PMID- 29241728 OWN - NLM STAT- MEDLINE DCOM- 20191014 LR - 20191014 IS - 1097-6825 (Electronic) IS - 0091-6749 (Print) IS - 0091-6749 (Linking) VI - 142 IP - 3 DP - 2018 Sep TI - An actin cytoskeletal barrier inhibits lytic granule release from natural killer cells in patients with Chediak-Higashi syndrome. PG - 914-927.e6 LID - S0091-6749(17)31887-0 [pii] LID - 10.1016/j.jaci.2017.10.040 [doi] AB - BACKGROUND: Chediak-Higashi syndrome (CHS) is a rare disorder caused by biallelic mutations in the lysosomal trafficking regulator gene (LYST), resulting in formation of giant lysosomes or lysosome-related organelles in several cell types. The disease is characterized by immunodeficiency and a fatal hemophagocytic lymphohistiocytosis caused by impaired function of cytotoxic lymphocytes, including natural killer (NK) cells. OBJECTIVE: We sought to determine the underlying biochemical cause of the impaired cytotoxicity of NK cells in patients with CHS. METHODS: We generated a human cell model of CHS using Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR) technology. We used a combination of classical techniques to evaluate lysosomal function and cell activity in the model system and super-resolution microscopy to visualize F-actin and lytic granules in normal and LYST-deficient NK cells. RESULTS: Loss of LYST function in a human NK cell line, NK92mi, resulted in inhibition of NK cell cytotoxicity and reproduced other aspects of the CHS cellular phenotype, including the presence of significantly enlarged lytic granules with defective exocytosis and impaired integrity of endolysosomal compartments. The large granules had an acidic pH and normal activity of lysosomal enzymes and were positive for the proteins essential for lytic granule exocytosis. Visualization of the actin meshwork openings at the immunologic synapse revealed that the cortical actin acts as a barrier for secretion of such large granules at the cell-cell contact site. Decreasing the cortical actin density at the immunologic synapse or decreasing the lytic granule size restored the ability of LYST-deficient NK cells to degranulate and kill target cells. CONCLUSION: The cortical actin and granule size play significant roles in NK cell cytotoxic function. We present evidence that the periodicity of subsynaptic actin is an important factor limiting the release of large lytic granules from NK cells from patients with CHS and could be a novel target for pharmaceutical intervention. CI - Copyright (c) 2018 The Authors. Published by Elsevier Inc. All rights reserved. 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 - Saeed, Mezida B AU - Saeed MB AD - Manchester Collaborative Centre for Inflammation Research, University of Manchester, Manchester, United Kingdom. FAU - Oszmiana, Anna AU - Oszmiana A AD - Manchester Collaborative Centre for Inflammation Research, University of Manchester, Manchester, United Kingdom. FAU - Fischer, Elizabeth R AU - Fischer ER AD - Electron Microscopy Unit, Research Technologies Branch, Rocky Mountain Laboratories, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, Mont. FAU - Lagrue, Kathryn AU - Lagrue K AD - Manchester Collaborative Centre for Inflammation Research, University of Manchester, Manchester, United Kingdom. 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 - Introne, Wendy J AU - Introne WJ 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 - Davis, Daniel M AU - Davis DM AD - Manchester Collaborative Centre for Inflammation Research, University of Manchester, Manchester, United Kingdom. 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/NULL/International GR - ZIA AI000962-11/NULL/International GR - 110091/WT_/Wellcome Trust/United Kingdom GR - Z99 AI999999/Intramural NIH HHS/United States GR - G1001044/MRC_/Medical Research Council/United Kingdom GR - ZIA AI000962-11/Intramural NIH HHS/United States GR - Wellcome Trust/United Kingdom GR - ZIA AI001174-05/NULL/International GR - ZIA AI001174-05/Intramural NIH HHS/United States PT - Journal Article PT - Observational Study PT - Research Support, N.I.H., Intramural PT - Research Support, Non-U.S. Gov't DEP - 20171211 PL - United States TA - J Allergy Clin Immunol JT - The Journal of allergy and clinical immunology JID - 1275002 RN - 0 (Actins) RN - 0 (LYST protein, human) RN - 0 (Vesicular Transport Proteins) SB - IM MH - Actins/*immunology MH - Cell Line MH - Chediak-Higashi Syndrome/*immunology MH - Cytoplasmic Granules/*immunology MH - Cytoskeleton/immunology MH - Humans MH - Killer Cells, Natural/*immunology MH - Vesicular Transport Proteins/genetics PMC - PMC5995607 MID - NIHMS926643 OTO - NOTNLM OT - Chediak-Higashi syndrome OT - actin cytoskeleton OT - cytotoxic lymphocyte OT - cytotoxicity OT - exocytosis OT - immune deficiency OT - lysosomal trafficking regulator OT - lysosomes OT - lytic granules OT - natural killer cell EDAT- 2017/12/16 06:00 MHDA- 2019/10/15 06:00 PMCR- 2018/09/01 CRDT- 2017/12/16 06:00 PHST- 2017/03/07 00:00 [received] PHST- 2017/09/21 00:00 [revised] PHST- 2017/10/26 00:00 [accepted] PHST- 2017/12/16 06:00 [pubmed] PHST- 2019/10/15 06:00 [medline] PHST- 2017/12/16 06:00 [entrez] PHST- 2018/09/01 00:00 [pmc-release] AID - S0091-6749(17)31887-0 [pii] AID - 10.1016/j.jaci.2017.10.040 [doi] PST - ppublish SO - J Allergy Clin Immunol. 2018 Sep;142(3):914-927.e6. doi: 10.1016/j.jaci.2017.10.040. Epub 2017 Dec 11.