The
glycosphingolipid alpha-galactosylceramide (
alpha-GalCer) has been shown to be a potent activator of invariant NKT (iNKT) cells, rapidly inducing large amounts of both Th1 and Th2
cytokines upon injection in mice. The
C-glycoside analog of
alpha-GalCer (
alpha-C-GalCer), by contrast, results in an enhanced Th1-type response upon activation of iNKT cells. We administered a single dose of these Ags to DBA/1 mice during the early induction phase of
collagen-induced arthritis and demonstrated therapeutic efficacy of
alpha-GalCer when administered early rather than late during the disease. Surprisingly, the Th1-polarizing analog
alpha-C-GalCer also conferred protection. Furthermore, a biphasic role of IFN-gamma in the effect of iNKT cell stimulation was observed. Whereas in vivo neutralization of IFN-gamma release induced by either
alpha-GalCer or
alpha-C-GalCer early during the course of disease resulted in partial improvement of clinical
arthritis symptoms, blockade of IFN-gamma release later on resulted in a more rapid onset of
arthritis. Although no phenotypic changes in conventional T cells, macrophages, or APCs could be detected, important functional differences in T cell
cytokine production in serum were observed upon polyclonal T cell activation, 2 wk after onset of
arthritis. Whereas
alpha-GalCer-treated mice produced significantly higher amounts of
IL-10 upon systemic anti-CD3 stimulation compared with PBS controls, T cells from
alpha-C-GalCer-treated mice, by contrast, produced substantially lower levels of
cytokines, suggesting the involvement of different protective mechanisms. In conclusion, these findings suggest long-term,
ligand-specific, time-dependent, and partially IFN-gamma-dependent immunomodulatory effects of iNKT cells in
collagen-induced arthritis.