Originally published online as doi:10.1189/jlb.0707503 on September 17, 2007
Published online before print September 17, 2007
(Journal of Leukocyte Biology. 2008;83:229-236.)
© 2008
by Society for Leukocyte Biology
Mechanisms of eosinophil secretion: large vesiculotubular carriers mediate transport and release of granule-derived cytokines and other proteins
Rossana C. N. Melo*,
,
,
Lisa A. Spencer
,
Ann M. Dvorak
and
Peter F. Weller
,1
* Laboratory of Cellular Biology, Department of Biology, Federal University of Juiz de Fora, MG, Brazil; and Departments of
Pathology and
Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
1 Correspondence: Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue–DA 617, Boston, MA 02215, USA. E-mail: pweller{at}bidmc.harvard.edu

ABSTRACT
Eosinophils generate and store a battery of proteins, including
classical cationic proteins, cytokines, chemokines, and growth
factors. Rapid secretion of these active mediators by eosinophils
is central to a range of inflammatory and immunoregulatory responses.
Eosinophil products are packaged within a dominant population
of cytoplasmic specific granules and generally secreted by piecemeal
degranulation, a process mediated by transport vesicles. Large,
pleiomorphic vesiculotubular carriers were identified recently
as key players for moving eosinophil proteins from granules
to the plasma membrane for extracellular release. During secretion,
these specialized, morphologically distinct carriers, termed
eosinophil sombrero vesicles, are actively formed and direct
differential and rapid release of eosinophil proteins. This
review highlights recent discoveries concerning the organization
of the human eosinophil secretory pathway. These discoveries
are defining a broader role for large vesiculotubular carriers
in the intracellular trafficking and secretion of proteins,
including selective receptor-mediated mobilization and transport
of cytokines.
Key Words: vesicular transport cell biology inflammation piecemeal degranulation eosinophil sombrero vesicles (EoSVs)

INTRODUCTION
Eosinophils are bone marrow-derived granulocytes with functions
in allergic, inflammatory, and immunoregulatory responses (reviewed
in refs. [
1
2
3
4
5
]). Eosinophils generate and store a diversity
of proteins, including four major cationic proteins, cytokines,
chemokines, and growth factors, all packaged within a dominant
population of cytoplasmic granules with a distinguishing, unique
morphology, termed specific granules (
Fig. 1
) [
4
5
6
7
].
Secretion of these active mediators is central to eosinophil
functions. In response to varied stimuli, eosinophils are recruited
from the circulation into inflammatory foci, where they modulate
immune responses through the release of granule-derived products
(reviewed in refs. [
4
5
28
29
]). Specific eosinophil proteins
can be released rapidly and selectively when these cells are
activated [
30
31
].
Granule-stored products are released from eosinophils through different modes: classical exocytosis, by which granules release their entire contents following granule fusion with the plasma membrane, including compound exocytosis, also involving intracellular granule–granule fusion before extracellular release; piecemeal degranulation (PMD), a process for secretion from intracellular granules mediated by transport vesicles; and cytolysis, which involves the extracellular deposition of intact granules upon lysis of the cell (reviewed in refs. [31
32
]).
PMD is a general secretion process implicated in the release of products from activated eosinophils in a range of human diseases including allergic inflammation [33
34
35
36
37
]. PMD has also been identified extensively in other secretory cells [38
39
40
]. During PMD, eosinophil specific granules undergo progressive emptying of their contents, as secretory vesicles are mobilized to transfer secretory cargo from granules to the cell surface [39
41
42
]. It is more important that PMD enables differential release of eosinophil products [30
], a physiologically relevant event, which underlies distinct functions of eosinophils. How these transport vesicles are formed and mediate the rapid and specific secretion of eosinophil proteins are questions, which have been addressed recently. In addition to small, classical, round vesicles, it has now become apparent that the eosinophil secretory pathway is mediated by morphologically distinct, large pleiomorphic vesiculotubular carriers, termed eosinophil sombrero vesicles (EoSVs), which are responsible for moving proteins between granules and the plasma membrane [43
44
45
]. During eosinophil secretion, EoSVs are actively formed from granules and direct differential release of proteins.
In this review, we highlight the intriguing and distinct eosinophil vesicular system and the recent discoveries, based on agonist-stimulated human eosinophils, which define a broader role for large vesiculotubular carriers in intracellular trafficking and secretion of proteins, including selective receptor-mediated mobilization and transport of cytokines.

