A cytotoxic T lymphocyte (CTL) kills an infected or tumorigenic cell by Ca 2+-dependent exocytosis of cytolytic granules at the immunological synapse formed between the two cells. Although inositol 1,4,5-trisphosphate (IP 3)-mediated Ca 2+ release from the endoplasmic reticulum activates the store-operated Ca 2+-influx pathway that is necessary for exocytosis, it is not a sufficient stimulus [ 1–4]. Here we identify the Ca 2+-mobilizing messenger nicotinic acid adenine dinucleotide phosphate (NAADP) and its recently identified molecular target, two-pore channels (TPCs) [ 5–7], as being important for T cell receptor signaling in CTLs. We demonstrate that cytolytic granules are not only reservoirs of cytolytic proteins but are also the acidic Ca 2+ stores mobilized by NAADP via TPC channels on the granules themselves, so that TPCs migrate to the immunological synapse upon CTL activation. Moreover, NAADP activates TPCs to drive exocytosis in a way that is not mimicked by global Ca 2+ signals induced by IP 3 or ionomycin, suggesting that critical, local Ca 2+ nanodomains around TPCs stimulate granule exocytosis. Hence, by virtue of the NAADP/TPC pathway, cytolytic granules generate Ca 2+ signals that lead to their own exocytosis and to cell killing. This study highlights a selective role for NAADP in stimulating exocytosis crucial for immune cell function and may impact on stimulus-secretion coupling in wider cellular contexts.
► The T cell receptor mobilizes acidic Ca 2+ stores via NAADP/two-pore channels (TPCs) ► Exocytotic granules are themselves acidic Ca 2+ stores decorated with TPCs ► TPCs move to the immunological synapse upon TCR activation ► NAADP stimulates exocytosis more efficiently than does IP 3/Ca 2+ influx alone