Regulation of the terminal maturation of iNKT cells by mediator complex subunit 23

Invariant natural killer T cells (iNKT cells) are a specific subset of T cells that recognize glycolipid antigens and upon activation rapidly exert effector functions. This unique function is established during iNKT cell development; the detailed mechanisms of this process, however, remain to be elucidated. Here the authors show that deletion of the mediator subunit Med23 in CD4+CD8+ double positive (DP) thymocytes completely blocks iNKT cell development at stage 2. This dysregulation is accompanied by a bias in the expression of genes related to the regulation of transcription and metabolism, and functional impairment of the cells including the loss of NK cell characteristics, reduced ability to secrete cytokines and attenuated recruitment capacity upon activation. Moreover, Med23-deficient iNKT cells exhibit impaired anti-tumor activity. Our study identifies Med23 as an essential transcriptional regulator that controls iNKT cell differentiation and terminal maturation.

Invariant natural killer T cells (iNKT cells) are a specific subset of T cells that recognize glycolipid antigens and upon activation rapidly exert effector functions. This unique function is established during iNKT cell development; the detailed mechanisms of this process, however, remain to be elucidated. Here the authors show that deletion of the mediator subunit Med23 in CD4 + CD8 + double positive (DP) thymocytes completely blocks iNKT cell development at stage 2. This dysregulation is accompanied by a bias in the expression of genes related to the regulation of transcription and metabolism, and functional impairment of the cells including the loss of NK cell characteristics, reduced ability to secrete cytokines and attenuated recruitment capacity upon activation. Moreover, Med23-deficient iNKT cells exhibit impaired anti-tumor activity. Our study identifies Med23 as an essential transcriptional regulator that controls iNKT cell differentiation and terminal maturation. I nvariant natural killer T (iNKT) cells are a distinct T cell lineage that expresses an invariant Vα14-Jα18 TCR in mice (Vα24-Jα18 in humans) combined with a limited TCRβ repertoire and surface markers that are typically associated with NK cells. iNKT cells recognize glycolipid antigens presented by the MHC class I-like molecule CD1d and are a functional bridge between the initial innate immune response and subsequent adaptive response 1 . Upon activation, iNKT cells play a protective or detrimental role in infectious and autoimmune diseases and mediate tumor surveillance by rapidly secreting copious levels of cytokines such as interferon-γ (IFN-γ) and interleukin 4 (IL-4) and activating diverse immune cells [2][3][4][5] . The chemically synthesized glycolipid α-galactosylceramide (α-GalCer) was originally isolated from a marine sponge and is a ligand for iNKT cells 6 . α-GalCer rapidly activates iNKT cells and exhibits potent antitumor activity against various types of tumor cells in mouse models of cancer such as the B16F10 melanoma lung metastasis mouse model 7,8 .
iNKT cells are mostly generated in the thymus from CD4 + CD8 + double-positive (DP) thymocytes, similar to the generation of conventional T cells. There are four distinct stages of iNKT cell development based on CD24, CD44 and NK1.1 expression on TCRαβ + T cells that react with the CD1d tetramer loaded with the α-GalCer analog PBS57 (CD1d-PBS57) 1,[9][10][11][12] . The earliest iNKT cell precursors (stage 0) are derived from DP thymocytes and are defined as CD24 high CD44 lo NK1.1 lo . Subsequently, stage 0 cells downregulate the B cell differentiation marker CD24 and enter into a highly proliferative phase (stage 1; CD24 lo C-D44 lo NK1.1 lo ). Stage 1 cells further upregulate expression of the activation and memory marker CD44 to become CD24 lo CD44hi NK1.1 lo iNKT cells (stage 2) and then develop and differentiate to become fully mature iNKT cells (stage 3; CD24 lo CD44 hi N-K1.1 hi ). This stage is accompanied by the expression of NK cell surface receptors such as NK1.1, CD94, and NKG2D 13 . This final transition requires TCR signaling mediated by CD1d and is often a point at which a block occurs during iNKT cell development 14 .
Recently, based on distinctive functions and transcription factor expression, a novel classification of iNKT cells into NKT1, NKT2 and NKT17 cells was proposed, similar to the classification of effector T helper cells. NKT1 cells express T-bet and secrete IFNγ primarily at stage 3; NKT2 cells express GATA3 and secrete IL-4 primarily at stage 2; and NKT17 cells express RORγt and produce interleukin 17 (IL-17) primarily at stage 2. These three subsets of iNKT cells are defined by intracellular staining for the transcription factors PLZF, T-bet, and RORγt 15,16 . However, the intrinsic relationship between the lineage diversification model and the linear stage model remains to be investigated.
The mediator, an evolutionarily conserved high-molecularmass complex composed of more than 20 distinct subunits, plays an important role in the RNA polymerase II general transcriptional machinery and functions directly through RNA polymerase II to integrate and transduce regulatory information from enhancers to promoters performing various activities in transcription [17][18][19] . One of its subunits, Med23 (also known as Sur2), was originally identified as a target of the viral oncoprotein E1A and responds to a highly specialized signaling pathway [20][21][22] . Hence, Med23 plays distinct roles in diverse biological processes including carcinogenesis, DNA repair, and bone development [23][24][25] . Recently, we reported that Med23 contributes to setting the conventional T cell activation threshold by promoting the expression of negative regulators of T cell activation and prevents autoimmunity 26 .
