ISSN 0006-2979, Biochemistry (Moscow), 2026, Vol. 91, No. 4, pp. 561-587 © Pleiades Publishing, Ltd., 2026.
561
REVIEW
Functioning of Synaptic Vesicle Pools:
Diversity and Organizational Principles
Chulpan R. Gafurova
1,a
* and Alexey M. Petrov
1,2
1
Kazan Institute of Biochemistry and Biophysics,
Kazan Scientific Center of the Russian Academy of Sciences, 420111 Kazan, Russia
2
Kazan State Medical University, 420012 Kazan, Russia
a
e-mail: gafurova7090@gmail.com
Received February 25, 2026
Revised March 26, 2026
Accepted March 26, 2026
AbstractPresynaptic nerve terminals contain a large number of vesicles filled with neurotransmitters,
whose release ensures signal transmission from the presynaptic neuron to the postsynaptic cell. Despite
their morphological homogeneity, synaptic vesicles (SVs) are functionally heterogeneous and are organized
into distinct groups (pools) that differ in their ability for exocytosis and mobilization, recycling kinetics, and
protein composition. In addition to the classic pools – the readily releasable pool (RRP), recycling pool, and
reserve pool – other populations have been identified, including spontaneously recycling vesicles, vesicles
of resting pool and superpool. Vesicles from different pools engage in different modes of exocytosis and
endocytosis, and the extent of interpool mixing varies depending on the synapse type and physiological
or pathological conditions. Changes in the organization of SV pools underlie multiple forms of synaptic
plasticity. Furthermore, SV cycling is a target of several pharmacological agents, and its disruption plays
a significant role in the pathogenesis of neurodegenerative diseases. This article is a systematic review of
SV pools, their organizational features in central and peripheral synapses, and implications of changes in
the structure of SV pools in synaptic plasticity, action of drugs, and development of neurological disorders.
DOI: 10.1134/S0006297926600535
Keywords: active zone, vesicle recycling, synaptic vesicle, presynaptic nerve terminal, synaptic vesicle pool,
exocytosis, endocytosis
* To whom correspondence should be addressed.
INTRODUCTION
In the nervous system, signal transmission from
a presynaptic cell to a postsynaptic cell occurs pri-
marily at chemical synapses, where the two cells are
separated by a synaptic cleft. This process typically
takes a fraction of millisecond to several millisec-
onds and proceeds via release of neurotransmitters
from the presynaptic terminal and their subsequent
binding to receptors on the postsynaptic membrane.
In the presynaptic terminal, neurotransmitter mole-
cules are stored in 40 to 50-nm synaptic vesicles (SVs).
SV cycling is a fundamental mechanism underly-
ing neurotransmission. In response to the action po-
tential, vesicles undergo exocytosis, resulting in rapid
(less than 1 ms) release of neurotransmitters into the
synaptic cleft. Vesicle endocytosis and reloading with
neurotransmitter molecules occur within tens of sec-
onds or even minutes and replenish the pool of SVs
available for subsequent rounds of exocytosis [1].
Despite being morphologically similar, SVs are
functionally and biochemically heterogeneous and
can be classified into distinct populations (pools).
The general vesicle pools include the readily releas-
able pool (RRP), which is the first to undergo exocyto-
sis; the recycling pool, which sustains neurotransmis-
sion during moderate activity; and the reserve pool,
which is mobilized during periods of intense synaptic
activity [2]. Recent studies have identified more spe-
cialized vesicle populations, including spontaneously
recycling vesicles[3], the resting pool, which does not
normally participate in neurotransmitter release [4],
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and the “superpool” containing the vesicles capable
of exchanging between synaptic boutons [5].
Some pools can overlap; for example, vesicles
from the reserve pool may transit to the superpool
and vice versa [5]. Other pools are less prone to in-
termix and retain their identity even after multiple
rounds of exo- and endocytosis. SVs from different
pools exhibit functional heterogeneity, as they can
release neurotransmitter and then be recovered via
different modes of exocytosis (synchronous, asynchro-
nous, spontaneous) and endocytosis (clathrin-depen-
dent, kiss-and-run, ultrafast, and bulk), respectively.
Vesicles from different pools may also differ in mo-
lecular composition, which likely contributes to the
functional specialization of vesicle populations [6].
The organization of vesicle pools varies across
synapses, reflecting adaptations to specific patterns of
synaptic activity. Changes in the structure of SV pools
underlie synaptic plasticity. Moreover, SV cycling is
a target for various pharmacological agents, such as
fluoxetine [7] and atorvastatin [8]. Disruptions in the
vesicle cycling are implicated in the pathogenesis
of neurological disorders, such as Alzheimers dis-
ease [9], Parkinson’s disease [10, 11], schizophrenia
[12], and amyotrophic lateral sclerosis (ALS) [13, 14].
This article discusses the known SV pools, their
properties and functional features, and the modes of
exo- and endocytosis associated with each pool, as
well as examines the features of SV pool organization
in various systems, such as hippocampal synapses,
calyx of Held synapses, Drosophila, frog and mouse
neuromuscular junctions (NMJs), and ribbon synaps-
es. We also addressed changes in the organization of
SV pools during the induction of synaptic plasticity,
under the action of biologically active substances,
and in neurological disorders.
READILY RELEASABLE POOL (RRP)
OF SYNAPTIC VESICLES
The RRP comprises a small fraction of SVs (typ-
ically 1-2% of the total). Vesicles of this pool are the
first to undergo exocytosis upon the presynaptic ter-
minal activation (Fig.1). Most RRP vesicles are docked
at the presynaptic membrane in a specialized region
adapted for exocytosis, known as the active zone (AZ)
[2, 15-18]. SNARE proteins in these vesicles and in
the AZ are partially coiled and are in a fusion-ready
(primed) state [19]. However, docking does not neces-
sarily imply priming: not all docked vesicles belong
to the RRP. For example, in cultured hippocampal
neurons, the number of RRP vesicles is lower than
the number of docked vesicles [15]. Conversely, not
all RRP vesicles are docked. Thus, frog NMJs contain
a subset of RRP vesicles in the cytoplasm of the nerve
terminal [20], suggesting the existence of an ultrafast
mechanism that rapidly recruits these SVs to sites of
exocytosis.
In the central nervous system (CNS), stimulation
of a single synapse often fails to trigger the neu-
rotransmitter release. In this case, the probability of
evoked vesicle exocytosis at the nerve terminal de-
pends on both the RRP size and the release probabili-
ty of an individual vesicle within RRP[21]. Therefore,
modulation of the RRP size plays an important role
in the formation of synaptic plasticity and regulation
of synaptic strength.
SVs in the RRP are not functionally uniform;
rather, the pool exhibits heterogeneity (Fig.  1). Stud-
ies conducted in mouse NMJs have shown that
during high-frequency stimulation, the number of
RRP vesicles is roughly equivalent to the number of
docked SVs. In contrast, during low-frequency stim-
ulation, the size of the RRP is substantially smaller
and represents only a fraction of the docked vesicle
population. This suggests that in mouse NMJs, some
docked vesicles may remain functionally silent during
low-frequency stimulation, but are released as a part
of the RRP during high-frequency stimulation, ensur-
ing more efficient synaptic transmission under these
conditions. One possible explanation for this fact is
that not all AZs are engaged during the low-frequen-
cy stimulation. Certain AZs may form clusters (mul-
timeric AZs) characterized by a high density of Ca
2+
channels and, consequently, a higher probability of
SV release. Under low-frequency stimulation, neu-
rotransmitter release may occur from these multim-
eric AZs, while unitary AZs remain dormant and are
recruited only during high-frequency stimulation[22].
Alternatively, heterogeneity may arise from differenc-
es in the vesicle molecular composition and intrinsic
Ca
2+
sensitivity [23]. Consistent with this view, matu-
ration is associated with an increase in the RRP size
in mouse NMJs, accompanied by a more diffuse dis-
tribution of SVs within the axoplasm [24].
In calyx of Held synapses, neurotransmitter re-
lease from the RRP exhibits two components – fast
and slow – reflecting the presence of two vesicle
subpopulations with different sensitivity to cyto-
solic Ca
2+
[25]. This heterogeneity contributes to
the short-term plasticity: the fraction of rapidly re-
leasable vesicles increases after tetanic stimulation,
thereby increasing the number of released vesicles at
the onset of subsequent stimulation [26].
A similar vesicle heterogeneity is also observed
in synapses formed between granule cells and
Purkinje cells in the cerebellum. The presynaptic
terminals of granule cells contain two SV subpop-
ulations in the RRP. One of them is released in re-
sponse to single stimuli, but ceases to be released
during the following low-frequency stimulation, likely
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Fig.  1. The functioning of SVs of the RRP depends on its organization and replenishment mechanisms. Most RRP vesicles
are primed in the AZ, while a smaller fraction resides away from the membrane but can rapidly dock at exocytosis sites
in response to neuronal activation. Certain regions of the presynaptic terminal may also serve as precursors for the
formation of new exocytosis sites during synaptic plasticity induction. Some RRP vesicles release neurotransmitter in re-
sponse to low-frequency stimulation and may also undergo spontaneous fusion, contributing to spontaneous exocytosis.
