Parrot et al. optimized blood isolation and ex vivo culture of mucosa-associated invariant T (MAIT) cells from healthy or virus-infected donors, achieving high purity, viability, and expansion in 3 weeks. Cultured and freshly isolated MAIT cells shared an effector memory phenotype and could effectively secrete cytokines, degranulate, and kill antigen-expressing target cells. After 19 days of culture, MAIT cells upregulated certain inhibitory molecules (e.g., LAG3, CTLA-4) and additional chemokine receptors (e.g., CCR1, CCR4, and CCR10). Cultured MAIT cells transfected with an HLA-restricted antiviral TCR responded to both viral peptide and standard MAIT antigen.

Contributed by Alex Najibi

ABSTRACT: Progress in our understanding of MR1-restricted Mucosa-associated Invariant T (MAIT) cells has raised an interest in harnessing these cells for immunotherapy. The innate-like response characteristics, abundance in the blood, donor-unrestricted nature, and tropism for tissues make MAIT cells suitable candidates for adoptive cell transfer therapies. However, reliable methods and tools to utilize MAIT cells in such approaches are lacking. Here, we established methodology for efficient expansion of human MAIT cells in culture with high purity and yield, preserved functional response toward their natural ligand, and with increased cytotoxic potential. The cultured MAIT cells retained their effector memory characteristics without signs of terminal differentiation, and expressed a more diverse set of chemokine receptors potentially widening their already broad tissue tropism. To investigate the potential of MAIT cells in a context outside their main role in controlling bacterial infection, we engineered cultured MAIT cells with a new TCR specificity to mediate effective antiviral HLA class I-restricted effector function. In summary, we developed robust and effective methodology for the expansion of human MAIT cells with enhanced cytolytic capacity, and for their engineering with a new specificity. These findings form a basis for the development of MAIT cells as a platform for adoptive immunotherapy.

Author Info: (1) Department of Medicine, Karolinska Institutet, Stockholm, Sweden. (2) Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden. (3) Department of Medicine, Karol

Author Info: (1) Department of Medicine, Karolinska Institutet, Stockholm, Sweden. (2) Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden. (3) Department of Medicine, Karolinska Institutet, Stockholm, Sweden. (4) Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden. (5) Department of Medicine, Karolinska Institutet, Stockholm, Sweden. (6) Department of Infectious Diseases, Karolinska Institutet, Stockholm, Sweden. (7) Program in Emerging Infectious Diseases, Duke-National University of Singapore Medical School, Singapore, Singapore. (8) Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden. (9) Department of Medicine, Karolinska Institutet, Stockholm, Sweden.