CD1 molecules represent a distinct lineage of antigen-presenting molecules
that are evolutionarily related to the classical major histocompatibility c
omplex (MHC) class I and class II molecules. Unlike the classical MHC produ
cts that bind peptides, CD1 molecules have evolved to bind lipids and glyco
lipids. Murine and human CD1d molecules can present glycolipid antigens suc
h as alpha-galactosylceramide (alpha-GalCer) to CD1d-restricted natural kil
ler (NK) T cells. Using CD1d knockout mice we demonstrated that CD1d expres
sion is required for the development of NK T cells. These animals were also
deficient in the rapid production of interleukin-4 and interferon-gamma in
response to stimulation by anti-CD3 antibodies. Despite these defects, CD1
d knockout animals were able to generate strong T-helper type 1 (T(H)1) and
T(H)2 responses. Spleen cells from these animals neither proliferated nor
produced cytokines in response to stimulation by alpha-GalCer. Repealed inj
ection of alpha-GalCer into wild-type but not CD1d mutant mice was able to
clear metastatic tumors. We further showed that alpha-GalCer can inhibit di
sease in diabetes-prone non-obese diabetic mice. Collectively, these findin
gs with CD1d knockout animals indicate a critical role for CD1d-dependent T
cells in various disease conditions, and suggest that alpha-GalCer may be
useful for therapeutic intervention in these diseases.