Abstract
Invariant natural killer T (iNKT) cells are CD1d-restricted T cells with regulatory functions. iNKT cells are numerically and functionally deficient in experimental models of type 1 diabetes mellitus (T1DM). Moreover, various experimental strategies correcting the defect of or stimulating iNKT cells prevent T1DM. Here, we review the data on the role of iNKT cells in the development of T1DM and discuss indications, obstacles and prospects of the use of iNKT cell manipulations in the prevention and treatment of human T1DM.
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References
Atkinson MA, Eisenbarth GS (2001) Type 1 diabetes: new perspectives on disease pathogenesis and treatment. Lancet 358(9277):221–229
Zimmet PZ, Tuomi T, Mackay IR et al (1994) Latent autoimmune diabetes mellitus in adults (LADA): the role of antibodies to glutamic acid decarboxylase in diagnosis and prediction of insulin dependency. Diabet Med 11(3):299–303
Ziegler AG, Nepom GT (2010) Prediction and pathogenesis in type 1 diabetes. Immunity 32(4):468–478
Todd JA (2010) Etiology of type 1 diabetes. Immunity 32(4):457–467
Skowera A, Ellis RJ, Varela-Calvino R et al (2008) CTLs are targeted to kill beta cells in patients with type 1 diabetes through recognition of a glucose-regulated preproinsulin epitope. J Clin Invest 118(10):3390–3402
Payton MA, Hawkes CJ, Christie MR (1995) Relationship of the 37,000- and 40,000-M(r) tryptic fragments of islet antigens in insulin-dependent diabetes to the protein tyrosine phosphatase-like molecule IA-2 (ICA512). J Clin Invest 96(3):1506–1511
Panina-Bordignon P, Lang R, van Endert PM et al (1995) Cytotoxic T cells specific for glutamic acid decarboxylase in autoimmune diabetes. J Exp Med 181(5):1923–1927
Di Lorenzo TP, Peakman M, Roep BO (2007) Translational mini-review series on type 1 diabetes: systematic analysis of T cell epitopes in autoimmune diabetes. Clin Exp Immunol 148(1):1–16
Haskins K, Cooke A (2011) CD4 T cells and their antigens in the pathogenesis of autoimmune diabetes. Curr Opin Immunol 23(6):739–745
Wenzlau JM, Liu Y, Yu L et al (2008) A common nonsynonymous single nucleotide polymorphism in the SLC30A8 gene determines ZnT8 autoantibody specificity in type 1 diabetes. Diabetes 57(10):2693–2697
Roep BO, Peakman M (2011) Diabetogenic T lymphocytes in human Type 1 diabetes. Curr Opin Immunol 23(6):746–753
Silveira PA, Johnson E, Chapman HD, Bui T, Tisch RM, Serreze DV (2002) The preferential ability of B lymphocytes to act as diabetogenic APC in NOD mice depends on expression of self-antigen-specific immunoglobulin receptors. Eur J Immunol 32(12):3657–3666
van Belle TL, Coppieters KT, von Herrath MG (2011) Type 1 diabetes: etiology, immunology, and therapeutic strategies. Physiol Rev 91(1):79–118
Battaglia M, Roncarolo MG (2011) Immune intervention with T regulatory cells: past lessons and future perspectives for type 1 diabetes. Semin Immunol 23(3):182–194
Bluestone JA, Tang Q, Sedwick CE (2008) T regulatory cells in autoimmune diabetes: past challenges, future prospects. J Clin Immunol 28(6):677–684
Fletcher MT, Baxter AG (2009) Clinical application of NKT cell biology in type I (autoimmune) diabetes mellitus. Immunol Cell Biol 87(4):315–323
Novak J, Griseri T, Beaudoin L, Lehuen A (2007) Regulation of type 1 diabetes by NKT cells. Int Rev Immunol 26(1–2):49–72
