Key Points• The frequency of CD161 ϩϩ MAIT cells is dramatically decreased in the blood of HIVinfected patients, and they are nonrecoverable with HAART.• Gut sequestration and apoptosis in response to bacterial signals may, amongst others, be mechanisms that contribute to this. IntroductionThe natural course of human immunodeficiency virus type 1 (HIV-1) infection is associated with progressive immune dysfunction, perturbation of immune-cell subsets and increased opportunistic infections. In early disease, there is a dramatic loss of CD4 ϩ T cells from the gastrointestinal tract resulting in impaired mucosal immunity, reduced peripheral CD4 ϩ T-cell count, and increased systemic T-cell activation. [1][2][3][4] These factors contribute to an increased susceptibility to infection with specific organisms such as Mycobacterium tuberculosis and Candida albicans. [5][6][7] In addition, more recent evidence suggests an important role for the loss of CD8 ϩ T cells in susceptibility to bacterial pneumonia and all-cause mortality in HIV infection. 8 MAIT cells are a distinct subset of tissue-infiltrating lymphocytes with antibacterial functions that account for up to one-third of the CD8 ϩ T-cell population in the blood of healthy individuals. [9][10][11] MAIT cells are identified by expression of a semi-invariant T-cell receptor (TCR), iV␣7.2, 10,12,13 which recognizes ligands presented by MHC class I related (MR1) protein. 14 MR1 presentation occurs on dendritic cells, monocytes, and lung epithelial cells in response to bacterial pathogens. 9,10,12 MAIT cells are activated in vitro in an MR1-dependent fashion by a range of bacterial and fungal pathogens, including Escherichia coli, M tuberculosis, and C albicans, 9,10 and in mouse models have been shown to provide protection against bacterial infection. 10,15 In addition, MAIT cells have been shown to be lost from the blood and present in the lungs of patients with active tuberculosis, suggesting they may play an important role in host immunity to M tuberculosis. 9,10 Specific subsets of CD4 ϩ and CD8 ϩ T cells, termed Th17 and Tc17, are defined by their ability to produce IL17A and are important in the regulation of mucosal integrity and antibacterial immunity. [16][17][18][19][20] Early in HIV infection, Th17 cells are lost from the gastrointestinal tract, but may be restored through long-term highly active antiretroviral therapy (HAART) concurrent with a reduction in immune activation levels. 21 The loss of this IL17A and Submitted June 12, 2012; accepted November 26, 2012. Prepublished online as Blood First Edition paper, December 18, 2012; DOI 10.1182 DOI 10. /blood-2012 *C.C. and J.E.U. contributed equally to this work.The online version of this article contains a data supplement.The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked ''advertisement'' in accordance with 18 USC section 1734. For personal use only. on May 7, 2018. by guest www.bloodjournal.org...

SummaryThe C-type lectin CD161 is expressed by a large proportion of human T lymphocytes of all lineages, including a population known as mucosal-associated invariant T (MAIT) cells. To understand whether different T cell subsets expressing CD161 have similar properties, we examined these populations in parallel using mass cytometry and mRNA microarray approaches. The analysis identified a conserved CD161++/MAIT cell transcriptional signature enriched in CD161+CD8+ T cells, which can be extended to CD161+ CD4+ and CD161+TCRγδ+ T cells. Furthermore, this led to the identification of a shared innate-like, TCR-independent response to interleukin (IL)-12 plus IL-18 by different CD161-expressing T cell populations. This response was independent of regulation by CD161, which acted as a costimulatory molecule in the context of T cell receptor stimulation. Expression of CD161 hence identifies a transcriptional and functional phenotype, shared across human T lymphocytes and independent of both T cell receptor (TCR) expression and cell lineage.

