Neurotransmission is a multistage regulated process in which a Variety
of active molecules contained in vesicles are liberated in response t
o specific stimuli from different types of neurone or related cells. T
his includes the release of fast neurotransmitters such as amino acids
and acetylcholine from central and peripheral synapses, but also that
of relatively slow-acting polypeptides from central and peripheral ne
urones or neuroendocrine cells. Considerable progress has been made ov
er recent years in the understanding at a molecular level of the mecha
nism of regulated exocytosis, a crucial phase in this phenomenon. The
currently proposed overall mechanism, which incorporates the ''SNARE''
hypothesis for vesicle-membrane docking and fusion, is based on data
from experimental models ranging from brain synaptosomes to mast calls
. Since the kinetics of the models studied and the physiological effec
ts of the neurotransmitters implicated vary so much, it is pertinent t
o question whether a general mechanism can be proposed from such exper
imental data. This review examines known differences in putative exocy
totic mechanisms for the various systems studied and attempts to relat
e these to the nature of the active substances released. Differences e
xist in each step of the exocytosis process and include the channel th
rough which Ca2+ enters to trigger it or the internal Ca2+ source, the
type of vesicle in which the transmitter is packaged, the way vesicle
s are translocated to the surface membrane or how they dock and fuse w
ith it. Major differences have been reported in release mechanisms of
different types of vesicle, but minor differences also exist within th
e same vesicle class. Thus small synaptic Vesicles and large dense cor
e vesicles are translocated by distinct processes and the Ca2+ channel
s, Ca2+ sensors and docking proteins involved in other steps are not i
dentical in all neuronal phenotypes. It may be concluded that each of
these differences has evolved to accommodate the different physiologic
al requirements of the neuromodulator released. (C) 1997 Elsevier Scie
nce Ltd. All rights reserved.