The DOI matches its Crossref record; 53 of the 53 references it cites were found in a registry or an index.
Treg-expressed CTLA-4 depletes CD80/CD86 by trogocytosis, releasing free PD-L1 on antigen-presenting cells
Open accessAbstract
Significance Immunosuppressive Tregs constitutively express CTLA-4, an immune checkpoint receptor. Addressing the role of CTLA-4 in Treg-suppressive function, we show that Treg-expressed CTLA-4, even in the absence of its cytoplasmic portion, promoted the conjugation of Tregs and antigen-presenting cells (APCs), leading to CTLA-4–dependent trogocytosis of CD80/CD86 and concomitant transfer of membrane fragments from APCs to the Treg cell surface. The depletion or blockade of CD80 by trogocytosis or solubilized CTLA-4, respectively, increased free PD-L1 by disrupting cis-CD80/PD-L1 heterodimers on APCs. Thus, Tregs can exert dual suppressive effects through the limitation of CD80/CD86 and up-regulation of free PD-L1 on APCs. Cancer immunotherapy with anti–CTLA-4 and anti–PD-1/PD-L1 blocking antibodies may enhance tumor immunity by hindering this Treg-mediated immune suppression.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“T cells expressing CTLA4 on the surface can decrease CD80 and CD86 expressions on APCs by undergoing trans‐endocytosis and inhibiting CD28 signaling [297].”
From Tumor microenvironment signaling and therapeutics in cancer progression (2023) · cites this paper as [297]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Vignali, D. A. A., Collison, L. W., & Workman, C. J. (2008) · Nature Reviews Immunology · doi:10.1038/nri2343 · Cited by 3,463
CTLA-4 Control over Foxp3 + Regulatory T Cell Function
Wing, K., Onishi, Y., Prieto-Martin, P., Yamaguchi, T., Miyara, M., Fehervari, Z., Nomura, T., & Sakaguchi, S. (2008) · Science · doi:10.1126/science.1160062 · Cited by 2,956
Self-citationTakahashi, T., Tagami, T., Yamazaki, S., Uede, T., Shimizu, J., Sakaguchi, N., Mak, T. W., & Sakaguchi, S. (2000) · The Journal of Experimental Medicine · doi:10.1084/jem.192.2.303 · Cited by 2,233
Self-citationRead, S., Malmström, V., & Powrie, F. M. (2000) · The Journal of Experimental Medicine · doi:10.1084/jem.192.2.295 · Cited by 2,206
Salomon, B. L., Lenschow, D. J., Rhee, L., Ashourian, N., Singh, B., Sharpe, A. H., & Bluestone, J. A. (2000) · Immunity · doi:10.1016/s1074-7613(00)80195-8 · Cited by 2,058
Trans-endocytosis of CD80 and CD86: a molecular basis for the cell-extrinsic function of CTLA-4
Qureshi, O. S., Zheng, Y., Nakamura, K., Attridge, K., Manzotti, C., Schmidt, E. M., Baker, J., Jeffery, L. E., Kaur, S., Briggs, Z., et al. (2011) · Science · doi:10.1126/science.1202947 · Cited by 1,860
Mechanisms of Foxp3+ T Regulatory Cell-Mediated Suppression
Shevach, E. M. (2009) · Immunity · doi:10.1016/j.immuni.2009.04.010 · Cited by 1,787
Butte, M. J., Keir, M. E., Phamduy, T. B., Sharpe, A. H., & Freeman, G. J. (2007) · Immunity · doi:10.1016/j.immuni.2007.05.016 · Cited by 1,785
Takahashi, T., Kuniyasu, Y., Toda, M., Sakaguchi, N., Itoh, M., Iwata, M., Shimizu, J., & Sakaguchi, S. (1998) · International Immunology · doi:10.1093/intimm/10.12.1969 · Cited by 1,566
Self-citationRegulatory T Cells and Human Disease
Sakaguchi, S., Mikami, N., Wing, J. B., Tanaka, A., Ichiyama, K., & Ohkura, N. (2020) · Annual Review of Immunology · doi:10.1146/annurev-immunol-042718-041717 · Cited by 1,163
Self-citation
Cited by
Sorted by citations
Items 101–200 of 491
Immune tolerance against infused FVIII in hemophilia A is mediated by PD-L1+ Tregs
Becker-Gotot, J., Meissner, M., Kotov, V., Jurado-Mestre, B., Maione, A., Pannek, A., Albert, T., Flores, C., Schildberg, F. A., Gleeson, P. A., et al. (2022) · Journal of Clinical Investigation · doi:10.1172/jci159925 · Cited by 27
“These findings did not exclude the possibility that other check-point molecules might also be involved, especially CTLA4, which can extract costimulatory molecules from antigen-presenting cells (48, 49).”