Here, we find that loss of Med23 leads to decreased iNKT cell numbers and a complete block at stage 2 during iNKT cell development. To determine how Med23 regulates this process, we first compare the transcriptional and functional features of stage 2 and stage 3 iNKT cells from wild type (WT) mice and then investigate how these features change in the absence of Med23. We find that stage 3 iNKT cells, which express distinct transcriptomes, are able to upregulate surface makers typically associated with NK cells and rapidly secrete cytokines and chemokines upon stimulation compared with stage 2 iNKT cells. However, Med23-deficient iNKT cells fail to do so, even less than WT stage 2 iNKT cells. In particular, the anti-tumor activity of Med23-deficient iNKT cells is significantly attenuated. Overall, we identify Med23 as a critical regulator of the terminal maturation of iNKT cells.

Results
Med23 deficiency blocks iNKT cell development at stage 2. To study the roles of Med23 in conventional T cells, we generated Med23 conditional knockout (Med23 −/− ) mice (designated KO mice) driven by a CD4 promoter in which Med23 is efficiently and specifically deleted by the DP stage of T cell development 26 . Because most iNKT cells arise from DP thymocytes 9-12 , we further investigated whether Med23 regulates iNKT cell development. We determined the frequency and absolute number of iNKT cells from WT littermates and Med23 −/− mice by CD1d-PBS57 and TCRβ staining. The frequency and cellularity of iNKT cells in the thymi, spleens, and livers of Med23 −/− mice were significantly decreased compared with those in the WT controls ( Fig. 1a, b and Supplementary Fig. 1a, b), which indicated that Med23 plays important roles in iNKT cell development. iNKT cell development requires an interaction between the semi-invariant TCR and CD1d and is highly dependent on SLAM signaling 1 . Our data indicated that Med23 deficiency in DP thymocytes impacted neither the rearrangement of TCR Vα14-Jα18 and CD1d expression ( Supplementary Fig. 2a, c) nor the expression or transcription of the SLAM family of proteins (Slamf1, Slamf6, Fyn and Sap) ( Supplementary Fig. 2a, b).
These phenotypes inspired us to further examine the stage at which Med23 deficiency inhibits iNKT cell development. Although stage 0 iNKT cells did not appear to be impacted, Med23-deficient iNKT cells in the thymus, spleen, and liver failed to express NK1.1 to complete final maturation (Fig. 1c, d and Supplementary Fig. 1a, b). There was a significant increase in the percentage of iNKT cells at stage 2 and a severe decrease in the percentage of iNKT cells at stage 3, which indicated that the transition from stage 2 to stage 3 in iNKT cell development was severely affected, and the development of iNKT cells was completely blocked at stage 2 in Med23-deficient mice. Nevertheless, this block did not increase the number of splenic and liver stage 2 cells (Fig. 1e, f). To determine whether the lack of stage 3 cells was attributable to impaired NK1.1 expression in the absence of Med23, we bred conditional Med23 fl/fl mice (with a mixed genetic background of C57BL/6:Sv129) with the Vav1-Cre strain, generating a Med23 deletion in the hematopoietic system. The expression of NK1.1 in NK cells was similar to that in WT controls ( Supplementary Fig. 3), suggesting that Med23 did not directly regulate NK1.1 expression.
We further examined whether the blocked development of iNKT cells in Med23 −/− mice was due to a mechanism intrinsic to the cells by transferring a 1:1 mixture of bone marrow cells from WT (CD45.1 + ) and Med23 −/− (CD45.2 + ) mice into irradiated Rag2 knockout recipient mice and analyzing iNKT cell development 2 months later. Analysis of these chimeras showed that Med23 −/− iNKT cells did not reconstitute efficiently, and their development was blocked at stage 2, whereas WT iNKT cells in the same recipients developed normally (Fig. 1g-j). These data indicated a cell-intrinsic role for Med23 in controlling iNKT cell development.
Loss of Med23 impairs iNKT cell functional differentiation. To determine whether Med23 deficiency affects iNKT cell function, we stained iNKT cells intracellularly with antibodies against PLZF, T-bet, and RORγt. Compared with WT mice, Med23 −/− mice had a higher frequency of NKT2 cells and fewer NKT1 cells and NKT17 cells. In thymic iNKT cells, we observed a similar tendency of the absolute number (Fig. 2a-c and Supplementary  Fig. 1c).     Fig. 4), consistent with previously published data 27,28 . Moreover, NKT2 cells, which are the primary population of stage 2 cells, include the population which does not produce IL-4 in the steady state and can develop into NKT1 cells in thymi and spleens 15 , and no stage 3 NKT1 cells are present in Med23-deficient mice. We therefore concluded that the functional differentiation of iNKT cells is impaired in the absence of Med23.
