Publication Date

3-15-2024

Journal

Journal of Immunology

DOI

10.4049/jimmunol.2300671

PMID

38315012

PMCID

PMC11337350

PubMedCentral® Posted Date

9-15-2024

PubMedCentral® Full Text Version

Author MSS

Published Open-Access

yes

Keywords

Humans, Actins, Killer Cells, Natural, Cell Line, Blood Platelets, Immunologic Deficiency Syndromes, Natural killer cells, Inborn errors of immunity, Natural killer cell deficiency, Beta actin (ACTB), Cytotoxicity, Serial killing

Abstract

Natural killer (NK) cell deficiency (NKD) occurs when an individual’s major clinical immunodeficiency derives from abnormal NK cells and is associated with several genetic etiologies. Three categories of β actin-related diseases with over 60 ACTB (β actin) variants have previously been identified, none with a distinct NK cell phenotype. An individual with mild developmental delay, macrothrombocytopenia, susceptibility to infections, molluscum, and EBV-associated lymphoma had functional NK cell deficiency for over a decade. A de novo ACTB variant encoding G342D β actin was identified and was consistent with the individual’s developmental and platelet phenotype. This novel variant also was found to have direct impact in NK cells, as its expression in human NK YTS (YTS-NKD) cells caused increased cell spreading in lytic immune synapses created on activating surfaces. YTS-NKD cells were able to degranulate and perform cytotoxicity, but demonstrated defective serial killing owing to prolonged conjugation to the killed target cell and thus were effectively unable to terminate lytic synapses. G342D β actin results in a novel mechanism of functional NKD via increased synaptic spreading and defective lytic synapse termination with resulting impaired serial killing leading to overall reductions in NK cell cytotoxicity.

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