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Updated: Jun 17, 2026

Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
Published on: July 31, 2016
Perforin deficiency and susceptibility to cancer
A J Brennan1, J Chia, J A Trapani
1Cancer Immunology Program, Peter MacCallum Cancer Centre, East Melbourne, Victoria 3002, Australia.
Abstract:
Cytotoxic lymphocytes (CLs) are the killer cells that destroy intracellular pathogen-infected and transformed cells, predominantly through the cytotoxic granule-mediated death pathway. Soluble cytotoxic granule components, including pore-forming perforin and pro-apoptotic serine proteases, granzymes, synergize to induce unscheduled apoptosis of the target cell. A complete loss of CL function results in an aggressive immunoregulatory disorder, familial hemophagocytic lymphohistiocytosis, whereas a partial loss of function seems to be a factor strongly predisposing to hematological malignancies. This review discusses the pathological manifestations of CL deficiencies due to impaired perforin function and describes novel aspects of perforin biology.
Insights
Cytotoxic lymphocytes (CLs) are crucial for eliminating infected cells. Impaired perforin function in CLs can lead to severe immune disorders and increase cancer risk.
Area of Science:
- Immunology
- Cellular Biology
Background:
- Cytotoxic lymphocytes (CLs) eliminate infected or transformed cells via cytotoxic granules.
- Granules contain perforin and granzymes, which induce target cell apoptosis.
- CL dysfunction is linked to familial hemophagocytic lymphohistiocytosis and hematological malignancies.
Purpose of the Study:
- To review pathological manifestations of CL deficiencies.
- To discuss impaired perforin function's role in disease.
- To present novel aspects of perforin biology.
Main Methods:
- Literature review of cytotoxic lymphocyte function.
- Analysis of perforin's role in cell-mediated cytotoxicity.
- Review of clinical outcomes associated with CL deficiencies.
Main Results:
- Perforin is essential for CL-mediated cytotoxicity.
- Deficiencies in perforin function lead to immune dysregulation.
- Impaired perforin function is a risk factor for hematological cancers.
Conclusions:
- Perforin is critical for cytotoxic lymphocyte function.
- Understanding perforin biology is key to treating immune disorders and cancers.
- Further research into perforin function can reveal new therapeutic targets.
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