Functional defects of NK cells treated with chloroquine mimic the lytic defects observed in perforin-deficient mice

M Austin Taylor1, M Bennett, V Kumar

  • 1Graduate Program in Immunology, Department of Pathology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA. austin01@utsw.swmed.edu

Insights

Chloroquine (CHQ) can reduce NK cell activity by preventing perforin maturation, a key molecule in transplant rejection. This study shows CHQ may help prevent bone marrow transplant rejection and other immune responses.

Area of Science:

  • Immunology
  • Cell Biology
  • Pharmacology

Background:

  • Natural Killer (NK) cells are crucial in acute rejection of incompatible bone marrow transplants.
  • Perforin is a key cytotoxic protein released by NK cells, essential for graft rejection.
  • Perforin maturation relies on acidic conditions within secretory lysosomes.

Purpose of the Study:

  • To investigate if chloroquine (CHQ) can inhibit perforin-dependent NK cell activity and reduce transplant rejection.
  • To determine if CHQ, as a lysosomotropic reagent, interferes with perforin processing by altering lysosomal pH.

Main Methods:

  • NK cell cytotoxicity was assessed in vivo (tumor cell clearance, bone marrow transplant rejection) and in vitro (cell lysis assays).
  • Bone marrow engraftment was monitored in mice following transplantation of MHC class I-deficient cells.
  • Transplant rejection was compared between mouse strains with perforin-dependent (129) and perforin-independent (C57BL/6) NK cell activity.

Main Results:

  • CHQ treatment significantly reduced NK cell activity in 129 mice, where perforin-dependent cytotoxicity is critical for rejection.
  • CHQ impacted the Fas-independent component of NK cell-mediated cytolysis.
  • In vitro experiments demonstrated that CHQ inhibits perforin processing by lymphokine-activated killer (LAK) cells.

Conclusions:

  • Chloroquine impairs perforin maturation and NK cell cytotoxicity, potentially by increasing lysosomal pH.
  • CHQ shows promise in reducing the rejection of incompatible bone marrow transplants.
  • The findings suggest CHQ could be a therapeutic agent to modulate NK and cytotoxic T cell functions.