Other RRP vesicles are preferentially engaged during high-frequency stimulation, reflecting differences in both vesicle
properties and characteristics of associated exocytosis sites. RRP replenishment can occur through the mobilization of
vesicles from other pools (e.g., recycling and reserve pools) and recycling by endocytosis. The prevalent endocytosis mech-
anism for RRP replenishment can vary across different synapse types. Clathrin-mediated endocytosis (CME), which is a
relatively slow process, primarily sustains vesicle supply during low-frequency activation, while ultrafast endocytosis
(UFE) followed by endosomal sorting enables rapid recovery of vesicles after brief bursts of high-frequency stimulation.
Additional mechanisms may also contribute to vesicle recycling, such as kiss-and-run exocytosis, in which vesicles tran-
siently fuse and rapidly detach without full collapse into the presynaptic membrane. Following endocytosis, vesicles can
be redistributed to another pool, targeted for degradation, or transported to the soma for signaling functions. Dynamic
exchange between vesicle pools also takes place.
acting as a filter for weak or “insignificant” stimuli.
The second subpopulation is recruited only during
the high-frequency stimulation and remains large-
ly inactive at low frequencies. This RRP fraction is
characterized by faster recycling, ensuring more ef-
ficient neurotransmission during high-frequency ac-
tivity [27, 28].
The mechanisms underlying RRP heterogeneity
remain poorly understood. Contributing factors like-
ly include the number of voltage-gated Ca
2+
channels
at individual exocytosis sites and their properties
(post-translational modifications, interaction with
partner proteins, subunit composition), location of
docked synaptic vesicles relative to Ca
2+
channels
[29-31], different extent of vesicle priming in the
AZ (e.g., superpriming  [32]), the properties of exo-
cytosis sites themselves, protein and lipid composi-
tion of SVs [33], and local conditions, such as nearby
spontaneous exocytosis events, random opening of
Ca
2+
or K
+
channels, etc. The factors determining SV
heterogeneity likely vary in different synapses, have
their own properties, and dynamically adjust in re-
sponse to ongoing patterns of synaptic activity.
Changes in the RRP structure. Changes in the
number of SVs, as well in the proportion of active
SVs in the RRP, play an important role in synaptic
plasticity. For example, in hippocampal neurons, ac-
tivation of cAMP-dependent protein kinase A path-
way, which induces long-term potentiation (LTP),
leads to the increase in the number of docked SVs
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in the AZ  [34] together with remodeling of the AZ
ultrastructure, when docked “non-releasable” SVs
from the reserve pool are replaced with active RRP
vesicles [35]. High-frequency stimulation, as well as
activation of the Sema3a–PlexinA4–ITGB1 pathway in-
volved in presynaptic plasticity, cause an increase in
the number of RRP vesicles by mobilizing SVs from
the reserve pool [35, 36]. Expansion of the RRP after
LTP induction increases the number of SVs available
for release, thereby improving the reliability of syn-
aptic transmission, and is necessary for the formation
of stronger connections [35]. Activation of GABA
B
re-
ceptors in the nerve terminals of the medial habenu-
la causes a 4-fold increase in the RRP size and the
number of docked vesicles due to the translocation
of CAPS2 proteins (Ca
2+
-dependent activator protein
for secretion 2) associated with additional vesicles to
the AZ within a few minutes [37]. Ca
2+
-dependent ac-
cumulation of SVs in the RRP has been implicated in
the short-term facilitation of neurotransmitter release
during paired stimulation in Drosophila NMJs [38].
The opposite scenario is also possible: vesicles
can leave the RRP and localize within 100  nm of
the AZ. These SVs can reoccupy free exocytosis sites,
although they may alternatively relocate to the re-
serve pool [39]. Some SVs can undergo rapid (with-
in 100  ms) undocking from the AZ. Such undocking
events are several times more frequent than spon-
taneous exocytosis [40]. In hippocampal synapses,
stimulation can trigger the undocking of certain ves-
icles from the presynaptic membrane instead of fu-
sion [41]. In some types of central synapses, repeated
low-frequency stimulation leads to synaptic depres-
sion. One possible mechanism underlying this effect
is reduction in the RRP size driven by vesicle undock-
ing and transition to another pool [42].
Disruptions in the RRP structure are observed in
certain pathologies. For example, in epilepsy, inhibi-
tory synapses show an increased number of docked
SVs, while the proportion of fusion-ready (primed)
SVs among them decreases [43], indicating a reduc-
tion in the RRP size.
RRP replenishment. The RRP can be replen-
ished through multiple pathways, including recruit-
ment from reserve and recycling pools, as well as
endocytosis (Fig.  1). In large synapses, such as calyx
of Held synapses, RRP replenishment occurs via ves-
icle recruitment from the recycling or reserve pool,
providing their continuous supply to the AZ [44-46].
Synapses between parallel fibers and interneurons of
the cerebellar molecular layer contain the so-called
intermediate, or upstream, pool. Positioned function-
ally between the recycling pool and the RRP (i.e., up-
stream of the RRP), this pool contains a small number
of SVs (1-4 vesicles per release site or 6-20 vesicles
per AZ) and serves as a source for RRP replenish-
ment. It is quickly depleted (within ~10 action poten-
tials) and is restored within 0.5-1  s, likely via vesicle
recruitment from the recycling pool. Such replenish-
ment dynamics is essential for maintaining reliable
responses to temporally separated bursts of stimuli
[47]. Furthermore, the intermediate pool is recovered
through a fast, dynamin-dependent endocytotic path-
way that operates on a timescale of ~10  s and can
generate up to ~200 vesicles per AZ, thus preventing
excessive depletion of the recycling pool [48].
In hippocampal synapses, the RRP can be main-
tain by recycling for a relatively long time without
SV mobilization from the reserve pool, i.e., RRP re-
plenishment occurs through endocytosis  [49]. One
possible explanation is that these synapses contain a
relatively small number of vesicles, so the efficien-
cy of the existing endocytic machinery is sufficient
for rapid and efficient SV recycling. Furthermore, the
mechanism of endocytosis varies between the syn-
apse types. In inhibitory hippocampal synapses, the
kiss-and-run endocytosis predominates, whereas ex-
citatory synapses primarily rely on clathrin-mediated
endocytosis [50]. Interestingly, in postganglionic sym-
pathetic nerve terminals, exocytosis of RRP vesicles is
coupled with a mechanism ensuring rapid reuptake
of catecholamines into the presynaptic terminal for
RRP vesicle refilling [51].
The mechanisms by which endocytosis replen-
ishes the RRP vary depending on the synapse type
and physiological conditions, including patterns of
neuronal activity. In presynaptic terminals, the pre-
dominant pathway is clathrin-mediated endocytosis.
Following vesicle fusion with the presynaptic mem-
brane, vesicular components are redistributed to
endocytosis sites (peri-AZs), where vesicles bud off
via a clathrin-dependent process. In cortical and hip-
pocampal synapses, as well as in cultured neurons,
released vesicles can be retrieved via clathrin-medi-
ated endocytosis, thus replenishing the RRP [52, 53].
Clathrin-mediated endocytosis operates efficiently
during moderate levels of synaptic activity. In con-
trast, at higher stimulation frequencies, faster endo-
cytotic mechanisms, such as kiss-and-run and ultra-
fast endocytosis, predominate, enabling more rapid
recycling of RRP vesicles [54-56].
In the kiss-and-run mechanism, neurotransmitter
molecules are released from the vesicles through a
small protein pore, so vesicles detach from the mem-
brane without fusing with it [57]. Vesicle detachment
occurs with the participation of the GTPase dynamin
and similar mechanoenzymes, whose oligomers form
a constricting “collar” at the neck between the SV
and AZ membrane. In cerebrocortical terminals and
hippocampal neurons, these rapid cycles of exocytosis
and endocytosis (kiss-and-run) can sustain RRP recy-
cling for a long time [58-60].
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Ultrafast endocytosis also ensures rapid SV re-
cycling, but operates via a different mechanism. In
this case, vesicles fully fuse with the membrane, af-
ter which the membrane is retrieved through the ac-
tin-dependent formation of endocytotic invaginations
that are routed into endosomes, from which new
vesicles subsequently bud off [16, 61]. This process
is highly temperature-sensitive (Q
10
≈  3.5) and is ob-
served primarily at physiological temperatures [62].
