“…This may someday be explained by several different mechanisms: for example, by some sort of “stiffening” of the presynaptic membrane or by La+++ tending to “glue” the presynaptic membrane to the extracellular matrix, or possibly by blocking sodium and calcium entry through the presynaptic membrane, which may in some way directly slow down some aspect of the recycling process. Indeed, there is a large body of evidence, which suggests that clathrin-coated vesicle formation and/or synaptic vesicle recycling is somehow dependent on intracellular Ca ++ being at just the right level ( Henkel and Betz, 1995 ; Neale et al, 1999 ; Vogel et al, 1999 ; Teng and Wilkinson, 2003 ; Zefirov et al, 2006 ; Yao et al, 2009 ; Morton et al, 2015 ; Miyano et al, 2019 ; Bourgeois-Jaarsma et al, 2021 ; Jiang et al, 2021 ). In any case, it is abundantly clear from the present observations and from the past work that lanthanum somehow creates a greater imbalance between exocytosis and endocytosis than any other form of synaptic stimulation, and consequently, produces the most enhanced accumulation of synaptic vesicle membrane on the presynaptic surface, and thus, the greatest expansion of the presynaptic membrane.…”