DISTINCT VESICULAR COMPARTMENTS OPERATE IN THE EOSINOPHIL SECRETORY PATHWAY
An earlier model for the transport of secretory proteins between
the eosinophil cytoplasmic granules and cell surface involves
the formation and movement of small, round vesicles [
41
46
47
].
Recent data have brought conclusive evidence for the participation
of morphologically distinct, large, membrane-bound, tubular
compartments in the eosinophil secretory route [
43
44
45
].
Although these vesiculotubular structures have long been recognized
in the cytoplasm of eosinophils [
48
49
50
] (
Fig. 2 A
), little
attention was given to them, and their functional roles remained
poorly understood for 30 years. These structures were also reported
previously as microgranules (reviewed in ref. [
50
]) or cup-shaped
structures [
48
] in the early eosinophil literature. It is interesting
that cytoplasmic vesiculotubular structures, recently referred
to as EoSVs
(Fig. 2A)
[
44
], are sufficiently unique in eosinophils
that their presence in the cytoplasm of granulocytes, devoid
of specific granules, is useful for lineage assignment of granule-poor,
activated cells [
50
].
EoSVs, in conjunction with small, classical, round vesicles,
represent alternative pathways for transport of granule products
to the plasma membrane for extracellular release [
44
45
].
Both vesicular compartments are immunolabeled positively for
typical granule products [
43
44
]. EPO-loaded vesicles and
tubules were detected initially within eosinophils, which developed
from human-cord blood mononuclear cell cultures supplemented
with IL-5 [
51
]. Accordingly, mobilization of MBP into large
tubular vesicles
(Fig. 2B)
was demonstrated more recently by
immunonanogold EM when eosinophils were stimulated with eotaxin
(CCL11), a potent CC-chemokine, which recruits and activates
eosinophils [
43
]. MBP is one of the most abundant cationic
proteins stored within and recognized as a marker of eosinophil
specific granules [
5
52
]. Vesicles containing MBP were identified
within and extending from granules as well as around emptying
granules and underneath the plasma membrane [
43
]. EoSVs were
labeled extensively for MBP
(Fig. 2A)
. It is interesting that
the Golgi region was negative for MBP, indicating that EoSVs
are not associated with a biosynthetic route from the
trans-Golgi
network (TGN) [
43
]. Another granule-derived protein, ECP, has
been documented in subcellular fractionation studies to be localized
in cytosolic vesicles isolated from the eosinophils of allergic
patients specifically during their seasonal allergen exposures
[
34
].
Vesicular trafficking of IL-4, a hallmark, granule-stored cytokine recognized for a long time only within cores of eosinophil granules [17
18
], was identified recently in human eosinophils using different approaches [44
]. Combining pre-embedding immunonanogold EM for precise epitope preservation and subcellular localization associated with small gold particles (1.4 nm) as a probe, IL-4 was detected on cytoplasmic vesicle populations (small, spherical vesicles and EoSVs; Fig. 2C
) as well as on matrices, cores, and membranes of specific granules from eotaxin-stimulated eosinophils [44
]. In confirmation that vesicular compartments mediate release of IL-4 in activated eosinophils, a single probe consisting of an antibody labeled with 1.4 nm gold and a fluorochrome (fluoronanogold) was used for comparative microscopy (TEM and EliCell assay) [44
]. EliCell, a sensitive immunofluorescent system [53
], enabled visualization of released IL-4 at the cell surface, and immunonanogold EM showed, with the use of the same probe, direct labeling of small and large tubular vesicles [44
]. It is remarkable that different TEM approaches clearly demonstrated a consistent and preferential labeling for IL-4 on vesicle membranes (Fig. 2C)
and not on their internal content, as shown previously for the cytokine TGF-
in eosinophil small vesicles [26
]. A functional implication of a membrane-bound vesicular transport of cytokines is that it adds support to the occurrence of selective release of products from eosinophils, as indicated previously. Moreover, as a pool of IL-4-loaded vesicles is also identified in unstimulated eosinophils, this may contribute to the rapid cytokine mobilization and release following cell activation [44
].
EoSVs represent a distinct vesicle population, which can also be isolated by subcellular fractionation of human eosinophils. In contrast to small vesicles, which localize to more buoyant light fractions, EoSVs are largely localized in fractions slightly less dense than granule-containing fractions [44
]. When imaged by TEM, isolated EoSVs (Fig. 2D)
show the same morphology observed in conventional EM preparations of entire cells (Fig. 2A)
and are positively immunolabeled for MBP (Fig. 2E)
[43
].
It is clear, therefore, that round vesicles and vesiculotubular structures operate in the eosinophil secretory pathway, possibly with differing contributions of each. As large tubular carriers are labeled extensively for granule products and actively formed when eosinophils are activated (see below), it seems likely that these particular vesicles are fundamental for the diversity of proteins, which needs to be transported rapidly from within eosinophils.

