While it is well known that
iNKT cells can augment the cytotoxic activity of NK cells, here we have analyzed the cellular and molecular parameters involved in the
in vivo and
in vitro antigen-dependent cytotoxicity of targets cells by
iNKT cells. In particular, we provide evidence that the
in vivo cytotoxicity of
iNKT cells correlates directly with CD1d expression levels on target cells and with the potency of the
iNKT cell antigen. The interaction of
iNKT cells with their targets led to a mutual activation of the both cell types and the
iNKT cells from spleen and liver showed a similar degree of cytotoxicity. Most surprising, we show that the antigen-specific cytotoxicity of
iNKT cells
in vivo relies almost entirely on the interaction between CD95 (Fas) and CD178 (FasL). It has been reported for αGalCer and its derivatives OCH and C-Gly that the intensity of cytokine produced by the
iNKT cells following i.v. injection correlated directly with the antigenic potency, i.e. αGalCer > OCH > C-Gly (
43). Utilizing αGalCer, OCH, C-Gly, and a synthetic version of the
Sphingobium yanoikuyae derived Ag GalA-GSL, we demonstrate that the antigenic strength directly correlated in a similar fashion with the
iNKT cell
in vivo cytotoxicity (). Surprisingly, limited cytotoxicity was observed with the weaker Ags, including C-glycoside and the
Sphingomonas yanoikuyae Ag GalA-GSL. These data suggest that the described
in vivo potency of C-glycoside in tumor rejection (
53) or the anti-malarial response (
54) may not be due principally to antigenic specific killing by
iNKT cells. Similarly, while mice that have
iNKT cells clear
S. yanoikuyae more rapidly when compared to
iNKT cell deficient animals, this also may occur independently of an antigen-specific cytotoxic function (
48,
55). Our experiments focused on testing the immediate or short term cytotoxic function of
iNKT cells, and therefore we cannot rule out the possibility that
iNKT cell mediated Ag specific killing is important in immune responses that take place over several days like during tumor or pathogen challenges.
Furthermore, under different circumstances, some of the less potent compounds may stimulate cytotoxic activity more efficiently. For example, DC may be more effective at taking up C-glycoside and loading it into CD1d than B lymphocytes, and similarly, uptake of whole
Sphingomonas bacteria or membrane fragments may promote more effective loading of GalA-GSL into the groove of mouse CD1d. In addition the overall avidity of an antigen depends not only on its strength of interaction with the TCR when bound to CD1d, i.e. the TCR affinity, but also on its density, i.e. on the amount of available epitopes presented and recognized by the T cell. In line with this notion, we show that the
iNKT cell cytotoxicity
in vivo also correlated with the amount of CD1d expressed on the target cells (). Although NK cells expressed lower levels of CD1d than any other cell type analyzed (), it was still surprising that we did not observe αGalCer induced cytotoxicity against splenic NK cell targets (). The expression of CD95 induced on the NK cells was lower than on B cells (data not shown), which together with the low amount of CD1d, may explain the reduced NK cell susceptibility to killing. Furthermore, several mechanisms have been reported that protect cytotoxic lymphocytes against cytotoxicity (
56–
58), which could be involved in our experimental system as well.
The two major mechanisms to induce cell death by cytotoxic lymphocytes involve on the one hand different surface receptors, most prominently CD95/CD178, but also TNFα/TNF-R and TRAIL/TRAIL-R, or alternatively, soluble mediators, mainly perforin and granzymes (
59,
60).
iNKT cell express CD178 following activation with Concanavalin A (Con A) (
61), and αGalCer ( and (
17,
62)). Furthermore, human
iNKT cell lines have been reported to express TRAIL (CD253) following restimulation with αGalCer loaded DCs and they exerted TRAIL-dependent cytotoxic activity against some leukemia cells
in vitro (
62,
63). Despite this diversity of mechanisms, most studies have implicated the perforin/granzyme B pathway in the cytotoxic activity of
iNKT cells (
19,
64–
66). However, these studies relied on chemical inhibitors of granule release, and most likely addressed NK-type cytotoxicity rather than antigen-specific CD1d dependent cytotoxicity. A typical experimental set-up for these studies involved the injection of αGalCer i.v., and the determination of the cytotoxicity of purified splenocytes one day later against NK cell sensitive targets
in vitro. Such an approach does not directly address the mechanisms or even the role of
iNKT cells in the observed cytotoxicity. Indeed, in several studies it was shown that the perforin required for the observed cytotoxicity against tumors resided not within the
iNKT cells, but rather in NK cells that had been activated down-stream of the
iNKT cell activation (
25,
67,
68). In fact, this trans-activation of NK cells appears to be the general mechanism for the αGalCer induced anti-tumor activity. Following αGalCer exposure, NK cells are activated by several mechanisms, including
iNKT cell derived IFNγ (in mice (
27,
67,
69–
71)) or IL-2 (in humans (
24)), leading to NK cell cytotoxicity and cytokine production. The importance of this trans-activation of NK cells by
iNKT cell derived IFNγ has been demonstrated for pathogen infections (
39,
72) and in tumor models (
17,
27,
67,
73). Apparently, NK cells act generally in amplifying the
iNKT cell signal in a feed forward loop (
14,
49,
74).
