Human CD1a mediates foreign antigen recognition by a T cell clone, but the nature of possible T cell receptor interactions with CD1a-lipid are unknown. After incubating CD1a with a mycobacterial lipopeptide antigen, dideoxymycobactin (DDM), we identified and measured binding to a recombinant TCR (TRAV3/ TRBV3-1, KD ≈ 100µM). Detection of ternary CD1a-lipid-TCR interactions enabled development of CD1a tetramers and CD1a multimers with carbohydrate backbones (dextramers), which specifically stained T cells using a mechanism that was dependent on the precise stereochemistry of the peptide backbone and was blocked with a soluble TCR. Further, sorting of human T cells from unrelated tuberculosis patients for bright DDM-dextramer staining allowed recovery of T cells that were activated by CD1a and DDM. These studies demonstrate that the mechanism of T cell activation by lipopeptides occurs via ternary interactions of CD1a-antigen-TCR. Further, these studies demonstrate the existence of lipopeptide specific T cells in humans ex vivo.