RT Journal Article SR Electronic T1 Transcriptome and Function of Novel Immunosuppressive Autoreactive Invariant Natural Killer T Cells That Are Absent in Progressive Multiple Sclerosis JF Neurology - Neuroimmunology Neuroinflammation JO Neurol Neuroimmunol Neuroinflamm FD Lippincott Williams & Wilkins SP e1065 DO 10.1212/NXI.0000000000001065 VO 8 IS 6 A1 Belinda Carrión A1 Yawei Liu A1 Mahdieh Hadi A1 Jon Lundstrom A1 Jeppe Romme Christensen A1 Cecilie Ammitzbøll A1 Morten Hanefeld Dziegiel A1 Per Soelberg Sørensen A1 Manuel Comabella A1 Xavier Montalban A1 Finn Sellebjerg A1 Shohreh Issazadeh-Navikas YR 2021 UL http://nn.neurology.org/content/8/6/e1065.abstract AB Background and Objective The aim of this study was to determine whether natural killer T (NKT) cells, including invariant (i) NKT cells, have clinical value in preventing the progression of multiple sclerosis (MS) by examining the mechanisms by which a distinct self-peptide induces a novel, protective invariant natural killer T cell (iNKT cell) subset.Methods We performed a transcriptomic and functional analysis of iNKT cells that were reactive to a human collagen type II self-peptide, hCII707-721, measuring differentially induced genes, cytokines, and suppressive capacity.Results We report the first transcriptomic profile of human conventional vs novel hCII707-721–reactive iNKT cells. We determined that hCII707-721 induces protective iNKT cells that are found in the blood of healthy individuals but not progressive patients with MS (PMS). By transcriptomic analysis, we observed that hCII707-721 promotes their development and proliferation, favoring the splicing of full-length AKT serine/threonine kinase 1 (AKT1) and effector function of this unique lineage by upregulating tumor necrosis factor (TNF)-related genes. Furthermore, hCII707-721–reactive iNKT cells did not upregulate interferon (IFN)-γ, interleukin (IL)-4, IL-10, IL-13, or IL-17 by RNA-seq or at the protein level, unlike the response to the glycolipid alpha-galactosylceramide. hCII707-721–reactive iNKT cells increased TNFα only at the protein level and suppressed autologous-activated T cells through FAS-FAS ligand (FAS-FASL) and TNFα-TNF receptor I signaling but not TNF receptor II.Discussion Based on their immunomodulatory properties, NKT cells have a potential value in the treatment of autoimmune diseases, such as MS. These significant findings suggest that endogenous peptide ligands can be used to expand iNKT cells, without causing a cytokine storm, constituting a potential immunotherapy for autoimmune conditions, including PMS.AKT1=AKT serine/threonine kinase 1; cDMEM=complete Dulbecco's Modified Eagle Medium; CFSE=carboxyfluorescein succinimidyl ester; convT=conventional CD4+ T cells; DMEM=Dulbecco's Modified Eagle Medium; DN=double-negative; EAE=experimental autoimmune encephalomyelitis; FACS=fluorescence-activated cell sorting; FAS-FASL=FAS-FAS ligand; FDR=false discovery rate; GSEA=gene set enrichment analysis; HC=healthy control; HD=healthy donor; IFN=interferon; IL=interleukin; iNKT cell=invariant natural killer T cell; MS=multiple sclerosis; NKT=natural killer T cell; PMS=progressive MS, including PPMS and SPMS; PBMC=peripheral blood mononuclear cell; PPMS=primary progressive MS; RRMS=relapsing-remitting MS; SPMS=secondary progressive MS; TNF=tumor necrosis factor; TNFRI=TNF receptor I; TNFRII=TNF receptor II; α-Galcer=alpha-galactosylceramide; 7AAD=7-aminoactinomycin D