Med23 controls iNKT cell development partially by c-Jun. Previous study have shown that interleukin 15 (IL-15) plays an important role in the transition from stage 2 to stage 3 and regulates iNKT cell survival 12,29,30 . Our data indicated that Med23 deficiency did not impair either IL-15 receptor α (IL-15Rα) expression or the levels of apoptosis in stage 2 iNKT cells ( Supplementary Fig. 5a-c). Considering that the expression of Med23 gradually increased during the stage 1 to stage 3 transition (Fig. 3a) and that Med23 deficiency completely blocked the transition from stage 2 to stage 3 in Med23 −/− iNKT cells ( Fig. 1d-f), we speculated that Med23 plays a more important role in the transition from stage 2 to stage 3. Hence, we further investigated how Med23 regulated this process. To this end, we compared the transcription-related gene expression in WT stage 2 and stage 3 cells and found that each cell type had distinct characteristics, suggesting that transcriptional regulation was involved in this final transition. Notably, this transition upregulated a series of transcriptional factors associated with Med23, like Fosl2, a member of the AP-1 family that is dysregulated when Med23 is mutated in humans; 22 Foxo4, a member of the FOXO family that has existing functional interactions with Med23; 31 and Runx2, whose transcriptional activity is modulated by Med23 during osteogenesis 24 (Fig. 3b). To study whether Med23 mediates the final transition from stage 2 to stage 3 via these genes, we used Fosl2 as a template and measured gene expression, including that of AP-1 transcription factors. We observed diverse gene expression between WT stage 2 and stage 3 iNKT cells (Fig. 3c). Moreover, c-Jun, a critical component of AP-1 combined with c-Fos, exhibited decreased expression in stage 2 Med23 −/− iNKT cells compared with that in WT stage 2 and stage 3 cells (Fig. 3d). We retrovirally expressed c-Jun in Med23-deficient iNKT cells and observed that its ectopic expression partially restored the stage 2 to stage 3 transition of Med23 −/− iNKT cells (Fig. 3e, f).
Previous studies from other labs investigating the regulation of the transition of iNKT cells have focused on transcription factors and metabolism regulators. We also analyzed the expression of transcriptional and metabolic regulators in stage 2 WT and Med23 −/− iNKT cells, including Tbx21 32 , Egr2 33 , Med1 34 , Tsc1 35 , and Pten 36 . Stage 2 Med23 −/− iNKT cells had aberrantly high Med1, Tsc1, and Pten expression compared with that observed in stage 2 WT iNKT cells (Fig. 3g), indicating that Med23 influenced the transcription of certain important regulators in the transition from stage 2 to stage 3. To further confirm our conclusion, we compared the transcriptome of Med23 −/− stage 2 cells with that of WT controls. Pathway-enrichment analysis of differentially expressed genes revealed that some genes related to chromosome assembly had different expression levels in WT and Med23 −/− stage 2 iNKT cells ( Supplementary Fig. 6). Overall, the expression bias of a series of regulators may give rise to a block in the development of Med23 −/− iNKT cells, and we demonstrated that this block was partially caused by the disruption of AP-1 activity.
The functional characteristics of stage 2 and stage 3 cells. The loss of Med23 led to a block in the development of iNKT cells at stage 2, which encouraged us to investigate how Med23 regulates the functional maturation of iNKT cells from stage 2 to stage 3. First, we compared the biological signatures of stage 2 and stage 3 cells from WT mice because stage 3 cells were absent in Med23 −/− mice. Pathway-enrichment analysis of differentially expressed genes revealed that many categories related to the immune process exhibited dramatic changes (Fig. 4a). These results prompted us to explore the functional differences between stage 2 and stage 3 cells. Similar to a previous study 37 , stage 3 cells had increased levels of not only activating but also inhibiting NK cell surface receptors ( Supplementary Fig. 7a). However, Med23deficient stage 2 iNKT cells, which did not exhibit NK cell characteristics, failed to express functional receptors of NK cells such as NK1.1, NKG2D, CD94, and Ly-49G2 38-41 (Supplementary Fig. 7b).
