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B7 family checkpoint regulators in immune regulation and disease
Sabrina Ceeraz1, Elizabeth C Nowak, Randolph J Noelle
1Geisel School of Medicine at Dartmouth, Department of Microbiology and Immunology, Norris Cotton Cancer Centre, 1 Medical Center Drive, Lebanon, New Hampshire 03756, USA.
Insights
Checkpoint regulators like CTLA-4 are crucial for immune response. New B7 family ligands, including VISTA, are emerging as potential therapeutic targets for various diseases.
Area of Science:
- Immunology
- Molecular Biology
- Oncology
Background:
- Immune response fine-tuning involves co-stimulatory and co-inhibitory molecules.
- Cytotoxic T-lymphocyte antigen 4 (CTLA-4) checkpoint blockade therapy (ipilimumab) is FDA-approved, highlighting the clinical relevance of immune checkpoints.
- Ongoing trials target CTLA-4, programmed death-1 (PD-1), and B7-H4 pathways.
Purpose of the Study:
- To review the B7 family of immune checkpoint regulators.
- To discuss their role in immune response to self and foreign antigens.
- To explore clinical developments and introduce V-domain Ig suppressor of T cell activation (VISTA) as a therapeutic target.
Main Methods:
- Literature review of B7 family members.
- Analysis of immune regulation by B7 ligands.
- Review of clinical trials targeting immune checkpoints.
- Introduction of VISTA as a potential therapeutic target.
Main Results:
- The B7 family comprises multiple inhibitory ligands, including newly identified VISTA and B7-H6.
- These ligands play a concerted role in regulating T cell activation and immune tolerance.
- Clinical strategies targeting CTLA-4, PD-1, and B7-H4 are under investigation.
Conclusions:
- The B7 family significantly impacts immune responses and self-tolerance.
- Targeting B7 family members offers promising therapeutic avenues for various diseases.
- VISTA represents a novel and potentially valuable target for immune modulation.
Abstract:
Fine-tuning the immune response and maintaining tolerance to self-antigens involves a complex network of co-stimulatory and co-inhibitory molecules. The recent FDA approval of ipilimumab, a monoclonal antibody blocking cytotoxic T lymphocyte antigen (CTLA)-4, demonstrates the impact of checkpoint regulators in disease. This is reinforced by ongoing clinical trials targeting not only CTLA-4, but also the programmed death (PD)-1 and B7-H4 pathways in various disease states. Recently, two new B7 family inhibitory ligands, V-domain Ig suppressor of T cell activation (VISTA) and B7-H6 were identified. Here, we review recent understanding of B7 family members and their concerted regulation of the immune response to either self or foreign pathogens. We also discuss clinical developments in targeting these pathways in different disease settings, and introduce VISTA as a putative therapeutic target.
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