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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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Submitted November 7, 2005
Accepted February 14, 2006
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*
Istituto di Medicina Molecolare "Angelo Nocivelli", Clinica Pediatrica, University of Brescia, Brescia, Italy
Dipartimento di Scienze Biomediche e Biotecnologie, University of Brescia, Brescia, Italy
Cattedra di Anatomia Patologica, University of Brescia, Brescia, Italy
Sir William Dunn School of Pathology, Oxford, United Kingdom
Department di Pathology, Section of General Pathology, University of Verona, Verona, Italy
Istituto Giannina Gaslini, Genova, Italy; Dipartimento di Medicina Sperimentale, University of Genova, Genova, Italy
Dipartimento di Medicina Sperimentale, University of Genova, Genova, Italy; Centro di Eccellenza per le Ricerche Biomediche, University of Genova, Genova, Italy
* Corresponding author; email: badolato{at}med.unibs.it.
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 3A subunit of this complex causes Hermansky-Pudlak syndrome type 2, an autosomal recessive disease characterized by partial albinism, prolonged bleeding tendency and immunodeficiency. In order to investigate the pathogenesis of immunodeficiency, we studied NK cells and neutrophil functions in two 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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