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Blood, 15 June 2006, Vol. 107, No. 12, pp. 4857-4864.
Prepublished online as a Blood First Edition Paper on February 28, 2006; DOI 10.1182/blood-2005-11-4398.


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IMMUNOBIOLOGY

Innate immunity defects in Hermansky-Pudlak type 2 syndrome

Stefania Fontana, Silvia Parolini, William Vermi, Sarah Booth, Federico Gallo, Marta Donini, Marzia Benassi, Francesca Gentili, Daniela Ferrari, Lucia D. Notarangelo, Patrizia Cavadini, Emanuela Marcenaro, Stefano Dusi, Marco Cassatella, Fabio Facchetti, Gillian M. Griffiths, Alessandro Moretta, Luigi D. Notarangelo, and Raffaele Badolato

From the Istituto di Medicina Molecolare "Angelo Nocivelli" and Clinica Pediatrica, University of Brescia, Italy; Dipartimento di Scienze Biomediche e Biotecnologie and Cattedra di Anatomia Patologica, University of Brescia, Italy; Sir William Dunn School of Pathology, Oxford, United Kingdom; Department of Pathology, Section of General Pathology, University of Verona, Italy; Istituto Giannina Gaslini, Genoa, Italy; and Dipartimento di Medicina Sperimentale and Centro di Eccellenza per le Ricerche Biomediche, University of Genoa, Italy.

Adaptor protein-3 (AP-3) is an ubiquitous cytoplasmic complex that shuttles cargo proteins from the trans-Golgi and a tubular-endosomal compartment to endosome-lysosome–related organelles. Lack of the beta3A subunit of this complex causes Hermansky-Pudlak syndrome type 2, an autosomal recessive disease characterized by partial albinism, prolonged bleeding tendency, and immunodeficiency. To investigate the pathogenesis of immunodeficiency, we studied natural killer (NK) cells and neutrophil functions in 2 previously unreported siblings affected by Hermansky-Pudlak type 2 syndrome. In both patients we observed a dramatic reduction of cytolytic activity of freshly isolated and of IL-2–activated NK cells. Levels of perforin were reduced in unstimulated NK cells, thereby accounting for the impairment of NK cytolitic activity. In addition, analysis of neutrophils in these patients demonstrated that intracellular elastase content was largely reduced while CD63 expression on plasma membrane was substantially increased. Taken together, these observations suggest that type 2 Hermansky-Pudlak syndrome is characterized by defects of innate immunity.


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