The widely expressed Sec/Munc18 (SM) protein Munc18c is required for SNARE-mediated insulin granule exocytosis from islet beta cells and GLUT4 vesicle exocytosis in skeletal muscle and adipocytes. Although Munc18c function is known to involve binding to the t-SNARE Syntaxin 4, a paucity of Munc18c-binding proteins has restricted elucidation of the mechanism by which it facilitates these exocytosis events. Toward this end, we have identified the double C2 domain protein Doc2 as a new binding partner for Munc18c. Unlike its granule/vesicle localization in neuronal cells, Doc2 was found principally in the plasma membrane compartment in islet beta cells and adipocytes. Moreover, co-immunoprecipitation and GST interaction assays showed Doc2-Munc18c binding to be direct and complexes to be devoid of Glucose homeostasis is maintained by a balance of insulin secretion and insulin action. Insulin is secreted from islet beta cells filled with mature insulin-containing granules which traffic to and fuse with the cell surface upon stimulation by elevated blood glucose. Upon detection of insulin and elevated circulating glucose levels by the skeletal muscle and adipose tissues the intracellular vesicles containing the insulin-responsive glucose transporter GLUT4 translocate to the plasma membrane and facilitate glucose uptake into the cell (1, 2). These "vesicle exocytosis" events are known to be regulated by the soluble N-ethylmaleimide-sensitive factor attachment protein receptor (SNARE) 2 proteins (2, 3). Vesicle exocytosis entails the specific pairing of a vesicle-associated membrane protein v-SNARE (VAMP) with a binary cognate receptor complex t-SNARE composed of SNAP-25/23 and Syntaxin proteins at the target membrane to form the SNARE core complex (3, 4). SNARE protein functions are further regulated by interaction with the Sec1/Munc18 (SM) secretory proteins, of which three plasma membrane-localized homologues exist in mammalian cells: Munc18a, Munc18b, and Munc18c (5, 6). However among these, only the Munc18c isoform can bind with and regulate the t-SNARE protein Syntaxin 4 (7, 8), and Syntaxin 4 is the singular functional Syntaxin isoform in insulin-stimulated GLUT4 vesicle exocytosis (9 -11) and one of two functional Syntaxin isoforms identified in glucose-stimulated insulin exocytosis (12-15). Whereas we and others (11, 16) have shown that either depletion or overexpression of Munc18c in vivo dramatically alters glucose homeostasis via disruption of skeletal muscle GLUT4 translocation and pancreatic islet function, the mechanism by which Munc18c regulates these particular exocytotic events remains unknown.Crystallographic and NMR studies support the concept that the Munc18 protein may keep its cognate Syntaxin in a "closed" conformation (17)(18)(19). Very recent studies further suggest that the Munc18 protein assists the transition of Syntaxin to the open state, possibly by stabilizing a labile transition half-open state of Syntaxin (20,21). Previous studies of Munc18c-Syntaxin 4 kinetics in 3T3L1 adipocytes ar...