Vinculin and Rab5 Complex Is Requited for Uptake of Staphyrococcus aureus and Interleukin-6 Expression

Vinculin, a 116-kDa membrane cytoskeletal protein, is an important molecule for cell adhesion; however, little is known about its other cellular functions. Here, we demonstrated that vinculin binds to Rab5 and is required for Staphylococcus aureus (S. aureus) uptake in cells. Viunculin directly bound to Rab5 and enhanced the activation of S. aureus uptake. Over-expression of active vinculin mutants enhanced S. aureus uptake, whereas over-expression of an inactive vinculin mutant decreased S. aureus uptake. Vinculin bound to Rab5 at the N-terminal region (1-258) of vinculin. Vinculin and Rab5 were involved in the S. aureus-induced phosphorylation of MAP kinases (p38, Erk, and JNK) and IL-6 expression. Finally, vinculin and Rab5 knockdown reduced infection of S. aureus, phosphorylation of MAPKs and IL-6 expression in murine lungs. Our results suggest that vinculin binds to Rab5 and that these two molecules cooperatively enhance bacterial infection and the inflammatory response.


Introduction
Rab small GTPases are conserved membrane trafficking proteins in all eukaryotes, and they mediate various steps in membrane trafficking, including vesicle budding, vesicle movement, vesicle docking to specific membranes, and vesicle fusion [1]. Rab cycling between the GDP-bound (inactive) from and the GTP-bound (active) form is regulated by guanine nucleotide exchange factors (GEF), GTPase-activating proteins (GAPs), and GDP dissociation inhibitors [2]. This strict control is critical for the correct activation of Rab in time and space. More than 60 Rabs have been identified so far. Each Rab is localized to a specific membrane and controls a specific transport step [1,3]. For example, Rab5 is localized to early endosomes and the plasma membrane, and it is essential for early stages of endocytosis and for fusion of the early endosome [4,5]. Rab5 has been shown to be involved in the internalization of many extracellular materials such as nutrients [6], growth factors [7,8,9], viruses [10,11,12,13] and bacterias [14,15,16,17]. A large number of Rab5-interacting proteins including EEA1 [18,19], Rabaptin-5 [20,21,22], phosphatidylinositol 3-kinases [23,24], Rabankyrin-5 [25,26], Vps3 [27], Vps8 [27], POT1 [28] and caveolin [29,30] have been identified. Identification of Rab5-interacting proteins has provided insights into the molecular mechanism of endocytosis. We recently identified plastins as Rab5-binding proteins and shows that these proteins are not only actin-binding proteins but also endocytosis regulators [31].
Vinculin is a 116-kDa cytoskeletal protein that is involved in the linkage of integrin adhesion molecules to the actin cytoskeleton [32]. Vinculin interacts with many proteins including talin [33,34,35], alpha-actinin [36], F-actin [37,38], ARP2/3 [39], catenin [40,41,42,43], Paxillin [44], Hic-5 [44], VASP [45] and vinexin [46,47,48]. Structurally, vinculin is divided into three main domains: an N-terminal head, a flexible proline-rich hinge (neck) region, and a C-terminal tail domain [49]. The protein's activity is regulated by conformational reorganization of these domains. Intramolecular associations between the head and tail domains constrain vinculin in an inactive conformation, causing it to be located within the cytoplasm [49]. The structure of vinculin can change to an open state (active conformation) that facilitates its localization to the plasma membrane [35,50]. Many researchers have used various vinculin mutants to study the function of vinculin. Vinculin 8/19 (vin8/19) and vinculin T12 (vinT12) mutants interfere with the head-tail interaction characterizing constitutive activation [51]. The vinculin A50I (vinA50I) mutant inhibits the head/tail dissociation of vinculin [52] and increases the vinculin turnover rate in focal adhesions [53]. Vinculin can bind to phosphatidylinositol 4,5-biphosphate (PIP2) and has two lipid-binding sites: CT and H3 [50,54]. The vinculin CT (vinCT) mutant was mutated in the CT lipid-binding site, the vinculin H3 (vinH3) mutant was mutated in the H3 lipid-binding site, and the vinculin LD (vinLD) mutant was mutated in both the CT and H3 lipid-binding sites. These mutants were deficient in PIP2. In addition, the vinculin D1 domain (residues 1-258) bound to talin and a-actinin by using vinculin deletion mutants [32]. A previous study showed by using collagen-coated beads that vinculin may be involved in cellular [55]. However, molecular mechanism of endocytosis by vinculin is still not clear. Cellular responses to many external stimuli involve the activation of several types of MAPK signaling pathways. MAPKs are a family of serine/threonine kinases that comprise three major subgroups: ERKs, p38, and JNKs [56,57]. MAPKs can be localized to early endosomes by various external stimuli via endocytosis, thereby transmitting signals to downstream [58,59,60,61]. These proteins regulate the expression of many inflammatory cytokines including IL-6 [56,57].
Staphylococcus aureus (S. aureus), a gram-positive pathogen, has long been recognized as one of the most important bacteria that cause various diseases such as bloodstream infections, bone and joint infections, and pneumonia. In vitro studies have shown that S. aureus is internalized [62] and survives inside non-phagocytic cells [63,64,65]. Internalized S. aureus is able to evade or delay elimination by the host's immune system and avoid extracellular antibiotics [66]. However, the invasive mechanism and the effect of S. aureus on host cells remain a mystery. In this study, we showed the role of vinculin-Rab5 interaction in the uptake of S. aureus into non-phagocytic cells and the relationship between these proteins and phosphorylation of MAPK and IL-6.

