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RESEARCH REPORT - Peter MacCallum Cancer Centre

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the first-ever CrYstaL struCture of a perforin-Like pore-forMinG protein<br />

This exciting work was carried out in collaboration with the structural biology group headed by Professor James Whisstock at Monash University. It has long<br />

been appreciated that perforin shares structural similarity with members of the complement membrane attack complex (circulating proteins of the immune system<br />

that are important for killing certain bacteria). However, the mechanism used by this family of proteins to attach to and pierce target cell membranes has been<br />

a complete mystery. We are now far closer to solving this important problem. Firstly, advanced bio-informatics approaches were used by Dr Michelle Dunstone<br />

(Monash) to demonstrate that the family of proteins that includes perforin and complement is far more broadly represented in nature than previously appreciated,<br />

with more than 500 members. This group of proteins has now been termed the MACPF (Membrane Attack Complex/Perforin) superfamily. In fact, MACPF<br />

proteins are expressed by many species of bacteria, other human pathogens such as plasmodium (the parasite that causes malaria) and by higher organisms such<br />

as the fruit fly Drosophila where the MACPF protein torso has an important role in promoting segmentation, a critical phase of development and growth of the<br />

organism. Other MACPF proteins such as astrotactin are critical for accurate neuronal development and communication in animals and humans.<br />

Lining up the amino acid sequences of such a diverse group of proteins for the first time enabled us to show that a small number (a few percent) of amino acids<br />

had remained invariant over billions of years of evolutionary time. Remarkably, this finding also meant that a class of proteins used by bacteria to invade and<br />

colonise hosts (including humans) are also used by the human immune system in its defence against those invading pathogens. We were also able to make the quite<br />

remarkable observation that some of the key residues that undergo mutation in children born with the immune-deficiency disorder HLH are conserved all the way<br />

back in evolutionary time to primordial organisms, including bacteria! This strongly implied that the mechanism of action of the MACPF proteins had not changed<br />

materially over many hundreds of millions of years.<br />

We then went on to determine the crystal structure<br />

of a bacterial MACPF protein, Plu-MACPF from<br />

Photorhabdus luminescens, to 2.0 angstrom<br />

resolution. The MACPF domain revealed structural<br />

similarity with pore-forming cholesterol-dependent<br />

cytolysins (CDCs) from gram-positive bacteria, a<br />

group of toxins whose mode of action is reasonably<br />

well understood. This suggests that lytic MACPF<br />

proteins may use a CDC-like mechanism to form<br />

pores and disrupt cell membranes. Following<br />

membrane attachment, the MACPF domain is<br />

predicted to undergo a marked change in its 3D<br />

conformation, enabling membrane spanning helices<br />

to adopt beta sheet conformations and pierce the<br />

target cell membrane.<br />

This work is highly significant as it enables us<br />

to predict how perforin functions. We now have<br />

beautiful images and a model of how individual<br />

perforin monomers bind together to form a pore in<br />

3D. Ultimately, this information will be crucial for<br />

understanding how perforin functions, leading to<br />

new drugs to augment its anti-cancer activity.<br />

[Reference: Rosado C. et al., (2007) Science 317:<br />

Figure 1: Mechanisms of perforin-mediated cell death pathways.<br />

1548–51, see publication number 240.]<br />

manifested by abnormalities at both the lymphocyte<br />

(presynaptic) and target cell (postsynaptic) levels.<br />

However, the severe intrinsic defect in activity can<br />

be partly rescued by expression in the physiological<br />

setting of an intact CTL. These findings provided<br />

the first direct evidence that hPRF-A91V is<br />

functionally abnormal and a rationale for why<br />

it may be responsible for disordered immune<br />

homeostasis if inherited with another dysfunctional<br />

perforin allele. Why such an abnormal allele has<br />

persisted in human populations is now under<br />

further investigation. [Reference: Voskoboinik I et<br />

al., (2007) Blood 110: 1184–90, see publication<br />

number 296.]<br />

Apoptotic signal transduction by NK cell<br />

granzyme B.<br />

Human granzyme B (GraB) preferentially induces<br />

apoptosis via Bcl-2-regulated mitochondrial<br />

damage but can also directly cleave caspases<br />

and caspase substrates in cell-free systems. How<br />

hGraB kills cells when it is delivered by cytotoxic<br />

lymphocytes (CL) and the contribution of hGraB<br />

to CL-induced death is still not clear. We showed<br />

that primary human NK cells, which specifically<br />

used hGraB to induce target cell death, were able to<br />

induce apoptosis of cells whose mitochondria were<br />

protected by Bcl-2. Purified hGraB also induced<br />

apoptosis of Bcl-2-overexpressing targets but only<br />

when delivered at 5 to 10 times the concentration<br />

required to kill cells expressing endogenous Bcl-2.<br />

Caspases were critical in this process as inhibition<br />

of caspase activity permitted clonogenic survival of<br />

Bcl-2-overexpressing cells treated with hGraB or<br />

hNK cells but did not protect cells that expressed<br />

only endogenous Bcl-2. Our data therefore showed<br />

that only hGraB triggers caspase activation via<br />

mitochondria-dependent and mitochondriaindependent<br />

mechanisms that are activated in a<br />

hierarchical manner and that the combined effects<br />

of Bcl-2 and direct caspase inhibition can block<br />

cell death induced by hGraB or primary hNK cells.<br />

[Reference: Sedelies K et al., (2008) Cell Death and<br />

Differentiation 15: 708–17.]<br />

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