1999
DOI: 10.1073/pnas.96.1.185
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A two-step, two-signal model for the primary activation of precursor helper T cells

Abstract: I present here a new model for the primary activation of precursor helper T cells. Observations demonstrate that the immune system learns not to respond to extrathymic, organ-specific self-antigens because of their early appearance in development. The immune system thus discriminates between peripheral self-antigens and foreign antigens and, when mature, usually makes an immune response against only the latter. Contemporary models for the activation and inactivation of T helper (Th) function do not account for… Show more

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Cited by 333 publications
(261 citation statements)
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“…T cell activation leads to proliferation, which is regulated by two distinct signals (Bretscher 1999). Signal one is generally derived from the TCR, thereby ensuring Ag-specific responses.…”
Section: Introductionmentioning
confidence: 99%
“…T cell activation leads to proliferation, which is regulated by two distinct signals (Bretscher 1999). Signal one is generally derived from the TCR, thereby ensuring Ag-specific responses.…”
Section: Introductionmentioning
confidence: 99%
“…The first signal, an Ag, ensures the specificity of activation and is transduced via the T cell Ag receptor. Second signals for T cells are costimulators and cytokines that promote clonal expansion of the specific T cells and their differentiation into effector and memory cells (1). In addition, the immune system provides for control mechanisms, which maintain homeostasis after active immune responses to foreign Ags, and prevent or abort responses to self-Ags.…”
mentioning
confidence: 99%
“…One means of regulation is the additional necessity for B7-1 (CD80)/ B7-2 (CD86) costimulatory signals, along with T-cell receptor stimulation, in T-cell activation (1). Reciprocally, soluble recombinant formulations of the natural high-affinity B7 ligandcytotoxic T-lymphocyte antigen 4 fused with human Ig (CTLA4-Ig), which blocks B7 costimulation-are efficacious in neutralizing aberrant T-cell activation in autoimmune disorders such as rheumatoid arthritis and juvenile idiopathic arthritis (2).…”
mentioning
confidence: 99%