An enigmatic tail of CD28 signaling
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Updated: Jun 12, 2026

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Published on: May 6, 2019
Jonathan S Boomer1, Jonathan M Green
1Department of Internal Medicine, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Abstract:
CD28 costimulation regulates a wide range of cellular processes, from proliferation and survival to promoting the differentiation of specialized T-cell subsets. Since first being identified over 20 years ago, CD28 has remained a subject of intense study because of its profound consequences on T cell function and its potential for therapeutic manipulation. In this review we highlight the signaling cascades initiated by the major signaling motifs in CD28, focusing on PI-3 kinase-dependent and -independent pathways and how these are linked to specific cellular outcomes. Recent studies using gene targeted knockin mice have clarified the relative importance of these motifs on in vivo immune responses; however, much remains to be elucidated. Understanding the mechanism behind costimulation holds great potential for development of new clinically relevant reagents, a fact beginning to be realized with the advent of drugs that prevent CD28 ligation and signaling.
Insights
CD28 costimulation is crucial for T cell function, impacting proliferation, survival, and differentiation. Understanding its signaling pathways, like PI-3 kinase-dependent and -independent routes, is key for developing new immunotherapies.
Area of Science:
- Immunology
- Cellular Biology
- Molecular Signaling
Background:
- CD28 costimulation is a critical regulator of T cell responses, influencing proliferation, survival, and differentiation.
- Despite over two decades of research, the intricate mechanisms of CD28 signaling and its therapeutic potential remain areas of intense investigation.
Purpose of the Study:
- To review the signaling cascades initiated by CD28, focusing on PI-3 kinase-dependent and -independent pathways.
- To elucidate the link between CD28 signaling pathways and specific cellular outcomes in T cells.
- To highlight the implications of understanding CD28 costimulation for developing novel therapeutic strategies.
Main Methods:
- Review of existing literature on CD28 signaling pathways.
- Analysis of studies employing gene-targeted knockin mice to investigate in vivo immune responses.
- Focus on PI-3 kinase-dependent and -independent signaling cascades.
Main Results:
- CD28 costimulation governs diverse cellular processes including T cell proliferation, survival, and differentiation into specialized subsets.
- Key signaling pathways initiated by CD28, including PI-3K-dependent and -independent routes, are detailed.
- Gene-targeted knockin mouse studies have provided insights into the in vivo relevance of different CD28 signaling motifs.
Conclusions:
- Elucidating CD28 costimulation mechanisms offers significant potential for developing clinically relevant reagents.
- The development of drugs targeting CD28 ligation and signaling is an emerging therapeutic reality.
- Further research is needed to fully understand the complexities of CD28's role in immune responses.
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