PMID- 26878658 OWN - NLM STAT- MEDLINE DCOM- 20171212 LR - 20221110 IS - 1476-5365 (Electronic) IS - 0268-3369 (Print) IS - 0268-3369 (Linking) VI - 51 IP - 5 DP - 2016 May TI - Invariant natural killer T cells in hematopoietic stem cell transplantation: killer choice for natural suppression. PG - 629-37 LID - 10.1038/bmt.2015.335 [doi] AB - Invariant natural killer T cells (iNKTs) are innate-like lipid-reactive T lymphocytes that express an invariant T-cell receptor (TCR). Following engagement of the iTCR, iNKTs rapidly secrete copious amounts of Th1 and Th2 cytokines and promote the functions of several immune cells including NK, T, B and dendritic cells. Accordingly, iNKTs bridge the innate and adaptive immune responses and modulate susceptibility to autoimmunity, infection, allergy and cancer. Allogeneic hematopoietic stem cell transplantation (HSCT) is one of the most effective treatments for patients with hematologic malignancies. However, the beneficial graft versus leukemia (GvL) effect mediated by the conventional T cells contained within the allograft is often hampered by the concurrent occurrence of graft versus host disease (GvHD). Thus, developing strategies that can dissociate GvHD from GvL remain clinically challenging. Several preclinical and clinical studies demonstrate that iNKTs significantly attenuate GvHD without abrogating the GvL effect. Besides preserving the GvL activity of the donor graft, iNKTs themselves exert antitumor immune responses via direct and indirect mechanisms. Herein, we review the various mechanisms by which iNKTs provide antitumor immunity and discuss their roles in GvHD suppression. We also highlight the opportunities and obstacles in manipulating iNKTs for use in the cellular therapy of hematologic malignancies. FAU - Guan, P AU - Guan P AD - Division of Oncology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Bassiri, H AU - Bassiri H AUID- ORCID: 0000-0001-6532-8478 AD - Division of Infectious Diseases, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Patel, N P AU - Patel NP AD - Division of Oncology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Nichols, K E AU - Nichols KE AD - Department of Oncology, St Jude Children's Research Hospital, Memphis, TN, USA. FAU - Das, R AU - Das R AD - Department of Physiology, Michigan State University, East Lansing, MI, USA. LA - eng GR - K08 CA166184/CA/NCI NIH HHS/United States GR - K22 CA188149/CA/NCI NIH HHS/United States PT - Journal Article PT - Review DEP - 20160215 PL - England TA - Bone Marrow Transplant JT - Bone marrow transplantation JID - 8702459 SB - IM MH - Graft vs Host Disease MH - Graft vs Leukemia Effect MH - Hematologic Neoplasms/*therapy MH - Hematopoietic Stem Cell Transplantation/*methods MH - Humans MH - Natural Killer T-Cells/*immunology MH - *Transplantation Immunology PMC - PMC9644293 MID - NIHMS1839496 COIS- CONFLICT OF INTEREST The authors declare no conflict of interest. EDAT- 2016/02/16 06:00 MHDA- 2017/12/13 06:00 PMCR- 2022/11/09 CRDT- 2016/02/16 06:00 PHST- 2015/07/11 00:00 [received] PHST- 2015/11/24 00:00 [revised] PHST- 2015/11/27 00:00 [accepted] PHST- 2016/02/16 06:00 [entrez] PHST- 2016/02/16 06:00 [pubmed] PHST- 2017/12/13 06:00 [medline] PHST- 2022/11/09 00:00 [pmc-release] AID - bmt2015335 [pii] AID - 10.1038/bmt.2015.335 [doi] PST - ppublish SO - Bone Marrow Transplant. 2016 May;51(5):629-37. doi: 10.1038/bmt.2015.335. Epub 2016 Feb 15.