Related Experiment Video
Updated: Feb 10, 2026

A Flow Cytometry-Based Cytotoxicity Assay for the Assessment of Human NK Cell Activity
Published on: August 9, 2017
Overactivation of Cdc42 GTPase Impairs the Cytotoxic Function of NK Cells From Old Individuals Towards Senescent
Albert Kallon Koroma1,2, Karmveer Singh1,2, Yongfang Wang1
1Department of Dermatology and Allergic Diseases, Ulm University, Ulm, Germany.
Abstract:
Senescent fibroblasts accumulate in the connective tissue of all organs and promote organ aging and aging-related diseases. The underlying mechanisms for the accumulation of senescent fibroblasts are poorly understood. Natural killer (NK) cells of innate immunity play a critical role in the removal of tissue resident senescent cells. We here show that NK cells from old adults and old mice fail to efficiently remove senescent fibroblasts. This is due to severely reduced perforin and granzyme B release from aged NK cells where perforin is responsible for inducing holes in the membrane of senescent fibroblasts through which granzyme B enters enforcing cell death of senescent fibroblasts. We demonstrate elevated activation of the small Cdc42 Rho GTPase in aged NK cells to be responsible for the disruption of the microtubular organization which is essential for the proper release of perforin and granzyme B and for energy homeostasis. Attenuation of the elevated activity of Cdc42 in aged human NK cells with CASIN, a small molecule Cdc42 inhibitor, rebalances Cdc42 activity to a young level. Rebalancing of Cdc42 restores proper perforin and granzyme B release and attenuates reduced ATP levels in aged NK cells resulting in an attenuated "youthful" cytotoxicity of aged NK cells against senescent cells. Collectively, we identified a previously unreported molecular mechanism underlying functional impairment of NK cells from older adults. In perspective, our data hold promise to develop novel strategies against age-related disorders driven by tissue-resident senescent fibroblasts.
Insights
Aging impairs natural killer (NK) cells, hindering their ability to clear senescent fibroblasts. This dysfunction stems from elevated Cdc42 activity, which can be targeted to restore NK cell function and combat age-related diseases.
Area of Science:
- Immunology
- Cell Biology
- Gerontology
Background:
- Senescent fibroblasts accumulate with age, contributing to organ aging and related diseases.
- Natural killer (NK) cells are crucial for clearing senescent cells, but their function declines with age.
- Mechanisms behind age-related NK cell dysfunction and senescent cell accumulation are not fully understood.
Purpose of the Study:
- Investigate the mechanisms behind impaired NK cell function in aging.
- Determine the role of NK cells in clearing senescent fibroblasts in aged individuals.
- Identify potential therapeutic targets to restore NK cell function in aging.
Main Methods:
- Compared NK cell function in young and old adults/mice.
- Assessed perforin and granzyme B release from NK cells.
- Analyzed Cdc42 Rho GTPase activation and its effect on microtubular organization.
- Utilized CASIN, a Cdc42 inhibitor, to evaluate its impact on aged NK cell function.
Main Results:
- Aged NK cells exhibit reduced ability to clear senescent fibroblasts due to impaired perforin and granzyme B release.
- Elevated Cdc42 activity in aged NK cells disrupts microtubular organization, hindering cytotoxic granule release and energy homeostasis.
- Inhibition of Cdc42 with CASIN restored NK cell function, improving cytotoxic capacity against senescent cells.
Conclusions:
- Dysfunctional NK cells, characterized by impaired cytotoxic granule release due to elevated Cdc42 activity, contribute to senescent fibroblast accumulation in aging.
- Targeting Cdc42 offers a promising therapeutic strategy to rejuvenate NK cell function and combat age-related diseases driven by senescent cells.
Related Concept Videos
GTPases and their Regulation
Large G-proteins,...
GTPases and their Regulation
Replicative Cell Senescence
Immune Surveillance by NK Cells and Phagocytes
Natural Killer Cells: The Fast Responders
NK cells are large granular lymphocytes found in the blood and lymphatic system. These...
Coat Assembly and GTPases
Coat assembly depends on the local availability of phosphatidylinositol phosphates or PIPs and GTP-binding proteins. Adaptor proteins, which link the coat proteins to the membrane, bind to these PIPs and play a crucial role in controlling...
Small GTPases - Ras and Rho
Three regulatory proteins control their activity:

