“…31,32 Munc13-4 is part of the UNC13 family of proteins, all of which are involved in processes relating to vesicle exocytosis. Munc13-4 has been implicated in the exocytosis of lytic granules from cytotoxic cells, 8,33 tertiary, and mucincontaining granules from neutrophils, 34,35 dense granules from platelets, 36 and secretory granules from mast cells during regulated exocytosis. 37 Although much of HLH research has focused on pathology arising from impairment of CD8 T cell and natural killer cell cytotoxic function, 8 it is worth noting that FHL3 patients also suffer from susceptibility to fungal infection, 38 neurological symptoms, 39 exacerbated response to lung infection, 26,39 and macrophage activation syndrome, 26 which could be related to impaired degranulation from other cell types.…”