Evidence map›Paper›PMID 42039580›Full record

ArticlebioRxiv : the preprint server for biology2026

The exocyst is an insulin-sensitive regulator of amyloid precursor protein trafficking and amyloid-beta generation in neurons.

Chantell Balaan, Geetika Y Patwardhan, Rachel K Sachs, Hanna Kumasaka, Swasthita Sadagopan, Shion Aou, Amanda J Lee, Luke T Nelson, Brian E Hew, Jesse B Owens and 4 more

Abstract readPreprint
In one paragraph

Article in bioRxiv : the preprint server for biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Chantell BalaanDepartment of Anatomy, Biochemistry, and Physiology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.
Geetika Y PatwardhanDepartment of Anatomy, Biochemistry, and Physiology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.
Rachel K SachsDepartment of Anatomy, Biochemistry, and Physiology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.
Hanna KumasakaDepartment of Anatomy, Biochemistry, and Physiology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.
Swasthita SadagopanDepartment of Anatomy, Biochemistry, and Physiology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.
Shion AouDepartment of Anatomy, Biochemistry, and Physiology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.
Amanda J LeeMath and Sciences Department, Kapiolani Community College, Honolulu, Hawaii 96816, USA.
Luke T NelsonDepartment of Anatomy, Biochemistry, and Physiology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.
Brian E HewDepartment of Cell and Molecular Biology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.
Jesse B OwensDepartment of Cell and Molecular Biology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.
Noemi PolgarDepartment of Anatomy, Biochemistry, and Physiology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.
Michael A OrtegaDepartment of Cell and Molecular Biology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.
Robert A NicholsDepartment of Cell and Molecular Biology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.
Ben FogelgrenDepartment of Anatomy, Biochemistry, and Physiology, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI 96813.

Funding

The Role of gp120 on Cardiovascular Disease in People Living with HIVU54MD007601 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI Noemi Polgar · 2017 to 2026
$59.5M
University of Hawaii Cancer Center CCSGP30CA071789 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI Xin Chen · 1996 to 2026
$56.2M
Supplement for Google cloud build-outR24GM137786 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI Alan Tackett · 2020 to 2026
$15.4M
Transgenic Mouse, ICSI and IVF CoreP20GM103457 · NIGMS · UNIVERSITY OF HAWAII AT MANOA · PI WARD, WILLIAM S · 2012 to 2018
$12.9M
The exocyst in ureter development and congenital obstructionsR01DK117308 · NIDDK · UNIVERSITY OF HAWAII AT MANOA · PI FOGELGREN, BENJAMIN C. · 2018 to 2020
$1.2M
NCI NIH HHS P30 CA071789NIDDK NIH HHS R01 DK117308NIGMS NIH HHS P20 GM103457NIGMS NIH HHS R24 GM137786NIMHD NIH HHS U54 MD007601
6 · The paper itself

Abstract

Intracellular trafficking of amyloid precursor protein (APP) critically influences amyloidogenic processing, yet the mechanisms regulating this pathway remain incompletely defined. The exocyst is a highly conserved, insulin-responsive, eight-protein Rab effector complex that directs intracellular transport vesicle targeting and docking. We identified APP in a proteomics screen of neuronal cell surface proteins altered after chemical inhibition of exocyst activity. In SH-SY5Y cells expressing a mutant APP that enhances amyloidogenic processing, RNAi-mediated silencing of exocyst subunits significantly decreased sAPP and Aβ secretion, leading to significant intracellular APP accumulation. We found high-resolution co-localization of APP with exocyst subunits in soma and neurites of differentiated human SH-SY5Y neurons and mouse primary hippocampal neurons, and live-cell TIRF microscopy identified highly coordinated movement between fluorescently-tagged exocyst and APP proteins. These interactions were confirmed in these cells and in mouse brain histological sections by proximity ligation assays (PLAs) demonstrating close (<40nm) APP-EXOC5 association. To examine if exocyst activity in neurons is regulated by insulin, as it is in adipocytes and muscle, we generated a SH-SY5Y cell line with pHluorin-tagged GLUT4. Inhibition of the exocyst prevented exocytosis of GLUT4 to the plasma membrane in response to insulin. Additionally, using PLAs in mouse primary hippocampal neurons and SH-SY5Y neurons, we found that GLUT4-EXOC5 associations were increased by insulin signaling, but APP-EXOC5 associations were markedly reduced, indicating insulin-dependent retargeting of the exocyst complex away from APP+ vesicles towards GLUT+ vesicles. All together, these data identify the exocyst as a novel insulin-regulated mediator of neuronal APP trafficking and Aβ secretion.

Indexed as

Alzheimer’s diseaseAmyloid Precursor ProteinAPPbeta-amyloidEXOCExocystinsulin

Identifiers

PMID42039580
PMCPMC13104883

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.