The Journal of Immunology, 2000, 165: 1352-1356.
Copyright © 2000 by The American Association of Immunologists
CTLA-4 (CD152) Can Inhibit T Cell Activation by Two Different Mechanisms Depending on Its Level of Cell Surface Expression1
Beatriz M. Carreno2,*,
Frann Bennett*,
Thu A. Chau
,
Vincent Ling*,
Deborah Luxenberg*,
Jason Jussif*,
Miren Lorea Baroja
and
Joaquín Madrenas
*
Genetics Institute, Inc., Cambridge, MA 02140; and
The John P. Robarts Research Institute, University of Western Ontario, London, Ontario, Canada
 |
Abstract
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CTLA-4 (CD152) engagement results in down-regulation of
T cell activation. Two mechanisms have been postulated to explain
CTLA-4 inhibition of T cell activation: negative signaling and
competitive antagonism of CD28:B7-mediated costimulation. We assessed
the contributions of these two mechanisms using a panel of T cell lines
expressing human CTLA-4 with mutations in the cytoplasmic region. Under
conditions of B7-independent costimulation, inhibition of
IL-2 production following CTLA-4 engagement required the CTLA-4
cytoplasmic region. In contrast, under B7-dependent costimulation,
inhibition of IL-2 production by CTLA-4 engagement was directly
proportional to CTLA-4 cell surface levels and did not require its
cytoplasmic region. Thus, CTLA-4 down-regulates T cell activation by
two different mechanismsdelivery of a negative signal or B7
sequestrationthat are operational depending on the levels of CTLA-4
surface expression. These two mechanisms may have distinct functional
outcomes: rapid inhibition of T cell activation or induction of T
cell anergy.
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Introduction
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Cytolytic T lymphocyte-associated
Ag-4 plays a
critical role in the down-regulation of T cell responses, T cell
homeostasis, and maintenance of peripheral tolerance as illustrated by
the deleterious effects observed in CTLA-4-deficient mice
(1, 2, 3). Two mechanisms have been postulated to mediate
CTLA-4 inhibition of T cell responses. One mechanism for CTLA-4
function emphasizes negative signaling through this molecule upon TCR
activation. A putative Src homology-2 domain binding sequence, centered
at tyrosine residues 165 and 182, is present in the cytoplasmic tail of
CTLA-4 (4). Although phosphorylation of these residues
(particularly tyrosine 165) is important for retention of CTLA-4 on the
cell surface (5, 6, 7, 8), it is not required for
CTLA-4-mediated inhibition of T cell activation (9, 10, 11).
This implies that negative signaling through CTLA-4 may involve
phosphotyrosine-independent mechanisms. Moreover, recent data have
questioned the role of the cytoplasmic tail in CTLA-4 function
(9, 11). Thus, the contribution of and the structural
requirements for CTLA-4 signaling to inhibit T cell responses remain
unclear.
A second mechanism proposes that CTLA-4 inhibition of T cell activation
is due to antagonism of CD28-mediated costimulation. Both CD28 and
CTLA-4 share the ligands B7.1 (CD80) and B7.2 (CD86) (4);
however, the affinity of the CTLA-4:B7 interaction is 10 times higher
than the affinity of the CD28:B7 interaction (12).
Although studies using CD28-deficient mice have shown that negative
signaling through CTLA-4 is independent of CD28 expression (13, 14), it is plausible that CTLA-4 interacts with B7 and prevents
its interaction with CD28. Thus, a mechanism by which CTLA-4 sequesters
B7 could still be operational under conditions in which B7 expression
is limiting.
To establish the contribution of these two mechanisms to
CTLA-4-mediated inhibition of T cell activation, a panel of Jurkat T
cell lines expressing mutant CTLA-4 molecules were activated with
anti-CD3 mAb in the presence of either anti-CTLA-4 mAb or B7
molecules.
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Materials and Methods
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Plasmids and Abs
Human CTLA-4
(hCTLA-4)3 cDNA was
obtained from G. Freeman (Dana-Farber Cancer Institute, Boston, MA).
