Drugs/Drug analogues modulate MAIT cell function in an MR1-dependent manner (#98)
Mucosal Associated Invariant T (MAIT) cells are an abundant subset of T cells, whose T cell receptor is restricted by the monomorphic MHC class I related molecule MR1 [1]. Acting as signature biomarkers of microbial infection, stimulating MAIT cell antigens (Ags), such as 5-OP-RU, originate from the microbial biosynthesis of riboflavin (vitamin B2) [2]. MR1 also binds non-stimulating Ags, which act as competitive inhibitors of stimulating Ags. 6-formyl-pterin (6-FP), a photodegradation product of folic acid (vitamin B9) and artificial analogues of 6-FP, such as acetyl-6-FP, are potent inhibitors [3,4].
Given the small molecule nature of MR1 ligands identified thus far we reasoned that drugs and drug analogues could represent a source of exogenous MR1 ligands. Indeed when screening a focussed library of drugs and drug analogues we identified a number of novel MR1 ligands, including 3- and 5-formyl salicyclic acid, analogues of aspirin. Some of these drugs and drug analogues potently upregulated MR1 and inhibited human and mouse MAIT cell activity in response to 5-OP-RU, as determined by in vitro analyses. Furthermore, these drugs and drug analogues acted in a dose dependent manner as competitive inhibitors of human MAIT cells stimulated with 5-OP-RU to proliferate and to produce IFNγ and TNFα cytokines ex vivo. Additionally, a drug and metabolites thereof strongly activated a subset of MAIT cells in a dose-dependent and MR1-restricted manner.
Thus MR1 has the potential to accommodate a range of structurally distinct ligands that have the capacity to directly modulate MAIT cell function by either competitively inhibiting MAIT cell activation or activating subsets of MAIT cells. These findings suggest that widely used drugs can inadvertently modulate MAIT cell function. Given the monomorphic and evolutionary conserved nature of the MAIT-MR1 axis this effect has a global impact.
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