We analyzed the genes encoding cytokine activity that were distinctive between stage 2 and stage 3 cells (Fig. 4b). The expression of Fasl, which induces cell apoptosis with the Fas receptor and is important for the killing role of cytotoxic T cells, was higher in stage 3 cells than in stage 2 cells 42 . Stage 3 cells also had higher expression of Ifng, which participates in immune responses against viruses, intracellular bacteria and tumors 43 , and Tnfsf11, which enhances the capacity of dendritic cells to stimulate naïve T cell proliferation 44 . By contrast, stage 2 cells expressed Il13, whose aberrant secretion is associated with the pathogenesis of allergic disorders 45 , and Tgfb3, which regulates Fig. 1 Deletion of Med23 blocks stage 2 to stage 3 iNKT cell development. a Flow cytometric analysis of TCRβ int CD1d-PBS57 + cells in the thymi, spleens, and livers of fiveto eight-week-old WT and Med23 −/− mice. b The percentage and number of iNKT cells in the thymi, spleens, and livers of WT and Med23 −/− mice (thymus, n = 8; spleen and liver, n = 6). c, d Dot plots showing the iNKT cell developmental stages of fiveto eight-week-old WT and Med23 −/− mice. Stage 0 cells were gated as CD24 high tetramer + in the thymus (c). Gated CD24 low tetramer + cells in the thymi, spleens, and livers were analyzed further for CD44 and NK1.1 expression (d). e, f The frequency (e) and number (f) of iNKT cells at stage 0, stage 1, stage 2 and stage 3 in the thymi as well as stage 2 and stage 3 in the spleens and livers of fiveto eight-week-old WT and Med23 −/− mice (thymus, n = 8; spleen and liver, n = 6). g Flow cytometric analysis of WT (CD45.1 + ) and Med23 −/− (CD45.2 + ) iNKT cells from the thymi, spleens, and livers of Rag2 knockout recipient mice. h The frequency of WT (CD45.1 + ) and Med23 −/− (CD45.2 + ) iNKT cells in the thymi, spleens, and livers of Rag2 knockout recipient mice (n = 6). i Flow cytometric analysis of CD44 and NK1.1 expression in WT (CD45.1 + ) and Med23 −/− (CD45.2 + ) CD24 low tetramer + cells in the thymi, spleens, and livers of Rag2 knockout recipient mice. j The frequency of WT (CD45.1 + ) and Med23 −/− (CD45.2 + ) iNKT cells at stage 1, stage 2, and stage 3 in the thymi and stage 2 and stage 3 in the spleens and livers of Rag2 knockout recipient mice (n = 6). The data are presented as the mean ± s.d. For all panels: *P < 0.05; **P < 0.01; ***P < 0.001; ****P < 0.0001 by Student's t-test; N.S. no significance. All data are representative of or combined from at least three independent experiments the formation of normal and cleft palates 46 . Unexpectedly, the transition from stage 2 to stage 3 upregulated all genes encoding chemokine activity (Fig. 4c), suggesting that stage 3 cells may have the ability to recruit other immune cells. Overall, stage 2 and stage 3 cells likely play different roles in the immune response. In addition to regulating the acquisition of NK cell characteristics, the participation of Med23 in the functional transition remains to be investigated.
Med23 facilitates function acquisition by iNKT cells. Stage 2 and stage 3 cells exhibited a distinct cytokine bias (Fig. 4b) CD1d-PBS57-PE  Fig. 8a, b) and Med23 did not impact the main functional subsets in stage 2 cells (Fig. 2g-i), we did not focus any further on the difference in cytokine diversity between WT and Med23 −/− stage 2 iNKT cells. Instead, we investigated the ability of stage 2 and stage 3 cells to respond to antigens and whether Med23 regulated this process. We first intravenously injected 2 μg of α-GalCer, a specific ligand for iNKT cells, into WT and Med23 −/− mice. The injection of α-GalCer into WT mice rapidly increased their IL-4 serum titers 4 h after injection and their IFN-γ titers 16 h after injection. Med23 −/− mice only exhibited slight increases in these titers upon activation by the antigen compared with the WT controls (Fig. 5a), indicating an insensitive response to the antigen.
Subsequently, we examined IFN-γ and IL-4 secretion by stage 2 and stage 3 iNKT cells upon activation in vivo. Because few stage 3 cells were present in Med23 −/− mice, we analyzed only WT stage 2 and stage 3 cells and Med23-deficient stage 2 cells in follow-up studies. iNKT cells in spleens and livers from WT and Med23 −/− mice increased IFN-γ and IL-4 secretion after α-GalCer stimulation compared to the mock-treated controls (Fig. 5b, c). Splenic WT stage 3 cells produced the highest levels of IFN-γ and IL-4, whereas the cytokine secretion levels of Med23-deficient stage 2 cells were even lower than those of WT stage 2 cells upon activation (Fig. 5d). IFN-γ production in the liver followed the same trend (Fig. 5e). Furthermore, we found that splenic and liver WT stage 3 cells produced IFN-γ and IL-4 much faster and were more sensitive than WT stage 2 cells after α-GalCer stimulation. Med23 −/− stage 2 cells exhibited the weakest production and antigen sensitivity with the exception of IL-4 secretion in the livers ( Fig. 5f-i). Thus, the terminal maturation of iNKT cells included functional improvements that were dependent on Med23. Since TCR downmodulation of iNKT cells is gradual and recovers within 24 h after the administration of α-GalCer 47 , we only detected iNKT cells that were activated for less than 2 h in vivo. Csf-2 deficiency has been reported to impair cytokine secretion in iNKT cells upon activation; 48 thus, we investigated the expression of Csf-2 in WT and Med23 −/− stage 2 iNKT cells. High expression of Csf2 was observed in Med23 −/− stage2 cells indicating that Med23 deletion did not impact iNKT cell function by Csf-2 (Supplementary Fig. 8c).
