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Updated: Jul 20, 2026

Induction of Alloantigen-specific Anergy in Human Peripheral Blood Mononuclear Cells by Alloantigen Stimulation with Co-stimulatory Signal Blockade
Published on: March 14, 2011
Signaling through CD28 and CTLA-4 controls two distinct forms of T cell anergy
A D Wells1, M C Walsh, J A Bluestone
1Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104-6144, USA. adwells@mail.med.upenn.edu
T cell activation requires both CD28 costimulation and cell cycle progression to avoid anergy. CTLA-4 signaling during the primary response induces division-arrest anergy, preventing T cells from entering the cell cycle.
Area of Science:
- Immunology
- Cell Biology
- T cell activation
Background:
- T cell proliferation upon T cell receptor (TCR) ligation plus CD28 costimulation is heterogeneous.
- Some T cells fail to progress through the cell cycle and become anergic, even with IL-2.
- This IL-2-refractory anergy is distinct from IL-2-reversible anergy without CD28 costimulation.
Purpose of the Study:
- To investigate the roles of cell cycle progression and costimulatory signals (CD28/CTLA-4) in regulating T cell anergy.
- To understand the mechanisms underlying IL-2-refractory anergy and anergy avoidance.
Main Methods:
- Studied primary T cell responses with varying levels of TCR ligation, CD28 costimulation, and CTLA-4 signaling.
- Analyzed cell cycle progression and division status of T cells under different stimulatory conditions.
- Investigated the impact of CD28 costimulatory blockade on T cell proliferation and anergy induction.
Main Results:
- CD28 costimulation alone is insufficient to prevent anergy; cell cycle progression is essential for anergy avoidance.
- CTLA-4 signaling during the primary response induces a "division-arrest" anergy, contingent on failed cell cycle progression.
- T cell division alone does not guarantee anergy avoidance; clonal anergy can still occur even after multiple divisions under CD28 blockade.
Conclusions:
- Anergy avoidance in primary T cells is a multistep process requiring both CD28 costimulation and cell cycle progression.
- Anergy can be induced by CTLA-4 signaling combined with failed cell cycle progression, or by TCR ligation without CD28 costimulation.
- Successful T cell activation necessitates coordinated signals for proliferation and cell cycle entry to ensure a productive immune response.
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