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Blood, 15 December 2004, Vol. 104, No. 13, pp. 4150-4156.
Prepublished online as a Blood First Edition Paper on August 24, 2004; DOI 10.1182/blood-2004-04-1629.
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Submitted April 29, 2004
Accepted August 11, 2004
Distinct Homeostatic Requirements of CD4+ and CD4- Subsets of V 24-invariant Natural Killer T cells in Humans
Denis V Baev, Xiao-hui Peng, Liping Song, Jerry R Barnhart, Gay M Crooks, Kenneth I Weinberg, and Leonid S Metelitsa*
Divisions of Hematology-Oncology, Childrens Hospital Los Angeles and Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
Research Immunology and Bone Marrow Transplantation, Departments of Pediatrics, Molecular Microbiology and Immunology, Childrens Hospital Los Angeles and Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
* Corresponding author; email: lmetelitsa{at}chla.usc.edu.
CD1d-restricted V 24-invariant natural killer T cells (iNKTs) are important in immunoregulation. CD4+ and CD4- iNKTs develop with similar frequencies in murine thymus and depend on IL-15 in periphery. However, homeostatic requirements of iNKTs have not been analyzed in humans. We evaluated thymic production, peripheral dynamics, and functional maturation of human iNKTs. CD4+ subset comprises 90% of iNKTs in mature thymocytes and CB but only 40% in adult blood. Using T cell receptor excision circle (TREC) analysis, we directly measured in vivo replicative history of CD4+ and CD4- iNKT cells. Compared to CD4+, CD4- iNKTs contain less TRECs, express higher level of IL-2R , and proliferate with higher rate in response to IL-15. In contrast, CD4+ cells express higher level of IL-7R and better respond to IL-7. Neither thymic nor CB iNKTs are able to produce cytokines unless they are induced to proliferate. Therefore, unlike in the mouse, human CD4+ iNKTs are mainly supported by thymic output and limited peripheral expansion whereas CD4-cells undergo extensive peripheral expansion and both subsets develop their functions in periphery. These findings reveal important differences in homeostatic requirements and functional maturation between murine and human iNKTs that are to be considered for clinical purposes.

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