Mucosal-associated invariant T cells for cancer immunotherapy

Mol Ther. 2023 Mar 1;31(3):631-646. doi: 10.1016/j.ymthe.2022.11.019. Epub 2022 Dec 5.

Abstract

Human mucosal-associated invariant T (MAIT) cells are characterized by their expression of an invariant TCR α chain Vα7.2-Jα33/Jα20/Jα12 paired with a restricted TCR β chain. MAIT cells recognize microbial peptides presented by the highly conserved MHC class I-like molecule MR1 and bridge the innate and acquired immune systems to mediate augmented immune responses. Upon activation, MAIT cells rapidly proliferate, produce a variety of cytokines and cytotoxic molecules, and trigger efficient antitumor immunity. Administration of a representative MAIT cell ligand 5-OP-RU effectively activates MAIT cells and enhances their antitumor capacity. In this review, we introduce MAIT cell biology and their importance in antitumor immunity, summarize the current development of peripheral blood mononuclear cell-derived and stem cell-derived MAIT cell products for cancer treatment, and discuss the potential of genetic engineering of MAIT cells for off-the-shelf cancer immunotherapy.

Keywords: CAR engineering; GvHD; MAIT cell; allogeneic cell therapy; cancer immunotherapy; chimeric antigen receptor engineering; combination therapy; graft-versus-host disease; mucosal-associated invariant T cell; off-the-shelf; stem cell engineering.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Histocompatibility Antigens Class I / chemistry
  • Histocompatibility Antigens Class I / metabolism
  • Humans
  • Immunotherapy
  • Leukocytes, Mononuclear / metabolism
  • Mucosal-Associated Invariant T Cells* / metabolism
  • Neoplasms* / therapy
  • Receptors, Antigen, T-Cell / genetics

Substances

  • Receptors, Antigen, T-Cell
  • Histocompatibility Antigens Class I