Cytotoxic T Lymphocytes (CTL) form a critical part of the immune system. They predominantly kill their infected or transformed targets through the granule exocytosis pathway. In this process, CTLs release key effector molecules, perforin (PRF) and granzymes, into the immune synapse to initiate target cell death [ 1]. The pore-forming PRF is essential for the function of CTLs: its pores disrupt the target cell membrane and allow diffusion of pro-apoptotic serine proteases, granzyme, into the target cell, where they initiate various cell death cascades [ 2]. Using a variety of imaging techniques, our laboratory has deciphered many aspects of the immune synapse, both in health and disease.
In a recent study, we resolved one of the most enigmatic questions in the field of cytotoxic lymphocyte biology: how host lymphocytes are protected against their own toxic cargo [ 3]. Using Atomic Force Microscopy (AFM) we demonstrated that PRF binding and pore formation were abrogated by high lipid packing (which is observed in the plasma membrane of CTLs within the immune synapse). Validating these findings in whole cells through live-cell imaging with the membrane-phase sensitive probe Laurdan, we confirmed that primary CTLs with lower lipid packing showed increased sensitivity to PRF, which we then visualized using a fluorescent fusion protein (GFP-PRF). Additionally, AFM identified negatively charged lipids, most prominently phosphatidylserine (PS), as inactivators of perforin. Our live cell confocal microscopy further confirmed the externalisation of PS on the pre-synaptic membrane of CTLs. Overall we discovered that the condensation of high membrane order (lipid rafts) at the immune synapse, together with PS externalisation, provides two impenetrable layers of protection against PRF, preventing “self-inflicted” damage to CTLs ( Figure 1).
Figure 1
(Reproduced from [3]): Schematic showing CTL (left) protected from the PRF (blue) it releases by condensed, high membrane order lipid rafts (red) and exposed PS (green). Granzymes are shown as black dots and can be seen only entering the target cell (right).