Ethics statement
This study was carried out in strict accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health. The protocol was approved by the Committee on the Ethics of Animal Experiments of Tokyo Dental College.

Immunoprecipitation
To analyze the binding of vinculin and Rab5, cells were transfected with the indicated plasmids and lysed for 30 min at 4uC with a buffer (10 mM Tris, pH 7.6, 150 mM NaCl, 5 mM MgCl 2 , 1% NP-40, 0.5 mg/mL leupeptin, 2 mg/mL aprotinin, and 10 mg/mL PMSF). The clarified lysates were incubated with antibodies for 2 h at 4uC. The immune complexes were precipitated with protein A-Sepharose (Millipore) for 2 h at 4uC and then washed extensively with lysis buffer. The beads were resuspended in SDS sample buffer and assayed by western blotting.

GST-Rab5 pull-down assays
Five mg GST-Rab5Q79L or GST-Rab5S34N was added to 40 mL of glutathione-Sepharose resin and incubated for 1 h at 4uC. The beads were washed with a wash buffer (20 mM HEPES, 100 mM NaCl, 5 mM MgCl 2 , and 1 mM dithiothreitol, pH 7.6), incubated with the cell lysate or purified His-vinculin for 60 min at 4uC, washed three times with the wash buffer, resuspended in an SDS sample buffer (62.5 mM Tris pH 6.8, 2% SDS, 10% glycerol and 100 mM 2-mercaptoethanol, 0.005% BPB), and analyzed by western blotting.

Uptake assay
To measure the uptake of transferrin, albumin, and Lucifer yellow, cells were pre-incubated with serum-free DMEM without phenol red for 1 h at 37uC in 24-well plates and then incubated with 50 mg/mL transferrin Alexa Fluor 555 (Invitrogen), 50 mg/ mL albumin Alexa Fluor 555 (Invitrogen), or 1 mg/mL Lucifer yellow lithium salt (Sigma) diluted with serum-free DMEM without phenol red for 2 h at 37uC or 4uC to measure the background level of uptake (negative control). After incubation, the cells were collected with ice-cold PBS, washed eight times with ice-cold PBS, lysed with PBS containing 1% Triton X-100, and centrifuged at 10,0006g for 20 min at 4uC. The signal intensity of the supernatant was measured using SpectraMax M3 (Molecular Devices).
To measure FM4-64 uptake, cells were pre-incubated with serum-free DMEM without phenol red for 1 h at 37uC in 96-well plates. Subsequently, 100 mg/mL FM4-64 (Invitrogen) diluted with serum-free DMEM without phenol red was added to the cells. Immediately, fluorescence from extracellular FM4-64 was analyzed using SpectraMax M3 to measure the background level of uptake. The cells were then incubated for 2 h at 37uC, and signal intensity was measured using SpectraMax M3 (Molecular Devices).
To measure S. aureus uptake, the cells were pre-incubated with serum-free DMEM without phenol red for 1 h at 37uC in 96-well plates. Subsequently, 1 mg/mL pHrodo red-labeled S. aureus BioParticles (Invitrogen) diluted with serum-free DMEM without phenol red was added to the cells. The cells were incubated for 2 h at 37uC, and signal intensity was measured using SpectraMax M3 (Molecular Devices).

