Abstract

Invariant natural killer T (iNKT) cells are innate-like T lymphocytes cells that recognize glycolipid antigens associated with CD1d, non-classical antigen presenting proteins. They can drive either pro-inflammatory (Th-1) or anti-inflammatory (Th-2) immune microenvironment through the production of both Th-1 and Th-2 type cytokines upon activation, thus play a vital role in cancer, infection, and autoimmune diseases. Adoptive cell therapy using ex vivo expanded iNKT cells is a promising approach to enhance anti-tumor immunity or immunosuppression. However, overcoming phenotypic and functional heterogeneity and promoting in vivo persistency of iNKT cells remains to be a challenge. Here, we compared various methods for ex vivo expansion of human iNKT cells and assessed the quality of expansion, phenotype, and cytokine production profile of expanded iNKT cells. While a direct stimulation of iNKT cells in peripheral blood mononuclear cells with agonist glycolipid led to the expansion of iNKT cells in varying degrees, stimulation of enriched iNKT cells by irradiated autologous peripheral blood mononuclear cells or allogeneic dendritic cells resulted in consistent expansion of highly pure iNKT cells. Interestingly, the mode of antigenic stimulation influenced the dominant subtype of expanded iNKT cells. Further, we evaluated whether additional IL-7 or IL-15 during antigenic stimulation with allogeneic dendritic cells can improve the phenotypic heterogeneity and modify cytokine production profile of iNKT cells expanded from 18 consecutive donors. The presence of IL-7 or IL-15 during antigenic stimulation did not affect the fold of expansion or purity of expanded iNKT cells. However, IL-7, but not IL-15, led to a better expansion of CD4+ iNKT cells, enhanced Th-2 type cytokine production of CD4+ iNKT cells, and maintained the expansion of central memory (CD45RA-CD62L+) CD4+ iNKT cells. Our results suggest the addition of IL-7 during antigenic stimulation with allogeneic dendritic cells can promote the expansion of CD62L+Th-2+CD4+ human iNKT cells that can be used as novel immunotherapeutic to control excessive inflammation to treat various autoimmune diseases.

Highlights

  • Invariant natural killer T cells are an innate lineage of Tcells that express a semi-invariant T-cell receptor (TCR) specific for glycolipid antigens presented by CD1d [1]

  • We evaluated various strategies to expand Invariant natural killer T (iNKT) cells and investigated if additional homeostatic growth factors such as IL-7 or IL-15 during antigenic stimulation improve the selective expansion of CD4+ or CD4- iNKT cells and influences Th-1 vs Th-2-type cytokine production of expanded iNKT cells

  • As iNKT cells are considered as innate memory T cells, it is feasible to expand iNKT cells from peripheral blood mononuclear cells (PBMCs) by adding aGalCer and IL-2, the growth factor for T cells

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Summary

Introduction

Invariant natural killer T (iNKT) cells are an innate lineage of Tcells that express a semi-invariant T-cell receptor (TCR) specific for glycolipid antigens presented by CD1d [1]. The two main subsets, CD4+ and CD4- iNKT cells, differ in their expression of Th-1 vs Th-2 type cytokines, effector molecules, and homing receptors [9,10,11]. CD4iNKT cells express a higher level of various natural killer receptors such as CD56, CD161, and NKG2D, and show greater cytotoxic activity than CD4+ iNKT cells. CD4+ iNKT cells are better producers of Th-2 type cytokines such as IL-4 and IL-13 than CD4- iNKT cells while producing similar levels of Th-1 type cytokines. These findings suggest that CD4- iNKT cells may function as better effectors, whereas CD4+ iNKT cells may serve as better immunoregulators to control the immune microenvironment. As expanded human iNKT cells can be used as adoptive cell therapy to modulate adaptive immune cells to enhance anti-tumor immunity or immune-regulation [12, 13], it may be critical to obtaining a homogeneous population of iNKT cells that is optimized for either effector function (Th-1 polarized CD4- iNKT cells) or regulatory function (Th-2 polarized CD4+ iNKT cells) in high purity with a clinically meaningful number

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