It is worth noting that although perforin is essential for the cytotoxicity function of granzyme B, more and more evidences have shown that besides NK and T cells, non-cytotoxicity cells such as keratinocytes, mast cells and breast cancer cells also express granzyme B while no perforin is expressed [32], suggesting granzyme B alone can function as an extracellular protease to cleave pro-IL-1α released from the dead cells to mature IL-1α, thus boosting the inflammatory responses [33]. The gene discussed is IL1A; the disease is breast cancer.