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2016 ; 196
(6
): 2492-503
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A Heterozygous RAB27A Mutation Associated with Delayed Cytolytic Granule
Polarization and Hemophagocytic Lymphohistiocytosis
#MMPMID26880764
Zhang M
; Bracaglia C
; Prencipe G
; Bemrich-Stolz CJ
; Beukelman T
; Dimmitt RA
; Chatham WW
; Zhang K
; Li H
; Walter MR
; De Benedetti F
; Grom AA
; Cron RQ
J Immunol
2016[Mar]; 196
(6
): 2492-503
PMID26880764
show ga
Frequently fatal, primary hemophagocytic lymphohistiocytosis (HLH) occurs in
infancy resulting from homozygous mutations in NK and CD8 T cell cytolytic
pathway genes. Secondary HLH presents after infancy and may be associated with
heterozygous mutations in HLH genes. We report two unrelated teenagers with HLH
and an identical heterozygous RAB27A mutation (c.259G?C). We explore the
contribution of this Rab27A missense (p.A87P) mutation on NK cell cytolytic
function by cloning it into a lentiviral expression vector prior to introduction
into the human NK-92 cell line. NK cell degranulation (CD107a expression), target
cell conjugation, and K562 target cell lysis was compared between mutant- and
wild-type-transduced NK-92 cells. Polarization of granzyme B to the immunologic
synapse and interaction of mutant Rab27A (p.A87P) with Munc13-4 were explored by
confocal microscopy and proximity ligation assay, respectively. Overexpression of
the RAB27A mutation had no effect on cell conjugate formation between the NK and
target cells but decreased NK cell cytolytic activity and degranulation.
Moreover, the mutant Rab27A protein decreased binding to Munc13-4 and delayed
granzyme B polarization toward the immunologic synapse. This heterozygous RAB27A
mutation blurs the genetic distinction between primary and secondary HLH by
contributing to HLH via a partial dominant-negative effect.