A subset of follicular helper-like MAIT cells can provide B cell help and support antibody production in the mucosa

We identify a MAIT cell subset expressing T follicular helper markers and show the ability of MAIT cells to support B cell responses in the mucosa.

Human MAIT Cells Respond to Staphylococcus aureus with Enhanced Anti-Bacterial Activity

Mucosal-Associated Invariant T (MAIT) cells have been shown to play protective roles during infection with diverse pathogens through their propensity for rapid innate-like cytokine production and cytotoxicity. Among the potential applications for MAIT cells is to defend against Staphylococcus aureus, a pathogen of serious clinical significance. However, it is unknown how MAIT cell responses to S. aureus are elicited, nor has it been investigated whether MAIT cell cytotoxicity is mobilized against intracellular S. aureus. In this study, we investigate the capacity of human MAIT cells to respond directly to S. aureus. MAIT cells co-cultured with dendritic cells (DCs) infected with S. aureus rapidly upregulate CD69, express IFNγ and Granzyme B and degranulate. DC secretion of IL-12, but not IL-18, was implicated in this immune response, while TCR binding of MR1 is required to commence cytokine production. MAIT cell cytotoxicity resulted in apoptosis of S. aureus-infected cells, and reduced intracellular persistence of S. aureus. These findings implicate these unconventional T cells in important, rapid anti-S. aureus responses that may be of great relevance to the ongoing development of novel anti-S. aureus treatments.

Activation and Functional Alteration of Mucosal-Associated Invariant T Cells in Adult Patients With Community-Acquired Pneumonia

Community-acquired pneumonia (CAP) remains the significant infectious cause of morbidity and mortality worldwide. Although mucosal-associated invariant T cells (MAIT) play roles in the pathogenesis of children CAP and ICU-associated pneumonia, their roles in adult CAP are largely unexplored. In this study, we investigated the frequency, phenotype, and function of MAIT cells in peripheral blood and bronchoalveolar lavage fluid (BALF) of adult CAP patients. Our data indicate that MAIT-cell frequency is profoundly lower in the peripheral blood of CAP patients compared to that in healthy individuals. Furthermore, the circulatory MAIT cells express higher levels of CD69 and PD-1 compared to those in healthy individuals. In BALF of CAP patients, MAIT-cell frequency is higher and MAIT cells express higher levels of CD69 and PD-1 compared to their matched blood counterparts. Levels of IL-17A and IFN-γ are increased in BALF of CAP patients compared to those in BALF of patients with pulmonary small nodules. The IL-17A/IFN-γ ratio is significantly positively correlated with MAIT frequency in BALF of CAP patients, suggesting a pathogenic role of MAIT-17 cells in CAP. Of note, blood MAIT-cell frequency in CAP patients is strongly negatively correlated with high-sensitivity C-reactive protein (hsCRP) and neutrophil count percentage in blood. The ability of circulating MAIT cells in CAP patients to produce IFN-γ is significantly impaired compared to those in healthy individuals. In summary, our findings suggest the possible involvement of MAIT cells in the immunopathogenesis of adult CAP.

Clostridioides difficile Toxin CDT Induces Cytotoxic Responses in Human Mucosal-Associated Invariant T (MAIT) Cells

Clostridioides difficile is the major cause of antibiotic-associated colitis (CDAC) with increasing prevalence in morbidity and mortality. Severity of CDAC has been attributed to hypervirulent C. difficile strains, which in addition to toxin A and B (TcdA, TcdB) produce the binary toxin C. difficile transferase (CDT). However, the link between these toxins and host immune responses as potential drivers of immunopathology are still incompletely understood. Here, we provide first experimental evidence that C. difficile toxins efficiently activate human mucosal-associated invariant T (MAIT) cells. Among the tested toxins, CDT and more specifically, the substrate binding and pore-forming subunit CDTb provoked significant MAIT cell activation resulting in selective MAIT cell degranulation of the lytic granule components perforin and granzyme B. CDT-induced MAIT cell responses required accessory immune cells, and we suggest monocytes as a potential CDT target cell population. Within the peripheral blood mononuclear cell fraction, we found increased IL-18 levels following CDT stimulation and MAIT cell response was indeed partly dependent on this cytokine. Surprisingly, CDT-induced MAIT cell activation was found to be partially MR1-dependent, although bacterial-derived metabolite antigens were absent. However, the role of antigen presentation in this process was not analyzed here and needs to be validated in future studies. Thus, MR1-dependent induction of MAIT cell cytotoxicity might be instrumental for hypervirulent C. difficile to overcome cellular barriers and may contribute to pathophysiology of CDAC.