Mutant CTLA-4 cDNAs were generated using the Chameleon site-directed
mutagenesis kit (Stratagene, La Jolla, CA) or PCR amplification
with high fidelity Klentaq polymerase (Clontech Laboratories, Palo
Alto, CA), and the introduced mutation was confirmed by DNA sequencing.
cDNAs were subcloned into the EcoRI site of pBIG2i, a vector
that utilizes a hybrid bidirectional tetracycline-responsive promoter
element to direct expression of both the CTLA-4 cDNA as well as the
rtTAN tetracycline-responsive transactivator (10). mAbs
against human CTLA-4 are anti-CTLA-4-38 (murine IgG1 mAb that
blocks CD80 and CD86 binding to CTLA-4); and anti-CTLA-4-33 (murine
IgG1 mAb that does not block CD80 or CD86 binding to CTLA-4).
CTLA-4 cell lines
Stable Jurkat T cell transfectants were generated as described
(10). Briefly, 5 x 106 Jurkat
E6.1 cells were transfected by electroporation (300 V and 950 µF
capacitance using a gene pulser (Bio-Rad, Hercules, CA)) with 10 µg
linearized plasmid DNA from the different pBIG2i constructs. Stable
transfectants were selected with hygromycin (Life Technologies,
Gaithersburg, MD). Results with a representative clone are shown.
CTLA-4 expression was induced by overnight incubation with the
indicated concentration of doxycycline (Sigma, St. Louis, MO).
T cell functional assays
Anti-CD3 (1 µg/107 beads, UCHT1;
PharMingen, San Diego, CA)/anti-hCTLA-4 (CTLA-4-20A), or control
(anti-HLA class I; PharMingen) mAb-coated tosyl beads (4
µg/107 beads, Dynal, Lake Success, NY) were
prepared as described (15). Anti-CD3 (1
µg/107 beads) mAb/hB7.2-Ig (4
µg/107 beads)-coated latex beads (Interfacial
Dynamics, Portland, OR) were prepared as described (16).
Ab-coated beads were added to untreated or doxycycline-induced Jurkat
cells in the presence or absence of soluble anti-CD28 mAb (5
µg/ml; CD28.2, PharMingen). Supernatants were harvested at 48 h,
and IL-2 was measured using an ELISA kit (Genzyme Diagnostics,
Framingham, MA).
CTLA-4 biochemistry
Lysates from doxycycline-treated (100 ng/ml) cells were prepared
and CTLA-4 expression was monitored by immunoblotting using an
anti-hCTLA-4 mAb (CTLA-4-11) (10). Doxycycline-treated
cells were stimulated with anti-CD3- or
anti-CD3/anti-CTLA-4 mAb-coated beads for 10 min. Cell lysates
were prepared and immunoblotted as described (17).
Phosphorylated extracellular signal-regulated kinase-1 (ERK-1) and
ERK-2 were detected using an anti-active mitogen-activated protein
kinase (MAPK) rabbit antiserum (Promega, Madison, WI). Blots were
reprobed with a rabbit antiserum to total MAPK/ERK-1-CT
(18). Signal quantitation was performed with an imaging
densitometer (GS 700, Bio-Rad) and Molecular Analyst software (version
1.0, Bio-Rad).
 |
Results and Discussion
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We previously described a panel of Jurkat T cell lines expressing
human wild-type (WT) or mutant CTLA-4 molecules under the control of a
doxycycline-inducible promoter (10). In this paper, we
expand the structure-function analysis of CTLA-4 using two activation
systems: 1) a B7-independent system, consisting of
anti-CD3/anti-CTLA-4 mAb-coated beads in the presence of
soluble anti-CD28 mAb, and 2) a B7-dependent system, consisting of
anti-CD3 mAb/hB7.2-Ig beads.
Parental Jurkat E6.1 cells with or without doxycycline treatment
produced similar levels of IL-2 when stimulated with anti-CD3
mAb-coated or anti-CD3/anti-CTLA-4 mAb-coated beads in the
presence of soluble anti-CD28 mAb (Fig. 1
A). Thus, nontransfected
Jurkat cells do not express functional CTLA-4. WT CTLA-4-expressing
Jurkat T cells treated with or without doxycycline produced similar
levels of IL-2 upon activation with anti-CD3 mAb-coated beads plus
soluble anti-CD28 mAb. In contrast, activation with
anti-CD3/anti-CTLA-4 mAb-coated beads resulted in a significant
decrease (
85% inhibition) in IL-2 production in doxycycline-treated
cells (Fig. 1
B). Similarly, activation of
doxycycline-treated, but not untreated, WT CTLA-4-expressing cells with
anti-CD3/B7.2-Ig-coated beads inhibited IL-2 production by
56%
(Fig. 1
C). Furthermore, engagement of CTLA-4 by either B7.1
or B7.2 on doxycycline-treated WT CTLA-4-expressing cells leads to
down-regulation of IL-2 production (data not shown). Thus, using these
two activation systems (anti-CD3/anti-CTLA-4 mAb beads or
anti-CD3 mAb/hB7.2-Ig beads) in conjunction with mutant CTLA-4
molecules, we can mechanistically differentiate between CTLA-4-mediated
signaling and competition between CD28 and CTLA-4 for B7.

