Abscesses are a classic host response to infection by many pathogenic bacteria. The immunopathogenesis of this tissue response to infection has not been fully elucidated. Previous studies have suggested that T cells are involved in the pathologic process, but the role of these cells remains unclear. To delineate the mechanism by which T cells mediate abscess formation associated with intra-abdominal sepsis, the role of T-cell activation and the contribution of antigen-presenting cells via CD28-B7 costimulation were investigated. T cells activated in vitro by zwitterionic bacterial polysaccharides (Zps) known to induce abscess formation required CD28-B7 costimulation and, when adoptively transferred to the peritoneal cavity of naïve rats, promoted abscess formation. Blockade of T-cell activation via the CD28-B7 pathway in animals with CTLA4Ig prevented abscess formation following challenge with different bacterial pathogens, including Staphylococcus aureus, Bacteroides fragilis, and a combination of Enterococcus faecium and Bacteroides distasonis. In contrast, these animals had an increased abscess rate following in vivo T-cell activation via CD28 signaling. Abscess formation in vivo and T-cell activation in vitro required costimulation by B7-2 but not B7-1. These results demonstrate that abscess formation by pathogenic bacteria is under the control of a common effector mechanism that requires T-cell activation via the CD28-B7-2 pathway.Abscess formation is a distinct pathological response to certain bacterial pathogens. In clinical situations, the development of abscesses associated with intra-abdominal sepsis causes chronic illness and can be fatal in infected patients. Bacteroides fragilis is the most commonly isolated anaerobic bacterium isolated from these cases (23). Studies with rodent models have shown that the ability of B. fragilis to cause these infections is mainly attributable to the presence of a unique capsular polysaccharide (CP) on this organism (22). Intraperitoneal implantation of a monomicrobial culture of B. fragilis or its purified capsular polysaccharide, PS A, in conjunction with sterile cecal contents promotes abscess formation (37). Abscess induction by PS A is dependent on the presence of positively and negatively charged groups associated with its repeating unit structure. Structurally distinct polymers that possess this zwitterionic charge motif, such as PS B from B. fragilis or the Streptococcus pneumoniae type 1 CP can also induce abscesses in this manner (37). The presence of positively charged groups on bacterial polysaccharides is rare, and those polysaccharides lacking the zwitterionic charge motif do not possess this activity.Attempts to define the immunologic events leading to the development of abscesses by B. fragilis have been carried out with athymic or T-cell-depleted animals and suggest that T cells may be required for the induction of this host response (21,28,30). However, the mechanism by which these cells mediate this process is not known. Recently, we have demonstra...