Arshad and Cresswell investigated the effects on peptide:MHC I presentation of two naturally occurring frameshift (FS) mutations in calreticulin (CRT), a critical component of the peptide-loading complex (PLC). The researchers found that lack of CRT expression or expression of CRT-FS alone reduces the presence of surface MHC-I. Mechanistically, CRT-FS was still found to associate with MHC-I, but its ability to interact with the PLC and facilitate high-affinity peptide loading on MHC-I was impaired, leading to assembly of low-affinity, unstable MHC-I:peptide complexes that less successfully migrate to the cell surface.
Major histocompatibility complex-I-beta2m dimers (MHC-I) bind peptides derived from intracellular proteins, enabling the immune system to distinguish between normal cells and those expressing pathogen-derived or mutant proteins. The peptides bind to MHC-I in the endoplasmic reticulum (ER), and this binding is facilitated by the peptide-loading complex (PLC), which contains calreticulin (CRT). CRT associates with MHC-I via a conserved glycan present on MHC-I and recruits it to the PLC for peptide binding. Somatic frameshift mutations in CRT (CRT-FS) drive the proliferation of a subset of myeloproliferative neoplasms (MPNs), which are chronic blood tumors. All CRT-FS proteins have a C-terminal sequence lacking the normal ER-retention signal and possessing a net negative charge rather than the normal positive charge. We characterized the effect of CRT-FS on antigen presentation by MHC-I in human cells. Our results indicate that CRT-FS cannot mediate CRT's peptide-loading function in the PLC. Cells lacking CRT exhibited reduced surface MHC-I levels, consistent with reduced binding of high-affinity peptides, and this was not reversed by CRT-FS expression. CRT-FS was secreted and not detectably associated with the PLC, leading to poor MHC-I recruitment even though CRT-FS could still associate with MHC-I in a glycan-dependent manner. Addition of an ER-retention sequence to CRT-FS restored its association with the PLC, but did not rescue MHC-I recruitment or its surface expression, indicating that the CRT-FS mutants functionally compromise the PLC. MHC-I down-regulation permits tumor cells to evade immune surveillance, and these findings may therefore be relevant for designing effective immunotherapies for managing MPNs.