Evidence map›Paper›PMID 26752517›Full record

ArticleNature medicine2016

Killer lymphocytes use granulysin, perforin and granzymes to kill intracellular parasites.

Farokh Dotiwala, Sachin Mulik, Rafael B Polidoro, James A Ansara, Barbara A Burleigh, Michael Walch, Ricardo T Gazzinelli, Judy Lieberman

Open access · bronzeAbstract read
In one paragraph

Article in Nature medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 126 papers.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed
19.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

126 citing papers in PubMed, 195 citations in OpenAlex.

  1. Trial
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  20. The time has come for a vaccine against Chagas disease.Lancet regional health. Americas · 2025
    Review

66 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

Farokh DotiwalaProgram in Cellular and Molecular Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Sachin MulikProgram in Cellular and Molecular Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Rafael B PolidoroProgram in Cellular and Molecular Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0003-2982-0072
James A AnsaraProgram in Cellular and Molecular Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Barbara A BurleighDepartment of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, Massachusetts, USA.
Michael WalchDepartment of Medicine, Université de Fribourg, Fribourg, Switzerland.
Ricardo T GazzinelliFundação Oswaldo Cruz, Centro de Pesquisas René Rachou, Belo Horizonte, Brazil.
Judy LiebermanProgram in Cellular and Molecular Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Boston Children's Hospital · USHarvard University · USUniversity of Fribourg · CH

Funding

TRANSFUSION BIOLOGY AND MEDICINET32HL066987 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI JOHN P MANIS · 2001 to 2026
$10.2M
Granzyme and Granulysin Mediated Death of Trypanosoma cruziR01AI116577 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI GAZZINELLI, RICARDO TOSTES, LIEBERMAN, JUDY · 2016 to 2020
$3.2M
NHLBI NIH HHS T32 HL066987NHLBI NIH HHS T32HL066987NIAID NIH HHS R01 AI116577
6 · The paper itself

Abstract

Protozoan infections are a serious global health problem. Natural killer (NK) cells and cytolytic T lymphocytes (CTLs) eliminate pathogen-infected cells by releasing cytolytic granule contents--granzyme (Gzm) proteases and the pore-forming perforin (PFN)--into the infected cell. However, these cytotoxic molecules do not kill intracellular parasites. CD8(+) CTLs protect against parasite infections in mice primarily by secreting interferon (IFN)-γ. However, human, but not rodent, cytotoxic granules contain the antimicrobial peptide granulysin (GNLY), which selectively destroys cholesterol-poor microbial membranes, and GNLY, PFN and Gzms rapidly kill intracellular bacteria. Here we show that GNLY delivers Gzms into three protozoan parasites (Trypanosoma cruzi, Toxoplasma gondii and Leishmania major), in which the Gzms generate superoxide and inactivate oxidative defense enzymes to kill the parasite. PFN delivers GNLY and Gzms into infected cells, and GNLY then delivers Gzms to the intracellular parasites. Killer cell-mediated parasite death, which we term 'microbe-programmed cell death' or 'microptosis', is caspase independent but resembles mammalian apoptosis, causing mitochondrial swelling, transmembrane potential dissipation, membrane blebbing, phosphatidylserine exposure, DNA damage and chromatin condensation. GNLY-transgenic mice are protected against infection by T. cruzi and T. gondii, and survive infections that are lethal to wild-type mice. Thus, GNLY-, PFN- and Gzm-mediated elimination of intracellular protozoan parasites is an unappreciated immune defense mechanism.

Indexed as

Leishmania majorToxoplasmaTrypanosoma cruziAnimalsAntigens, Differentiation, T-LymphocyteChagas DiseaseGranzymesHumansKiller Cells, NaturalLeishmaniasis, CutaneousMiceMice, TransgenicPerforinT-Lymphocytes, CytotoxicToxoplasmosisAntigens, Differentiation, T-LymphocyteGNLY protein, humanGranzymesGZMA protein, humanGZMB protein, humanPerforin

Identifiers

PMID26752517
PMCPMC7325279
OpenAlexW2235205471

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.