MAIT and Vδ2 unconventional T cells are supported by a diverse intestinal microbiome and correlate with favorable patient outcome after allogeneic HCT Journal Article


Authors: Andrlová, H.; Miltiadous, O.; Kousa, A. I.; Dai, A.; DeWolf, S.; Violante, S.; Park, H. Y.; Janaki-Raman, S.; Gardner, R.; El Daker, S.; Slingerland, J.; Giardina, P.; Clurman, A.; Gomes, A. L. C.; Nguyen, C.; Da Silva, M. B.; Armijo, G. K.; Lee, N.; Zappasodi, R.; Chaligne, R.; Masilionis, I.; Fontana, E.; Ponce, D.; Cho, C.; Bush, A.; Hill, L.; Chao, N.; Sung, A. D.; Giralt, S.; Vidal, E. H.; Hosszu, K. K.; Devlin, S. M.; Peled, J. U.; Cross, J. R.; Perales, M. A.; Godfrey, D. I.; van den Brink, M. R. M.; Markey, K. A.
Article Title: MAIT and Vδ2 unconventional T cells are supported by a diverse intestinal microbiome and correlate with favorable patient outcome after allogeneic HCT
Abstract: Microbial diversity is associated with improved outcomes in recipients of allogeneic hematopoietic cell transplantation (allo-HCT), but the mechanism underlying this observation is unclear. In a cohort of 174 patients who underwent allo-HCT, we demonstrate that a diverse intestinal microbiome early after allo-HCT is associated with an increased number of innate-like mucosal-associated invariant T (MAIT) cells, which are in turn associated with improved overall survival and less acute graft-versus-host disease (aGVHD). Immune profiling of conventional and unconventional immune cell subsets revealed that the prevalence of Vδ2 cells, the major circulating subpopulation of γδ T cells, closely correlated with the frequency of MAIT cells and was associated with less aGVHD. Analysis of these populations using both single-cell transcriptomics and flow cytometry suggested a shift toward activated phenotypes and a gain of cytotoxic and effector functions after transplantation. A diverse intestinal microbiome with the capacity to produce activating ligands for MAIT and Vδ2 cells appeared to be necessary for the maintenance of these populations after allo-HCT. These data suggest an immunological link between intestinal microbial diversity, microbe-derived ligands, and maintenance of unconventional T cells. Copyright © 2022 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science.
Keywords: hematopoietic stem cell transplantation; ligand; graft versus host reaction; ligands; intestine flora; graft vs host disease; humans; human; gastrointestinal microbiome; mucosal-associated invariant t cell; mucosal-associated invariant t cells
Journal Title: Science Translational Medicine
Volume: 14
Issue: 646
ISSN: 1946-6234
Publisher: American Association for the Advancement of Science  
Date Published: 2022-05-25
Start Page: eabj2829
Language: English
DOI: 10.1126/scitranslmed.abj2829
PUBMED: 35613281
PROVIDER: scopus
PMCID: PMC9893439
DOI/URL:
Notes: Article -- Export Date: 1 July 2022 -- Source: Scopus
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