Abstract Invariant natural killer T (iNKT) cells are a group of innate-like T cells recognizing lipid Ags and plays important roles in immune responses. We found iNKT cells, compared to CD4T cells, have significantly higher level of lipid peroxidation, lower labile iron pool, and higher level of Gluthathione peroxidase 4 (GPX4), a major antioxidant enzyme protecting cells from ferroptosis. T cell-specific KO of Gpx4 reduced iNKT cells, especially NKT1 cells, the IFNg producing subset. RNAseq revealed Th1 pathway, cell cycle, and mitochondrial function are perturbed by Gpx4 deletion in iNKT cells. Indeed, we detected impaired cytokine production, elevated cell proliferation and cell death, accumulation of lipid peroxides and mitochondrial ROS in Gpx4 KO iNKT cells. Ferroptosis inhibitor, iron chelator, vitamins E, and mitochondrial antioxidant (MitoQ) prevented the ferroptotic cell death induced by Gpx4 inhibition in iNKT. Moreover, the function of the Gpx4 KO iNKT cells can be restored by antioxidants or iron chelator. Notably, vitamin E rescued iNKT cells at homeostasis in Gpx4KO mice. Furthermore, vitamin K2 prevented the cell death and restored the cytokine production in Gpx4-cKO iNKT cells in vitro, and it also recovered the percentage of iNKT1 in Gpx4 cKO mice when administrated in vivo, consistent with a protective role of vitamin K cycle during ferroptosis.
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