Expression of porforin and granzyme B in familial hemophagocytic lymphohistiocytosis
10.3760/cma.j.issn.0253-2727.2016.03.010
- VernacularTitle:噬血细胞性淋巴组织细胞增生症患儿及其家系穿孔素和颗粒酶B的表达
- Author:
Xiaoheng ZHOU
1
;
Jianming LUO
;
Qiong BIN
;
Xiaohua HUANG
Author Information
1. 广西医科大学第一附属医院儿科
- Keywords:
Lymphohistiocytosis,hemophagocytic;
Gene,PRF1;
Porforin;
Granzymes
- From:
Chinese Journal of Hematology
2016;37(3):227-232
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the correlation between genetic variants of PRF1 and expression level of perforin and granzyme B protein,and further determine the relationship between PRF1 gene variants and cytotoxic T lymphocyte/natural killer (CTL/NK) cell function in famililal hemophagocytic lymphohistiocytosis (FHL2).Methods Eight children of FHL2 (P1-P8) after treatment,as well as parents and siblings of P1-P5 were included,and thirty healthy children came for physical examination were designated as controls.PRF1,Unc13D,STX11,STXBP2,RAB27A,LYST,SH2D1A,BIRC4 exons were amplified by PCR and followed by direct sequencing.Bioinformatics analysis of mutant PRF1 was performed by ExPASy online system.Perforin and granzyme B expression on cytotoxic lymphocyte was detected by flow cytometry.Results ① Three of eight FHL2 children harbored heterozygous missense of PRF1 exons:P1 had compound heterozygous missense mutations (R4C and R33H) and P2 had heterozygous mutations (V50L),P3 had heterozygous mutations (R489W),which confirmed the diagnosis of FHL2.The father (F1) and younger brother (B1) of P1 also had compound heterozygous missense mutation (R4C/R33H),the mother (M2) and younger brother (B2) of P2 had V50L mutation,the father (F3) of P3 had no R489W mutation and the mother of P3 did not participate in this research,so mutation of R4C/R33H of P1 inherited from patemal line,and V50L mutation of P2 came from maternal line,R489W mutation of P3 came from maternal line.②Comparing to control group,perforin expression of CD8+ T cells and natural killer (NK) cells of P1,F1,B1,P2,M2 and B2 decreased significantly,but there was no significant difference between two groups in terms of granzyme B expression.Conclusions R4C/R33H compound heterozygous mutation and V50L heterozygous mutation all cause lower expression of perforin on CTL/NK cells,and may be causative mutations for familial hemophagocytic lymphohistiocytosis.