Yang, M., Song, X., Zhang, F., Li, M., Chang, W., Wang, Z., Li, M., Shan, H., & Li, D. (2024) · Hepatology · doi:10.1097/hep.0000000000000979 · Cited by 27
“…axes (Figure 7D and Supplemental Figure S13C, D, http://links.lww.com/HEP/ I521), reflecting a characteristic inhibitory phenotype of these DCs. [19] Moreover, we observed that the PDL1 + CD103 + DCs and Texs could interact through the CD274-PDCD1 (PDL1-PD1) pathway (Figure 7E and Supplemental…”
Butyrate: a bridge between intestinal flora and rheumatoid arthritis
Cao, Y., Chen, J., Xiao, J., Hong, Y., Xu, K., & Zhu, Y. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1475529 · Cited by 26
Zeng, C., He, R. X., Dai, Y., Lu, X., Deng, L., Zhu, Q., Liu, Y., Liu, Q., Lu, W., Wang, Y., et al. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.1069204 · Cited by 26
Decoding the potential role of regulatory T cells in sepsis‐induced immunosuppression
Huang, S., Liu, D., Han, L., Deng, J., Wang, Z., Jiang, J., & Zeng, L. (2024) · European Journal of Immunology · doi:10.1002/eji.202350730 · Cited by 27
“CTLA-4 + Tregs can form a relatively stable immune synapse with APCs, deplete CD80/86 in APCs by trogocytosis, and upregulate the expression of PD-L1, exerting a dual inhibitory influence on naïve T-cell activation [55].”
BackgroundGiorgioni, L., Ambrosone, A., Cometa, M. F., Salvati, A. L., Nisticò, R., & Magrelli, A. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms251910365 · Cited by 27
“Tailing of CAR Ts does not require generating entirely new CARs for each cancer type [32–35], and as such this approach provides a unique flexibility.”
BackgroundXu, L., Chen, Y., Xiong, L., Shen, Y., Zhou, Z., Wang, S., & Xu, X. (2025) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2025.2512645 · Cited by 32
“64 This suggests that the PD-1 and CTLA-4 pathways reinforce each other and that combining the two drugs may have an enhanced antitumor effect, though such a therapeutic approach increases the risk of irAE.”
Zogorean, R., & Wirtz, S. J. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1260266 · Cited by 26
Jamison, B. L., Lawrance, M. F., Wang, C. J., DeBerg, H. A., Ziegler, L., Sansom, D. M., Gavin, M. A., Walker, L. S. K., & Campbell, D. (2024) · Cell Reports · doi:10.1016/j.celrep.2024.114938 · Cited by 24
In situ antigen-capture strategies for enhancing dendritic cell-mediated anti-tumor immunity
Zheng, J., Li, X., He, A., Zhang, Y., Yang, Y., Dang, M., Li, Q., Mou, Y., & Dong, H. (2025) · Journal of Controlled Release · doi:10.1016/j.jconrel.2025.113984 · Cited by 25
Hu, Y., Zhao, Q., Dai, H., Wu, Y., Tang, X., Zhang, N., Jiang, H., Rui, H., & Liu, B. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1687755 · Cited by 26
“2) Contact-dependent suppression, such as the inhibition of conventional T cell (Tconv) activity by the surface molecule CTLA-4 competing with CD80/CD86 on APCs, inhibiting co-stimulatory signals, and upregulating PD-L1 expression (47).”
