PMID- 26478006 OWN - NLM STAT- MEDLINE DCOM- 20160829 LR - 20191008 IS - 1097-6825 (Electronic) IS - 0091-6749 (Print) IS - 0091-6749 (Linking) VI - 137 IP - 4 DP - 2016 Apr TI - Chediak-Higashi syndrome: Lysosomal trafficking regulator domains regulate exocytosis of lytic granules but not cytokine secretion by natural killer cells. PG - 1165-1177 LID - S0091-6749(15)01264-6 [pii] LID - 10.1016/j.jaci.2015.08.039 [doi] AB - BACKGROUND: Mutations in lysosomal trafficking regulator (LYST) cause Chediak-Higashi syndrome (CHS), a rare immunodeficiency with impaired cytotoxic lymphocyte function, mainly that of natural killer (NK) cells. Our understanding of NK cell function deficiency in patients with CHS and how LYST regulates lytic granule exocytosis is very limited. OBJECTIVE: We sought to delineate cellular defects associated with LYST mutations responsible for the impaired NK cell function seen in patients with CHS. METHODS: We analyzed NK cells from patients with CHS with missense mutations in the LYST ARM/HEAT (armadillo/huntingtin, elongation factor 3, protein phosphatase 2A, and the yeast kinase TOR1) or BEACH (beige and Chediak-Higashi) domains. RESULTS: NK cells from patients with CHS displayed severely reduced cytotoxicity. Mutations in the ARM/HEAT domain led to a reduced number of perforin-containing granules, which were significantly increased in size but able to polarize to the immunologic synapse; however, they were unable to properly fuse with the plasma membrane. Mutations in the BEACH domain resulted in formation of normal or slightly enlarged granules that had markedly impaired polarization to the IS but could be exocytosed on reaching the immunologic synapse. Perforin-containing granules in NK cells from patients with CHS did not acquire certain lysosomal markers (lysosome-associated membrane protein 1/2) but were positive for markers of transport vesicles (cation-independent mannose 6-phosphate receptor), late endosomes (Ras-associated binding protein 27a), and, to some extent, early endosomes (early endosome antigen 1), indicating a lack of integrity in the endolysosomal compartments. NK cells from patients with CHS had normal cytokine compartments and cytokine secretion. CONCLUSION: LYST is involved in regulation of multiple aspects of NK cell lytic activity, ranging from governance of lytic granule size to control of their polarization and exocytosis, as well as regulation of endolysosomal compartment identity. LYST functions in the regulated exocytosis but not in the constitutive secretion pathway. CI - Published by Elsevier Inc. FAU - Gil-Krzewska, Aleksandra AU - Gil-Krzewska A AD - Receptor Cell Biology Section, Laboratory of Immunogenetics, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Md. FAU - Wood, Stephanie M AU - Wood SM AD - Center for Infectious Medicine, Department of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden. FAU - Murakami, Yousuke AU - Murakami Y AD - Receptor Cell Biology Section, Laboratory of Immunogenetics, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Md. FAU - Nguyen, Victoria AU - Nguyen V AD - Receptor Cell Biology Section, Laboratory of Immunogenetics, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Md. FAU - Chiang, Samuel C C AU - Chiang SCC AD - Center for Infectious Medicine, Department of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden. FAU - Cullinane, Andrew R AU - Cullinane AR AD - Office of the Clinical Director, National Human Genome Research Institute, National Institutes of Health, Bethesda, Md. FAU - Peruzzi, Giovanna AU - Peruzzi G AD - Receptor Cell Biology Section, Laboratory of Immunogenetics, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Md. FAU - Gahl, William A AU - Gahl WA AD - Office of the Clinical Director, National Human Genome Research Institute, National Institutes of Health, Bethesda, Md. FAU - Coligan, John E AU - Coligan JE AD - Receptor Cell Biology Section, Laboratory of Immunogenetics, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Md. FAU - Introne, Wendy J AU - Introne WJ AD - Office of the Clinical Director, National Human Genome Research Institute, National Institutes of Health, Bethesda, Md. FAU - Bryceson, Yenan T AU - Bryceson YT AD - Center for Infectious Medicine, Department of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden. FAU - Krzewski, Konrad AU - Krzewski K AD - Receptor Cell Biology Section, Laboratory of Immunogenetics, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Md. Electronic address: krzewskikj@niaid.nih.gov. LA - eng GR - Z99 AI999999/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't DEP - 20151021 PL - United States TA - J Allergy Clin Immunol JT - The Journal of allergy and clinical immunology JID - 1275002 RN - 0 (Cytokines) RN - 0 (Genetic Markers) RN - 0 (LYST protein, human) RN - 0 (Vesicular Transport Proteins) SB - IM MH - Adult MH - Chediak-Higashi Syndrome/genetics/*physiopathology MH - Cytokines/*metabolism MH - Exocytosis/*physiology MH - Female MH - Genetic Markers MH - Humans MH - Killer Cells, Natural/*metabolism MH - Lysosomes/*physiology MH - Male MH - Mutation, Missense MH - Vesicular Transport Proteins/*genetics/physiology PMC - PMC4826811 MID - NIHMS731241 OTO - NOTNLM OT - Chediak-Higashi syndrome OT - cytotoxic lymphocyte OT - cytotoxicity OT - exocytosis OT - immune deficiency OT - lysosomal trafficking regulator OT - lysosomes OT - lytic granules OT - natural killer cell EDAT- 2015/10/20 06:00 MHDA- 2016/08/30 06:00 PMCR- 2017/04/01 CRDT- 2015/10/20 06:00 PHST- 2015/04/22 00:00 [received] PHST- 2015/07/27 00:00 [revised] PHST- 2015/08/24 00:00 [accepted] PHST- 2015/10/20 06:00 [entrez] PHST- 2015/10/20 06:00 [pubmed] PHST- 2016/08/30 06:00 [medline] PHST- 2017/04/01 00:00 [pmc-release] AID - S0091-6749(15)01264-6 [pii] AID - 10.1016/j.jaci.2015.08.039 [doi] PST - ppublish SO - J Allergy Clin Immunol. 2016 Apr;137(4):1165-1177. doi: 10.1016/j.jaci.2015.08.039. Epub 2015 Oct 21.