Munc18b mediates long-chain sequential SG fusion. A: The ordinate represents the ratios for increasing chain length of sequential SG fusion events relative to total numbers of exocytotic events from >20 β-cells (>2 rat islets) transfected with AdGFP, AdMunc18b-WT, AdMunc18b-KR, and AdMunc18b-E59K. Here, we also assessed the distinct increase in fluorescence that predicts the sizes of SGs, which was ∼0.3 μm, shown in Supplementary Fig. 5. B: TEP imaging of long-chain sequential exocytosis of insulin SGs in a rat β-cell treated with AdMunc18b-KR. i: Sequential images for Supplementary Movie 1 of an islet stimulated with 20 mmol/L glucose plus 10 nmol/L GLP-1 and 150 μmol/L IBMX. Dashed circles show positions of an ω construction in a former panel. Arrows indicate the direction of oncoming SG undergoing sequential fusion. ii: Time course of fluorescent intensity within the region that contained all exocytotic events shown in i. *Independent single exocytotic event, occasionally seen close to compound SGs. Scale bars, 1 μm. C: EM demonstrating long-chain sequential exocytosis of insulin SGs in an islet treated with AdMunc18b-KR. An example of AdMunc18b-KR–transduced islet stimulated with 20 mmol/L glucose plus 10 nmol/L GLP-1 and 150 μmol/L IBMX that illustrates long-chain sequential fusion of SG-SG events up to six SGs in length. Left panel: 70-nm-thick sections cut serially, showing only four of eight consecutive slices containing the SG-SG fusions. G plus number (in red) indicates the numbered SGs involved in long-chain exocytosis, M (in red) indicates PM, and numbered asterisks (in green) indicate SG-SG fusion sites. Scale bar, 500 nm. Cartoon panels: SG-SG fusion events constructed from the EM images in left panel and converted into cartoons (first column) followed by reconstruction into a three-dimensional image (third column). The second column shows blowups of this three-dimensional image that can be rotated to selectively visualize fusion pores between indicated SGs, which correspond to raw EM images in the left panel. Blue arrows indicate locations of fusion pore openings. A second example of a 7-SG fusion is shown in Supplementary Fig. 7. D: Insulin SGs within 120 nm from PM calculated as SG/µm2 area, expressed as means ± SEM of three to four independent experiments. AdGFP: 17 sections. AdMunc18b-KR: 16 sections. AdMunc18b-WT: 17 sections. AdMunc18b-E59K: 21 sections. *P < 0.05 and **P < 0.01. A.U., arbitrary units.