Human mucosal associated invariant T (MAIT)CD8
IntroductionHuman mucosal associated invariant T cells (MAIT) are defined by an invariant usage of the T-cell receptor chain V␣ 7.2, restriction by the major histocompatibility complex (MHC)-related protein MR1, and most recently have been shown to exhibit high expression of the C-type lectin CD161 (CD161 ϩϩ ), and IL18R. 1 Human MAIT cells have been described to be CD8␣, CD8␣␣, or doublenegative (DN) although a differential role for these different subsets has not been explored. Independently, we have described a human tissue-homing CD161 ϩϩ CD8 ϩ T-cell subset to be Tc17 cells, enriched at inflammatory sites including liver and joints. 2 Type-17 function has been recently confirmed in the MAIT cell population. 3 CD161 ϩϩ CD8 ϩ and MAIT-cells share key differentiation factors with Th17 cells, including cytokine expression (IL-17A and IL22), transcription factors (ROR␥t and RUNX2), chemokine receptors (CCR6 and CCR2), and cytokine receptors (IL23R and IL18R). There is growing recognition that these data describe the same phenomenon in parallel or overlapping populations, although this has not been fully defined to date, and the relationship between the 2 subsets remains unclear. Given the recent emergence of these cell types in diverse diseases, including multiple sclerosis, 4 this remains a significant unanswered question.CD161 was first identified as a potential lineage identifier for human Th17 cells when it was found to be a highly up-regulated gene on microarray comparison of gene expression between Th1, Th2, and Th17 clones, and circulating Th17 cells were contained within the CCR6 ϩ CD161 ϩ CD4 ϩ population. 5 Cord blood CD161 ϩ CD4 ϩ CD8 Ϫ , CD8 ϩ CD4 Ϫ and CD4 Ϫ CD8 Ϫ TCR␣ ϩ , and TCR␥␦ ϩ cells already express IL-23R and ROR␥t mRNA, and produce IL-17, unlike their CD161 counterparts. The transcription factor ROR␥t has been defined as the driver for the hallmark features of these cells, as CD161, IL-23R, and IL-17 expression could be directly induced by RORC2 transduction of CD161-cord cells. 6 In humans, CD161/NKR-P1A encoded by the KLRB1 gene, is expressed by a wide variety of human immune cells; natural killer (NK) cells, NK T cells, CD4 ϩ T cells, CD8 ϩ T cells, and ␥␦ T cells. Lectin-like transcript-1 (LLT1) 7,8 and PILAR 9 have been identified as ligands for CD161, although the role of such ligation on CD161 ϩϩ CD8 ϩ / MAIT-cells remains to be defined.NK T cells and MAIT-cells are the only lymphocyte populations to have a restricted TCR repertoire and restricting MHC molecule that is conserved between species. NK T cells are more abundant in mice, whereas MAIT-cells are more numerous in man, representing up to 15% of human CD8 ϩ T cells. Their developmental pathways are distinct. NK T cells are selected, expand and develop their innate-like phenotype, and function before exit from the thymus. They already express the transcription factor ZBTB16, which is crucial for their ready innate/effector functions. 10-12 MAIT-cells are naive and low in number i...