Transcriptomes and metabolism define mouse and human MAIT cell heterogeneity

Mucosal-associated invariant T (MAIT) cells are a subpopulation of T lymphocytes that respond to microbial metabolites. We performed single-cell RNA sequencing and metabolic analyses of MAIT cell subsets in thymus and peripheral tissues from mice and humans to define the heterogeneity and developmental pathway of these innate-like lymphocytes. We show that the predominant mouse subset, which produces IL-17 (MAIT17), and the subset that produces IFNγ (MAIT1), have greatly different transcriptomes and metabolic states in the thymus and periphery. A splenic MAIT subset has a transcriptome similar to circulating lymphocytes, and in mice these also are found in recent thymic emigrants, suggesting partially mature cells emigrate from the thymus. Human MAIT cells are predominantly MAIT1 cells, but have a different metabolism from their mouse counterparts with increased fatty acid uptake and storage. Although mouse and human subsets are similar in thymus, in the periphery they diverge, likely reflecting environmental influences.

Harnessing the Potential of MAIT Cells as Cellular Adjuvants in Mucosal Vaccines

<p>The development of vaccines is considered one of the most successful medical interventions to date, preventing millions of deaths every year. However, the majority of vaccines are administered peritoneally, despite the vast majority of pathogens invade the human host at mucosal sites. By vaccinating at distal sites, little to no protection is developed at the mucosa where the initial invasion occurs. There are however, a handful of licenced mucosally administered vaccines against infections such as poliovirus, influenza and Salmonella Typhi that are able to induce both a systemic and mucosal protective immune response. All but one of the current licenced mucosal vaccines are live attenuated due in part to the difficulty of developing new mucosal adjuvants. Recombinant cholera toxin subunit B is the only adjuvant used in the current licenced mucosal vaccines. While inactivated and subunit vaccines are considered safer as they are unable to revert back to virulent pathogens, adjuvants are required to boost their immunogenicity. This thesis therefore explores whether mucosal-associated invariant T (MAIT) cells which are found in mucosal tissues, are invariant in nature and have rapid activation, could be exploited as cellular adjuvants in mucosal vaccines. This thesis was able to show that intranasally administered MAIT cell agonist components, 5-A-RU and methylglyoxal (MG), are able to induce both MAIT cell and conventional dendritic cell (cDC) activation in the lung tissue and mediastinal lymph node (mLN). In this model CD40L and RANKL co-stimulatory interactions are involved in ICOSL expression on cDCs in the lung and associated with cDC activation. The MAIT cells within this model also maintained a RORyT and GATA3 phenotype after both one and three doses of the 5-A-RU + MG vaccine. Furthermore, a prime-boost intranasal vaccine scheme of 5-A-RU + MG and the model antigen OVA, was able to induce MR1-dependent accumulation of TFH cells and antigen-specific germinal center B cells in the mLN along with systemic antigen-specific IgG antibody production. This humoral response was also dependent on the presence of both cDC1 and cDC2 populations. Together, this thesis suggests MAIT cells have the potential to be utilised as cellular adjuvants in mucosal vaccines.</p>