INTRACELLULAR DISTRIBUTION AND FORMATION OF TUBULAR CARRIERS
Tubular carriers (EoSVs) are structures typically observed in
mature eosinophils. Ultrastructural analysis of a large number
of cultures of human umbilical cord blood cells, supplemented
with a number of growth factors, has shown few numbers of EoSV-like
structures within eosinophilic myelocytes. Maturation of these
cells, however, is accompanied by increased numbers of EoSVs
in parallel with the formation of specific granules (reviewed
in ref. [
7
]).
In activated human eosinophils, EoSVs undergo a remarkable formation and redistribution. When eosinophils are stimulated with classical eosinophil agonists, such as eotaxin, there is an increase of the total number of cytoplasmic EoSVs [44
]. In addition, EoSVs are observed more frequently surrounding and/or in contact with secretory granules [44
] (Fig. 3 A
). By quantitative TEM, it was demonstrated that activation induces a significant increase in the numbers of granule-attached EoSVs (Fig. 3B)
. It is interesting that the majority of these EoSVs (90%) is associated with granules showing ultrastructural changes typical of PMD, i.e., granules with lucent areas in their cores, matrices, or both, reduced electron density, disassembled matrices and cores, residual cores, or membrane empty chambers (Fig. 3
, A, C) [44
]. These gross alterations within secretory granules, indicative of progressive release of their products, are described in a diversity of cell types [7
39
40
54
]. In human eosinophils, it is recognized that the number of emptying granules increases in activated cells, in vivo and in vitro, in different conditions [33
34
35
36
43
]. Inflammatory stimuli, such as chemokines (eotaxin and RANTES) or platelet-activating factor, trigger PMD, and pretreatment with BFA, a potential inhibitor of vesicular transport [55
], inhibits agonist-induced, granule emptying [43
].
Attempts to characterize the origin of EoSVs revealed that eosinophil
secretory granules are able to generate these vesicles. There
are several evidences for this. First, eosinophil specific granules
are not merely storage stations but are elaborate and compartmentalized
organelles with internal, CD63 (a transmembrane tetraspanin
protein [
56
])-positive, membranous vesiculotubular domains
[
43
]. These intragranular membranes are able to sequester and
relocate granule products upon stimulation with eotaxin and
can collapse under BFA pretreatment [
43
]. In parallel with
the BFA-induced collapse of intragranular membranes, there was
a reduction of the total number of cytoplasmic EoSVs [
44
]
(Fig. 3B)
.
Second, conventional TEM images strongly indicated a structural
connection between EoSVs and emptying granules. EoSVs were seen
attached and apparently budding from specific granules in stimulated
cells (
Figs. 3A
and 3C
,
and 4A
and 4B
) [
44
]. Eosinophil granules
can also show peroxidase-positive tubular extensions from their
surfaces [
42
] and IL-4-loaded tubules [
44
]. Third, tracking
of vesicle formation using 4 nm thickness digital sections by
electron tomography
(Fig. 4C)
revealed that EoSVs can indeed
emerge from mobilized granules through a tubulation process
[
44
]. Electron tomography also showed that small, round vesicles
bud from eosinophil specific granules. These findings provide
direct evidence for the origin of vesicular compartments from
granules undergoing release of their products by PMD.

THREE-DIMENSIONAL (3D) STRUCTURE OF EoSVs
As EoSVs were implicated directly in the secretory pathway [
44
],
their morphology was delineated recently in more detail in human
cells activated by inflammatory stimuli [
43
44
57
]. To define
the spatial organization of EoSVs, they were evaluated by automated
electron tomography [
44
57
], a robust tool to generate 3D
images of subcellular structures, which have been used increasingly
in the membrane-traffic field [
58
59
60
]. Electron tomography
provided new insights into the intriguing structure of EoSVs.
3D reconstructions and models generated from digital serial
sections revealed that individual EoSVs are curved, tubular
structures with cross-sectional diameters of 150–300 nm
(Fig. 4D)
. Along the length of EoSVs, continuous, fully connected,
cylindrical and circumferential domains and incompletely connected
and only partially circumferential, curved domains were identified
[
44
]
(Fig. 4D
and 4E)
. These two domains explain the C-shaped
morphology of these vesicles and the presence of elongated,
tubular profiles close to typical EoSV, as frequently seen in
2D cross-sectional images of eosinophils
(Fig. 2A)
. Electron
tomography revealed therefore that EoSVs present substantial
membrane surfaces and are larger and more pleiomorphic than
the small, spherical vesicles (