Immunostaining
Cells were fixed with 4% formaldehyde in PBS for 10 min and washed with PBS. Nonspecific binding of antibodies was blocked by incubation with 5% sheep serum in TBS-T for 60 min, followed by washing with TBS-T. The cells were incubated with a primary antibody in TBS-T for 60 min and washed with PBS. Bound primary antibodies were visualized with a secondary antibody in buffer A (10 mM Tris, pH 7.6, 300 mM NaCl, and 0.5% Tween 20). After extensive washing with buffer A, cells were mounted on slide glasses. The cells were observed using a confocal fluorescence microscope (Carl Zeiss Co., Ltd).

Over-expression of proteins in cultured cells
Each DNA plasmid was transfected with Lipofectamine 2000 (Invitrogen) according to the manufacturer's instructions.

GST-R5BD pull-down assay
One hundred mg/mL S. aureus was added to the medium of cells transfected with GFP-Rab5 and incubated for indicated times at 37uC. The GST-R5BD pull-down assay was then performed as described previously [67,70,71] to measure the Rab5-GTP level. In brief, the cells were washed two times with PBS and lysed for 5 min in 1 mL lysis buffer (25 mM HEPES, pH 7.4, 100 mM NaCl, 5 mM MgCl 2 , 0.1% NP-40, 2% glycerol, 1 mM DTT, 0.5 mg/mL leupeptin, 2 mg/mL aprotinin, and 10 mg/mL PMSF). Lysis extracts were clarified by centrifugation at 10,0006g for 5 min at 4uC, and supernatants were incubated with 20 mL of GST-R5BD bound to glutathione-Sepharose 4B beads for 20 min at 4uC with slow stirring. The beads were subsequently washed with lysis buffer, re-suspended in SDS sample buffer, and assayed by western blotting. Effect of S. aureus on vinculin-Rab5 binding Cells were pre-incubated with DMEM for 1 h at 37uC in 6-well plates. After pre-incubation, 100 mg/mL S. aureus (Invitrogen) was added to tissue culture cells, followed by incubation for the indicated time. The cells were then washed with PBS and lysed with lysis buffer (25 mM HEPES, pH 7.4, 100 mM NaCl, 5 mM MgCl 2 , 0.1% NP-40, 2% glycerol, and 1 mM DTT) containing protease inhibitors. The lysates were subjected to immunoprecipitation or the GST-R5BD pull-down assay as described earlier.

Bacterial strain
S. aureus 209P was preserved at Tokyo Dental College. S. aureus 209P was grown in trypticase soy broth medium.

Animals
Specific pathogen-free BALB/c female mice (age, 10 weeks) were obtained from Sankyo Labo Service Corporation, Inc., Tokyo, Japan. All mice were given sterile food and water ad libitum under conventional conditions in the animal care facility of Tokyo Dental College. This study was carried out in accordance with ''Guidelines for the Treatment of Experimental Animals in Tokyo Dental College'' [72].

Knockdown in vivo
In vivo grade siRNA for Rab5 (catalog no. RAB5A-MSS212350), siRNA for vinculin (catalog no. VCL-MSS241137), Stealth RNAi Negative Control Low GC Duplex, and Stealth RNAi Negative Control Medium GC Duplex were obtained from Invitrogen. Two hundred fifty mL of 3 mg/mL siRNA was diluted to 1.5 mg/mL with 250 mL complexation buffer accessory for invivofectamine (Invitrogen). Five hundred mL of the diluted siRNA solution was mixed with 500 mL invivofectamine, and incubated for 30 min at 50uC. Forty mL of the mixture was injected into murine lungs via direct transtracheal instillation (30 mg siRNA per mouse). Note that Rab5 and vinculin knockdown continues for more than week (data not shown).

Infection of S. aureus in murine lungs
Ten-week-old BALB/c female mice were infected with bacteria via direct transtracheal instillation with minor modifications [72]. The mice were anesthetized by injection of thiopental sodium (Ravonal, Tanabe-Mitsubishi, Osaka, Japan), and a surgical incision was made in the neck to expose the trachea. Approximately 2610 7 cfu of S. aureus 209P diluted in 50 ml PBS was instilled into the trachea using a 30-gauge needle. The incision was closed with a suture, and the mice were monitored over the next 3 days. The mice were sacrificed, and bronchoalveolar lavage (BAL) was performed three times with 1 mL sterile PBS. The lung was then removed and homogenized in sterile PBS, and diluted homogenate was plated onto trypticase soy agar plates. The plates were cultured at 37uC, after which colonies were counted as cfu.

