Exosite-mediated targeting of GSDMB by dimeric granzyme A in lymphocyte pyroptotic killing

Immunity. 2026 Feb 10;59(2):257-269.e6. doi: 10.1016/j.immuni.2025.12.009. Epub 2026 Jan 26.

Abstract

In cellular immunity, cytotoxic lymphocytes employ granzyme A (GZMA) to cleave and activate the pore-forming protein gasdermin B (GSDMB) for the pyroptotic killing of target cells. How GZMA recognizes and cleaves GSDMB is unknown. Here, we show that human GZMA targets GSDMB via specific, high-affinity binding to its autoinhibitory GSDMB-C domain. This binding requires the dimerization of GZMA, a unique property among human granzymes. A crystal structure of the GZMA-GSDMB-C complex shows a 2:2 stoichiometry, featuring an exosite at each of the two symmetric dimer interfaces in GZMA. The exosite engages a two-loop-organized site in the GSDMB-C domain, rendering a functional cleavage at Lys244 in GSDMB. Mouse GZMA (mGZMA) adopts a similar dimer structure, but its exosite is less efficient in engaging GSDMB. Mutation of the exosite enabled mGZMA to efficiently cleave and activate GSDMB. Our study reveals a substrate-targeting mechanism used by lymphocyte-derived granzymes to kill target cells.

Keywords: cell killing; cytotoxic lymphocytes; exosite; gasdermin B; granzyme A; pyroptosis.

MeSH terms

  • Animals
  • Crystallography, X-Ray
  • Gasdermins
  • Granzymes* / chemistry
  • Granzymes* / genetics
  • Granzymes* / metabolism
  • Humans
  • Mice
  • Neoplasm Proteins* / chemistry
  • Neoplasm Proteins* / metabolism
  • Protein Binding
  • Protein Multimerization
  • T-Lymphocytes, Cytotoxic* / immunology

Substances

  • Granzymes
  • Gasdermins
  • GSDMB protein, human
  • Neoplasm Proteins
  • GZMA protein, human