In addition to fast endocytosis pathways, there is
a mechanism that accelerates vesicle reformation from
fragments of the presynaptic membrane. The presyn-
aptic membrane contains specialized microdomains
with pre-sorted and clustered SV proteins, referred to
as readily retrievable pool (RRetP)[63]. These regions
contain vesicular proteins, such as synaptotagmin  1,
synaptobrevin  2, and synaptophysin  1, and are also
associated with clathrin and adaptor proteins, such
as AP180 and stonins [64]. It is likely retention of ve-
sicular proteins in the limited regions of the presyn-
aptic membrane is provided by clathrin and adaptor
proteins, along with the lipid raft-dependent aggrega-
tion and interaction with cytoskeletal elements. Such
presorting ensures a high rate of clathrin-dependent
endocytosis during the initial cycles of SV exo- and en-
docytosis. Thus, the functioning of RRetP can explain
that in frog NMJs, the rate of clathrin-dependent endo-
cytosis during the first 10  s of activity is significantly
higher than its typically observed rate [63, 65].
TYPES OF NEUROTRANSMITTER
RELEASE AND THE RRP
The types of neurotransmitter release include the
following: evoked synchronous, evoked asynchronous,
and spontaneous. RRP vesicles mediate synchronous
neurotransmitter release because they are already
docked at the membrane and primed for fusion. Con-
sequently, the influx of Ca
2+
through voltage-gated
calcium channels in the AZ can trigger their fusion
extremely rapidly (in less than 1  ms) following the
presynaptic spike. It was shown that in the hippo-
campus, synchronous vesicle fusion causes a signif-
icant decrease in the number of SVs docked to the
AZ membrane  [41]. Mutations leading to impaired
vesicle docking also reduce synchronous vesicle fu-
sion [66-68]. Additionally, evidence indicates that in
hippocampal neurons, the RRP is preferentially re-
plenished by synchronously cycling vesicles [69].
The RRP is also involved in spontaneous neu-
rotransmitter release, which may be caused by sto-
chastic fusion of SVs already in a fusion-competent
state [70]. In support of this hypothesis, studies in
the hippocampus have revealed that an increase
in the RRP size is associated with a with a higher
frequency of spontaneous neurotransmitter release
[71-74], while a decrease in the RRP size leads to
a corresponding decrease in the number of sponta-
neous release events[75]. Moreover, reduced stability
of docked SVs, such as that induced by mutations in
synaptotagmin1 (the main Ca
2+
sensor in exocytosis),
promotes spontaneous vesicle fusion [76, 77].
However, it remains unclear whether the same
pool mediates both spontaneous and evoked release,
or there exists a distinct pool that provides most
spontaneous exocytosis events without contributing to
the evoked neurotransmitter release [78, 79]. Current
evidence supports both possibilities. One potential ex-
planation is the existence of two vesicle populations,
one of which is released constitutively regardless of
stimulation (constitutively releasing vesicles, or CRVs)
and the other is primarily responsive to stimulation,
although vesicles of this population can also fuse
spontaneously, i.e., acting as spontaneously releasing
synaptic vesicles (SRSVs)[80]. It is possible that some
RRP vesicles may belong to the SRSV pool.
The asynchronous release is mainly provided by
the recycling and reserve pools. However, in calyx
of Held synapses, some RRP vesicles undergo asyn-
chronous release during prolonged stimulation [81].
Possible molecular mechanisms of asynchronous neu-
rotransmitter release and its temporal dynamics are
described in detail in reviews [82, 83].
SYNAPTIC VESICLE POPULATIONS
UNRELATED TO THE RRP
In the first approximation, the reserve pool can
be defined as all SVs not included in the RRP. How-
ever, within this broad definition, several functional-
ly distinct subpools can be identified based on their
release properties and role in synaptic transmissions
(Fig.  2).
(I)  The recycling pool sustains synaptic trans-
mission after RRP depletion. Vesicles of the recycling
pool can be rapidly mobilized to the AZ and under-
go recycling during moderate-frequency activity, sup-
porting neurotransmission for a long time without
involving other SV populations.
(II)  The reserve pool proper supplies vesicles to
the recycling pool when the latter becomes depleted
and is mainly engaged during intense, prolonged ac-
tivity.
(III)  The spontaneously recycling pool includes
vesicles that spontaneously release neurotransmitter,
independent of the action potential.
(IV)  The resting pool contains vesicles that do
not release neurotransmitter under any condition
and likely serves as a reservoir of proteins and lipids
to meet the local needs of the presynaptic apparatus.
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Fig.  2. SV pools in the cytoplasm of the nerve terminal (excluding the RRP). The recycling pool sustains neurotransmission
during most synaptic activity regimes in vivo. However, during high-frequency stimulation, prolonged moderate activity,
or when vesicle recycling is impaired, vesicles from the reserve pool (majority of SVs in the terminal) are recruited to
support neurotransmission. Vesicles of the resting pool do not participate in recycling under normal conditions and serve
as a reservoir for proteins, lipids, and small molecules in the nerve terminal. Vesicles of the superpool are characterized
by a high mobility and can traffic between the AZs and synaptic contacts along the axon, enabling relatively rapid redis-
tribution of vesicles between distant exocytosis and endocytosis sites. Vesicles involved in evoked exocytosis, together with
a distinct population that is largely unresponsive to stimulation, may contribute to a pool that predominantly mediates
spontaneous neurotransmitter release.
(V)  The superpool (~4% of the total vesicle popu-
lation in a synapse) [5] comprises vesicles that traffic
between synaptic boutons, ensuring the optimal dis-
tribution of SVs between different, even distant, AZs.
The classification of SVs into distinct pools is
somewhat conditional. First, the same SVs can belong
to functionally different pools, i.e., mixing between
pools is possible. For example, vesicles from the re-
cycling and reserve pools can be released not only in
response to stimulation but also spontaneously, there-
by contributing to multiple functional pools. Second,
vesicles can transit between pools during synaptic ac-
tivity. During prolonged, high-frequency stimulation,
vesicles from the reserve pool are recruited into the
recycling pool. Both pools can supply vesicles to the
superpool, while reverse transition is also possible.
In addition, vesicle precursors are continuously de-
livered to the nerve terminal, where they mature
into functional SVs after several rounds of exocytosis
and endocytosis. At the same time, older vesicles are
transported back to the soma for degradation. This
ongoing turnover ensures continuous renewal and
alters the relative sizes of SV pools. Overall, intense
synaptic activity promotes mixing between vesicle
pools and facilitates adaptive changes in their rel-
ative proportions to meet the demands of synaptic
transmission.
THE RECYCLING POOL
The recycling pool includes a relatively small
number of SVs (less than 20% of the total) distributed
throughout the presynaptic terminal [2,  84].
The mechanisms of recycling pool replenishment
vary across the synapse types and activity modes. In
frog NMJs, the recycling pool sustains neurotransmis-
sion during the low-frequency stimulation (2-10  Hz)
and brief periods of high-frequency activity (tens of
seconds at 20-30  Hz), primarily through the reuse
of endocytosed vesicles. However, during prolonged
high-frequency stimulation, the recycling pool be-
comes depleted and is replaced by vesicles from the
reserve pool, which are recruited more slowly into
exocytosis, leading to a reduction in the quantal con-
tent [85,  86]. In native hippocampal synapses, the
same vesicles support neurotransmission over ex-
tended periods of time by forming a relatively closed
recycling pool maintained by endocytosis[87]. In con-
trast, in calyx of Held synapses, reserve pool vesicles
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contribute to the recycling pool replenishment even
during the low-frequency activity [45, 46].
Rapid replenishment of the RRP by the recycling
pool may depend on the interactions between SVs
and proteins intersectin  1 and endophilin. In hip-
pocampal synapses, these proteins form a dynamic
condensate that associates with SVs in the region be-
tween the RRP and reserve pool (often referred to as
the replacement zone) and promote the positioning of
vesicles in close proximity (within ~20  nm) tothe AZ.
In the absence of intersectin  1, fewer SVs are found
near the AZ, and vacant release sites are filled more
slowly, leading to the inhibition of neurotransmitter
release [88].
Vesicles of the recycling pool participate in
synchronous, asynchronous, and spontaneous neu-
rotransmitter release. In the hippocampus, the recy-
cling pool can sustain synchronous neurotransmit-
ter release over extended periods of time. However,
during high-frequency stimulation, when not all re-
lease sites can be filled with docked vesicles, neuro-
transmission is maintained through the asynchronous
release of vesicles from both the recycling and re-
serve pools [89]. Additionally, several studies indicate
that vesicles from the recycling pool also participate
in spontaneous neurotransmitter release [90, 91].