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FIGURE 1. CTLA-4 engagement by either anti-CTLA-4 mAb or its ligand B7
results in down-regulation of TCR-induced IL-2 production. Parental
(E6.1, untransfected) (A) or WT CTLA-4
(B) Jurkat cells were cultured overnight with (doxy+) or
without (doxy-) doxycycline (100 ng/ml), and were stimulated for
48 h with anti-CD3 mAb- or anti-CD3/anti-CTLA-4
mAb-coated beads (1:1 cell to bead ratio) and soluble anti-CD28
mAb. C, Doxy+ or doxy- cells were stimulated for
48 h with anti-CD3 mAb/hB7.2-Ig-coated beads (1:10 cell to
bead). IL-2 production was determined by ELISA. Results are
representative of five experiments.
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Recently, several reports (9, 11) have examined whether
the cytoplasmic tail of CTLA-4 is required for down-regulation of T
cell responses. However, these studies were limited because either the
contribution of endogenous CTLA-4 molecules could not be excluded
(9) or the cytoplasmic tail was not fully truncated
(9, 11). Since we have already reported that cytoplasmic
tyrosine residues are not required for CTLA-4-mediated negative
signaling (10), we concentrated on the cytoplasmic proline
residues and the whole cytoplasmic region. Jurkat T cell lines
expressing doxycycline-inducible CTLA-4 molecules with mutations on
proline residues 169 and 173 (potential Src homology-3 domain-binding
sites), or tailless (TL) CTLA-4 molecules truncated at residue 153 were
generated (Fig. 2
). To determine the
ability of these molecules to deliver a negative signal,
doxycycline-induced cells were activated with anti-CD3 mAb- or
anti-CD3/anti-CTLA-4 mAb-coated beads and IL-2 production was
assessed at 48 h. Activation with anti-CD3/anti-CTLA-4
beads inhibited IL-2 production equivalently on WT, and
proline-deficient CTLA-4-expressing cells (Fig. 3
A, top). Thus,
proline residues 169 and 173 are dispensable for CTLA-4 signaling. In
contrast, production of IL-2 was minimally affected by CTLA-4
engagement on cells expressing TL CTLA-4 molecules (Fig. 3
A,
bottom), and this was observed in spite of a 100-fold
increase in TL CTLA-4 expression upon doxycycline treatment.
Furthermore, these results correlated with the lack of inhibition of
TCR-induced ERK activation by TL CTLA-4 molecules (Fig. 3
B)
(10, 19, 20), even after correction for levels of total
ERK expressed by different transfectant clones. Based on these results
we conclude that the cytoplasmic tail of CTLA-4, but neither its
tyrosine (10) nor proline residues, is required for
delivery of a signal that leads to inhibition of T cell activation.

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FIGURE 2. Expression of CTLA-4 molecules. Jurkat cells transfected with WT, Pro-
(residues 169 and 173, Pro to Ala) or TL (truncated at residue 153)
CTLA-4 cDNAs were cultured overnight with doxycycline (100 ng/ml).
Lysates were analyzed by SDS-PAGE and immunoblotted with an
anti-CTLA-4 mAb. A comparison of the cytoplasmic tail of the
various molecules is presented.
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FIGURE 3. Inhibition of IL-2 production by CTLA-4-mediated signaling requires its
cytoplasmic domain but not its proline residues. A,
Doxy+ transfectants were stimulated with anti-CD3 mAb- or
anti-CD3/anti-CTLA-4 mAb-coated beads in the presence of
soluble anti-CD28 (5 µg/ml) as described in Fig. 1 . Results are
those obtained with cells treated with 100 ng/ml doxycycline; similar
results are obtained when cells are treated with different doxycycline
concentrations to achieve similar levels of CTLA-4 expression.
Supernatants were harvested at 48 h, IL-2 production was
determined by ELISA, and values were normalized. A value of 1 equals
IL-2 amounts produced by anti-CD3 mAb-activated cells. Normalized
IL-2 values are shown. Results are representative of two experiments.