Immune Checkpoint Inhibitors in Peripheral T-Cell Lymphoma
Chen, X., Wu, W., Wei, W., & Zou, L. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.869488 · Cited by 24
Minohara, K., Imai, M., Matoba, T., Wing, J. B., Shime, H., Odanaka, M., Uraki, R., Kawakita, D., Toyama, T., Takahashi, S., et al. (2022) · Cancer Science · doi:10.1111/cas.15698 · Cited by 23
Self-citationLiu, M., Thijssen, S., Hennink, W. E., Garssen, J., van Nostrum, C. F., & Willemsen, L. E. M. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2022.1053107 · Cited by 24
Regulatory T-cell dysfunction and its implication for cell therapy
Valentini, N., Cier, C. J. R., & Lamarche, C. (2023) · Clinical & Experimental Immunology · doi:10.1093/cei/uxad051 · Cited by 24
Optical functional nanomaterials for cancer photoimmunotherapy
Liu, L., Pan, Y., Ye, L., Liang, C., Mou, X., Dong, X., & Cai, Y. (2024) · Coordination Chemistry Reviews · doi:10.1016/j.ccr.2024.216006 · Cited by 23
Yang, L., Chen, X., Lee, C., Shi, J., Lawrence, E. B., Zhang, L., Li, Y., Gao, N., Jung, S. Y., Creighton, C. J., et al. (2023) · Journal of Experimental & Clinical Cancer Research · doi:10.1186/s13046-023-02689-y · Cited by 24
Zhang, W., Jin, C., Liu, S., Wan, X., Li, Y., Liu, J., Duan, Z., Ma, J., & Gao, Y. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1757513 · Cited by 22
The dual role of tissue regulatory T cells in tissue repair: return to homeostasis or fibrosis
Zhang, P., Wang, J., Miao, J., & Zhu, P. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1560578 · Cited by 24
Cui, M., Zhou, M., Zhou, L., Zhou, G., & Liu, Y. (2025) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2025.189312 · Cited by 21
Costimulation blockade and Tregs in solid organ transplantation
Muckenhuber, M., Wekerle, T., & Schwarz, C. C. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.969633 · Cited by 21
“Thus, there are two distinct strategies to overcome the resulting immune activation: 1) The administration of higher doses of CTLA4Ig (to bind all available B7 molecules (74); or 2) by increasing Treg numbers to ultimately decrease the number of B7 molecules expressed on APCs (34) (Figure 2).”
BackgroundInfluentialCD4+CD25+ T regulatory cells in renal transplantation
Cheung, J., Zahorowska, B., SURANYI, M. G., Wong, J. K. W., Diep, J., Spicer, S. T., Verma, N. D., Hodgkinson, S. J., & Hall, B. M. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.1017683 · Cited by 21
“This process of depletion of CD80/86 on APC also releases free PD-L1 from APC and this further inhibits activated T cells (49).”
BackgroundZhang, T., Tian, H., Qin, S., Gao, Y., Zhang, X., Nice, E. C., Du, Z., & Huang, C. (2024) · Advanced Functional Materials · doi:10.1002/adfm.202313384 · Cited by 21
Han, M. H., Zhou, S., Liao, Z., Chen, Z., Yi, X., Wu, C., Zhang, D., He, Y., Leong, K. W., & Zhong, Y. (2024) · Biomaterials · doi:10.1016/j.biomaterials.2024.122934 · Cited by 20
Immune Checkpoint Inhibitor-Associated Cutaneous Adverse Events: Mechanisms of Occurrence
Eshaq, A. M., Flanagan, T. W., Abbad, A. A. B., Makarem, Z. A. A., Bokir, M. S., Alasheq, A. K., Asheikh, S. A. A., Almashhor, A. M., Binyamani, F., Al-Amoudi, W. A., et al. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms26010088 · Cited by 23
Immune cells: the key mediator between the gut microbiota and osteoporosis
Ma, T., Zhang, T., Peng, C., Liu, K., Xiong, Y., Chen, K., Peng, N., Wei, Z., Kuang, J., & Ou, L. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1680021 · Cited by 22
Trogocytosis in innate immunity to cancer is an intimate relationship with unexpected outcomes
Mattei, F., Andreone, S., Spadaro, F., Noto, F., Tinari, A., Falchi, M., Piconese, S., Afferni, C., & Schiavoni, G. (2022) · iScience · doi:10.1016/j.isci.2022.105110 · Cited by 22
“This process occurs via Treg-expressed CTLA-4, which facilitates the IS formation with DCs and concomitant transfer of CD80/ CD86 molecules from DCs to Tregs by trogocytosis (Qureshi et al., 2011; Tekguc et al., 2021).”