THE RESERVE POOL
Vesicles of the reserve pool are distributed
throughout the presynaptic terminal and are gener-
ally not spatially segregated from those of the recy-
cling pool [79, 92, 93]. The ratio of the reserve and
recycling pools can vary among different synaptic
boutons in the CNS [94]. Unlike the recycling pool,
reserve pool vesicles are mobilized only during pro-
longed or high-frequency stimulation, thus, suggesting
the presence of mechanisms ensuring their function-
al differentiation from the recycling pool. One such
mechanism involves association with synapsins [95],
proteins regulating vesicle mobility [96]. Interaction
with these proteins is a distinctive feature of the
reserve pool, as evidenced by studies showing that
the synapsin gene knockout leads to a marked defi-
ciency of reserve pool vesicles [97-99] and results in
rapid synaptic depression during repeated high-fre-
quency stimulation [100]. Synapsins bind reversibly
to SVs and to each other, promoting vesicle cluster-
ing. Vesicle retention may occur through two main
mechanisms: (i)  formation of tetrameric cross-links
mediated by synapsin  I, and/or (ii)  multivalent inter-
actions among synapsin molecules that drive phase
separation in the cytosol, forming a “synapsin phase”
in which SVs are embedded. The first mechanism ap-
pears to be more efficient and may dominate in ex-
citatory synapses, whereas the second one is more
likely to occur in inhibitory synapses [101].
SVs associated with synapsin are released only
when there is a sufficiently large increase in cytosolic
Ca
2+
, which typically occurs during intense activity.
One possible explanation for why the reserve pool
is not recruited at low and medium stimulation fre-
quencies is that it includes vesicles containing pro-
teins damaged during their previous recycling, as
observed in hippocampal neurons [102].
Most reserve pool vesicles are not docked at the
membrane and, therefore, require additional time to
be transported to the AZ. This delayed recruitment
contributes to their asynchronous release in hippo-
campal synapses [103], where reduced asynchronous
release has been linked to the accumulation of ves-
icles in the reserve pool. Furthermore, reserve pool
vesicles exhibit heterogeneity in their mobilization
rates: “fast” and “slow” mobilizable vesicles replen-
ish different subpopulations of the RRP, supporting
fast and slow components of neurotransmitter re-
lease (the parallel model of vesicle delivery [104]).
Inmouse NMJs, the reserve pool contributes not only
to asynchronous release but also to synchronous exo-
cytosis [99, 105].
Vesicles of the reserve pool may vary slightly
in protein composition from those in the recycling
pool, indicating biochemical heterogeneity among
SVs. These differences can explain, at least partial-
ly, the existence of different (spontaneous or evoked)
release mechanism. For example, reserve pool vesi-
cles in the hippocampal neurons contain relatively
high amounts of the SNARE protein VAMP7, which
is associated with spontaneous exocytosis, whereas
VAMP2, a SNARE protein involved in evoked exo-
cytosis, is present at lower levels. Consequently, al-
though these vesicles are capable of stimulus-induced
release, their enrichment with VAMP7 “biases” them
toward spontaneous neurotransmitter release [91,
106]. Interestingly, vesicles generated after asynchro-
nous release induced by high-frequency stimulation
are more prone to Ca
2+
-sensitive spontaneous release,
because both processes involve the same SNARE pro-
tein, VAMP4 [107].
The reserve pool is replenished through bulk
endocytosis (also known as activity-dependent bulk
endocytosis, ADBE), as demonstrated in many synap-
tic models, including CNS neurons [52], calyx of Held
synapses [84], and Drosophila and frog NMJs [108].
It involves membrane invagination followed by the
pinching off of cisternae, from which SVs subsequent-
ly bud off and are delivered to the reserve pool.
It is believed that this bulk endocytosis is necessary
to preserve the presynaptic membrane structure
during periods of intense stimulation of exocytosis by
maintaining its biochemical composition and tension.
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However, this pathway can also permit the entry of
high-molecular-weight structures, such as toxins and
viruses, into nerve terminals [109, 110].
Bulk endocytosis is activated in the same way
as mobilization of reserve pool SVs during high-fre-
quency stimulation  [111]. Evidence suggests that
these processes share regulatory mechanisms  [112]:
during prolonged or intense stimulation, Ca
2+
levels
in the neuron terminal rise, leading to the activation
of calmodulin and, hence, calcineurin (protein phos-
phatase  2B) stimulation. Calcineurin dephosphorylates
synapsin, followed by its rephosphorylation by MAP
kinase and/or Cdk5, resulting in the modulation of
the reserve pool vesicle release. Concurrently, calci-
neurin dephosphorylates dynamin  1, a key step in
initiating bulk endocytosis. However, bulk endocytosis
is not the sole pathway for replenishing the reserve
pool. In calyx of Held synapses, all endocytosed vesi-
cles replenish the reserve pool, regardless of the type
of endocytosis [46].
THE SUPERPOOL AND THE RESTING POOL
The superpool is partially “extrasynaptic,” as
it represents a population of vesicles transported
along the axon between neighboring synaptic ter-
minals in an actin-dependent manner [114]. The su-
perpool is formed from vesicles of the reserve and
recycling pools, which retain their ability to release
neurotransmitters after relocation to other areas [5].
The mobility of SVs is limited due to their binding
to synapsin: disruption of synapsin functional activi-
ty leads to a massive diffusion of SVs from synaptic
boutons into axons, significantly increasing the size
of the superpool [115]. Another regulator of SV mo-
bility is the vesicular glutamate transporter (VGLUT1),
whose main function is to load neurotransmitter mol-
ecules into SVs. VGLUT1 also promotes retention of
SVs within the presynaptic terminal, but the under-
lying mechanisms remain obscure. Presumably, in-
creased SV loading, mediated by VGLUT1, limits their
mobility. Alternatively, VGLUT1 may retain SVs in
the synapse through protein–protein interactions, for
example with endophilin [116]. The superpool likely
serves as a reservoir for redistributing neurotrans-
mitter-containing vesicles between active and inactive
synapses, thereby contributing to synaptic plasticity.
An increase in the number of SVs in active synaps-
es is associated with potentiation, whereas depletion
at inactive synapses contributes to synaptic depres-
sion [114].
Some synapses contain a distinct pool of vesicles
that remains non-releasable under any conditions.
Such pool constitutes a substantial fraction of vesicles
contained in presynaptic terminals. In calyx of Held
synapses, these vesicles account for ~20% of the to-
tal pool [117], whereas in hippocampal neurons, this
proportion may reach up to 90%, according to some
estimates [118]. The functional role of this pool re-
mains debated. Studies in mouse NMJs indicate that it
may serve as a reservoir of proteins required for SV
recycling. During periods of intense stimulation, ves-
icles from this pool are not released; instead, associ-
ated soluble proteins are mobilized[119]. However, it
is still unclear whether the resting pool can be fully
mobilized. Other studies have reported that in both
calyx of Held synapses and the hippocampus, com-
plete depletion of all vesicles can occur even during
prolonged low-frequency stimulation [4, 120].
SPONTANEOUS NEUROTRANSMITTER RELEASE
AND SYNAPTIC VESICLE POOLS
Several studies suggest that spontaneous neu-
rotransmitter release is mediated by a distinct pool of
spontaneously recycling vesicles. For example, exper-
iments in inhibitory hippocampal neurons identified
two vesicular pools: one released in response to stim-
ulation, and the other released predominantly sponta-
neously [3]. Conversely, other studies indicate that a
single vesicle pool may provide both spontaneous and
evoked neurotransmitter release[121]. However, even
in the case of a single pool, the mechanisms regulat-
ing spontaneous and evoked neurotransmitter release
differ. For example, removal of membrane cholesterol
has been shown to enhance spontaneous exocytosis
while suppressing evoked neurotransmitter release in
both central synapses and NMJs [122-126].
Interestingly, in glutamatergic hippocampal syn-
apses, spontaneous neurotransmitter release can ac-
tivate receptors on the postsynaptic membrane that
remain unresponsive during evoked release  [127].
Inhibitory synapses exhibit two distinct receptor pop-
ulations: one of them responds to both evoked and
spontaneous release, while other is activated exclu-
sively by the evoked neurotransmitter release. This
segregation of receptor activation may reflect the role
of spontaneous neurotransmitter release in synapse
maturation and sustaining communication in mature
synapses [128].
Spontaneous release can occur through various
mechanisms and can be categorized into the follow-
ing types:
I.  Ca
2+
-independent spontaneous exocytosis that
involves random fusion of docked vesicles. In this
scenario, RRP vesicles released in response to the
stimulation fuse spontaneously via random interac-
tions upon overcoming the energy barrier [70]. Be-
cause this process involves RRP vesicles, the molecu-
lar machinery mediating it is largely the same as that
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of the evoked release. Recent studies in hippocampal
neurons showed that the frequency of spontaneous
exocytosis is influenced by the structure and spatial
distribution of vesicles in the nerve terminal. Within
the framework of this concept, the reserve pool im-
poses geometric constraints on the volume occupied
by more mobile recycling pool vesicles. As these vesi-
cles attempt to occupy a larger volume, they generate
an entropic force that exerts pressure on RRP vesi-
cles, thereby enhancing spontaneous exocytosis[129].
