T cell costimulatory pathways: blockade for autoimmunity

Abstract

The activation of T lymphocytes is thought to require at least two signals, one delivered by the T cell receptor (TCR) complex after antigen recognition, and one provided on engagement of costimulatory receptors. The B7-1/B7-2–CD28/cytotoxic T lymphocyte antigen-4 (CTLA-4) and CD154–CD40 pathways have been shown to be crucial in regulating T cell activation and tolerance. Novel members of the B7–CD28 superfamily have recently been discovered and they seem to be particularly important for regulating the responses of previously activated T cells. Superimposition of inhibitory signals like those delivered by CTLA-4 and programmed death (PD)-1–PD-1-ligand (PD-L1) pathway leads to a complex network of positive and negative costimulatory signals, the integration of which modulates immune responses. Furthermore, expression of several B7 homologues on cells other than professional antigen-presenting cells (APCs), indicate new mechanisms for regulating T cell responses in peripheral tissues. This review focuses on our current understanding of the members of the B7–CD28 superfamily and discusses their therapeutic potential.

• autoimmunity
• CD28
• costimulation
• CTLA-4
• ICOS
• PD-1