The immunological protein MR1 is unique in its ability to bind and present heterocyclic small molecules to activate T cells.1 For example, the uracil analogue 5‑OP‑RU, a condensation product of the metabolite glyoxal with an intermediate of riboflavin biosynthesis, potently activates T cells to drive antibacterial and antiviral immunity, tissue repair, and protection against tumours.1 However, whether other heterocyclic adducts from endogenous metabolic pathways can form MR1 ligands that activate T cells is less well understood. Here, we describe the new MR1 ligand M3Ade, an adduct of adenine and malondialdehyde, the latter being a marker2 of metabolic stress associated with cancer in mammals. Here we describe the structural elucidation of its heterobicyclo[3.3.1]nonane core by NMR spectroscopy and DFT calculations, and propose a mechanism for its formation. Although M3Ade is likely generated as a racemate3 in vivo, chiral separation demonstrated that only one enantiomer potently activated tumour-reactive T cells. Lastly, we describe our efforts towards an asymmetric synthesis of M3Ade to confirm the identity of the bioactive enantiomer, enable analogue development, and support comprehensive in vitro and in vivo characterisation. Diastereoselective bridgehead installation via chiral auxiliary–controlled cuprate addition, followed by a substrate-controlled ring closure, gave an advanced intermediate highly analogous to M3Ade. This work expands the understanding of how certain immune cells detect chemical signatures of danger, and may support development of future therapeutics.