BackgroundZala, A., & Thomas, R. (2022) · Clinical & Experimental Immunology · doi:10.1093/cei/uxac115 · Cited by 20
Dai, X., Du, Y., Li, Y., & Yan, F. (2023) · Materials Today Bio · doi:10.1016/j.mtbio.2023.100796 · Cited by 20
Endocytosis at the maternal-fetal interface: balancing nutrient transport and pathogen defense
Fan, M., Wu, H., Sferruzzi-Perri, A. N., Wang, Y., & Shao, X. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1415794 · Cited by 20
“These CD4 + CD25 + Foxp3 + Tregs constitutively and signi fi cantly express the immune checkpoint receptor cytotoxic T-lymphocyte antigen 4 (CTLA-4) (69).”
BackgroundInfluentialCurrent Trends and Innovative Approaches in Cancer Immunotherapy
Kim, J.-C., Maharjan, R., & Park, J. (2024) · AAPS PharmSciTech · doi:10.1208/s12249-024-02883-x · Cited by 25
“Additionally, CTLA-4 is highly expressed on Treg cells, and CTLA-4 blockade can reduce Treg-mediated immune suppression [45].”
Han, H., He, T., Wu, Y., He, T., & Zhou, W. (2024) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2024.1441081 · Cited by 21
CAR-T Cells Targeting Immune Checkpoint Pathway Players
Golubovskaya, V. (2022) · Frontiers in Bioscience-Landmark · doi:10.31083/j.fbl2704121 · Cited by 19
The Problem with Syngeneic Mouse Tumor Models
Lönberg, N. (2025) · Cancer Immunology Research · doi:10.1158/2326-6066.cir-24-1046 · Cited by 23
CD4+ T cell dysfunction in cancer
Venkatesh, H., & Fong, L. H. (2025) · The Journal of Experimental Medicine · doi:10.1084/jem.20241417 · Cited by 19
Luo, J., Xiang, X., Gong, G., & Jiang, L. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1617662 · Cited by 23
“CAFs induce T cell exhaustion by upregulating co-inhibitory molecules such as PD-L1/ PD-L2 and CD80/CD86, which bind to receptors including PD-1 and CTLA-4 on T cell surfaces (32 – 34).”
Mukai, M., Takahashi, H., Kubo, Y., Asahina, Y., Iriki, H., Nomura, H., Kamata, A., Ito, H., Kurebayashi, Y., Yamagami, J., et al. (2025) · Science Translational Medicine · doi:10.1126/scitranslmed.adq9913 · Cited by 19
Self-citationCytotoxic CD4+ T cells: origin, biological functions, diseases and therapeutic targets
Lai, L., Ran, S., Li, Y., Cui, J., Zhang, X., Yu, J., Zou, Y., Cheng, Z., Xia, J., & Wu, J. (2026) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-025-02533-z · Cited by 24
Wang, X., Geng, S., Meng, J., Kang, N., Liu, X.-Y., Xu, Y., Lyu, H., Xu, Y., Xu, X., Song, X., et al. (2023) · Journal of Clinical Investigation · doi:10.1172/jci163470 · Cited by 18
“Some of the reports suggested that this is mainly via the transendocytosis or trogocytosis of costimulatory molecules by CTLA-4 expressed on Tregs (8–12).”
BackgroundTreg-Derived Extracellular Vesicles: Roles in Diseases and Theranostics
Wu, T., Wang, L., Gao, C., Chen, J., Liu, Y., Fu, Z., & Chen, S. (2024) · Molecular Pharmaceutics · doi:10.1021/acs.molpharmaceut.4c00233 · Cited by 17
Wu, X., Pan, B., Chu, C., Zhang, Y., Ma, J., Yang, X. H., Ma, Y., Zhu, W., Zhong, H., Alimu, A., et al. (2024) · Advanced Science · doi:10.1002/advs.202409537 · Cited by 17
Single cell suppression profiling of human regulatory T cells
Søndergaard, J. N., Tulyeu, J., Priest, D., Sakaguchi, S., & Wing, J. B. (2025) · Nature Communications · doi:10.1038/s41467-024-55746-1 · Cited by 17
Self-citationMaharajan, N., Benyamien-Roufaeil, D. S., Brown, R. A., Portney, B. A., Banerjee, A., & Zalzman, M. (2025) · Cancer Letters · doi:10.1016/j.canlet.2025.218015 · Cited by 18
Cui, X., Li, C., Ding, J., Yao, Z., Zhao, T., Guo, J., Wang, Y., & Li, J. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24054513 · Cited by 17
“The blockade of CTLA-4 and PD-1/PD-L1 in combination may, therefore, synergistically hinder Treg-mediated immune suppression, thereby effectively enhancing immune responses, including tumor immunity [36].”