II.  Ca
2+
-dependent spontaneous exocytosis can re-
sult from (i)  random opening of Ca
2+
channels in the
plasma membrane[70] (for example, selective blockers
of voltage-gated Ca
2+
channels suppress spontaneous
exocytosis in NMJs[130,  131]) or (ii)  Ca
2+
release from
intracellular stores[132]. Stochastic fluctuations in in-
tracellular Ca
2+
levels can trigger the fusion of docked
and undocked vesicles. It has been shown that sponta-
neous and evoked releases are triggered by different
Ca
2+
sensors. In particular, synaptotagmin  1 and 2,
located on SVs, contribute to the synchronous release.
Doc2, located in the cytoplasm, and synaptotagmin  7,
located on the presynaptic membrane, are more sen-
sitive to Ca
2+
concentrations and trigger spontaneous
exocytosis upon small fluctuations in the Ca
2+
levels.
Moreover, the influx of Ca
2+
through
different calcium
channels initiates different types of neurotransmitter
release. Voltage-gated Ca
2+
channels primarily trigger
spontaneous release, while TRPV1 channels contrib-
ute to the asynchronous release [133]. In NMJs, re-
active oxygen species (ROS)-dependent activation of
TRPV1 channels can increase either asynchronous or
spontaneous release, depending on the primary ROS
source (mitochondria or NADPH oxidase) [124, 134].
L-type voltage-gated Ca
2+
channels can enhance both
spontaneous and asynchronous release, as observed
in frog NMJs [135]. These findings suggest that exo-
cytosis sites may be spatially organized and more
adapted to different modes of neurotransmitter re-
lease. Such sites likely vary in their composition of
calcium channels and signaling proteins, as well as
their proximity to the endoplasmic reticulum and mi-
tochondria.
A number of studies show that some vesicles are
more prone to spontaneous fusion than others. This
difference can be attributed to the different molecu-
lar machinery involved in spontaneous versus evoked
release. For example, SNARE proteins VAMP7, VAMP4,
and vti1a are primarily responsible for spontaneous
release, whereas synaptobrevin  1 and 2 mediate
evoked release [33, 107].
These proteins are distributed across vesicles in
varying proportions. Vesicles enriched in proteins
linked to spontaneous release are more likely to un-
dergo spontaneous fusion and are thus identified
as part of the spontaneous pool. Vesicles containing
a mixture of proteins for both release types can con-
tribute to both spontaneous and evoked release with
a comparable probability.
ALTERATIONS IN THE STRUCTURE OF VESICULE
POOLS IN NEUROLOGICAL DISORDERS
Parkinson’s disease. Changes in the structure
of SV pools are among the earliest manifestations of
Parkinson’s disease, occurring even before the forma-
tion of α-synuclein aggregates that ultimately cause
the death of dopaminergic neurons. Overexpression
of α-synuclein leads to a significant increase in the
reserve pool, promoting the clumping of SVs [10, 11].
This overexpression also disrupts the mobilization of
SVs from the reserve pool to the RRP, as well as their
priming and endocytosis. The recycling pool dimin-
ishes, the number of fusion-ready vesicles decreases,
and SVs are redistributed further from the AZ. Col-
lectively, these alterations weaken neurotransmission
[136, 137].
Injection of an antibody targeting the N-terminal
domain of α-synuclein into lamprey reticulospinal syn-
apses reduced the number of SVs in both the reserve
pool and those docked at the AZ and caused dispersion
of large SV clusters into smaller ones[138]. Deletion of
α-, β-, and γ-synucleins suppressed SV inter-linking by
short connectors (as observed by cryo-electron tomog-
raphy), although the number of AZ-attached vesicles
increased [139]. Parkinson’s disease-associated muta-
tions in the α-synuclein gene inhibited endocytosis
and impaired replenishment of the RRP, as was shown
in calyx of Held terminals[140]. Likewise, α-synuclein
deletion reduced the reserve pool size and its contri-
bution to the RRP replenishment, suppressing neuro-
transmission during prolonged hippocampal synaptic
activity [141]. Furthermore, downregulation of genes
encoding Parkinson’s disease-related proteins LRRK2
(leucine-rich repeat kinase  2) and PINK1 impaired SV
mobilization from the recycling and reserve pools,
respectively [142, 143].
Therefore, alterations in the levels of α-synuclein
or its mutations disrupt the normal organization of the
reserve pool and its ability to restore the RRP during
synaptic activity. As a result, evoked neurotransmitter
release is significantly reduced even before the onset
of neuronal death.
Alzheimers disease. The prefibrillar amyloid
variant Aβ
1-42
, which forms at the earliest stages of
Alzheimers disease, impairs synaptic function in part
by disrupting vesicle transport between synaptic bou-
tons, thereby limiting synaptic plasticity. The mech-
anism is associated with the increased Ca
2+
release
from mitochondria, which triggers hyperphosphoryla-
tion of synapsin 1 and calcium/calmodulin-dependent
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kinase  IV (CAMKIV). This disrupts the SV transport
between synapses, leading to the increased heteroge-
neity in the SV pool sizes across individual synaps-
es [9]. Pharmacological activation of CYP46A1, a key
enzyme controlling brain cholesterol turnover, re-
duced the phosphorylation of synaptic proteins and
normalized the structure of SV pools in mice over-
producing amyloid  β peptide [144, 145].
A mutation in the gene encoding BIN1, a mem-
ber of the BAR domain protein superfamily, has been
linked to an increased risk of developing late-onset
Alzheimers disease. In BIN1 knockout mice, excitatory
hippocampal synapses exhibit an increased number
of docked vesicles, along with the expanded reserve
pool, i.e., changes associated with the suppression of
evoked exocytosis. A decrease in the activity-depen-
dent neurotransmitter release and SV accumulation
may contribute to early memory impairment [146].
An expansion of SV pools can lead to the in-
crease in the frequency of spontaneous neurotrans-
mitter release. It has been shown that amyloid β
peptide promotes spontaneous exocytosis by increas-
ing the number of SVs and release sites [129]. At the
early disease stage, amyloid  β peptide may upregulate
the fraction of functionally active vesicles; however,
concurrent disruption of the endocytotic recycling
mechanism ultimately leads to synaptic deficit [147].
Amyloid  β oligomers were found to cause an increase
in the reserve pool size, while disrupting endocytosis
and formation of fusion-competent SVs in cultured
hippocampal neurons [148]. Over time (i.e., at the
late disease stage), these alterations should lead to
the depletion of the SV pool. Indeed, the density of
SVs in cortical axons of patients with clinically diag-
nosed Alzheimers disease was significantly reduced,
mainly due to a diminished reserve pool [149].
Notably, at low physiological concentrations,
amyloid β peptide (in particular, its isoforms Aβ
1-42
and Aβ
1-16
) increases the size of the recycling pool
through a mechanism associated with the stimula-
tion of cholinergic signaling, activation of α7-nic-
otinic cholinergic receptors, and subsequent cal-
cium/calcineurin-dependent dephosphorylation of
synapsin  1 [150]. Consistent with this observation,
early stages of Alzheimers disease are characterized
by an amyloid β-associated increase in the levels of
SV-related proteins, expansion of the total SV pool,
and presynaptic potentiation[151]. It should be noted
that enlargement of the SV pool in the absence of
impaired evoked exocytosis may enhance the learn-
ing capacity. The cohesin complex protein stromalin,
previously identified as a memory suppressor, affects
the anterograde transport of vesicles along the axon.
Dopaminergic neurons of stromalin-knockout Dro-
sophila flies exhibited an increase in the number of
vesicles in the presynaptic terminals without changes
in the number of synapses, axons, or neurons them-
selves. At the same time, mutant Drosophila flies
demonstrated an improvement in the learning abil-
ity [152].
Hence, the physiological effects of low amyloid
peptide concentrations may be associated with an
increase in the sizes of the recycling/reserve pools.
However, elevated amyloid peptide levels and asso-
ciated pathological conditions disrupt SV recycling
and promote accumulation of defective vesicles and
excessive spontaneous exocytosis, which together dis-
rupt communication between neurons.
Amyotrophic lateral sclerosis. Hyperexcitability
of motor neurons contributes to their death due to ex-
citotoxicity. An increase in the size of RRP in the spi-
nal cord excitatory synapses and spontaneous release
in NMJs were detected at the presymptomatic stage
in hSOD1(G93A) mice [13, 14]. At the same time, both
the density of vesicles in the RRP and the size of AZs
in the inhibitory nerve terminals on motor neurons
of these animals were reduced at the pre- and early
symptomatic stages. Inhibition of NO synthase mitigat-
ed these alterations in inhibitory synapses [153]. As
the disease progressed to the symptomatic stage, NMJs
exhibited further dysfunction characterized by the in-
creased NO production, suppression of synaptic ves-
icle mobilization, and diminished SV pool [154, 155].