Statistics
Data were compiled and analyzed using Ezanova software. Statistical significance was defined as p,0.05.

Effect of vinculin and Rab5 on uptake
We hypothesized that vinculin plays a role in cellular uptake, given that Rab5 is important for endocytosis. We performed uptake assays using various markers. HA-vinculin over-expression increased the uptake of S. aureus ( Fig. 2A) but not that of transferrin, albumin, Lucifer yellow, or FM4-64 in Cos-7 cells (Fig. 2B-E). In contrast, HA-Rab5Q79L and HA-Rab5 (WT) over-expression increased the uptake of S. aureus, transferrin, albumin, Lucifer yellow, and FM4-64, whereas HA-Rab5S34N over-expression decreased their uptake (Fig. 2F-K). To further investigate the effect of vinculin and Rab5 knockdown on uptake, we performed knockdown with specific siRNAs. As shown in Fig. 3A, introducing vinculin siRNA into HeLa cells inhibited vinculin expression. Vinculin knockdown decreased the uptake of S. aureus in HeLa cells (Fig. 3B) but not that of transferrin, albumin, Lucifer yellow, or FM4-64 ( Fig. 3C-F). As shown in Fig. 3G, introducing Rab5 siRNA into HeLa cells inhibited Rab5 expression. With Rab5 knockdown, uptake of S. aureus, transferrin, albumin, Lucifer yellow, and FM4-64 was inhibited in HeLa cells (Fig. 3H-L). These results suggested that Rab5 is involved in the uptake of various markers, whereas vinculin is involved in only S. aureus uptake.  Since both vinculin and Rab5 were shown to be involved in S. aureus uptake (Fig 2A and F and Fig. 3B and H), we next investigated the effect of S. aureus on vinculin-Rab5 interaction. S. aureus was added to HA-Rab5 (WT)-expressing Cos-7 cells, and the cell lysate was immunoprecipitated with anti-HA antibody. As shown in Fig. 4A, vinculin-Rab5 interaction increased up to 60 min following the addition of S. aureus. We further examined the effect of S. aureus on vinculin-Rab5 interaction with confocal fluorescence microscopy. S. aureus was added to GFP-Rab5 (WT) and RFP-vinculin-expressing Cos-7 cells, and the cells were immunostained with anti-S. aureus. Confocal fluorescence microscopic analysis showed that RFP-vinculin colocalized with GFP-Rab5 on S. aureus positive endosomes in Cos-7 cells at 1 and 2 h (Fig. 4B), whereas RFP-vinculin did not colocalize with GFP-Rab5 at 4 h. These findings indicate that S. aureus is involved in the vinculin-Rab5 interaction in the early stage of endocytosis.
We then performed a GST-R5BD pull-down assay [67] to investigate Rab5 activation in cultured cells. To investigated the effect of vinculin on Rab5 activation in S. aureus uptake, S. aureus was added to HeLa cells showing vinculin knockdown and overexpressing GFP-Rab5 (WT), and the cell lysate was analyzed using a GST-R5BD pull-down assay. In contrast to the control cells, introduction of vinculin siRNA decreased the level of Rab5-GTP with the addition of S. aureus (Fig. 4C). These findings suggest that vinculin is involved in Rab5 activity in S. aureus uptake.

Effect of active vinculin mutants on S. aureus uptake
We then investigated whether vinculin activation is involved in S. aureus uptake. Vinculin 8/19 (vin8/19) and vinculin T12 (vinT12) (Fig. 5A) interfere with the head-tail interaction characterizing constitutive activation [51]. Immunoprecipitation assays showed that GFP-vin8/19 and T12 strongly bound to Rab5 (Fig. 5B). Confocal fluorescence microscopic analysis revealed that GFP-vin8/19, GFP-vinT12 mutants and GFP-vin (WT) change the localization of HA-Rab5 and that the vinculin mutants and vin (WT) were colocalized with HA-Rab5 (WT) close to the plasma membrane. (Fig. 5C). Moreover, vin8/19 and T12 mutants strongly facilitated S. aureus uptake in cells. (Fig. 5D). We further investigated the effect of active vinculin mutants on Rab5 activation in S. aureus uptake using GST-R5BD. S. aureus was added to Cos-7 cells showing over-expression of active vinculin mutants and HA-Rab5 (WT), and the cell lysate was analyzed using a GST-R5BD pull-down assay. Over-expression of active vinculin mutants increased the level of Rab5-GTP with the addition of S. aureus (Fig. 5E). These findings suggest that vinculin activation is important for S. aureus uptake.