50 nm in diameter) classically
involved in intracellular transport [
44
57
]. In fact, the
findings using electron tomography highlight EoSVs as a dynamic
system with a remarkable ability to change their shape and to
interact with secretory granules [
44
57
].
The morphology of EoSVs is therefore quite distinct from that of conventional, small transport vesicles and might offer several advantages to eosinophil secretion. First, it would provide a higher surface:volume ratio system for specific transport of membrane-bound proteins. Second, tubular carriers are more effective in dealing with the long distances, which must be traversed in the cytoplasm until the cell surface is reached [61
]. This fact might be particularly relevant for rapid delivery of eosinophil-preformed cytokines or other proteins. Third, EoSVs might serve as storage pools of specific proteins for rapid mobilization under stimulation and/or provide a more effective means to recycle granule membrane after the mobilization of granule products [44
].

MECHANISMS OF CYTOKINE VESICULAR TRANSPORT AND RELEASE FROM EOSINOPHILS
Stimulus-induced release of cytokines from human eosinophils
is a tightly regulated, highly selective process, occurring
within minutes of agonist stimulation and raising several mechanistic
questions. Upon cell stimulation, specific cytokines must be
selectively mobilized, from among over two dozen other preformed,
granule-stored proteins, into tubular vesicles. These tubular
carriers then need to disengage from granules, traverse the
cytoplasm, and dock at the plasma membrane to release their
specific cargo. Paralleling recent, novel, ultrastructural analyses
described above, molecular approaches have begun to uncover
key mechanisms governing these processes.
ImmunoEM images clearly demonstrate association of IL-4 [44
], as noted above, and TGF-
[26
] with membranes of vesicular carriers, in contrast to the predominantly luminal association of MBP within vesicles [44
]. Thus, the hypothesis was generated that specific membrane-associated carriers participate in the selective mobilization and trafficking of cytokines into and through vesicular compartments. In fact, intracellular, granule-associated pools of cytokine receptor chains quantitatively exceed that expressed on the cell surface, and a recent study combining immunoEM and molecular approaches demonstrated eotaxin-induced association of IL-4R
chains with intragranular membrane reorganization, preceded by mobilization of IL-4R
, bearing bound IL-4, from granules into secretory vesicles [45
]. It is important that the signal-transducing, accessory chain of the IL-4R complex (
c chain) did not exhibit eotaxin-induced mobilization. Thus, trafficking of IL-4R
-chaperoned IL-4 within tubular carriers may be accomplished without initiating an IL-4R-mediated signaling cascade. Intracellular stores of CCR3 and IL-6R
were also expressed within human eosinophils, and intracellular detection of the former increased upon stimulus-induced release of RANTES, a known CCR3 ligand [45
]. Receptor-mediated trafficking of cytokines, a mechanism ideally suited to the large surface area inherent in tubular carriers, is thus a likely mechanism governing the selectivity and rapid transit of cytokines for secretion.
Once loaded, granule-derived vesicles dock at appropriate membrane locales, fuse, and release their specific cargo. A series of elegant studies has demonstrated the relevance of soluble N-ethylmaleimide-sensitive factor attachment protein (SNAP) receptor (SNARE; SNAP receptors) complexes, comprised of v (vesicle) and t (target) SNARES, to this process (reviewed in ref. [31
]). Specifically, eosinophil secretory vesicles, but not granules, express the v-SNARE vesicle-associated membrane protein 2, which colocalized with RANTES throughout IFN-
-induced PMD of RANTES [62
], and likely mediates specific membrane docking through interaction with plasma membrane t-SNARES, SNAP-23, and syntaxin-4 [63
]. Figure 5
shows a model for mobilization and transport of cytokines from secretory granules to the plasma membrane in the human eosinophil.