By contrast with these earlier studies, our experiments were designed to investigate the direct, short-term, CD1d-dependent, antigen-specific cytotoxicity of
iNKT cells. CD1d dependent cytotoxicity of
iNKT cells has been reported previously (
2,
24,
29,
30,
65,
75–
77), but the underlying mechanism was not addressed. Here we demonstrate that the CD1d and antigen-dependent cytotoxicity of
iNKT cells requires the CD95/CD178 pathway and is completely independent of the perforin/granzyme pathway ().
iNKT cells expressed CD178 following interaction with αGalCer loaded B cell targets and induced CD95 expression on these target B cells (). The remaining, relatively minor cytotoxicity observed in the absence of CD95 and perforin expression could be due to TRAIL (CD253) and/or TNFα mediated apoptotic pathways. However, we could not detect any TRAIL staining (clone N2B2) on
iNKT cells by flow cytometry in our experiments (data not shown). Our data are in agreement with earlier studies showing an
iNKT cell-mediated and CD95/CD178 pathway dependent elimination of B cells during nickel tolerance (
78) and that of hepatotcytes following ConA-induced hepatitis (
61) depends on both. However, the requirements for expression of CD95 by iNKT cells, and the role of CD1d and TCR recognition, were not addressed in these studies. Numerous studies have established the strong anti-tumor activity following the activation of
iNKT cells with IL-12 (
7–
14) or αGalCer (
1,
2,
15–
27). Importantly, NKT cells were also shown to be involved in the un-manipulated tumor surveillance (
25,
68,
79,
80). It has been demonstrated previously that loading of αGalCer onto B16 and other tumor lines can induce a strong immune response and protection against tumor growth
in vivo (
51,
52). However, in these studies the loading of αGalCer was carried out for two days, which may allow the tumor cells to take up high amounts of this glycolipid Ag (
51).
Consequently, in this experimental format, the responses of
iNKT cells (
51) and DCs (
52), after injection of either αGalCer-loaded B16 or αGalCer-loaded B16-CD1d cells, were indistinguishable. This indicates that direct presentation of αGalCer by the tumor cells was not required, suggesting that potent cross-presentation of αGalCer can occur
in vivo. As mentioned above the anti-tumor response following αGalCer treatment
in vivo depends on IFNγ mediated trans-activation of NK cells (
17,
67,
81). Furthermore, it has been shown that IFNγ induces up-regulation of CD95 on B16 tumor cells (
82,
83). Therefore the αGalCer induced anti-tumor response for most of these studies can be explained by the trans-activation of NK cells, which then attack the tumor. In line with this interpretation is the observation that protocols that augment the IFNγ response by
iNKT cells, thereby intensifying the NK cell trans-activation, augment the anti-tumor response. This could be achieved either by using DCs loaded with αGalCer instead of free αGalCer (
22,
84), or by utilizing the Th1 cytokine-inducing
iNKT cell antigen C-Gly (
85).
By contrast, we show here that expression of CD1d by B16 melanoma cells makes them susceptible to cognate antigen-dependent cytotoxicity by
iNKT cells, mainly via the CD95/CD178 pathway. Furthermore, we demonstrate that following a short pulsing of B16 tumor cells with αGalCer, the efficiency of the anti-tumor response depends on the expression of CD1d and most probably on direct presentation of the antigen by the tumor cells (). Several studies have shown that tumor cells that express CD1d can be lysed by
iNKT cells
in vitro when the tumor cells were loaded with αGalCer (
24,
30,
65,
76,
77). Here we extended these reports by demonstrating the CD1d dependency of the antigen-specific
iNKT cell cytotoxicity against tumors
in vivo (). Therefore, our data suggest that activation of
iNKT cells for an anti-tumor therapy, a strategy currently applied in clinical trials (
86), might be most effective against those tumors that express CD1d. In such cases, the activation of
iNKT cells might facilitate cognate-Ag killing as well as trans activation of other cell types.