B, Doxy+ transfectants were activated as in
A for 10 min. Cell lysates were analyzed by SDS-PAGE and
blotted for phosphorylated and total ERK-1/-2. Signal intensity for
three experiments per group was quantified and is shown as a ratio of
phospho-ERK (pERK)-1/-2 over total ERK-1/-2. All cell lines expressed
similar levels of CD3 and CD28 (data not shown). *,
p < 0.05 compared with anti-CD3-stimulated
samples.
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The inability of TL CTLA-4 molecules to deliver a negative signal
provided the unique opportunity to test whether competition between
cell surface CTLA-4 and CD28 for B7 plays a role in the inhibition of T
cell responses. Additionally, the ability to control the levels of
CTLA-4 cell surface expression using different concentrations of
doxycycline allowed us to examine the quantitative effect of
CTLA-4:CD28 ratios on the outcome of T cell activation. As shown in
Fig. 4
A, noninduced TL
CTLA-4-expressing cells produced IL-2 upon activation with
anti-CD3/B7.2-Ig beads. As these cells expressed minimal CTLA-4
levels on their surface, IL-2 production was not affected by the
addition of blocking (CTLA-4-38) or nonblocking (CTLA-4-33)
anti-CTLA-4 mAbs. In contrast, upon maximal CTLA-4 expression,
activation with anti-CD3 mAb/hB7.2-Ig beads resulted in
down-regulation of IL-2 production. Addition of an Ab (CTLA-4-38)
capable of blocking CTLA-4:B7 interaction was able to restore IL-2
production to levels observed in noninduced cells (Fig. 4
A).
This provides the first demonstration that CTLA-4 molecules unable to
deliver an intracellular signal can still inhibit IL-2 production by B7
sequestration. This effect was proportional to the levels of CTLA-4
expression on the T cell surface (Fig. 4
B). In the presence
of an antagonistic anti-CTLA-4 mAb, production of IL-2 was restored
to that seen in noninduced T cells (Fig. 4
B).

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FIGURE 4. CTLA-4 inhibits CD28-mediated T cell activation by sequestering B7.
A, Doxy+ or doxy- TL CTLA-4-expressing cells were
activated with anti-CD3 mAb/hB7.2-Ig-coated beads for 48 h.
Anti-CTLA-4 Abs (blocking mAb: Anti-CTLA-4-38 or nonblocking mAb:
Anti-CTLA-4-33; 20 µg/ml) were added to the cultures as indicated.
B, CTLA-4 TL-expressing cells treated with various
concentrations of doxycycline were activated with anti-CD3
mAb/B7.2-Ig-coated beads in the presence or absence of
anti-CTLA-4-38 mAb (20 µg/ml) for 48 h. IL-2 production was
determined by ELISA. Results are presented as the percent of IL-2
production obtained at the indicated doxycycline concentrations
relative to IL-2 levels obtained with untreated cells. CTLA-4
expression was assessed by FACS analysis. Mean fluorescence values for
CD28 expression were 116 and 126 in untreated and 100 ng/ml
doxycycline-treated cells, respectively. Results are representative of
three experiments.
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Our results demonstrate that CTLA-4 can down-regulate T cell responses
by two different mechanisms. One mechanism is negative signaling as
shown here and previously reported (9, 10, 11, 20). We show
that this mechanism requires the cytoplasmic tail of CTLA-4,
emphasizing the importance of residues other than tyrosine or proline
in negative signaling through CTLA-4. The other mechanism is cell
surface competition with CD28 for B7 ligation. Although a soluble
chimeric CTLA-4 fusion protein (CTLA-4.Ig) has been used as an
immunosuppressive agent (21), this does not necessarily
imply that membrane CTLA-4 should sequester B7. Our report presents the
first formal demonstration that competition between cell surface CTLA-4
and CD28 can occur. In contrast to negative signaling, B7 sequestration
by CTLA-4 does not require CTLA-4 cytoplasmic tail, and is instead
regulated by the levels of surface expression of CTLA-4. The finding
that cell surface CTLA-4 can compete with CD28 for B7 binding explains
why the expression of CTLA-4 is tightly regulated and highly
compartmentalized (22), because high levels of cell
surface CTLA-4 expression would lead to an inability to mount or expand
a T cell response.
The two mechanisms of CTLA-4 action may be operational in different
biological contexts. We predict that in early stages of an immune
response, under conditions of limited B7 and CTLA-4 expression,
CTLA-4-mediated negative signaling would be the primary mechanism for
inhibition of T cell activation. In contrast, at late stages on the
immune response when there is increased B7 and CTLA expression, both
negative signaling through CTLA-4 and B7 sequestration would be
operational.