Human mucosal associated invariant T (MAIT)CD8 IntroductionHuman mucosal associated invariant T cells (MAIT) are defined by an invariant usage of the T-cell receptor chain V␣ 7.2, restriction by the major histocompatibility complex (MHC)-related protein MR1, and most recently have been shown to exhibit high expression of the C-type lectin CD161 (CD161 ϩϩ ), and IL18R. 1 Human MAIT cells have been described to be CD8␣␤, CD8␣␣, or doublenegative (DN) although a differential role for these different subsets has not been explored. Independently, we have described a human tissue-homing CD161 ϩϩ CD8 ϩ T-cell subset to be Tc17 cells, enriched at inflammatory sites including liver and joints. 2 Type-17 function has been recently confirmed in the MAIT cell population. 3 CD161 ϩϩ CD8 ϩ and MAIT-cells share key differentiation factors with Th17 cells, including cytokine expression (IL-17A and IL22), transcription factors (ROR␥t and RUNX2), chemokine receptors (CCR6 and CCR2), and cytokine receptors (IL23R and IL18R). There is growing recognition that these data describe the same phenomenon in parallel or overlapping populations, although this has not been fully defined to date, and the relationship between the 2 subsets remains unclear. Given the recent emergence of these cell types in diverse diseases, including multiple sclerosis, 4 this remains a significant unanswered question.CD161 was first identified as a potential lineage identifier for human Th17 cells when it was found to be a highly up-regulated gene on microarray comparison of gene expression between Th1, Th2, and Th17 clones, and circulating Th17 cells were contained within the CCR6 ϩ CD161 ϩ CD4 ϩ population. 5 Cord blood CD161 ϩ CD4 ϩ CD8 Ϫ , CD8 ϩ CD4 Ϫ and CD4 Ϫ CD8 Ϫ TCR␣␤ ϩ , and TCR␥␦ ϩ cells already express IL-23R and ROR␥t mRNA, and produce IL-17, unlike their CD161 counterparts. The transcription factor ROR␥t has been defined as the driver for the hallmark features of these cells, as CD161, IL-23R, and IL-17 expression could be directly induced by RORC2 transduction of CD161-cord cells. 6 In humans, CD161/NKR-P1A encoded by the KLRB1 gene, is expressed by a wide variety of human immune cells; natural killer (NK) cells, NK T cells, CD4 ϩ T cells, CD8 ϩ T cells, and ␥␦ T cells. Lectin-like transcript-1 (LLT1) 7,8 and PILAR 9 have been identified as ligands for CD161, although the role of such ligation on CD161 ϩϩ CD8 ϩ / MAIT-cells remains to be defined.NK T cells and MAIT-cells are the only lymphocyte populations to have a restricted TCR repertoire and restricting MHC molecule that is conserved between species. NK T cells are more abundant in mice, whereas MAIT-cells are more numerous in man, representing up to 15% of human CD8 ϩ T cells. Their developmental pathways are distinct. NK T cells are selected, expand and develop their innate-like phenotype, and function before exit from the thymus. They already express the transcription factor ZBTB16, which is crucial for their ready innate/effector functions. 10-12 MAIT-cells are naive and low in number i...

Neisseria meningitidis is an important cause of septicemia and meningitis. To cause disease, the bacterium must successfully survive in the bloodstream where it has to avoid being killed by host innate immune mechanisms, particularly the complement system. A number of pathogenic microbes bind factor H (fH), the negative regulator of the alternative pathway of complement activation, to promote their survival in vivo. In this study, we show that N. meningitidis binds fH to its surface. Binding to serogroups A, B, and C N. meningitidis strains was detected by FACS and Far Western blot analysis, and occurred in the absence of other serum factors such as C3b. Unlike Neisseria gonorrhoeae, binding of fH to N. meningitidis was independent of sialic acid on the bacterium, either as a component of its LPS or its capsule. Characterization of the major fH binding partner demonstrated that it is a 33-kDa protein; examination of insertion mutants showed that porins A and B, outer membrane porins expressed by N. meningitidis, do not contribute significantly to fH binding. We examined the physiological consequences of fH bound to the bacterial surface. We found that fH retains its activity as a cofactor of factor I when bound to the bacterium and contributes to the ability of N. meningitidis to avoid complement-mediated killing in the presence of human serum. Therefore, the recruitment of fH provides another mechanism by which this important human pathogen evades host innate immunity.

HIV-infected individuals showed profound loss of Th17 cells, which may impair mucosal immunity, and reduced CD161 CD4 cells, which may limit Th17 reconstitution. A gradual decline in Tregs during disease progression was associated with increased immune activation.

We present herein a pH-responsive dynamic DNA nanocluster based on gold nanoparticles with highly packed nucleic acid assembly and evaluate its potential as a drug delivery vehicle with tumor-specific accumulation. Each gold nanoparticle was readily functionalized with various functional DNA sequences; in particular, we modified the surface of gold nanoparticles with bcl-2 antisense and i-motif binding sequences. Clustering of the gold nanoparticles induced by hybridization of each DNA sequence via i-motif DNA provided tumor targeting and drug loading capabilities. After cellular uptake, the drug was released by disassembly of the gold nanoparticle cluster into single gold nanoparticles in response to the pH decrease in the late endosome. Furthermore, the antiapoptotic Bcl-2 protein was down-regulated by the antisense-modified gold nanoparticles; thus, drug-mediated apoptosis was significantly accelerated by sensitizing the cancer cells to the drug. Our size-tunable clustered nucleic acid-grafted gold nanoparticles provide tumor homing in the blood circulation and are thus a potential multifunctional therapeutic agent in vivo as well as in vitro.

Phototheranostic nanoplatforms are of particular interest for cancer diagnosis and imaging‐guided therapy. Herein, we develop a supramolecular approach to fabricate a nanostructured phototheranostic agent through the direct self‐assembly of two water‐soluble phthalocyanine derivatives, PcS4 and PcN4. The nature of the molecular recognition between PcS4 and PcN4 facilitates the formation of nanostructure (PcS4‐PcN4) and consequently enables the fabrication of PcS4‐PcN4 with completely quenched fluorescence and reduced singlet oxygen generation, leading to the high photoacoustic and photothermal activity of PcS4‐PcN4. In vivo evaluations suggest that PcS4‐PcN4 could not only efficiently visualize a tumor with high contrast through whole‐body photoacoustic imaging but also enable excellent photothermal therapy for cancer.

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