ALS can be caused by mutations disrupting the
nuclear localization of the RNA-binding protein FUS.
These mutations induce FUS relocation to vesicles of
the reserve pool[156]. In mutant mice, synapsin  1 ex-
pression is upregulated, and synaptic vesicle recruit-
ment to exocytosis during periods of intense activity
at NMJs is suppressed [157].
Therefore, hyperactivation of motor neurons due
to a decrease in the RRP in inhibitory synapses, along-
side an increase in the RRP in excitatory synapses of
the spinal cord and suppression of SV mobilization
in NMJs, may contribute to the progression of ALS.
Schizophrenia is a polyetiological disease with
multiple contributing factors. Among these is a mu-
tation in a gene coding for the dystrobrevin-binding
protein dysbindin, which is associated with a reduced
RRP size and disruption in its replenishment during
high-frequency activity. In dysbindin-knockout mice,
these alterations cause deficits in synaptic transmis-
sion, which, in turn, can lead to various mental dis-
orders [12, 158, 159].
Memory disorders. In Drosophila melanogaster,
a single session of aversive olfactory training pro-
duces two distinct forms of memory: labile memory,
which decays within a few hours and is easily dis-
rupted after shock exposure, and stable (consolidated)
memory, which persists long term and resists to am-
nestic interference. These memory types are support-
ed by functionally distinct SV pools in the presynaptic
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terminal, and perturbations in their dynamics can
lead to memory impairment. Labile memory is as-
sociated with changes in the reserve pool. Exposure
to stressors (cold or mechanical shock) disrupt this
pool due by causing synapsin dispersion, which ulti-
mately leads to retrograde amnesia. In contrast, the
formation of consolidated memory in D.  melanogaster
critically depends on the AZ protein Rab3, which reg-
ulates recruitment of SVs to the AZ and their priming.
Rab3 modulates the size of the RRP and the prob-
ability of vesicle release – the key determinants of
synaptic plasticity [160].
Noonan syndrome belongs to the group of Ra-
sopathies, which are characterized by disruptions in
the Ras–MAPK signaling cascade. This disease is asso-
ciated with mutations in the gene of protein tyrosine
phosphatase PTPN11 and is manifested by the devel-
opmental delay and intellectual disability. Mutations
in the PTPN11 gene lead to presynaptic alterations,
including a decrease in the number of RRP vesicles
and in the total number of vesicles. In addition, both
the probability of exocytosis and the rate of synaptic
vesicle endocytosis are diminished [161].
Mitochondrial dysfunction. Mutations in the
gene of the dynamin-related protein  1 (DRP1), a key
mediator of mitochondrial division, lead to neuro-
degenerative changes. In addition to disruptions in
mitochondrial remodeling, selective deletion of the
DRP1-encoding gene in the presynaptic terminals of
calyx of Held synapses caused changes in the SV
clustering, as well as a decrease in the size of the
RRP, its replenishment, and recycling, which were ac-
companied by a reduction in the presynaptic termi-
nal volume [162]. Disruption of mitochondrial fusion
by knocking down the neuronal protein mitofusin  2
also reduced the levels of SV proteins and impaired
recruitment of SVs from the reserve pool to the RRP
during prolonged stimulation in hippocampal ax-
ons [163].
EFFECTS OF BIOLOGICALLY ACTIVE
SUBSTANCES ON SYNAPTIC VESICLE POOLS
Cannabinoids. In addition to their inhibitory ac-
tion on Ca
2+
channels in the AZ through activation of
CB1 receptors and reduction of neurotransmitter re-
lease, cannabinoids modulate long-term plasticity by
affecting the size of vesicle pools. Activation of the G
protein-coupled CB1 receptor decreases cAMP levels
and protein kinase  A (PKA) activity. Suppression of
the PKA-mediated phosphorylation of synapsin  1 en-
hances its binding to synaptic vesicles, thus shrink-
ing the superpool. As a result, spontaneous exocytosis
decreases while the reserve pool expands, providing
a larger reservoir of vesicles available for release
during subsequent high-frequency stimulation [164].
Activation of CB1 receptors leads to the redistribu-
tion of SVs in presynaptic boutons: vesicle clustering
increases and the number of vesicles in the AZ de-
creases, indicating a transition of RRP vesicles into
the reserve pool. These changes, which depend on the
actomyosin cytoskeleton and Rho-associated kinase
signaling, lead to reduced activity at the corticostri-
atal synapses [165]. Activation of presynaptic CB1
receptors in excitatory synapses in motor neurons
decreases the RRP size, reducing synaptic transmis-
sion [166].
Reactive oxygen species enhance spontaneous
release of vesicles, which otherwise are released in
response to stimulation under normal conditions.
This phenomenon has been documented in neuro-
degenerative diseases [167]. Optogenetically induced
ROS production by presynaptic mitochondria in Dro-
sophila NMJs increased both spontaneous release and
the number of docking sites for RRP vesicles [168].
However, the application of exogenous H
2
O
2
and
pro-oxidants suppressed evoked neurotransmitter re-
lease and inhibited mobilization of synaptic vesicles
in NMJs [169], while endogenous stimulation of ROS
production had the opposite effect, promoting vesicle
mobilization from the reserve pool [170-173].
Zinc ions are concentrated in a subset of ZnT3
transporter-expressing SVs in glutamatergic and GAB-
Aergic synapses [174, 175]. These vesicles undergo
recycling with the involvement of the adaptor pro-
tein AP-3 [176, 177], which mediates SV formation
from endosomes and is primarily associated with
asynchronous neurotransmitter release [178]. A sub-
population of vesicles containing Zn
2+
releases neu-
rotransmitters predominantly during high-frequency
stimulation [175]. At low nanomolar concentrations,
Zn
2+
suppresses the mobilization of vesicles from the
reserve pool during high-frequency stimulation and
reduces the size of the RRP, which correlates with
a decrease in evoked synchronous exocytosis and
spontaneous exocytosis in NMJs [179]. Hypothetical-
ly, low Zn
2+
concentrations can act as regulators of
the RRP size and SV mobilization through a negative
feedback mechanism, thus limiting neurotransmis-
sion. Although the presence of ZnT3 in SVs in mo-
tor nerve terminals has not been reported so far, the
main source of free Zn
2+
may be active muscle fibers.
At high micromolar concentrations, Zn
2+
enhanc-
es spontaneous neurotransmitter release in NMJs and
central synapses [180, 181]. This effect may result
from upregulated SV docking in the AZ due to the
increased ability of vesicular synaptotagmin  1 to bind
to anionic lipids of the AZ membrane in the presence
of Zn
2+
[181]. Interestingly, Zn
2+
protects central and
peripheral synapses from the toxic effects of Cd
2+
,
one of the most common pollutants [182, 183].
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Atorvastatin, an inhibitor of cholesterol biosyn-
thesis, suppresses neurotransmitter release during pe-
riods of intense activity by reducing SV mobilization
from the reserve pool, which is associated with the
upregulation of synapsin  1 in motor nerve terminals
and decrease in the population of SVs participating
in exo- and endocytosis [8]. One possible explanation
is that retention of a greater number of SVs in the
“inactive” pool helps preserve cholesterol reserves in
vesicle membranes during cholesterol-lowering ther-
apy. At the same time, NMJs exhibit an increase in
the activity-dependent uptake of low-density lipopro-
teins (cholesterol carriers), suggesting activation of
bulk endocytosis [184]. Notably, oxidized cholesterol
derivatives at submicromolar concentrations can bidi-
rectionally regulate the size of the SV pool engaged in
exo- and endocytosis in NMJs [185-187]. One potential
mechanism of their action is modulation of biophys-
ical properties of synaptic membranes.
Fluoxetine, a selective serotonin reuptake inhib-
itor that increases serotonin levels in the synaptic
cleft, also modulates the distribution of SVs between
the vesicle pools. During high-frequency stimulation,
fluoxetine promotes the mobilization of vesicles from
the reserve pool to the recycling pool, leading to
the increase in the probability of evoked exocytosis.
Hence, the antidepressant effects of fluoxetine may
also be associated with the enhanced vesicle cycling.
Additionally, fluoxetine has been shown to increase
spontaneous neurotransmitter release, accompanied
by activation of serotonin receptors [7].
Ketone bodies. The ketogenic diet– a low-carbo-
hydrate, high-fat regimen that induces ketosis through
hepatic production of ketone bodies (acetoacetate,
β-hydroxybutyrate) – is an established treatment
for drug-resistant childhood epilepsy. Ketone bodies
modulate gene expression via epigenetic mechanisms,
including β-hydroxybutyrylation and acetylation of
histones. This leads to changes in the expression of
synaptic genes in the hippocampus and remodeling of
hippocampal synapses. The ketogenic diet reduces the
size of the RRP, resulting in a decreased glutamate
release during high-frequency stimulation, which
suppresses synaptic potentiation and shifts the short-
term plasticity toward depression. Collectively, these
changes reduce hippocampal neuronal excitability,
which is thought to underlie the antiepileptic effect
of ketogenic diet [188].
