key proteins of neurosecretion such as synaptobrevin, synt
axins, and SNAP 25. These proteins were also found in the cell lines A
R42J, BON, RIN, and INR. The cell lines specifically transported GABA
by a low-affinity plasma membrane transporter and showed an adenosine
triphosphate-sensitive GABA uptake into an intracellular compartment.
Stored GABA was released upon stimulation by regulated exocytosis. Ele
ctrophysiological analyses suggested that calcium-dependent secretion
was mediated by activation of voltage-dependent calcium channels of ma
inly the L type, but also of the N and probably the T type. Conclusion
s: Small synaptic vesicle analogues in neuroendocrine cells and tumors
can store and secrete GABA and probably other amino acid transmitters
by regulated exocytosis comparable with neurons.