Effect of inactive vinculin mutants on S. aureus uptake
Vinculin A50I (vinA50I) mutant (Fig. 6A) inhibits the head/tail dissociation of vinculin characterizing constitutive inactivation [52]. Immunoprecipitation assays showed that GFP-vinA50I did not bind to HA-Rab5 (WT) (Fig. 6B). Confocal fluorescence microscopic analysis revealed that vinA50I did not colocalize with HA-Rab5 (WT) close to the plasma membrane (Fig. 6C). Moreover, vinA50I suppressed S. aureus uptake. (Fig. 6D). We further investigated the effect of the inactive vinculin mutant on Rab5 activation in S. aureus uptake using GST-R5BD. S. aureus was added to Cos-7 cells showing over-expression of the inactive vinculin mutant and HA-Rab5 (WT), and the cell lysate was analyzed using a GST-R5BD pull-down assay. Over-expression of the inactive vinculin mutant decreased the level of Rab5-GTP with the addition of S. aureus (Fig. 6E). These findings suggest that vinculin inactivation decreases S. aureus uptake.
Decrease in S. aureus-induced phosphorylation of p38, Erk and JNK and decrease in IL-6 expression by vinculin and Rab5 knockdown MAPK is stimulated by bacterial infection, leading to cytokine expression [73]. We accordingly investigated whether S. aureus affects IL-6 expression via MAPK. p38, Erk, and JNK phosphorylation was increased by S. aureus. With vinculin and Rab5 knockdown, S. aureus-induced p38, Erk, and JNK phosphorylation in the cells was decreased (Fig. 8A and B). With vinculin and Rab5 knockdown, S. aureus-induced IL-6 expression was decreased in the cell lysate and medium ( Fig. 8C and D). These results suggest that vinculin and Rab5 are involved in S. aureus-induced phosphorylation of p38, Erk and JNK and S. aureus-induced IL-6 expression.

Functional consequences of vinculin and Rab5 knockdown in vivo
To obtain evidence for the importance of vinculin and Rab5 in vivo, we introduced siRNA into the mouse lung. First, we confirmed the knockdown levels of vinculin and Rab5 in the mouse lung after introducing siRNAs for vinculin and Rab5. Western blotting showed that the expression levels of vinculin and Rab5 in the lung were reduced by these siRNAs (Fig. 9A and B). We next infected mouse lungs with S. aureus and analyzed lung tissue by colony formation assays. In contrast to the control, vinculin knockdown reduced infection by S. aureus in mouse lungs (Fig. 9C). When Rab5 was knocked down, infection by S. aureus was also reduced in mouse lungs (Fig. 9D). Furthermore, S. aureus- induced p38, Erk, and JNK phosphorylation in the mouse lung decreased with vinculin and Rab5 knockdown ( Fig. 9E and F). Moreover, S. aureus-induced IL-6 expression in the mouse lung decreased with vinculin and Rab5 knockdown ( Fig. 9G and H).