ORGANIZATION OF SYNAPTIC VESICLE POOLS
IN INDIVIDUAL SYNAPSES
Ribbon synapses are predominantly found in
structures involved in the analysis of visual and
auditory information, specifically, in auditory inner
and outer hair cells, bipolar cells, photoreceptors,
and pinealocytes. They are characterized by a spe-
cial organization of vesicle pools that facilitates rap-
id and efficient transmission of visual and auditory
signals [189, 190].
A defining feature of ribbon synapses is the pres-
ence in the AZ of synaptic ribbons, proteinaceous or-
ganelle formed mainly from the Ribeye protein, that
tether the vesicles. Based on location, these vesicles
classified as membrane-proximal, and ribbon-associ-
ated (RA) or membrane-distal. In addition, a popula-
tion of undocked vesicles is freely distributed in the
cytoplasm. Membrane-proximal vesicles reside at the
base of synaptic ribbons; they are docked to the pre-
synaptic membrane and represent functional analogs
of RRP vesicles [191]. A high density of voltage-gat-
ed calcium channels is observed near the synaptic
ribbons, facilitating rapid and synchronous fusion of
these vesicles [192].
RA vesicles are positioned slightly farther from
the plasma membrane yet remain tethered to syn-
aptic ribbons. When the pool of membrane-proximal
vesicles becomes depleted, RA vesicles rapidly replen-
ish it. The presence of synaptic ribbons allows these
vesicles to quickly form a fusion-ready SNARE com-
plex, ensuring the passage through all ATP-dependent
steps more efficiently, thus shortening the time for
RRP replenishment [191, 193].
Vesicles dispersed in the cytoplasm represent an
analog of the reserve pool [194]. However, unlike the
classical reserve pool, these vesicles are not associat-
ed with synapsin, which increases their mobility and
allows to quickly replenish the pool of vesicles asso-
ciated with synaptic ribbons [195].
Together, these three vesicle pools support se-
quential phases of neurotransmitter release at rib-
bon synapses. Membrane-proximal vesicles mediate
the fast (phasic) component of release; RA vesicles
sustain tonic neurotransmitter release during contin-
uous stimulation; and cytoplasmic vesicles maintain
neurotransmission during prolonged stimulation, con-
tributing to the third, slower component [195].
Vesicle exocytosis can occur at AZs either associ-
ated or not associated with synaptic ribbons. In the
latter case, cytoplasmic vesicles provide neurotrans-
mitter release triggered by the calcium efflux from
the endoplasmic reticulum [196]. Interestingly, this
mechanism has been found only in rods, where re-
lease from AZs not associated with synaptic ribbons
maintains basal glutamate levels in the synaptic
cleft [194].
Synaptic ribbons facilitate rapid vesicles cy-
cling [190]. During stimulation, mobile vesicles are
recruited and docked to synaptic ribbons, enabling
continuous and complete replacement of released
RRP vesicles. The presence of the RRP allows vesicles
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to be released synchronously long after the onset of
stimulation [191].
Spontaneous neurotransmitter release in ribbon
synapses can be either Ca
2+
-dependent or Ca
2+
-inde-
pendent [197]. In rods, both mechanisms are present,
whereas in cones, neurotransmitter release is pre-
dominantly Ca
2+
-independent [194]. Ca
2+
-dependent
vesicle fusion occurs mainly at AZs associated with
synaptic ribbons, likely due to the high density of
voltage-gated calcium channels in these regions. In
rods, by contrast, Ca
2+
-independent spontaneous re-
lease has been observed at AZs not associated with
synaptic ribbons [197].
Another distinctive feature of ribbon synapses
is that the transmitted information is encoded not
only by the stimulus frequency but also by its am-
plitude. In other words, stronger stimuli lead to the
release of greater amounts of neurotransmitter, re-
sulting in larger amplitudes of postsynaptic respons-
es [198]. Multivesicular release, which can vary in
amplitude depending on how many vesicles are re-
leased at the same time, enables the transmission of
an ultra-rapidly changing signal to the postsynapse
within milliseconds. In contrast, frequency-based en-
coding through the exocytosis of single vesicles op-
erates on a slower timescale (seconds), strongly de-
laying afferent signals. Consequently, this mode of
release is better suited for encoding sustained, stable
stimuli [199].
Central small (hippocampal) synapses. Hippo-
campal synaptic boutons are small and contain ~100-
400 vesicles, yet they provide synaptic transmission
at a frequency of 10-100  Hz [200, 201]. Maintaining
such high-frequency activity requires efficient orga-
nization and recycling of SVs.
Hippocampal synapses contain the RRP, the su-
perpool, and the recycling, reserve, and resting pools.
RRP vesicles are docked to the plasma membrane.
Upon stimulation, these vesicles undergo cycles of
exo- and endocytosis and become part of the recy-
cling pool, which sustains synaptic activity for long
periods of time[87]. RRP vesicles in the hippocampus
are replenished through clathrin-mediated endocyto-
sis, kiss-and-run mechanism, and ultrafast endocyto-
sis [16, 49, 50]. Although RRP vesicles in the hippo-
campus are predominantly released in a synchronous
manner [41, 66-68], they also contribute to sponta-
neous neurotransmitter release [71-74].
Reserve pool vesicles constitute a substantial
fraction of the total SV population. During prolonged
neuronal activity, they sustain neurotransmission by
undergoing exocytosis. However, vesicle release from
the reserve pool is predominantly asynchronous, as
these vesicles require additional time for mobiliza-
tion, docking, and fusion [89]. The reserve pool in
the hippocampal synapses can be further divided into
two distinct subpopulations: fast- and slow-mobilizing
vesicles. These subpools participate in exocytotic and
endocytotic cycles in parallel and remain function-
ally separate, even under high-frequency stimula-
tion [104]. The reserve pool is replenished primarily
through bulk endocytosis[52]. A considerable fraction
of synaptic vesicles in hippocampal synapses remains
inactive in  vivo, forming the resting pool [118]. These
vesicles may play a role in modulating spontaneous
neurotransmitter release [129].
The relative proportions of the RRP and reserve
pool vary across different synaptic boutons in the
hippocampus. Changes in the size of vesicle pools
play an important role in the formation of synaptic
plasticity. The redistribution of vesicles between bou-
tons is provided by the superpool [5].
Calyx of Held synapses are giant glutamatergic
synapses in the auditory brainstem. The total num-
ber of vesicles in the presynaptic terminal reaches
200,000-300,000 [117], and the number of AZs is 300-
700 [202].
The RRP in this synapse is heterogeneous and
can be divided into fast- and slow-releasing com-
ponents based on the probability of exocytosis (Pr).
Vesicles with high Pr provide synchronous release in
response to a single action potential, while vesicles
with low Pr are not released during low-frequency
activity and ensure asynchronous neurotransmitter
release after tetanic stimulation [203]. The heteroge-
neity of RRP vesicle exocytosis is largely attributed
to differences in the sensitivity to cytosolic Ca
2+
[24].
Some studies confirm the intrinsic heterogeneity in
Ca
2+
sensitivity among vesicles themselves [25], while
others emphasize positional heterogeneity of vesicles
located at different distances from calcium channels
[204].
AZs in calyx of Held synapses exhibit substantial
variability in the number of voltage-gated calcium
channels, ranging from 5 to 200 per AZ. This vari-
ability likely contributes to differences in local Ca
2+
dynamics and, consequently, to diverse Pr values ob-
served among RRP vesicles [31].
Most vesicles (~80%) in the calyx of Held synaps-
es participate in the cycles of exocytosis and endocy-
tosis [4]. The recycling pool is replenished primarily
through mobilization of vesicles from the reserve
pool [44, 46], while newly endocytosed vesicles are
preferentially routed to the reserve pool [46]. During
moderate-frequency stimulation, vesicle retrieval is
predominantly mediated by clathrin-dependent en-
docytosis. At higher stimulation frequencies, faster
mechanisms, such as kiss-and-run and bulk endocy-
tosis, become more prominent [84]. The resting pool
comprises roughly 20% of the total vesicle population
and is not released even under high-frequency stim-
ulation [117].