Med23-deficient iNKT cells lose their recruitment capacity. Intriguingly, the RNA-seq data showed that WT stage 3 cells expressed a diverse variety of chemokines compared with WT stage 2 cells (Fig. 4c). We investigated whether the transition from stage 2 to stage 3 improved recruitment capacity and determined the role of Med23. First, we investigated the recruitment capacity of iNKT cells in vivo. WT mice injected intravenously with 2 μg of α-GalCer exhibited a significant accumulation of neutrophils in the liver in the first 2 h after injection, followed by a significant accumulation of B cells and NK cells, although there was a loss of cellularity among monocytes and macrophages. A slight increase in T cell numbers was also detected ( Fig. 6a and Supplementary  Fig. 9a, b). These results confirmed that iNKT cells were able to recruit diverse immune cells after stimulation.
One hour after stimulation with α-GalCer, we sorted the stage 2 and stage 3 cells in WT mice and stage 2 cells in Med23 −/− mice and examined their chemokine expression levels. WT stage 3 cells had significantly higher expression of Xcl1, Ccl5, and Ccl4 than the other cells. However, Med23 −/− stage 2 cells were unable to maintain the same chemokine expression levels as WT stage 3 cells and exhibited significantly decreased Ccl4 expression compared with WT stage 2 cells (Fig. 6b). We also measured the production of chemokine ligand 5 (CCL5), which regulates the recruitment of a variety of leukocytes, such as T cells and neutrophils, to sites of inflammation 49 . Splenic and liver WT iNKT cells upregulated CCL5 production after α-GalCer stimulation compared to the mock-treated controls (Fig. 6c, d).
Med23-deficient splenic and liver stage 2 cells exhibited impaired secretion of CCL5, and WT stage 3 cells exhibited the highest increase in CCL5 production upon activation (Fig. 6e). To determine the role of CCL5 secretion by iNKT cells in cell recruitment, we injected WT mice with a CCL5 antagonist, Met-RANTES, or PBS as a control before α-GalCer administration. After activation of iNKT cells for 2 h, the cell number of neutrophils was significantly increased in the liver in PBS-treated mice. By contrast, Met-RANTES-treated mice exhibited only a modest increase compared with the PBS-treated controls ( Supplementary Fig. 10). These results demonstrated that Med23 may partially impact iNKT cell recruitment capacity by regulating their CCL5 secretion. Overall, our data showed that Med23 regulates recruitment capacity, including in the terminal maturation of iNKT cells.
Med23 ablation impairs anti-tumor iNKT cell function. Considering that the loss of Med23 impaired the functional maturation of iNKT cells, we investigated whether Med23 disrupted their pathophysiological function. WT and Med23 −/− mice were inoculated with B16F10 melanoma cells and intravenously injected with 2 μg of mock or α-GalCer three times (on days 0, 4, and 8), after which the number of lung metastases was counted. We observed that WT mice that received α-GalCer exhibited a marked resistance to B16F10 cell metastasis to the lungs compared with mock-injected WT mice. Although Med23 −/− mice displayed a low capacity to prevent B16F10 cell metastasis after α-GalCer administration, the inhibitory effect was obviously decreased compared with that observed in WT mice (Fig. 7a-c). This impaired anti-tumor ability might be attributable to the decreased accumulation of iNKT cells in the lungs and damage to their production of critical anti-tumor factors (IFN-γ and CCL5) Fig. 2 Med23-deficient iNKT cells have impaired functional differentiation. a Representative dot plots of NKT1, NKT2, and NKT17 cells in the thymi, spleens, and livers of fiveto eight-week-old WT and Med23 −/− mice. b The percentage of NKT1, NKT2, and NKT17 cells in the thymi, spleens, and livers of WT and Med23 −/− mice (thymic NKT1 and NKT2, WT, n = 9, KO, n = 8; thymic NKT17, WT, n = 6, KO, n = 5; splenic and liver NKT1 and NKT2, n = 8; splenic and liver NKT17, n = 6). c The absolute number of NKT1, NKT2, and NKT17 cells in the thymi, spleens, and livers of WT and Med23 −/− mice (thymic NKT1 and NKT2, WT, n = 6, KO, n = 5; thymic NKT17, WT, n = 9, KO, n = 8; splenic NKT1 and NKT2, n = 5; splenic NKT17, n = 6; liver, n = 5). d-f Flow cytometric analysis of NKT1, NKT2, and NKT17 cells in stage 2 cells in the thymi (d), spleens (e) and livers (f) of fiveto eight-week-old WT and Med23 −/− mice. g-i Representative frequency of NKT1, NKT2, and NKT17 cells in stage 2 cells in the thymi (g), spleens (h) and livers (i) of WT and Med23 −/− mice (thymus, n = 3; splenic NKT1 and NKT2, WT, n = 6, KO, n = 5; splenic NKT17, n = 5; liver, n = 6). The data are presented as the mean ± s.d. For all panels: *P < 0.05; **P < 0.01; ***P < 0.001; ****P < 0.0001 by Student's t-test; N.S. no significance. All data are representative of or combined from at least three independent experiments after α-GalCer administration (days 0 and 4) (Fig. 7d-g and Supplementary Fig. 1b) 50,51 . Since surface NK1.1 expression is significantly downregulated in iNKT cells 8 h after the administration of α-GalCer and decreased NK1.1 expression has previously been shown to persist for at least half a year 52 , we were unable to recognize stage 2 and stage 3 iNKT cells after administering α-GalCer twice. Instead, we analyzed the frequency of IFN-γ and CCL5 secretion by total iNKT cells.