BackgroundThe role of regulatory T cells and follicular T helper cells in HBV infection
Lin, N., Yin, W. H., Miller, H. I., Byazrova, M. G., Herrada, A. A., Benlagha, K., Lee, P. P. W., Guan, F., Lei, J., Gong, Q., et al. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1169601 · Cited by 20
“This is based on the formation of cis-CD80/PD-L1 dimers on DCs, and the soluble CTLA-4 disrupts the original heterodimer by promoting CD80 homodimerization, ultimately releasing free PD-L1 and upregulating the intensity of PD-1 inhibition (72).”
BackgroundThymus-derived hormonal and cellular control of cancer
Savino, W., & Lepletier, A. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1168186 · Cited by 17
“Treg cells exert their immunosuppressive effects through various cellular and humoral mechanisms: (i) consumption of IL2, thus inhibiting the proliferation and differentiation of conventional T cells (79), (ii) production of the inhibitory immune cytokines, IL-10 and TGF-b (80) and (iii) high expression of CTLA-4, whi…”
BackgroundWhat happens to regulatory T cells in multiple myeloma
Chen, H., Wang, X., Wang, Y., & Chang, X. (2023) · Cell Death Discovery · doi:10.1038/s41420-023-01765-8 · Cited by 22
Near-infrared-II photocharging nanozyme for enhanced tumor immunotherapy
Li, A., Chu, S., Yuan, M., Zhang, J., Liu, H. F., Zhu, Y., Xu, J., Jiang, X., & Xue, W. (2024) · Journal of Colloid and Interface Science · doi:10.1016/j.jcis.2024.07.172 · Cited by 17
Safaei, S., Alipour, S., Mahdavi, S. Z. B., Shalmashi, H., Khaze, V., Shanehbandi, D., Baradaran, B., & Kazemi, T. (2024) · Molecular Biology Reports · doi:10.1007/s11033-024-10007-8 · Cited by 17
“However, the latest studies propose that the immunosuppressive tumor microenvironment (TME) can lead to dysfunction in DCs and impaired antitumor responses [32–34].”
Weinstein, K. N., Domeier, P. P., & Ziegler, S. F. (2024) · International Immunology · doi:10.1093/intimm/dxae049 · Cited by 16
Wang, Q., Du, J., Yang, F., Wu, S., Zhu, L.-N., Li, X., Yang, H., Miao, Y.-Q., & Li, Y.-H. (2024) · Small · doi:10.1002/smll.202408038 · Cited by 16
Zhang, S., Luo, C., Li, K., Wang, J., Wang, H., Zhong, R., Chen, L., Ma, Q., & Zhang, H. (2024) · Journal of Animal Science and Biotechnology/Journal of animal science and biotechnology · doi:10.1186/s40104-024-01126-0 · Cited by 16
Kantheti, U., Forward, T. S., Lucas, E. D., Schafer, J. B., Tamburini, P. J., Burchill, M. A., & Tamburini, B. A. J. (2025) · Science Advances · doi:10.1126/sciadv.adt3044 · Cited by 17
CTLA-4—two pathways to anti-tumour immunity?
Ward, F. J., Kennedy, P. T., Al-Fatyan, F., Dahal, L. N., & Eid, R. A. (2024) · Immunotherapy Advances · doi:10.1093/immadv/ltaf008 · Cited by 16
“Removal of CD80 also exposes and increases PD-L1 levels to further inhibit T-cell responses by binding PD-1 [41].”