Godfrey DI, MacDonald HR, Kronenberg M, Smyth MJ, Van Kaer L (2004) NKT cells: what’s in a name? Nat Rev Immunol 4(3):231–237
Bendelac A, Savage PB, Teyton L (2007) The biology of NKT Cells. Annu Rev Immunol 25:297–336
Kawano T, Cui J, Koezuka Y et al (1997) CD1d-restricted and TCR-mediated activation of valpha14 NKT cells by glycosylceramides. Science 278(5343):1626–1629
Benlagha K, Weiss A, Beavis A, Teyton L, Bendelac A (2000) In vivo identification of glycolipid antigen-specific T cells using fluorescent CD1d tetramers. J Exp Med 191(11):1895–1903
Matsuda JL, Naidenko OV, Gapin L et al (2000) Tracking the response of natural killer T cells to a glycolipid antigen using CD1d tetramers. J Exp Med 192(5):741–754
Matsuda JL, Mallevaey T, Scott-Browne J, Gapin L (2008) CD1d-restricted iNKT cells, the ‘Swiss-Army knife’ of the immune system. Curr Opin Immunol 20(3):358–368
Godfrey DI, Stankovic S, Baxter AG (2010) Raising the NKT cell family. Nat Immunol 11(3):197–206
Lee PT, Benlagha K, Teyton L, Bendelac A (2002) Distinct functional lineages of human V(alpha)24 natural killer T cells. J Exp Med 195(5):637–641
Crowe NY, Coquet JM, Berzins SP et al (2005) Differential antitumor immunity mediated by NKT cell subsets in vivo. J Exp Med 202(9):1279–1288
Terashima A, Watarai H, Inoue S et al (2008) A novel subset of mouse NKT cells bearing the IL-17 receptor B responds to IL-25 and contributes to airway hyperreactivity. J Exp Med 205(12):2727–2733
Michel ML, Keller AC, Paget C et al (2007) Identification of an IL-17-producing NK1.1(neg) iNKT cell population involved in airway neutrophilia. J Exp Med 204(5):995–1001
Laloux V, Beaudoin L, Ronet C, Lehuen A (2002) Phenotypic and functional differences between NKT cells colonizing splanchnic and peripheral lymph nodes. J Immunol 168(7):3251–3258
Brunkow ME, Jeffery EW, Hjerrild KA et al (2001) Disruption of a new forkhead/winged-helix protein, scurfin, results in the fatal lympho proliferative disorder of the scurfy mouse. Nat Genet 27(1):68–73
Bach JF, Francois BJ (2003) Regulatory T cells under scrutiny. Nat Rev Immunol 3(3):189–198
Hammond KJ, Kronenberg M (2003) Natural killer T cells: natural or unnatural regulators of autoimmunity? Curr Opin Immunol 15(6):683–689
Naumov YN, Bahjat KS, Gausling R et al (2001) Activation of CD1d-restricted T cells protects NOD mice from developing diabetes by regulating dendritic cell subsets. Proc Natl Acad Sci USA 98(24):13838–13843
Shi FD, Flodstrom M, Balasa B et al (2001) Germ line deletion of the CD1 locus exacerbates diabetes in the NOD mouse. Proc Natl Acad Sci USA 98(12):6777–6782
Wang B, Geng YB, Wang CR (2001) CD1-restricted NK T cells protect nonobese diabetic mice from developing diabetes. J Exp Med 194(3):313–320
Yang JQ, Singh AK, Wilson MT et al (2003) Immunoregulatory role of CD1d in the hydrocarbon oil-induced model of lupus nephritis. J Immunol 171(4):2142–2153
Yang JQ, Chun T, Liu H et al (2004) CD1d deficiency exacerbates inflammatory dermatitis in MRL-lpr/lpr mice. Eur J Immunol 34(6):1723–1732
Baxter AG, Kinder SJ, Hammond KJ, Scollay R, Godfrey DI (1997) Association between alphabetaTCR+ CD4− CD8− T-cell deficiency and IDDM in NOD/Lt mice. Diabetes 46(4):572–582
Lehuen A, Lantz O, Beaudoin L et al (1998) Overexpression of natural killer T cells protects Valpha14- Jalpha281 transgenic nonobese diabetic mice against diabetes. J Exp Med 188(10):1831–1839