Without α-GalCer injections, Med23 −/− mice exhibited better anti-tumor effects than did WT controls (Fig. 7a, b), probably due to the hyperactivation of T cells 26 . To exclude the influence of a low T cell activation threshold in Med23 −/− mice, we transferred  (Fig. 7h, i). Together, these data suggest that Med23 deficiency can impair the anti-tumor effects of iNKT cells.

Discussion
We previously demonstrated that Med23 regulates conventional T cell activation and prevents autoimmunity 26 . Here, we found that Med23 deletion led to a specific block of iNKT cell development from stage 2 to stage 3. This phenotype provided a rare opportunity to investigate the terminal maturation of iNKT cells.     However, the process that occurs during the transition from stage 2 to stage 3 is largely unknown, with the exception of the expression of certain NK cell-related markers. Our study summarizes the characteristics of stage 2 and stage 3 cells in WT mice using global transcriptional analysis and functional assays. Stage 3 cells upregulated many NK cell-related markers, produced cytokines faster and were more sensitive than stage 2 cells after stimulation with antigens. Moreover, stage 3 cells gained  54,55 . Different transcription factors regulate unique physiological processes. The main role of Med23, an important component of the mediator complex, is to regulate gene transcription. Med23 is required specifically for mediator recruitment to a subset of immediate early response genes that are predominantly controlled by the mitogen-activated protein kinase (MAPK) signaling pathway, such as the Egr family of proteins, c-Fos, and c-Jun 21,22 . In our study, the transition from stage 2 to stage 3 reprogrammed the transcriptional regulation profile, highlighting the significance of transcription in this process. Unexpectedly, the expression of many transcription factors related to Med23 were altered during this transition. The expression of AP-1 transcription factors differed between WT stage 2 and stage 3 iNKT cells (Fig. 3c). The roles of AP-1 activity in iNKT cell development have been studied in three genetically manipulated mouse models: BATF-transgenic, Fosl2, and JunB knockout mice. The loss of Fosl2 in iNKT cells significantly increases c-Jun expression and the cellularity and cytokine secretion bias of iNKT cells [56][57][58] . Correspondingly, the expression of c-Jun, a key component of the AP-1 complex, was significantly downregulated in Med23-deficient stage 2 iNKT cells, and the ectopic expression of c-Jun in Med23 −/− iNKT cells partially restored the stage 2 to stage 3 transition (Fig. 3d-f). Based on these and other published data, Med23 may regulate iNKT cell development from stage 2 to stage 3 by impacting the transcription of specific genes. Whether Med23 controls this final transition through other potential regulators, such as RUNX2 and the FOXO family, remains to be elucidated.
It has been reported that the transition from stage 2 to stage 3 is regulated by many other regulators. Med1 is another subunit of the mediator complex; its deficiency impairs the development of iNKT cells from stage 0 and reduces IL-2Rβ and T-bet expression 34 . Hobit −/− iNKT cells, which have a low percentage of the mature population, enhance IFN-γ production after α-GalCer administration 59 . Due to loss of the vitamin D receptor, iNKT cells fail to increase NK1.1 and Ly49C expression but have normal levels of CD122 and NKG2A/C/E expression 60 . IL-15 plays an important role in iNKT cell development and survival 30 . In our study, Med23 deficiency distinct blocked iNKT cell development at stage 2 ( Fig. 1d-f) and further impaired the recruitment capacity of iNKT cells (Fig. 6b-e). Taken together, Med23 displays dominance and specificity in the regulation of iNKT cell terminal maturation compared to other regulators.
Decreased numbers and impaired function of iNKT cells are closely connected to poor clinical outcomes in patients with malignant diseases 61,62 . Recently, more researchers have focused on the anti-tumor activity of iNKT cells. iNKT cells are stimulated by α-GalCer, a specific agonist for mouse and human iNKT cells 7,63 . The stimulated iNKT cells then induce cytokine production and subsequently activate other immune cells, such as NK cells, CD8 + CTLs, and dendritic cells, against various tumors, such as melanoma, colon, and hematopoietic cancers 8,64,65 . The decreased secretion of IFN-γ and CCL5 in Med23-deficient iNKT cells after α-GalCer administration may be one of the main reasons for their impaired anti-tumor ability. These results imply a critical role for stage 3 iNKT cells in tumor therapy and emphasize that Med23 controls the final maturation of iNKT cells, which is closely related to their anti-tumor effects.
