The components within cytotoxic lymphocyte granules are responsible for a s
ignificant fraction of T and NK cell-mediated death. Perforin is stored in
these granules together with calreticulin, Calreticulin has long been recog
nized as a chaperone protein of the endoplasmic reticulum (ER) and is the o
nly resident ER protein to be found in the cytotoxic granules. Here we impl
icate a role for calreticulin in killing and report that it controls osmoti
c lysis mediated by purified perforin, Calreticulin, at a concentration of
2.2 x 10(-7) M, completely blocked perforin-mediated lysis, Inhibition was
stable and held over 5 h. Recombinant calreticulin, at a concentration of 8
.8 x 10-7 M, also blocked lysis, indicating the inhibition was due to calre
ticulin and not a copurifying protein in the native calreticulin preparatio
ns. Using calreticulin domain fragments (expressed as GST fusion proteins),
we found inhibitory activity in the high capacity calcium-binding C-domain
, which does not bind perforin, The N- or P domains, which can bind perfori
n, were unable to block lysis, The inhibition of lysis was independent of g
ranzyme inactivation or the ability of calreticulin to sequester calcium. O
ur data indicate that calreticulin regulation of perforin-mediated lysis pr
obably occurs without direct interaction with perforin. We propose a novel
model in which calreticulin stabilizes membranes to prevent polyperforin po
re formation.