Immune checkpoint inhibitors break whose heart? Perspectives from cardio-immuno-oncology
He, Y., Yu, H., Dai, S., He, M., Ma, L., Xu, Z., Luo, F., & Wang, L. (2023) · Genes & Diseases · doi:10.1016/j.gendis.2023.01.024 · Cited by 17
“In conditions of chronic antigen exposure, CTLA-4 is expressed on the surface of most naive T cells soon after activation and is constitutively expressed on Treg and memory T cells with an exhausted phenotype.(107) CTLA4 can bind both B7 proteins with significantly higher affinity than CD28, thus competitively inhibit…”
BackgroundAttias, M., & Piccirillo, C. A. (2024) · British Journal of Pharmacology · doi:10.1111/bph.16313 · Cited by 17
“For example, CTLA-4 limits the surface expression of co-stimulatory molecules CD80 and CD86 by trogocy-tosis (Tekguc et al., 2021).”
Kumar, V., Narisawa, M., & Cheng, X. W. (2024) · The FASEB Journal · doi:10.1096/fj.202400839r · Cited by 16
“41 CTLA-4 on Tregs interacts with CD80/CD86 on DCs, thereby inhibiting the ability of DCs to activate naive T cells.”
InfluentialImmune checkpoint pathways in glioblastoma: a diverse and evolving landscape
Inocencio, J. F., Mitrasinovic, S., Asad, M., Parney, I. F., Zang, X., & Himes, B. T. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1424396 · Cited by 18
“Moreover, CTLA-4 expressing Tregs can deplete CD80/86 on dendritic cells via trans-endocytosis rendering them ineffective in priming T cells (100).”
BackgroundThe Immunomodulatory Role of Regulatory T Cells in Preterm Birth and Associated Pregnancy Outcomes
Mureanu, N., Bowman, A., Porter-Wright, I. A., Verma, P., Efthymiou, A., Nicolaides, K. H., Scottà, C., Lombardi, G., Tribe, R. M., & Shangaris, P. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms252211878 · Cited by 15
Comprehensive analysis of prognosis and immune function of CD70-CD27 signaling axis in pan-cancer
Kong, F., Ye, Q., & Xiong, Y. (2023) · Functional & Integrative Genomics · doi:10.1007/s10142-023-00977-6 · Cited by 15
Systems immunology of regulatory T cells: can one circuit explain it all?
Tripathi, S., Tsang, J. S., & Park, K. (2023) · Trends in Immunology · doi:10.1016/j.it.2023.08.007 · Cited by 15
Antigen recognition reinforces regulatory T cell mediated Leishmania major persistence
Zayats, R., Mou, Z., Yazdanpanah, A., Gupta, G., Lopez, P. G., Nayar, D., Koh, W. H., Uzonna, J. E., & Murooka, T. T. (2023) · Nature Communications · doi:10.1038/s41467-023-44297-6 · Cited by 15
“CD80 and CD86 co-stimulatory molecules can also be selectively removed during DC-Treg contacts, also reducing T cell activation levels 55,56 .”
CD137-expressing regulatory T cells in cancer and autoimmune diseases
Lee, K. Y., Mei, Y., Liu, H., & Schwarz, H. (2024) · Molecular Therapy · doi:10.1016/j.ymthe.2024.12.010 · Cited by 15
FcγR-Mediated Trogocytosis 2.0: Revisiting History Gives Rise to a Unifying Hypothesis
Lindorfer, M. A., & Taylor, R. P. (2022) · Antibodies · doi:10.3390/antib11030045 · Cited by 17
Targeting the CTLA-4/B7 axes in glioblastoma: preclinical evidence and clinical interventions
Fathi, M., Razavi, S., Sojoodi, M., Ahmadi, A., Ebrahimi, F., Namdar, A., Hojjat‐Farsangi, M., Gholamin, S., & Jadidi‐Niaragh, F. (2022) · Expert Opinion on Therapeutic Targets · doi:10.1080/14728222.2022.2160703 · Cited by 15
Cheng, H., Li, S., Liu, H., Yan, M., Wang, J., Huang, J., Liu, S., Yang, Y., Cao, X., Cui, P., et al. (2025) · Nature Microbiology · doi:10.1038/s41564-025-02140-2 · Cited by 14
Trained Immunity in Health and Disease
Yao, M., Zhou, J., Mei, J., Gao, C., Ding, P., Li, G., Zhang, C., Li, Z., & Gao, J. (2025) · MedComm · doi:10.1002/mco2.70461 · Cited by 16
“For example, trained macrophages exhibit sustained expression of costimulatory molecules, enhancing their ability to prime tumor-specific T cells [203].”
