Midline 1 (MID1) is a microtubule-associated ubiquitin ligase that regulates protein phosphatase 2A activity. Loss-of-function mutations in MID1 lead to the X-linked Opitz G/BBB syndrome characterized by defective midline development during embryogenesis. Here, we show that MID1 is strongly upregulated in murine cytotoxic lymphocytes (CTLs), and that it controls TCR signaling, centrosome trafficking, and exocytosis of lytic granules. In accordance, we find that the killing capacity of MID1 −/− CTLs is impaired. Transfection of MID1 into MID1 −/− CTLs completely rescued lytic granule exocytosis, and vice versa, knockdown of MID1 inhibited exocytosis of lytic granules in WT CTLs, cementing a central role for MID1 in the regulation of granule exocytosis. Thus, MID1 orchestrates multiple events in CTL responses, adding a novel level of regulation to CTL activation and cytotoxicity.Keywords: Cytotoxicity r Granule exocytosis r Midline 1 r T cellsAdditional supporting information may be found in the online version of this article at the publisher's web-site
IntroductionCytotoxic lymphocytes (CTLs) play a key role in the defense against infections. The CTL recognizes specific antigen/MHC complexes on infected target cells by the TCR. Specific recognition of a target cell leads to establishment of a stable conjugation, the immunological synapse (IS), between the CTL and the target cell [1][2][3]. Immediately after recognition of the target cell, the CTL polarizes its secretory machinery toward the IS. The centrosome, which in CTLs is often called the Correspondence: Dr. Carsten Geisler e-mail: cge@sund.ku.dk microtubule-organizing center (MTOC), relocates to the IS [4,5], and lytic granules that contain perforin and granzymes move along the microtubules toward the MTOC [6]. Here, they dock at the plasma membrane and deliver their content by exocytosis into the small secretory cleft of the IS [3,7,8]. Perforin and granzymes subsequently act in concert to induce apoptosis of the target cell [9]. Thus, the microtubule cytoskeleton plays a key role in directional secretion of lytic granules and thereby in CTL-mediated target cell killing [8]. It is still not clear how CTLs regulate reorganization of the microtubule cytoskeleton and exocytosis of lytic granules during encounter with target cells.C 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim www.eji-journal.eu 3110 Lasse Boding et al. Eur. J. Immunol. 2014. 44: 3109-3118 Midline 1 (MID1) is a ubiquitin ligase that belongs to the RBCC/TRIM family, which contains a RING domain followed by B-boxes and a coiled-coil domain [10,11]. MID1 is associated with the microtubules [12,13] and regulates the level of microtubuleassociated protein phosphatase 2A (PP2A) [14,15]. The X-linked Opitz G/BBB syndrome (OS) is caused by mutations of MID1 and is characterized by disorders that primarily affect the ventral midline [16]. Manifestations include ocular hypertelorism, genitourinary defects, clefts of palate and lip, trachea-esophageal fistulas, imperforate anus, and mental retard...