Mars LT, Laloux V, Goude K et al (2002) Cutting edge: V alpha 14-J alpha 281 NKT cells naturally regulate experimental autoimmune encephalomyelitis in nonobese diabetic mice. J Immunol 168(12):6007–6011
Novak J, Lehuen A (2011) Mechanism of regulation of autoimmunity by iNKT cells. Cytokine 53(3):263–270
Gombert JM, Herbelin A, Tancrede-Bohin E, Dy M, Carnaud C, Bach JF (1996) Early quantitative and functional deficiency of NK1+ -like thymocytes in the NOD mouse. Eur J Immunol 26(12):2989–2998
Wilson SB, Kent SC, Patton KT et al (1998) Extreme Th1 bias of invariant Valpha24JalphaQ T cells in type 1 diabetes. Nature 391(6663):177–181
Kukreja A, Cost G, Marker J et al (2002) Multiple immuno-regulatory defects in type-1 diabetes. J Clin Invest 109(1):131–140
Berzins SP, Smyth MJ, Baxter AG (2011) Presumed guilty: natural killer T cell defects and human disease. Nat Rev Immunol 11(2):131–142
Kis J, Engelmann P, Farkas K et al (2007) Reduced CD4+ subset and Th1 bias of the human iNKT cells in Type 1 diabetes mellitus. J Leukoc Biol 81(3):654–662
Lee PT, Putnam A, Benlagha K, Teyton L, Gottlieb PA, Bendelac A (2002) Testing the NKT cell hypothesis of human IDDM pathogenesis. J Clin Invest 110(6):793–800
Michalek J, Vrabelova Z, Hrotekova Z et al (2006) Immune regulatory T cells in siblings of children suffering from type 1 diabetes mellitus. Scand J Immunol 64(5):531–535
Montoya CJ, Pollard D, Martinson J et al (2007) Characterization of human invariant natural killer T subsets in health and disease using a novel invariant natural killer T cell-clonotypic monoclonal antibody, 6B11. Immunology 122(1):1–14
Oikawa Y, Shimada A, Yamada S et al (2002) High frequency of valpha24(+) vbeta11(+) T-cells observed in type 1 diabetes. Diabetes Care 25(10):1818–1823
Roman-Gonzalez A, Moreno ME, Alfaro JM et al (2009) Frequency and function of circulating invariant NKT cells in autoimmune diabetes mellitus and thyroid diseases in Colombian patients. Hum Immunol 70(4):262–268
Tsutsumi Y, Jie X, Ihara K et al (2006) Phenotypic and genetic analyses of T-cell-mediated immunoregulation in patients with Type 1 diabetes. Diabet Med 23(10):1145–1150
Berzins SP, Kyparissoudis K, Pellicci DG et al (2004) Systemic NKT cell deficiency in NOD mice is not detected in peripheral blood: implications for human studies. Immunol Cell Biol 82(3):247–252
Kent SC, Chen Y, Clemmings SM et al (2005) Loss of IL-4 secretion from human type 1a diabetic pancreatic draining lymph node NKT cells. J Immunol 175(7):4458–4464
Forestier C, Takaki T, Molano A et al (2007) Improved outcomes in NOD mice treated with a novel Th2 cytokine-biasing NKT cell activator. J Immunol 178(3):1415–1425
Hong S, Wilson MT, Serizawa I et al (2001) The natural killer T-cell ligand alpha-galactosylceramide prevents autoimmune diabetes in non-obese diabetic mice. Nat Med 7(9):1052–1056
Mizuno M, Masumura M, Tomi C et al (2004) Synthetic glycolipid OCH prevents insulitis and diabetes in NOD mice. J Autoimmun 23(4):293–300
Sharif S, Arreaza GA, Zucker P et al (2001) Activation of natural killer T cells by alpha-galactosylceramide treatment prevents the onset and recurrence of autoimmune Type 1 diabetes. Nat Med 7(9):1057–1062
