Exactly how this directional membrane traffic into growing tubules is achieved is currently unclear, but a recent study using cultured fibroblasts from centronuclear myopathy patients carrying mutations in myotubularin, demonstrated that the myotubularin-dependent conversion of endosomal PI3P into PI4P is necessary for tethering and fusion of exocytic carriers at the plasma membrane36. Here, MTM1 is linked to autosomal dominant centronuclear myopathy.