Our results support a new paradigm regarding the terminal maturation of iNKT cells. This process not only includes functional subset differentiation and abundant receptor expression correlated with NK cells but also improvement in cytokine secretion and recruitment capacity upon activation. This transition is intimately associated with the role of iNKT cells in disease. In contrast to NK cells, mature iNKT cells possess a distinct antigen that is activated in addition to producing copious levels of several cytokines after stimulation and expressing NK cell markers. Additionally, mature iNKT cells are not the same as conventional T cells, are activated without priming and possess recruitment capacity. These features suggest that Med23 is a key regulator that controls the terminal maturation of iNKT cells and determines their final destiny.

Methods
Mice. Med23 fl/fl mice had been obtained from Professor G. Wang (Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences) and backcrossed to a B6 background for at least 10 generations unless otherwise indicated 26 . Cd4-Cre transgenic mice were obtained from Professor Z. Hua (Nanjing University). Vav1-Cre transgenic mice (strain: B6.Cg-Commd10 Tg (Vav1-icre) A2Kio /J) and CD45.1 mice (strain: B6.SJL-Ptprc a Pepc b /BoyJ) were purchased from The Jackson Laboratory. Jα18 −/− mice were originally obtained from Professor L. Bai (University of Science and Technology of China). Rag2 −/− mice were obtained from the Institute of Development Biology and Molecular Medicine (Fudan University) and maintained on a B6 background. Both male and female mice between 5 and 12 weeks of age were used for all experiments. All mice were maintained under pathogen-free conditions and genotyped by PCR before experimentation. Mice were randomly allocated to experimental groups and processed to ensure the robustness of our conclusions. We were not blinded to the group allocation during experiments and outcome assessment. All animal experiments were conducted according to the National Institutes of Health guidelines and were approved by the Institutional Animal Care and Use Committee of the Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences. The sequences of primers used for genotyping are listed in the Supplementary Table 1.
Cell culture. The PlatE cell line was obtained from Professor G. Pei (Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences) and was originally purchased from Cell Biolabs, Inc. The B16F10 melanoma cell line was obtained from the Cell Bank (Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences). The cells were cultured in a humidified incubator at Fig. 7 Med23 deficiency impairs the anti-tumor function of iNKT cells. a-c WT and Med23 −/− mice were inoculated with 2 × 10 5 B16F10 cells by i.v. injection. On the same day and again on days 4 and 8, WT and Med23 −/− mice received 2 μg of α-GalCer or mock by i.v. injection. Fourteen days after tumor inoculation, the lungs were harvested (a), B16F10 colonies were counted (b) and the anti-tumor effects of α-GalCer were assessed (c) (n = 7). Scale bar: 0.5 cm. The anti-tumor effect (%) = 1-B16F10 colonies (α-GalCer administration)/B16F10 colonies (mock administration). d, e Flow cytometry data (d) and the percentage (e) of iNKT cells in the lungs of WT and Med23 −/− mice with post-B16F10 inoculation and α-GalCer or mock administration on days 0 and 4 (WT + Mock, KO + Mock and KO + α-GalCer, n = 8; WT + α-GalCer, n = 7). f, g After in vitro stimulation with PMA and ionomycin for 2 h, flow cytometric analysis (f) was performed, and the percentage (g) of IFN-γ + and CCL5 + cells among iNKT cells in the lungs of WT and Med23 −/− mice with post-B16F10 inoculation and α-GalCer administration on days 0 and 4 was determined (IFN-γ + cell frequency, n = 7; CCL5 + cell frequency, n = 5). h, i Jα18 −/− mice were inoculated with 2 × 10 5 B16F10 cells by i.v. injection. On the same day and again on days 4 and 8, the Jα18 −/− mice received 2 × 10 5 liverderived iNKT cells from WT or Med23 −/− mice by i.v. injection with 2 μg of α-GalCer. Fourteen days after tumor inoculation, the lungs were harvested (h), and B16F10 colonies were counted (i) (n = 4, paired t-test). Scale bar: 0.5 cm. The data are presented as the mean ± s.d. For all panels: *P < 0.05; **P < 0.01; ***P < 0.001; ****P < 0.0001 by Student's t-test; N.S. no significance. All data are representative of or combined from at least three independent experiments 37°C, 5% CO 2 in DMEM (Gibco) supplemented with 10% FBS (Gibco) and 1% penicillin/streptomycin (Gibco). All cell lines used were tested and shown to be mycoplasma-free.
Antibodies and reagents. Fluorescently conjugated protein or antibodies used for cell-surface staining and intracellular staining for cytokines and transcription factors are listed in Supplementary Table 2. α-GalCer (KRN7000) was purchased from Enzo. CD1d-PBS57 (conjugated with either PE or allophycocyanin) was obtained from the tetramer facility of the US National Institutes of Health. Collagenase IV used for tissue digestion was purchased from Sigma. Taq Master Mix was purchased from Vazyme Biotech. A mouse IFN-γ ELISA kit and a mouse IL-4 ELISA kit were obtained from BioLegend. PMA and ionomycin were obtained from Merck. Stem cell factor, murine IL-3, and murine IL-6 were obtained from PeproTech. Met-RANTES was purchased from R&D Systems. DAPI was obtained from Cell Signaling Technology.
