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Immunology · Adaptive Immunity

NKT cells

Natural killer T cells

NKT cells are a specialized lymphocyte subpopulation combining the properties of T cells and natural killer (NK) cells. Despite possessing a T-cell receptor, they belong to innate immunity cells, being the first to respond to pathogens and performing important regulatory functions.

Restricting moleculeCD1d (instead of classical MHC)
Specific markerCD1d-αGalCer complex
Primary reservoirBone marrow and liver
Survival factorIL-15
3 min readFor medical studentsUpdated Sep 25, 2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Phenotype and antigen recognition

NKT cells have an "activated" phenotype and express markers on their membrane characteristic of activated T lymphocytes, such as CD69, CD95, and CD44. Their main feature is that their receptors (TCR) recognize antigens not in the context of classical MHC molecules, but in a complex with the CD1d molecule.

Ligands recognized by NKT cells are predominantly of lipid or glycolipid nature:

  • Artificial (experimental): α-galactosylceramide (αGalCer) isolated from marine sponges. In laboratories, binding of the labeled CD1d-αGalCer complex is used to precisely identify invariant NKT cells.
  • Natural (bacterial): ceramides, α-glucuronyl, and glycosphingolipids presented by dendritic cells.
  • Autologous (endogenous): e.g., isoglobotriaosylceramide (iGB3).

Development and selection

The ontogeny of NKT cells takes place in the thymus, with T-cell features (TCR) appearing earlier than NK-cell properties. Lineage segregation occurs after TCR gene rearrangement with the choice of the Vα14/Vα24 segment.

An important stage is positive selection, which is carried out not by thymic stromal cells, but by cortical CD4+CD8+ thymocytes expressing CD1d.

Further maturation includes:

  1. Expression of the CD4 molecule and the transcription factor RORγt.
  2. Spontaneous secretion of IL-4 (predominant) and IFNγ cytokines.
  3. Reduction or loss of CD4 expression.
  4. Negative selection with the elimination of autoreactive clones.
  5. Agonist-dependent selection, due to which some cells retain affinity for self-ligands and acquire regulatory functions.

Before leaving the thymus, cells actively divide, while full NK activity and characteristic markers are acquired in the periphery.

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Distribution and migration in the body

Survival (homeostasis) of NKT cells, like classical natural killers, depends on the IL-15 cytokine.

In peripheral blood and lymph nodes, their proportion is less than 1%, and in the spleen, it is about 2%. The main reservoirs are the liver and bone marrow.

NKT cell migration is strictly regulated by chemokine receptors:

  • CXCR6: binds to CXCL16 (secreted by liver sinusoidal endothelial cells) and directs cells to the liver.
  • CCR2: responds to MCP-1/CCL2 and ensures migration to the spleen.
  • CCR7: allows cells to enter the T-zones of lymphoid organs.

Functions of NKT lymphocytes

Although NKT cells carry a T-cell receptor, they function as elements of innate immunity. Three key roles are distinguished:

  • Early cytokine production: In the initial stages of infection, they are practically the sole source of IFNγ.
  • Immune response regulation: Like regulatory T cells, they control the strength of the immune response, protecting the body from hyperergy and autoaggression.
  • Cytotoxicity: The ability to directly destroy target cells.

Briefly: answers to topical questions

Which NKT cell subpopulations are distinguished based on the expression of CD4 and CD8 coreceptors?

  • CD4+ fraction (CD4+CD8-) — an NKT cell subpopulation that continues to secrete IL-4 in the periphery.
  • Double negative cells (CD4-CD8-) — an NKT cell population.
  • CD4-/+ fraction (CD4-/+CD8-) — mature NKT cells expressing CD44 and NK1.1.

Through what molecular mechanisms do NKT cells exert their cytotoxicity?

  • Perforin-granzyme mechanism (perforinum et granzymum) — the release of perforin and granzyme B, leading to the induction of target cell apoptosis.
  • FasL mechanism (FasL-mechanismus) — cytotoxic activity of NKT lymphocytes mediated via the Fas ligand.

Class and exam questions

They belong to innate immunity, recognize lipid antigens in a complex with the CD1d molecule (rather than peptides with MHC), and possess natural killer features.

They belong to innate immunity, recognize lipid antigens in a complex with the CD1d molecule (rather than peptides with MHC), and possess natural killer features.

In the thymus, they secrete predominantly IL-4. In the periphery, IFNγ production increases, while IL-4 continues to be produced exclusively by the CD4+ subpopulation.

In the thymus, they secrete predominantly IL-4. In the periphery, IFNγ production increases, while IL-4 continues to be produced exclusively by the CD4+ subpopulation.

Positive selection is carried out by cortical double-positive (CD4+CD8+) thymocytes, as they bear the necessary CD1d molecule.

Positive selection is carried out by cortical double-positive (CD4+CD8+) thymocytes, as they bear the necessary CD1d molecule.

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What else to study on this topic

  • Detailed stages of development (from CD4loCD8lo to mature forms)
  • Molecular mechanisms of agonist-dependent selection
  • Features of the Vα14/Vα24 receptor
  • γδT cells: development and functions (comparison with NKT)

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