Finally, the two different mechanisms of CTLA-4 action may ultimately
cause different downstream effects. On the one hand, CTLA-4-mediated
negative signaling will rapidly inhibit T cell activation. On the other
hand, CTLA-4-mediated B7 sequestration will limit CD28-mediated
signaling and lead to T cell anergy. This may provide a mechanistic
basis for the involvement of CTLA-4 in peripheral tolerance (23, 24).
 |
Acknowledgments
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We thank Drs. Laura Carter, Frank Borriello, and Ken Jacobs for
suggestions and A. Knight and S. Wudyka for Ab
purification.
 |
Footnotes
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1 This work was supported in part by the Medical Research Council of Canada, the Kidney Foundation of Canada, and a Genetics Institute grant. M.L.B. was supported by the Council for Scientific and Humanistic Development of the Central University of Venezuela. 
2 Address correspondence and reprint requests to Dr. Joaquín Madrenas, The John P. Robarts Research Institute, University of Western Ontario, Room 2.05, P.O. Box 5015, 100 Perth Drive, London, Ontario, Canada N6A 5K8. 
3 Abbreviations used in this paper: h, human; ERK, extracellular signal-regulated kinase; MAPK, mitogen-activated protein kinase; hCTLA-4, human CTLA-4; WT, wild type; TL, tailless. 
Received for publication April 4, 2000.
Accepted for publication May 22, 2000.
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J. J. Engelhardt, T. J. Sullivan, and J. P. Allison
CTLA-4 Overexpression Inhibits T Cell Responses through a CD28-B7-Dependent Mechanism
J. Immunol.,
July 15, 2006;
177(2):
1052 - 1061.
[Abstract]
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R. V. Parry, J. M. Chemnitz, K. A. Frauwirth, A. R. Lanfranco, I. Braunstein, S. V. Kobayashi, P. S. Linsley, C. B. Thompson, and J. L. Riley
CTLA-4 and PD-1 Receptors Inhibit T-Cell Activation by Distinct Mechanisms
Mol. Cell. Biol.,
November 1, 2005;
25(21):
9543 - 9553.
[Abstract]
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P. J. Darlington, M. G. Kirchhof, G. Criado, J. Sondhi, and J. Madrenas
Hierarchical Regulation of CTLA-4 Dimer-Based Lattice Formation and Its Biological Relevance for T Cell Inactivation
J. Immunol.,
July 15, 2005;
175(2):
996 - 1004.
[Abstract]
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S. Mukherjee, A. Ahmed, and D. Nandi
CTLA4-CD80/CD86 interactions on primary mouse CD4+ T cells integrate signal-strength information to modulate activation with Concanavalin A
J. Leukoc. Biol.,
July 1, 2005;
78(1):
144 - 157.
[Abstract]
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T. J. Dillon, K. D. Carey, S. A. Wetzel, D. C. Parker, and P. J. S. Stork
Regulation of the Small GTPase Rap1 and Extracellular Signal-Regulated Kinases by the Costimulatory Molecule CTLA-4
Mol. Cell. Biol.,
May 15, 2005;
25(10):
4117 - 4128.
[Abstract]
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K. W. Hwang, W. B. Sweatt, M. Mashayekhi, D. A. Palucki, H. Sattar, E. Chuang, and M.-L. Alegre
Transgenic Expression of CTLA-4 Controls Lymphoproliferation in IL-2-Deficient Mice
J. Immunol.,
November 1, 2004;
173(9):
5415 - 5424.
[Abstract]
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S. Sato, M. Fujimoto, M. Hasegawa, K. Komura, K. Yanaba, I. Hayakawa, T. Matsushita, and K. Takehara
Serum soluble CTLA-4 levels are increased in diffuse cutaneous systemic sclerosis
Rheumatology,
October 1, 2004;
43(10):
1261 - 1266.
[Abstract]
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C. Vasu, B. S. Prabhakar, and M. J. Holterman
Targeted CTLA-4 Engagement Induces CD4+CD25+CTLA-4high T Regulatory Cells with Target (Allo)antigen Specificity
J. Immunol.,
August 15, 2004;
173(4):
2866 - 2876.
