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Blood, 8 January 2009, Vol. 113, No. 2, pp. 338-346.
Prepublished online as a Blood First Edition Paper on October 16, 2008; DOI 10.1182/blood-2008-08-172924.


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IMMUNOBIOLOGY

Functional assessment of perforin C2 domain mutations illustrates the critical role for calcium-dependent lipid binding in perforin cytotoxic function

Ramon Urrea Moreno1, Juana Gil1, Carmen Rodriguez-Sainz1, Elena Cela2, Victor LaFay3, Brian Oloizia3, Andrew B. Herr4, Janos Sumegi5, Michael B. Jordan57, and Kimberly A. Risma3,7

1 Division of Immunology, 2 Division of Pediatric Oncology, Hospital General Universitario Gregorio Marañón, Universidad Complutense de Madrid, Madrid, Spain; 3 Division of Allergy/Immunology, Cincinnati Children's Hospital Medical Center, OH; 4 Department of Molecular Genetics, Biochemistry, and Microbiology, University of Cincinnati College of Medicine, OH; Divisions of 5 Hematology/Oncology and 6 Immunobiology, Cincinnati Children's Hospital Medical Center, OH; and 7 Department of Pediatrics, University of Cincinnati College of Medicine, OH

Perforin-mediated lymphocyte cytotoxicity is critical for pathogen elimination and immune homeostasis. Perforin disruption of target cell membranes is hypothesized to require binding of a calcium-dependent, lipid-inserting, C2 domain. In a family affected by hemophagocytic lymphohistiocytosis, a severe inflammatory disorder caused by perforin deficiency, we identified 2 amino acid substitutions in the perforin C2 domain: T435M, a previously identified mutant with disputed pathogenicity, and Y438C, a novel substitution. Using biophysical modeling, we predicted that the T435M substitution, but not Y438C, would interfere with calcium binding and thus cytotoxic function. The capacity for cytotoxic function was tested after expression of the variant perforins in rat basophilic leukemia cells and murine cytotoxic T lymphocytes. As predicted, cells transduced with perforin-T435M lacked cytotoxicity, but those expressing perforin-Y438C displayed intact cytotoxic function. Using novel antibody-capture and liposome-binding assays, we found that both mutant perforins were secreted; however, only nonmutated and Y438C-substituted perforins were capable of calcium-dependent lipid binding. In addition, we found that perforin-Y438C was capable of mediating cytotoxicity without apparent proteolytic maturation. This study clearly demonstrates the pathogenicity of the T435M mutation and illustrates, for the first time, the critical role of the human perforin C2 domain for calcium-dependent, cytotoxic function.


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