OSBP-mediated PI(4)P-cholesterol exchange at endoplasmic reticulum-secretory granule contact sites controls insulin secretion

Insulin secretion is the process whereby insulin-containing granules fuse with the plasma membrane of pancreatic {beta}-cells. Exocytosis is preceded by cargo loading and granule biogenesis at the Golgi, followed by maturation and transport of the secretory granules; processes that require modification of both the protein and lipid composition of the granules. Here, we show that insulin-containing secretory granules form physical contacts with the endoplasmic reticulum. The lipid exchange protein OSBP dynamically redistributes to ER-SG contacts in a process regulated by Ca2+ and cytosolic pH, and contributes to cholesterol loading of the granules. This process depends on granular PI(4)P and ER-localized VAPs, and is positively regulated by granular PI4-kinases and negatively regulated by granule-localized Sac2. Loss of Sac2 results in excess accumulation of cholesterol on insulin granules that is normalized when OSBP expression is reduced, and both acute inhibition and siRNA-mediated knockdown of OSBP suppresses glucose-stimulated insulin secretion without affecting insulin production or intracellular Ca2+ signaling. In conclusion, we show that lipid exchange at ER-granule contact sites is involved in the exocytic process, and propose that these contacts act as reaction centers with multimodal functions during insulin granule maturation.