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Blood, 1 July 2007, Vol. 110, No. 1, pp. 180-185.
Prepublished online as a Blood First Edition Paper on February 8, 2007; DOI 10.1182/blood-2006-11-060087.


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Submitted November 29, 2006
Accepted February 2, 2007

Interaction between B7-H1 and PD-1 determines initiation and reversal of T-cell anergy

Fumihiko Tsushima, Sheng Yao, Tahiro Shin, Andrew Flies, Sarah Flies, Haiying Xu, Koji Tamada, Drew M Pardoll, and Lieping Chen*

Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, MD, United States
Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, United States

* Corresponding author; email: lchen42{at}jhmi.edu.

Although self-reactive T cell precursors can be eliminated upon recognition of self-antigen presented in thymus, this central tolerance process is often incomplete and additional mechanisms are required to prevent autoimmunity. Recent studies implicate that the interaction between B7-H1 and its receptor PD-1 on activated T cells plays an important role in the inhibition of T cell responses in peripheral organs. Here we show that, before their exit to the periphery, T cells in lymphoid organs rapidly up-regulate PD-1 upon tolerogen recognition. Ablation of the B7-H1 and PD-1 interaction when T cells are still in lymphoid organs prevents anergy. Furthermore, blockade of B7-H1 and PD-1 interaction could render anergic T cells responsive to antigen. Our results thus reveal previously unappreciated roles of B7-H1 and PD-1 Interaction in the control of initiation and reversion of T cell anergy.


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