Blood immunological profile of abdominal aortic aneurysm based on autoimmune injury
Huanggu, H., Yang, D., & Zheng, Y. (2022) · Autoimmunity Reviews · doi:10.1016/j.autrev.2022.103258 · Cited by 14
Liu, Y., Fu, Y., Miao, R., Cao, J., Zhang, F., Liu, L., Mei, L., & Ou, M. (2024) · Advanced Functional Materials · doi:10.1002/adfm.202405133 · Cited by 14
balawi, A. N. A., Alblwi, N. A. N., Soliman, R., El‐Far, A. H., Hassan, M. G., El-Sewedy, T., Ameen, F., Ismail, N. F., & Elmetwalli, A. (2024) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-024-06914-0 · Cited by 16
“CTLA-4 − / − mice exhibit enhanced immune responses and are prone to miscarriage, highlighting the importance of CTLA-4 in immune regulation during pregnancy [15].”
BackgroundWei, X., Yang, M. W., Zou, H., Shen, S., Li, Y., Chen, L., Liu, Y., Li, D., & Ding, J. (2025) · Journal of Controlled Release · doi:10.1016/j.jconrel.2025.02.020 · Cited by 14
Resistance to PD-1/PD-L1 immune checkpoint blockade in advanced non-small cell lung cancer
Li, L., Pu, H., Zhang, X., Guo, X., Li, G., & Zhang, M. (2025) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2025.104683 · Cited by 16
Ding, J., Zheng, Y., Wang, G., Zheng, J., & Chai, D. (2022) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2022.188763 · Cited by 14
Azim, S., Zubair, H., Rousselle, T. V., McDaniels, J. M., Shetty, A. C., Kuscu, C., Kuscu, C., Talwar, M., Eason, J. D., Maluf, D. G., et al. (2023) · American Journal of Transplantation · doi:10.1016/j.ajt.2023.04.035 · Cited by 13
Immunological Processes in the Orbit and Indications for Current and Potential Drug Targets
Cieplińska, K., Niedziela, E., & Kowalska, A. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm13010072 · Cited by 13
“Binding to CD20 activates its complement, resulting in the lysis of plasma cell precursors and a subsequent reduction in autoantibody levels.”
BackgroundLi, Z., Sun, S., Wang, Y., Hua, Y., Liu, M., Zhou, Y., Zhong, L., Li, T., Zhao, H., Zhou, X., et al. (2024) · Cancer Letters · doi:10.1016/j.canlet.2024.216962 · Cited by 13
Stepkowski, S. M., Bekbolsynov, D., Oenick, J., Brar, S., Mierzejewska, B., Rees, M. A., & Ekwenna, O. (2024) · Vaccines · doi:10.3390/vaccines12090992 · Cited by 13
“As shown in Figure 4, contact-dependent suppression is mediated via co-stimulatory molecules, such as CTLA-4 binding to CTLA-4L on antigen-presenting cells, as well as programmed cell death protein 1 (PD-1) binding to the PD-1 ligand (PD-L1) [51–53].”
BackgroundFerroptosis contributes to immunosuppression
He, N., Yuan, D., Luo, M., Xu, Q., Wen, Z., Wang, Z., Zhao, J., & Liu, Y. (2024) · Frontiers of Medicine · doi:10.1007/s11684-024-1080-8 · Cited by 13
Beta-glucans in oncology: revolutionizing treatment with immune power & tumor targeting
Reza, M. A. S., Najafi, S., Kahfi, M., Safari, M., & Mahjoor, M. (2025) · Naunyn-Schmiedeberg s Archives of Pharmacology · doi:10.1007/s00210-025-04519-8 · Cited by 12
Hsieh, H.-C., Ling, L.-L., & Yi-Ching, W. (2026) · Journal of Biomedical Science · doi:10.1186/s12929-025-01202-1 · Cited by 17
“Therefore, CD28 on conventional T cells cannot interact with CD80/86, resulting in decreased T-cell activation [179].”
Rigid, bivalent CTLA-4 binding to CD80 is required to disrupt the cis CD80/PD-L1 interaction
Robinson, M. A., Kennedy, A., Orozco, C. T., Chen, H., Waters, E., Giovacchini, D., Yeung, K., Filer, L., Hinze, C., Lloyd, C., et al. (2024) · Cell Reports · doi:10.1016/j.celrep.2024.114768 · Cited by 11
“23 However, the mechanism by which CTLA-4 liberates free PD-L1 remains unresolved.”