Tissue preparation and cell isolation. Single cell thymocyte suspensions were obtained by triturating and filtering through a nylon screen. Splenocytes were prepared by squeezing, followed by red blood cell lysis before filtration. The lungs or livers were perfused with cold PBS before extraction to remove the blood cells. Then, the lungs were cut into pieces and incubated with shaking (200 rpm) at 37°C for 90 min in RPMI medium (Gibco) containing 5% FBS (Gibco), 160 μg ml −1 collagenase IV (Sigma) and 0.2 μg ml −1 DNase I (Shanghai Sanjie). The livers were minced and filtered through a cell strainer (40 μM; BD Biosciences). Leukocytes were isolated from the digested tissues or liver cell suspensions by density fractionation using discontinuous 40-70% (vol/vol) Percoll (GE Healthcare) gradients. Bone marrow cells were obtained by flushing the tibias and femurs and then lysing the red blood cells before filtration.
FACS analysis and cell sorting. For cell surface staining, the cells were distributed in 5 ml polystyrene round-bottom tubes (BD Biosciences) and stained for 40 min at 4°C with the indicated antibodies 66 . Intracellular staining for cytokines was performed after 10 min of fixation with 2% formaldehyde solution in PBS at room temperature and 5 min of permeabilization in Perm/Wash Buffer (BD Biosciences) at 4°C. Intracellular staining for transcription factors (PLZF, T-bet and RORγt) was performed using a Foxp3 staining kit (eBioscience) according to the manufacturer's protocol. Stage 2 or stage 3 iNKT cells from the thymus or liver and total iNKT cells from the liver were sorted by FACS for RNA-seq analysis, relative gene transcription analysis, or adoptive transfers. To obtain stage 2 or stage 3 iNKT cells from the thymus for relative gene transcription analysis, cell suspensions were depleted of CD8 + (53-6.7) cells before sorting using biotinylated antibodies (BioLegend, 100704) bound to magnetic streptavidin beads (Life Technologies). Cell fluorescence was performed on a four-laser BD LSRFortessa II or a two-laser BD FACSCalibur, and the acquired data were analyzed with FlowJo software (TreeStar, Inc., Olten, Switzerland). Cell sorting was performed with a BD FACSAria II after surface staining. The sorted cell purity was greater than 95%.
RNA-seq, library generation and bioinformatics analysis. RNA was extracted, purified and checked for integrity using an Agilent Bioanalyzer 2100 (Agilent Technologies, Santa Clara, CA, US). Libraries were generated for sequencing using a SMARTer Stranded Total RNA-Seq Kit-Pico Input Mammalian (Illumina). Libraries were sequenced using an Illumina HiSeq X Ten sequencer. After quality filtration and the removal of sequencing adapters with Trimmomatic (version 0.36), the RNA-seq reads were aligned to the mouse genome (mm10) using HISAT2 67 , and only reads hitting no more than 2 genomic loci were used to quantify gene expression with StringTie 68 . A gtf file of mouse genes was downloaded from GENCODE (vM12). Gene expression was normalized to FPKM. The fold change and p-value of all detected genes were estimated by Ballgown 69 . Only genes with a fold change ≥ 2 and p-value ≤ 0.05 were considered differentially expressed. Gene Ontology biological processes that were enriched based on the differentially regulated genes were identified by DAVID (modified Fisher exact pvalue < 0.05) 70 . All data are representative of three independent experiments.
In vivo responses after α-GalCer administration. Mice were injected intravenously with 2 μg of α-GalCer or a mock. At different time points, blood samples were collected from the postcava, and cytokines were detected in the serum. Alternatively, mice were sacrificed, spleens and livers were harvested, single cell suspensions were prepared and the cells were cultured for 2 h with brefeldin A (eBioscience) to inhibit cytokine secretion and then stained with fluorescentlylabeled antibodies and analyzed by FACS.
Met-RANTES treatment. WT mice were treated with 25 μg of Met-RANTES diluted in PBS by i.p. injection. Alternatively, control mice received a similar volume of sterile PBS.
Quantitative real-time PCR analysis. Total RNA was extracted with TRIzol (Invitrogen) and reverse-transcribed using the SuperScript III First-Strand Synthesis System (Invitrogen). The mRNA levels of the indicated genes were normalized to GAPDH using real-time PCR (Rotor Gene 6000; Corbett Life Sciences). SYBR Green QPCR Master Mix (Toyobo) was used for gene amplification and detection. The sequences of qPCR primers are listed in the Supplementary  Table 1.
Statistical analyses. Statistical analyses were performed with GraphPad Prism6. All experiments were performed at least three times. Data are expressed as the mean ± s.d. and a two-tailed unpaired Student's t-test was used, unless otherwise indicated, to determine statistical significance. For all experiments: *P < 0.05; **P < 0.001; ***P < 0.0001, ****P < 0.0001.