Discussion
In this study, we demonstrated that vinculin interacts with Rab5 and modulates functions of the protein in manner different from those for other well-known Rab5-interacting proteins as follows. First, vinculin is a focal adhesion protein, unlike other Rab5interacting proteins (Rabaptin-5, EEA1, and Rabex-5), which are recruited to early endosome membranes by active Rab5 [2,20,74]. Second, vinculin interacts with both inactive Rab5 and active Rab5, and this property also distinct from EEA-1, Rabex-5, and Rabaptin-5. Third, vinculin appears to participate in only phagocytosis (internalization of S. aureus into cells).
Recent findings suggest that vinculin may participate in the pahgocytosis of collagen beads [55]. In the present study, vinculin was shown to be involved in S. aureus uptake but not in the uptakes of transferrin, albumin, Lucifer yellow, or FM4-64 ( Fig. 2A-E and Fig. 3B-F). Phagocytosis is a process by which cells engulf large particles, usually over 0.5 mm in diameter [75]. S. aureus is over 0.5 mm in diameter, and cells engulf S. aureus by phagocytosis via   cell surface receptor such as integrins [76]. In contrast, the sizes of transferrin, albumin, Lucifer yellow and FM4-64 are very small and thus they do not induce phagocytosis. Transferrin is internalized to cells by clathrin-dependent endocytosis via the transferrin receptor [77]. Albumin is mainly incorporated into cells by caveolae-dependent endocytosis via gp60, an albumin receptor [78]. Lucifer yellow and FM4-64, which do not have specific receptors, are ingested by fluid-phase endocytosis [79,80,81]. It is likely that vinculin cannnot participate in receptor-mediated endocytosis of small molecules and fluid-phase endocytosis; however, vinculin may be a critical protein for endocytosis of large molecules such as those incorporated into cells by phagocytosis.
In the present study, vinculin was shown to bind to both inactive and active Rab5 (Fig. 1B-D) and to be involved in Rab5 activation during S. aureus uptake (Fig. 4C). Rab5 activation requires interaction with GEF, which contains a specific, highly conserved domain (Vps9) that catalyzes nucleotide exchange on Rab5 [20,82,83,84,85,86,87,88,89]. However, the amino acid sequence of vinculin does not contain a Vps9 domain. RabGDIs regulates the GDP/GTP exchange reaction of most Rab proteins by inhibiting the dissociation of GDP from them and the subsequent binding of GTP to them [4]. Although we have not uncovered the mechanism of vinculin-mediated Rab5 activation, vinculin may release RabGDI from Rab5-GDP or associate with GEF. Moreover, our data indicated that vinculin could bind more strongly to active Rab5 than to inactive Rab5, although vinculin bound to both of the molecules (Fig. 1B-D). Active Rab5 is crucial for vesicle transportation in the early stage of endocytosis (also phagocytosis) and early endosme fusion [2,4]. It is possible that vinculin is involved in vesicle transport and/or endosome fusion in the early stage of phagocytosis. In support of this, we have observed that there are interactions between vinculin and other early endsome proteins such as EEA1 and Rabaptin-5 (our unpublished data).
Assays with active vinculin mutants (vinT12 and vin8/19) showed that vinculin activation facilitated vinculin-Rab5 binding and S. aureus uptake ( Fig. 5B and D), whereas an inactive vinculin mutant (vinA50I) decreased S. aureus uptake (Fig. 6D). It was recently shown that active vinculin mutants recruit vinexin, a vinculin-interacting protein, to the plasma membrane [48]. It is possible that active vinculin also recruits Rab5 to the plasma membrane, thereby inducing phagocytosis of S. aureus.
S. aureus, a gram-positive pathogen, has long been recognized as one of the most important bacteria that cause various diseases including pneumonia [90]. In vitro studies have shown that S. aureus is internalized and survives inside non-phagocytic cells [62]. Internalized S. aureus is able to evade or delay elimination by the host's immune system and avoid extracellular antibiotics [66]. Therefore, a drug that inhibits internalization of S. aureus into nonphagocytic cells could be valuable for therapy of pneumonia. Our data showed that vinculin and Rab5 participated in infection of S. aureus in the mouse lung ( Fig. 9C and D). Both vinculin and Rab5 knockdown also decreased S. aureus-induced IL-6 expression ( Fig. 9E-H), indicating that inflammation was inhibited. Vinculin might be a target of therapy for various S. aureus-induced diseases including pneumonia.
In conclusion, we have shown that vinculin interacts directly with Rab5 and that its interaction is involved in S. aureus uptake. However, we did not observe uptake of other substances under the influence of vinculin-Rab5 interaction. Vinculin could interact with Rab5 without S. aureus (Fig. 1A-D). Vinculin underpins integrin under the plasma membrane, and integrin binds to extracellular matrix proteins, many bacteria, bacterial pathogens and viruses [91,92,93]. A recent study showed that R-Ras/Rin/ Rab5 complex controls endothelial cell adhesion and morphogenesis via active integrin endocytosis [94]. To elucidate the precise molecular mechanisms, further studies are needed to provide new insights into the mechanisms of cellular uptake through vinculin-Rab5 interaction.