Falcone M, Facciotti F, Ghidoli N et al (2004) Up-regulation of CD1d expression restores the immunoregulatory function of NKT cells and prevents autoimmune diabetes in nonobese diabetic mice. J Immunol 172(10):5908–5916
Duarte N, Stenstrom M, Campino S et al (2004) Prevention of diabetes in nonobese diabetic mice mediated by CD1d-restricted nonclassical NKT cells. J Immunol 173(5):3112–3118
Novak J, Lehuen A (2011) Mechanism of regulation of autoimmunity by iNKT cells. Cytokine 53(3):263–270
Lehuen A, Diana J, Zaccone P, Cooke A (2010) Immune cell crosstalk in type 1 diabetes. Nat Rev Immunol 10(7):501–513
Hammond KJ, Poulton LD, Palmisano LJ, Silveira PA, Godfrey DI, Baxter AG (1998) alpha/beta-T cell receptor (TCR)+ CD4− CD8− (NKT) thymocytes prevent insulin-dependent diabetes mellitus in nonobese diabetic (NOD)/Lt mice by the influence of interleukin (IL)-4 and/or IL-10. J Exp Med 187(7):1047–1056
Laloux V, Beaudoin L, Jeske D, Carnaud C, Lehuen A (2001) NK T cell-induced protection against diabetes in V alpha 14-J alpha 281 transgenic nonobese diabetic mice is associated with a Th2 shift circumscribed regionally to the islets and functionally to islet autoantigen. J Immunol 166(6):3749–3756
Beaudoin L, Laloux V, Novak J, Lucas B, Lehuen A (2002) NKT cells inhibit the onset of diabetes by impairing the development of pathogenic T cells specific for pancreatic beta cells. Immunity 17(6):725–736
Novak J, Beaudoin L, Griseri T, Lehuen A (2005) Inhibition of T cell differentiation into effectors by NKT cells requires cell contacts. J Immunol 174(4):1954–1961
Mi QS, Ly D, Zucker P, McGarry M, Delovitch TL (2004) Interleukin-4 but not interleukin-10 protects against spontaneous and recurrent type 1 diabetes by activated CD1d-restricted invariant natural killer T-cells. Diabetes 53(5):1303–1310
Chen YG, Choisy-Rossi CM, Holl TM et al (2005) Activated NKT cells inhibit autoimmune diabetes through tolerogenic recruitment of dendritic cells to pancreatic lymph nodes. J Immunol 174(3):1196–1204
Diana J, Brezar V, Beaudoin L et al (2011) Viral infection prevents diabetes by inducing regulatory T cells through NKT cell-plasmacytoid dendritic cell interplay. J Exp Med 208(4):729–745
Ly D, Mi QS, Hussain S, Delovitch TL (2006) Protection from type 1 diabetes by invariant NK T cells requires the activity of CD4+ CD25+ regulatory T cells. J Immunol 177(6):3695–3704
Jahng AW, Maricic I, Pedersen B et al (2001) Activation of natural killer T cells potentiates or prevents experimental autoimmune encephalomyelitis. J Exp Med 194(12):1789–1799
Singh AK, Wilson MT, Hong S et al (2001) Natural killer T cell activation protects mice against experimental autoimmune encephalomyelitis. J Exp Med 194(12):1801–1811
Yang JQ, Saxena V, Xu H, Van Kaer L, Wang CR, Singh RR (2003) Repeated alpha-galactosylceramide administration results in expansion of NK T cells and alleviates inflammatory dermatitis in MRL-lpr/lpr mice. J Immunol 171(8):4439–4446
Zeng D, Liu Y, Sidobre S, Kronenberg M, Strober S (2003) Activation of natural killer T cells in NZB/W mice induces Th1-type immune responses exacerbating lupus. J Clin Invest 112(8):1211–1222
Simoni Y, Gautron AS, Beaudoin L et al (2011) NOD mice contain an elevated frequency of iNKT17 cells that exacerbate diabetes. Eur J Immunol 41(12):3574–3585
