RT Journal Article SR Electronic T1 iNKT cells coordinate immune pathways to enable engraftment in nonconditioned hosts JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202000999 DO 10.26508/lsa.202000999 VO 4 IS 7 A1 Nicholas J Hess A1 Nikhila S Bharadwaj A1 Elizabeth A Bobeck A1 Courtney E McDougal A1 Shidong Ma A1 John-Demian Sauer A1 Amy W Hudson A1 Jenny E Gumperz YR 2021 UL https://www.life-science-alliance.org/content/4/7/e202000999.abstract AB Invariant natural killer T (iNKT) cells are a conserved population of innate T lymphocytes that interact with key antigen-presenting cells to modulate adaptive T-cell responses in ways that can either promote protective immunity, or limit pathological immune activation. Understanding the immunological networks engaged by iNKT cells to mediate these opposing functions is a key pre-requisite to effectively using iNKT cells for therapeutic applications. Using a human umbilical cord blood xenotransplantation model, we show here that co-transplanted allogeneic CD4+ iNKT cells interact with monocytes and T cells in the graft to coordinate pro-hematopoietic and immunoregulatory pathways. The nexus of iNKT cells, monocytes, and cord blood T cells led to the release of cytokines (IL-3, GM-CSF) that enhance hematopoietic stem and progenitor cell activity, and concurrently induced PGE2-mediated suppression of T-cell inflammatory responses that limit hematopoietic stem and progenitor cell engraftment. This resulted in successful long-term hematopoietic engraftment without pretransplant conditioning, including multi-lineage human chimerism and colonization of the spleen by antibody-producing human B cells. These results highlight the potential for using iNKT cellular immunotherapy to improve rates of hematopoietic engraftment independently of pretransplant conditioning.