Control of peripheral T-cell tolerance and autoimmunity via the CTLA-4 and PD-1 pathways

Brian T Fife1, Jeffrey A Bluestone

  • 1Department of Medicine, UCSF Diabetes Center, University of California, San Francisco, CA 94113, USA.

Immunological Reviews
|September 2, 2008
PubMed

Insights

Cytotoxic T-lymphocyte antigen-4 (CTLA-4) and programmed death-1 (PD-1) pathways regulate T-cell responses. CTLA-4 acts early in lymph nodes, while PD-1 acts later at tissue sites to control immune activity and self-tolerance.

Area of Science:

  • Immunology
  • Molecular Biology
  • Cell Signaling

Background:

  • CD28/B7 and CTLA-4/B7 families classically regulate T-cell responses.
  • New members like PD-1, PD-L1, and PD-L2 add complexity to T-cell regulation and peripheral tolerance.
  • CD28/B7 interactions provide co-stimulation, enhancing T-cell responses.

Purpose of the Study:

  • To examine the distinct roles of CTLA-4 and PD-1 pathways in limiting autoreactivity.
  • To investigate the hypothesis that CTLA-4 acts early in immune response initiation and PD-1 acts late at tissue sites.
  • To understand how differential expression of ligands affects pathway function.

Main Methods:

  • Review and analysis of existing literature on CD28, CTLA-4, PD-1, and B7 family molecules.
  • Examination of temporal and spatial expression patterns of CTLA-4 and PD-1 ligands.
  • Hypothetical model proposed based on distinct roles in immune regulation.

Main Results:

  • CTLA-4 signaling decreases T-lymphocyte activity and regulates immune responses.
  • PD-1 interactions with PD-L1 and PD-L2 downmodulate T-cell immune responses.
  • Distinct regulatory roles of CTLA-4 and PD-1 pathways are suggested, potentially due to differential ligand expression.

Conclusions:

  • CTLA-4 and PD-1 pathways play crucial but distinct roles in establishing peripheral self-tolerance.
  • CTLA-4 signaling is hypothesized to be essential early in lymph nodes during immune initiation.
  • PD-1 pathways are proposed to function later at tissue sites to limit T-cell activity and prevent autoimmunity.

Related Concept Videos

T Cell Types and Functions01:24

T Cell Types and Functions

When T cells with CD4 markers are activated, they give rise to two types of effector cells: helper T cells and regulatory T cells. Meanwhile, T cells with CD8 markers differentiate into effector cytotoxic T cells. The differentiation of CD4 T cells into helper T cell subsets, such as Th1, Th2, and Th17 cells, is dependent on the antigen type, antigen-presenting cell, and regulatory cytokines.
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...
T Cell Activation and Clonal Selection01:22

T Cell Activation and Clonal Selection

T cells are integral to our adaptive immune system, recognizing and effectively responding to foreign antigens. T cell activation and clonal selection are pivotal in orchestrating this immune response. This article elucidates these mechanisms, detailing the roles of cluster of differentiation (CD) markers, major histocompatibility complex (MHC) molecules, costimulatory signals, and the process of clonal selection.
Naive T cells that have not yet encountered an antigen express two primary CD...
Special Features of Adaptive Immunity01:20

Special Features of Adaptive Immunity

The adaptive immune system, a crucial component of the overall immune response, offers a highly specialized defense against pathogens. It involves specific cell types and features, enabling it to combat infections effectively and efficiently.
The primary cell types involved in adaptive immunity are T cells and B cells. Each type has a unique role in defending the body against pathogens. T cells are responsible for cell-mediated immunity. They identify and eliminate infected cells directly,...