“…For these other specificities, resistance to avidity maturation may be epigenetically imprinted, similar to T cell-intrinsic hyporesponsiveness, which makes cells resistant to secondary encounter of antigen (Philip et al, 2017; Schietinger et al, 2012), or may be constrained by regulatory cells distinct from classical Tregs. Studies of T cells in tumor microenvironments that are deemed dysfunctional and of self-specific T cells (Black et al, 2014; Kuball et al, 2009; Malhotra et al, 2016; Moon et al, 2011; Soong et al, 2014; Souders et al, 2007; Wong et al, 2008; Yu et al, 2015) have also revealed that many of these cells are low avidity at the population level, supporting the idea that tolerance, whether spontaneously acquired in the tumor microenvironment or upon self-antigen encounter or, as we show in this study, therapeutically induced by costimulation blockade therapy, may be simultaneously enforced through multiple mechanisms, one of which being the preservation of low-avidity repertoire for the relevant antigen.…”