“…The porocytosis mechanism is consistent with all observations in synapses, including the so‐called quantal vesicular release, with some morphological evidence (Kriebel, et al, 2001; Silver et al, 2001, 2003). While our earlier reports focused on the porocytosis hypothesis as applied to release of neurotransmitter from the presynaptic terminal of the neuromuscular junction (NMJ) (Kriebel et al, 2000, 2001; Silver et al, 2001, 2003), the hypothesis is applicable to other forms of vesicular secretion, which accounts for the often observed secretions in which only part of the vesicular contents (at presynaptic endings) are released, or by granular inclusions such as chromaffin cells, pancreatic islet cells, mast cells, basophils, and eosinophils, and a wide variety of cells central to cancer and inflammatory diseases (Sagen and Pappas, 1987; Pappas and Kriho, 1988; Dvorak, 1991, 2000; Plattner et al, 1997).…”