IntroductionConventional TCR␣ ϩ T cells undergo thymic selection, which in healthy individuals provides a diverse TCR repertoire capable of binding peptide antigens presented by polymorphic MHC molecules, without inducing autoimmunity. 1 In contrast, subsets of innate-like TCR␣ ϩ cells express invariant or semi-invariant TCRs that respond to conserved ligands presented by 'nonclassic' nonpolymorphic MHC-like molecules. [2][3][4] Subsets of memory T cells have been described within both the conventional and innate-like TCR␣ ϩ CD8␣ ϩ T-cell compartments that differ in TCR repertoire, homing, effector function, and the capacity to protect against specific pathogens. [5][6][7][8][9] We identified a subset of human TCR␣ ϩ CD8␣ ϩ T cells characterized by expression of high levels of CD161 and costimulatory molecules, and showed these cells have an increased capacity for rapid ABCB1-mediated efflux of cytotoxic drugs and chemotherapy resistance. 10 CD161 hi CD8␣ ϩ memory T cells, in contrast to their CD161 lo counterparts, were found by others to predominantly express TCRs composed of the invariant V␣7.2-J␣33 TCR␣ chain and a limited repertoire of TCR chains, and to be activated in the presence of microbes through recognition of the nonpolymorphic MHC class Ib molecule, MR1. 4,[11][12][13][14][15] CD161 hi cells are prevalent in blood, and localize to extra-nodal tissues, including the liver and gastrointestinal mucosa, leading to their designation as mucosal-associated invariant T (MAIT) cells. 10,11,14,16 CD161 hi CD8␣ ϩ cells express high levels of ROR␥, and in addition to IFN-␥, a subset secretes IL-17 in response to mitogen stimulation. 16 Collectively, these results led to the hypothesis that CD161 hi CD8␣ ϩ cells preferentially contribute to prevention of mucosal bacterial and yeast infection, in contrast to their CD161 lo counterparts that control viral infections. 4,11,12 CD161 hi CD8␣ ϩ T cells are found at low frequency in umbilical cord blood (UCB) but their numbers increase rapidly after birth in response to gastrointestinal colonization. 14,15,17 Accumulation of the homologous murine V␣19 ϩ subset is dependent on MR1, suggesting that proliferation is induced by cognate semi-invariant TCR ligation mediated by MR1. In adults, the CD161 hi CD8␣ ϩ subset is maintained at high frequency, but contains a very low fraction of Ki-67 ϩ cells and proliferates and produces cytokines poorly to anti-CD3 monoclonal antibody (␣CD3) stimulation. 10,18 The mechanisms responsible for this seemingly dichotomous response of neonatal and adult CD161 hi cells and the signals required to activate effector function in adult CD161 hi T cells are unknown. Using gene expression profiling and functional assays of purified T-cell subsets, we show that TCR signaling and effector function of CD161 hi CD8␣ ϩ T cells in adults is subject to regulation that is distinct from that in CD161 lo CD8␣ ϩ T cells and UCB CD161 hi cells. TCR signaling could be augmented by costimulation through CD28 or innate cytokine receptors, which, dependi...