[Abstract]
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W. Stohl, D. Xu, K. S. Kim, C. S. David, and J. P. Allison
MHC class II-independent and -dependent T cell expansion and B cell hyperactivity in vivo in mice deficient in CD152 (CTLA-4)
Int. Immunol.,
July 1, 2004;
16(7):
895 - 904.
[Abstract]
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J. Madrenas, L. A. Chau, W. A. Teft, P. W. Wu, J. Jussif, M. Kasaian, B. M. Carreno, and V. Ling
Conversion of CTLA-4 from Inhibitor to Activator of T Cells with a Bispecific Tandem Single-Chain Fv Ligand
J. Immunol.,
May 15, 2004;
172(10):
5948 - 5956.
[Abstract]
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M Hirashima, T Fukazawa, K Abe, Y Morita, M Kusaoi, and H Hashimoto
Expression and activity analyses of CTLA4 in peripheral blood lymphocytes in systemic lupus erythematosus patients
Lupus,
January 1, 2004;
13(1):
24 - 31.
[Abstract]
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E. Siu, B. M. Carreno, and J. Madrenas
TCR subunit specificity of CTLA-4-mediated signaling
J. Leukoc. Biol.,
December 1, 2003;
74(6):
1102 - 1107.
[Abstract]
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C. Vasu, S. R. Gorla, B. S. Prabhakar, and M. J. Holterman
Targeted engagement of CTLA-4 prevents autoimmune thyroiditis
Int. Immunol.,
May 1, 2003;
15(5):
641 - 654.
[Abstract]
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F. Bennett, D. Luxenberg, V. Ling, I-M. Wang, K. Marquette, D. Lowe, N. Khan, G. Veldman, K. A. Jacobs, V. E. Valge-Archer, et al.
Program Death-1 Engagement Upon TCR Activation Has Distinct Effects on Costimulation and Cytokine-Driven Proliferation: Attenuation of ICOS, IL-4, and IL-21, But Not CD28, IL-7, and IL-15 Responses
J. Immunol.,
January 15, 2003;
170(2):
711 - 718.
[Abstract]
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P. J. Borron, E. A. Mostaghel, C. Doyle, E. S. Walsh, M. G. McHeyzer-Williams, and J. R. Wright
Pulmonary Surfactant Proteins A and D Directly Suppress CD3+/CD4+ Cell Function: Evidence for Two Shared Mechanisms
J. Immunol.,
November 15, 2002;
169(10):
5844 - 5850.
[Abstract]
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S. Mukherjee, P. K. Maiti, and D. Nandi
Role of CD80, CD86, and CTLA4 on mouse CD4+ T lymphocytes in enhancing cell-cycle progression and survival after activation with PMA and ionomycin
J. Leukoc. Biol.,
November 1, 2002;
72(5):
921 - 931.
[Abstract]
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S. Chikuma and J. A. Bluestone
CTLA-4: Acting at the Synapse
Mol. Interv.,
July 1, 2002;
2(4):
205 - 208.
[Abstract]
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P. J. Darlington, M. L. Baroja, T. A. Chau, E. Siu, V. Ling, B. M. Carreno, and J. Madrenas
Surface Cytotoxic T Lymphocyte-associated Antigen 4 Partitions Within Lipid Rafts and Relocates to the Immunological Synapse under Conditions of Inhibition of T Cell Activation
J. Exp. Med.,
May 20, 2002;
195(10):
1337 - 1347.
[Abstract]
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M. L. Baroja, L. Vijayakrishnan, E. Bettelli, P. J. Darlington, T. A. Chau, V. Ling, M. Collins, B. M. Carreno, J. Madrenas, and V. K. Kuchroo
Inhibition of CTLA-4 Function by the Regulatory Subunit of Serine/Threonine Phosphatase 2A
J. Immunol.,
May 15, 2002;
168(10):
5070 - 5078.
[Abstract]
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K. Steinbrink, E. Graulich, S. Kubsch, J. Knop, and A. H. Enk
CD4+ and CD8+ anergic T cells induced by interleukin-10-treated human dendritic cells display antigen-specific suppressor activity
Blood,
April 1, 2002;
99(7):
2468 - 2476.
[Abstract]
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T. L. Vanasek, A. Khoruts, T. Zell, and D. L. Mueller
Antagonistic Roles for CTLA-4 and the Mammalian Target of Rapamycin in the Regulation of Clonal Anergy: Enhanced Cell Cycle Progression Promotes Recall Antigen Responsiveness
J. Immunol.,
November 15, 2001;
167(10):
5636 - 5644.
[Abstract]
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