LARGE TUBULAR CARRIERS MEDIATE TRANSPORT IN DIFFERENT CELL SECRETORY PATHWAYS
The identification of large tubular carriers within different
cell types transferring secretory cargo signals a departure
from models, which are based on small, round vesicles, as the
only mediators of vesicular transport. Emerging evidence has
pointed to the participation of vesiculotubular carriers in
different cell secretory pathways. Well-documented examples
are the transport system between the endoplasmic reticulum (ER)
and Golgi complex [
64
65
66
67
], from the endosomal system
[
68
] or the TGN [
69
70
] to the plasma membrane, and along
axons [
71
72
]. These carriers appear as vesiculotubular structures
of various shapes and sizes. They show complex plasticity, often
changing shapes or dividing during transport [
73
]. Moreover,
it has been suggested that large transport carriers could form
by fusion of small vesicles or by direct budding from donor
organelles (reviewed in refs. [
61
66
74
]).
Consistent with the findings within eosinophils described above, it was demonstrated recently that the abundance of tubular carriers operating in the ER-Golgi interface, within a population of cells and in individual cells themselves, can be increased dramatically compared with steady-state conditions [65
].
Large transport compartments could explain, for instance, the export of large macromolecular cargo such as procollagen from the ER or the secretion of large lipoprotein particles such as chylomicrons, which would be too large to be accommodated in 60–90 nm, small vesicles (reviewed in ref. [66
]). Indeed, the transport of specific proteins within large tubular carriers has increasingly been documented. E-cadherin, a cell–cell adhesion protein, is transported from the TGN to the recycling endosome on its way to the cell surface in vesiculotubular carriers [75
]. EM studies also describe an assortment of convoluted tubular-vesicular structures as vehicles for the delivery of receptor-hydrolase complexes from the TGN to the endosomal system [76
]. It was demonstrated recently that IL-6 is loaded into vesiculotubular structures budding from the TGN in live macrophages [77
], a finding, which coupled with our previous results [44
45
], adds support to a broader role for these large carriers in the intracellular trafficking and release of cytokines.
It is believed that large tubular carriers could provide an additional mechanism to transport material rapidly between membranes in different secretory pathways [44
65
]. The dissection of these carriers and the understanding of their intrinsic complexity are beginning to emerge.

CONCLUDING REMARKS AND QUESTIONS FOR THE FUTURE
The classical picture of the cell secretory pathway includes
protein and lipid synthesis within the ER, transport of cargo
inwards toward the Golgi apparatus and then through the Golgi,
and TGN en route to the plasma membrane, all carried by transport
vesicles [
78
]. Eosinophils show a novel, secretory pathway
organization, which may underlie their remarkable ability to
rapidly release preformed proteins involved in immune responses.
Eosinophils contain morphologically unique secretory organelles,
cytoplasmic specific granules, and a distinct population of
large secretory vesicles (EoSVs). During secretion, these specialized
tubular carriers are actively formed, and in parallel, specific
granules undergo highly dynamic changes related to the progressive
release of their contents. EoSVs bud from mobilized granules
and in conjunction with small, round vesicles, transport granule
products to the plasma membrane for extracellular release [
44
45
57
].
Important questions remain about these secretory components
and in understanding secretory trafficking events within eosinophils,
such as whether proteins can be synthesized within specific
granules or if there is traffic between the primary secretory
organelles (ER and Golgi) and granules. Although recent findings
have provided a new view of eosinophil specific granules as
highly elaborate organelles with internal membranes [
43
], their
potential capacity to synthesize proteins remains to be investigated.
Although receptor-mediated recruitment of cytokines to secretory
vesicles seems to be a common mechanism for differential secretion
in eosinophils, other segments of the molecular pathways, controlling,
for instance, sorting of intracellular receptors, await further
investigation. Other issues still need to be addressed: Is there
a retrograde trafficking of tubular carrier membranes to specific
granules after delivery? Answers to basic cell biological questions
about eosinophil secretory trafficking are critical, not only
to understand normal leukocyte function but also to understand
the pathological basis of allergic and inflammatory diseases,
including asthma, often linked intimately to eosinophils.

ACKNOWLEDGEMENTS
The work of the authors is supported by National Institutes
of Health grants AI33372, AI20241, AI051645, AI22571, and HL70270
(Bethesda, MD, USA) and Conselho Nacional de Desenvolvimento
Científico e Tecnológico (CNPq, Brazil). We thank
Rita Monahan-Earley, Tracey Sciuto, and Ellen Morgan (Electron
Microscopy Unit, Department of Pathology, Beth Israel Deaconess
Medical Center, Harvard Medical School, Boston, MA, USA) and
Wim Voorhout of FEI Company (Eindhoven, The Netherlands) for
previous electron microscopy assistance.
Received July 29, 2007;
revised August 20, 2007;
accepted August 21, 2007.

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