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BIOCHEMISTRY (MOSCOW) Vol. 91 No. 4 2026
Drosophila neuromuscular junction contains
~84,000 vesicles. The RRP constitutes 14-19% of the
total vesicle pool [205]. A distinctive feature of the
spatial organization of vesicle pools in Drosophila
NMJ is that the RRP is positioned at the periphery
of the nerve terminal, whereas the reserve pool oc-
cupies its central region [206]. During low-frequency
stimulation, RRP vesicles undergo continuous recy-
cling to sustain basal activity levels. In contrast, the
reserve pool is recruited into exocytosis and endo-
cytosis cycling primarily during periods of high-fre-
quency activity [206, 207]. Replenishment of SV pools
is mediated by several clathrin- and dynamin-depen-
dent endocytosis mechanisms [208].
The homeostatic plasticity at Drosophila NMJs is
manifested as a compensatory increase in neurotrans-
mitter release in response to the reduced postsynap-
tic receptor activity. A key mechanism underlying
presynaptic homeostatic plasticity is an expansion of
the RRP [209, 210].
Vesicles involved in evoked exocytosis are also
involved in spontaneous exocytosis. However, Dro-
sophila NMJ may contain a subset of vesicles spe-
cialized for spontaneous neurotransmission [211].
Although the same AZs can support both evoked and
spontaneous release, functional heterogeneity exists,
as some AZs preferentially mediate evoked exocyto-
sis, whereas others are more strongly associated with
spontaneous neurotransmitter release [212, 213].
Frog neuromuscular junction. Frog NMJ con-
tains hundreds of thousands of vesicles [2]. Approxi-
mately 20% of these vesicles belong to the RRP, while
the remaining form the reserve pool [20]. In frog
NMJs, the RRP and reserve pools operate in parallel
way without overlapping [85], and distinct exocytosis
sites likely mediate release from each pool.
The RRP is distributed throughout the nerve ter-
minal [20]. During low-frequency activity, RRP ves-
icles can be recycled for extended periods of time
without involvement of the reserve pool, as they are
replenished via endocytosis. Upon high-frequency
stimulation (30  Hz), the RRP becomes depleted after
10-20  s, but is fully recovered within 1 min through
endocytosis. Reserve pool vesicles do not contribute
to the RRP replenishment [85].
The reserve pool participates in synaptic trans-
mission during high-frequency stimulation (20-30  Hz)
and undergoes recycling in parallel with the RRP, as
vesicles retrieved by endocytosis are returned to the
reserve pool[85]. The reserve pool is replenished pri-
marily through bulk endocytosis [108]. After endocy-
tosis, vesicles originating from the two pools remain
segregated and do not mix [17].
At the NMJ, the same vesicles participate in both
synchronous and asynchronous exocytosis [214]. Dif-
ferent subtypes of Ca
2+
channels may be preferential-
ly involved in these two forms of release [134, 135].
Spontaneous release of vesicles is Ca
2+
-dependent and
is driven by both intracellular Ca
2+
[215] and exog-
enous Ca
2+
entering through Ca
2+
channels of the
plasma membrane (e.g., L-type channels) [130, 135].
Depolarization can also enhance spontaneous exocy-
tosis in a Ca
2+
-independent manner [216].
Mouse neuromuscular junction. Mouse motor
nerve terminals contain approximately 400-850 AZs,
with 1-2 vesicles per each AZ. Accordingly, the RRP
comprises ~800-1700 vesicles, with the total vesicle
population in the NMJ exceeding 400,000-800,000.
Vesicle participation in exocytosis strongly depends
on the stimulation frequency. At low frequencies,
only a subset of docked RRP vesicles undergoes exo-
cytosis and recycling, whereas high-frequency activity
recruits nearly entire RRP [22, 24, 217].
Mouse NMJs exhibit pronounced frequency-de-
pendent mobilization of SVs. Thus, mouse nerve ter-
minals contain a “housekeeping” vesicle pool that
equally sustains neurotransmission upon both low-
and high-frequency stimulation. However, efficient
transmission during high-frequency activity requires
recruitment of an additional “plug-in” pool that re-
mains largely inactive at low frequencies [218]. The
contribution of this auxiliary pool is enhanced by ac-
tivation of β2-adrenergic receptors [219].
The type of endocytosis used for the pool replen-
ishment also depends on the stimulation frequency.
At moderate frequencies, exocytosis primarily oc-
curs via full fusion of vesicles with the presynap-
tic membrane. Under high-frequency conditions,
faster recycling mechanisms, such as kiss-and-run,
become more prominent [56, 220]. After high-fre-
quency stimulation, vesicle retrieval occurs through
both clathrin-dependent and clathrin-independent
endocytosis [110, 220, 221], while bulk endocytosis
is activated during intense stimulation of the motor
nerve [110, 222].
Reserve pool vesicles participate in both syn-
chronous and asynchronous neurotransmitter release
[99, 105]. Evidence suggests that largely overlapping
vesicle populations participate in both evoked and
spontaneous exocytosis [223].
CONCLUSION
Efficient synaptic transmission relies on contin-
uous recycling of vesicles from functionally different
pools. RRP vesicles are primed for fusion with the
presynaptic membrane, enabling rapid, synchronous
neurotransmitter release in response to stimulation.
The recycling pool sustains transmission during mod-
erate stimulation and short periods of high-frequen-
cy stimulation, whereas the reserve pool supports
SYNAPTIC VESICLE POOLS 575
BIOCHEMISTRY (MOSCOW) Vol. 91 No. 4 2026
prolonged neurotransmission when recycling vesi-
cle pool becomes depleted. In addition, a subset of
vesicles serves as a reservoir of lipids and proteins,
ensuring a rapid supply of essential components for
synaptic function. The superpool provides the redis-
tribution of vesicles between active and inactive syn-
aptic boutons, while the spontaneous pool contributes
to synapse maturation and maintenance of baseline
activity.
Differences in the cycling of vesicles belonging to
different pools enable synapses to adapt to varying
levels of activity. Under resting conditions and upon
moderate stimulation, vesicle replenishment occurs
primarily via clathrin-mediated endocytosis. During
high-frequency stimulation, faster mechanisms, such
as kiss-and-run and ultrafast endocytosis, allow vesi-
cle pool recovery in a short period of time. Bulk en-
docytosis preserves presynaptic membrane integrity
during periods of intense exocytosis.
The presence in presynaptic terminals of func-
tionally heterogeneous populations of vesicles, dif-
fering in their capacity for exocytosis, mobilization,
and recycling kinetics, together with the existence of
multiple modes of exo- and endocytosis, provides a
fundamental basis for synaptic plasticity and adapta-
tion of the synaptic apparatus.
The importance of these mechanisms is empha-
sized by the fact that disruptions in the vesicle cycling
and organization of SV pools contribute significantly
to the pathogenesis of numerous neurological and
neurodegenerative disorders, including Alzheimer’s
disease, Parkinson’s disease, schizophrenia, and ALS.
Moreover, SV dynamics and recycling mechanisms
represent targets for various pharmacological agents,
such as fluoxetine and atorvastatin.
Further investigation into the organization and
functional properties of SV pools is essential for a
comprehensive understanding of neuronal communi-
cation under both physiological and pathological con-
ditions. In particular, the mechanisms governing the
formation and reorganization of vesicle pools consti-
tute promising targets for therapeutic intervention.
However, the processes underlying the genesis of SV
pools remain largely unexplored.
Unresolved fundamental questions remain: which
molecular mechanisms determine the assignment of
SVs to specific pools; how the organization of these
pools is preserved despite repeated reuse of the same
vesicles; which regulatory systems govern the pool
size and mediate vesicle exchange between the pools;
and what underlies the heterogeneity within indi-
vidual pools, particularly the RRP and reserve pool.
It is also unclear how SV pools are altered under
pathological conditions associated with mitochondrial
dysfunction, endoplasmic reticulum stress, impaired
autophagy, and disruptions of the endolysosomal
system. Given that SVs are composed of substantial
amounts of proteins and lipids and undergo contin-
uous cycles of exocytosis and endocytosis, the func-
tioning of SV pools is likely tightly coupled to cellular
metabolic processes. Elucidating these relationships
could substantially advance our understanding of
the global interplay between metabolism and synap-
tic function. Moreover, identifying mechanisms that
regulate the behavior of distinct vesicle pools and
the rate of SV recycling may suggest new therapeutic
strategies for a broad range of neurological and neu-
rodegenerative disorder
Abbreviations
AZ active zone
NMJ neuromuscular junction
RRP readily releasable pool
SV synaptic vesicle
Acknowledgments
The authors are grateful to A.  N.  Tsentsevitsky (Kazan
Institute of Biochemistry and Biophysics) for valuable
comments and discussion.
Contributions
A.M.P. developed the study concept and edited the
manuscript; C.R.G. wrote and edited the text of the
article.
Funding
This publication was supported by the Brain Program
of the Idea Scientific Center for Advanced Interdisci-
plinary Research and State Assignment for the Kazan
Scientific Center.
Ethics approval and consent to participate
This work does not contain studies involving human
or animal subjects.
Conflict of interest
The authors of this work declare that they have no
conflicts of interest.
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