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Target Discovery and Validation Reviews and Protocols

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Overview of Immune System 293<br />

(unresponsiveness); downregulation of cell surface expression of TCR, BCR,<br />

coreceptor molecules, or a combination; indifference; peripheral deletion; <strong>and</strong><br />

immunosuppression (31–33). Noteworthy is that the adaptive immune system<br />

consists not only of immunostimulatory T-cells but also immunosuppressive<br />

T-cells. So far, three subsets of immunosuppressive CD4+ T-cells have been<br />

identified <strong>and</strong> the best-characterized population is defined by a constitutive<br />

expression of interleukin (IL)-2 receptor α-chain. Although the majority of<br />

these cells, known as regulatory T-cells (Treg cells) are generated in the thymus,<br />

they may be generated in peripheral lymphoid organs under certain conditions<br />

(Fig. 7). The physical interaction of activated Treg cells with CD4+ T-cells is<br />

crucial in local <strong>and</strong> specific immunosuppression. However, the suppression can<br />

be antigen nonspecific <strong>and</strong> independent of inhibitory cytokines such as IL 10<br />

<strong>and</strong> TGFβ. Recent results indicated that depletion of Treg cells could lead to<br />

autoimmunity in animal models. Additionally, dysfunction of these cells has<br />

been linked to autoimmunity in humans (33).<br />

In addition of playing a major role in the activation of T-cells, DCs also can<br />

maintain both central <strong>and</strong> peripheral tolerance (34). Indeed, mature thymic DCs<br />

are essential for the deletion of newly generated T-cells that have receptors<br />

that recognize self-antigens with high affinity. By presenting tissue antigens to<br />

naive T-cells in the absence of co-stimulatory signals, immature DCs induce<br />

T-cell anergy/deletion or the development of inducible regulatory T-cells,<br />

which produce IL-10 (Fig. 7). Interestingly, some studies indicated that peripheral<br />

T-cell tolerance also could be maintained by receptor revision (35).<br />

Consistent with the important role of GC in this process, information so far available<br />

seems to indicate that TCR revision is restricted to CD4+ T-cell population.<br />

In addition to central tolerance, potential autoreactive B-cells also are eliminated<br />

in the periphery. However, if an autoreactive B-cell escapes clonal deletion or<br />

receptor editing, or it is generated in the GC after somatic mutations, it should be<br />

kept in check by the absence of the appropriate Th cell population, whose tolerance<br />

is maintained at several levels (31).<br />

5. Recognition of Self-Antigens Is Crucial for Both T- <strong>and</strong> B-Cell<br />

Survival: How Strong Can the Interaction Be?<br />

Recent studies indicated that naive peripheral T-cells bearing TCRs that fail to<br />

interact with MHC molecules plus self-peptides have a shortened life-span <strong>and</strong> do<br />

not undergo homeostatic proliferation to maintain the proper balance of lymphoid<br />

cell populations (36,37). To survive, peripheral naive T-cells require the recognition<br />

of self-peptide/MHC complexes. TCRs transduce survival signals upon binding<br />

to self-MHC molecules. These results underlie the important roles played<br />

by the selecting self-peptides. Notably, this self-recognition constitutes a permanent<br />

danger because under certain conditions (e.g., peptide concentration or

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