The ageing process is associated with a progressive increase in the nu
mber of circulating NK cells, together with a decreased lytic activity
per cell. A similar decrease in activity was also found for CD8 lymph
ocytes. Cytotoxic T- and NK cells express cytoplasm granules containin
g cytolytic effector molecules (as perforins, studied here) which can
recognize and destroy damaged, infected and/or mutated target cells. T
o investigate whether an altered distribution of perforins in cytolyti
c cells or a reduced number of cytolytic cells producing perforins und
erlies decreased cytolytic activity with advancing age, perforin expre
ssion was assessed at the single cell level in T- (CD4 and CD8) and NK
(CD16) peripheral blood lymphocytes from elderly subjects by flow cyt
ometry. Perforin distribution at the cellular level in CD8+ and CD16cell cytoplasm suggested a similar distribution during ageing and a si
milar number of cells producing perforins. In addition, perforin utili
zation was maintained in the generation of cytolytic activity against
K562 target cells and perforin synthesis in culture following activati
on was unabated. These data stress the importance of other factors, su
ch as defective signal transduction for granule exocytosis, that may a
ccount for the different pattern of lytic activity found in aged peopl
e. (C) 1996 Elsevier Science Ireland Ltd.