Griseri T, Beaudoin L, Novak J et al (2005) Invariant NKT cells exacerbate type 1 diabetes induced by CD8 T cells. J Immunol 175(4):2091–2101
Van Kaer L (2005) alpha-Galactosylceramide therapy for autoimmune diseases: prospects and obstacles. Nat Rev Immunol 5(1):31–42
Fletcher MT, Baxter AG (2009) Clinical application of NKT cell biology in type I (autoimmune) diabetes mellitus. Immunol Cell Biol 87(4):315–323
Ludvigsson J (2009) C-peptide an adequate endpoint in type 1 diabetes. Diabetes Metab Res Rev 25(8):691–693
Rogers PR, Matsumoto A, Naidenko O, Kronenberg M, Mikayama T, Kato S (2004) Expansion of human Valpha24+ NKT cells by repeated stimulation with KRN7000. J Immunol Methods 285(2):197–214
van der Vliet HJ, Nishi N, Koezuka Y et al (2001) Potent expansion of human natural killer T cells using alpha-galactosylceramide (KRN7000)-loaded monocyte-derived dendritic cells, cultured in the presence of IL-7 and IL-15. J Immunol Methods 247(1–2):61–72
Mars LT, Novak J, Liblau RS, Lehuen A (2004) Therapeutic manipulation of iNKT cells in autoimmunity: modes of action and potential risks. Trends Immunol 25(9):471–476
Exley MA, Nakayama T (2011) NKT-cell-based immunotherapies in clinical trials. Clin Immunol 140(2):117–118
Giaccone G, Punt CJ, Ando Y et al (2002) A phase I study of the natural killer T-cell ligand alpha-galactosylceramide (KRN7000) in patients with solid tumors. Clin Cancer Res 8(12):3702–3709
Venkataswamy MM, Porcelli SA (2010) Lipid and glycolipid antigens of CD1d-restricted natural killer T cells. Semin Immunol 22(2):68–78
Feutren G, Papoz L, Assan R et al (1986) Cyclosporin increases the rate and length of remissions in insulin-dependent diabetes of recent onset. Results of a multicentre double-blind trial. Lancet 2(8499):119–124
Michels AW, Eisenbarth GS (2011) Immune intervention in type 1 diabetes. Semin Immunol 23(3):214–219
Pal E, Tabira T, Kawano T, Taniguchi M, Miyake S, Yamamura T (2001) Costimulation-dependent modulation of experimental autoimmune encephalomyelitis by ligand stimulation of V alpha 14 NK T cells. J Immunol 166(1):662–668
Belghith M, Bluestone JA, Barriot S, Megret J, Bach JF, Chatenoud L (2003) TGF-beta-dependent mechanisms mediate restoration of self-tolerance induced by antibodies to CD3 in overt autoimmune diabetes. Nat Med 9(9):1202–1208
Herold KC, Hagopian W, Auger JA et al (2002) Anti-CD3 monoclonal antibody in new-onset type 1 diabetes mellitus. N Engl J Med 346(22):1692–1698
Battaglia M, Stabilini A, Migliavacca B, Horejs-Hoeck J, Kaupper T, Roncarolo MG (2006) Rapamycin promotes expansion of functional CD4+ CD25+ FOXP3+ regulatory T cells of both healthy subjects and type 1 diabetic patients. J Immunol 177(12):8338–8347
Acknowledgments
The authors are very grateful to Agnes Lehuen from INSERM U986, Paris, France, for critical reading of the manuscript. We are grateful to James Andronicus from 3rd Faculty of Medicine, Charles University in Prague for English corrections. JN is currently supported by research project UNCE204010.
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Novak, J., Novakova, L. Prevention and treatment of type 1 diabetes mellitus by the manipulation of invariant natural killer T cells. Clin Exp Med 13, 229–237 (2013). https://doi.org/10.1007/s10238-012-0199-0
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DOI: https://doi.org/10.1007/s10238-012-0199-0