IntroductionInvariant natural killer T (NKT) cells represent a unique subpopulation of T cells with a highly restricted T-cell receptor (TCR) repertoire, expressing V␣14/J␣18 or V␣24/J␣18 rearranged genes in mice and humans, respectively. 1 On activation by glycolipid antigens presented on CD1d molecules, NKT cells respond rapidly, secreting high levels of Th1 and Th2 cytokines. 2 Despite their limited TCR repertoire, NKT cells can activate antibody responses against T celldependent and T cell-independent antigens by ␣-galactosylceramide (␣GalCer) coadministration. [3][4][5] It is plausible that NKT cells influence more than 1 step of the precisely regulated cascade of cellular networking events that gives rise to T celldependent B-cell immune responses directed against protein antigens. 6 NKT cells are also capable of providing cognate help for B cells, eliciting antibody production through extrafollicular plasma cell formation and atypical germinal center (GC) reaction. 7,8 Mutations of the SH2D1A gene, encoding the signaling lymphocyte activation molecule (SLAM) associated protein (SAP), impair T cell-dependent humoral responses in patients with X-linked lymphoproliferative syndrome (XLP), as well as in SAP Ϫ/Ϫ mice. [9][10][11][12] In addition to this defect of conventional CD4 ϩ T cells affecting T follicular helper cell-B cell interactions, both XLP patients and SAP Ϫ/Ϫ mice have reduced numbers of NKT cells. [13][14][15] NKT cells develop in the cortex of the thymus as a result of homotypic interactions between thymocyte precursors carrying the NKT cell-specific ␣TCR with thymocytes expressing CD1d/ligands. 16 In this process, homotypic interactions mediated by the cooperative engagement of the self-ligand receptors Slamf1 and Slamf6 provide "second signals" that drive maturation of NKT cells in the thymus followed by migration to the medulla and exit into the periphery. 17 Because GC formation collapses in XLP patients and SAP Ϫ/Ϫ mice during infections, especially in a recall response, the relationship between the absence of NKT cells and the dysfunctional antibody responses in XLP patients and SAP Ϫ/Ϫ mice remains unknown. To this end we used conventional SAP Ϫ/Ϫ mouse and a novel conditional SAP fl/fl mouse strain together with T-cell transfers to follow antigen-specific antibody responses in the absence of NKT cells because of SAP deficiency or in the presence of NKT cells lacking functional SAP, respectively. These experiments demonstrate that SAP expression in NKT cells is dispensable for their effective response to lipid antigens, including cytokine production and providing noncognate support to protein-specific antibody responses. By contrast, cognate NKT cell help for B cells in response to lipid-antigens requires SAP expression, corresponding to direct T-B cell interactions. These findings suggest a more fundamental role of SLAMfamily receptor signaling in providing cognate help to B cells that is not limited to CD4 ϩ T cells.Submitted November 30, 2011; accepted May 6, 2012. Prepublished onli...