Harnessing the Potential of MAIT Cells as Cellular Adjuvants in Mucosal Vaccines

<p>The development of vaccines is considered one of the most successful medical interventions to date, preventing millions of deaths every year. However, the majority of vaccines are administered peritoneally, despite the vast majority of pathogens invade the human host at mucosal sites. By vaccinating at distal sites, little to no protection is developed at the mucosa where the initial invasion occurs. There are however, a handful of licenced mucosally administered vaccines against infections such as poliovirus, influenza and Salmonella Typhi that are able to induce both a systemic and mucosal protective immune response. All but one of the current licenced mucosal vaccines are live attenuated due in part to the difficulty of developing new mucosal adjuvants. Recombinant cholera toxin subunit B is the only adjuvant used in the current licenced mucosal vaccines. While inactivated and subunit vaccines are considered safer as they are unable to revert back to virulent pathogens, adjuvants are required to boost their immunogenicity. This thesis therefore explores whether mucosal-associated invariant T (MAIT) cells which are found in mucosal tissues, are invariant in nature and have rapid activation, could be exploited as cellular adjuvants in mucosal vaccines. This thesis was able to show that intranasally administered MAIT cell agonist components, 5-A-RU and methylglyoxal (MG), are able to induce both MAIT cell and conventional dendritic cell (cDC) activation in the lung tissue and mediastinal lymph node (mLN). In this model CD40L and RANKL co-stimulatory interactions are involved in ICOSL expression on cDCs in the lung and associated with cDC activation. The MAIT cells within this model also maintained a RORyT and GATA3 phenotype after both one and three doses of the 5-A-RU + MG vaccine. Furthermore, a prime-boost intranasal vaccine scheme of 5-A-RU + MG and the model antigen OVA, was able to induce MR1-dependent accumulation of TFH cells and antigen-specific germinal center B cells in the mLN along with systemic antigen-specific IgG antibody production. This humoral response was also dependent on the presence of both cDC1 and cDC2 populations. Together, this thesis suggests MAIT cells have the potential to be utilised as cellular adjuvants in mucosal vaccines.</p>

693 Mucosal-associated invariant T (MAIT) cell regulation networks in anti-tumor immunity

BackgroundMAIT cells are MR1-restricted innate-like T cells that recognize non-peptide antigens including riboflavin derivates. They account for up to 10 % of circulating T cells, but they are further enriched at mucosal sites and the liver. On one hand, altered MAIT number and function have been reported in liver cancer with MAITs correlating with poor clinical outcome. On the other hand, we recently demonstrated that MAIT cells can potentially have anti-tumor activity suggesting them as a novel target for cancer immunotherapy. Yet, the cellular and humoral factors that determine MAIT cell fate in the context of malignancies remain largely unknown.MethodsHighly multiplexed immunofluorescence-based CODEX imaging and high-dimensional flow cytometry was used to analyze MAIT cell infiltration and phenotype in human HCC samples. We recently developed an experimental framework to manipulate MAIT cells in vivo using VitaminB2 synthesis pathway-derived antigen 5-(2-oxopropylideneamino)-6-D-ribitylaminouracil (5-OP-RU) in combination with Toll-like receptor 9 agonist CpG. Next, we used murine models of orthotopic primary liver cancer and liver metastasis across two different mouse strains, to assess anti-tumor activity of MAIT cells. A series of pharmacological depletion experiments and genomic knockout mouse strains were used to identify additional effector immune cells and humoral factors mediating the anti-tumor effect.ResultsUsing flow cytometry and spatially resolved analysis of multiplexed CODEX microscopy images, we found impaired infiltration and altered phenotype of MAIT cells in human HCC tumors compared to unaffected liver tissue. Thus, we sought out to experimentally increase MAIT cell infiltration into liver cancers using murine models. Co-administration of 5-OP-RU + CpG induced a strong systemic in vivo expansion and activation of MAIT cells with Th1/NK-like polarization. We found MAIT cells to be potent orchestrators of anti-tumor function in vivo when activated by a combination of 5-OP-RU + CpG. MAIT-directed 5-OP-RU/CpG showed pronounced and consistent anti-tumor activity against different models of liver cancer and prolonged mouse survival. Importantly, such tumor inhibition was absent in MAIT-deficient MR1 k.o. mice but nor dependent on MR1 expression on tumor cells. Additional pharmacological depletion studies/genomic k.o. models helped to identify antigen presenting cells, downstream effector cells as well as co-stimulatory cytokines as critical components needed for MAIT-induced tumor suppression.ConclusionsMAIT cells are important players in cancer immunology and represent an attractive novel target for cancer immunotherapy. Fine-tuned, context-dependent mechanisms determine MAIT-cell fate in vivo as they undergo a phenotypic switch upon 5-OP-RU and CpG treatment enabling them to exert potent anti-tumor function.