Regulatory T cells in lung disease and transplantation
Lao, P., Chen, J., Tang, L., Zhang, J., Chen, Y., Fang, Y., & Fan, X. (2023) · Bioscience Reports · doi:10.1042/bsr20231331 · Cited by 12
“This interaction can be blocked by anti-CTLA-4 antibodies, thereby restoring the anti-tumor immune function of immune cells [17,199,203].”
BackgroundTargeting FGL2 in glioma immunosuppression and malignant progression
Ma, X., Zhu, H., Cheng, L., Chen, X., Shu, K., & Zhang, S. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.1004700 · Cited by 11
Wang, R., Zhang, G., Zhu, X., Xu, Y. H., Cao, N., Li, Z., Chen, H., Qin, M., Shen, Y., Dong, J., et al. (2023) · Cancers · doi:10.3390/cancers15245759 · Cited by 11
“LRP1B induced tumor immune cell infiltration, which may improve the outcomes of GC patients.”
BackgroundRegulatory T Cells for Control of Autoimmunity
Kawakami, R., & Sakaguchi, S. (2024) · Advances in experimental medicine and biology · doi:10.1007/978-981-99-9781-7_5 · Cited by 13
Self-citationDiverse roles of dendritic cell and regulatory T cell crosstalk in controlling health and disease
Yamazaki, S. (2024) · International Immunology · doi:10.1093/intimm/dxae042 · Cited by 11
Regulatory T Cells in Tumor Microenvironment: Therapeutic Approaches and Clinical Implications
Sureka, N., & Zaheer, S. (2025) · Cell Biology International · doi:10.1002/cbin.70031 · Cited by 13
“CTLA ‐ 4 is another crucial molecule that contributes to Treg ‐ mediated suppression by outcompeting CD28 for binding to CD80/CD86 on APCs, thereby inhibiting co ‐ stimulatory signals required for T cell activation (Tekguc et al. 2021).”
Xu, X., Zhou, J., Xie, H., Zhang, R., Gu, B., Liu, L., Liu, M., & Chang, X.-R. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1610254 · Cited by 14
“IL-6-induced vasodilator-stimulated phosphoprotein phosphorylation inhibits Treg migration to in fl ammatory sites, thereby limiting their (56).”
The Immune Microenvironment in Liver Cancer: From Analysis to Targeting
Lan, J., Li, H., Xue, J., Duan, Y., Sun, J., & Niu, M. (2025) · Advanced Science · doi:10.1002/advs.202518487 · Cited by 10
Nanomaterial-Enhanced Immunotherapy: Advancing T-Cell-Based Treatments for Bladder Cancer
Chen, J., Fu, Y., Zhang, Z., Zhao, J., Zuo, J., Ye, X., Xiong, Q., Nie, Z., Dong, H., Shi, H., et al. (2025) · International Journal of Nanomedicine · doi:10.2147/ijn.s557690 · Cited by 10
Liu, Z., Zhang, S., Li, H., Guo, J., Wu, D., Zhou, W., & Xie, L. (2022) · Frontiers in Genetics · doi:10.3389/fgene.2022.844604 · Cited by 10
“Binding of the CD86 encoding protein with cytotoxic T-lymphocyte-associated protein 4 (CTLA4) negatively regulates T-cell activation and diminishes the immune response (Tekguc et al., 2021).”
BackgroundKurdi, M. E., Mulla, N., Malibary, H. M., Bamaga, A. K., Fadul, M. M., Faizo, E., Hakamy, S., & Baeesa, S. S. (2023) · World Journal of Clinical Oncology · doi:10.5306/wjco.v14.i3.117 · Cited by 11
Dendritic cells and antigen-specific immunotherapy in autoimmune rheumatic diseases
Cai, B., & Thomas, R. (2024) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2024.101940 · Cited by 12
Andrabi, S. B. A., Ullah, U., Palani, S., Khan, M. M., Khan, M. H., Fagersund, J., Orpana, J., Paulin, N., Batkulwar, K., Junttila, S., et al. (2024) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2315363121 · Cited by 9
“CTLA4 is critically required for in vivo and in vitro suppression by Tregs, which is mediated at least in part by downregulation of CD80 and CD86 on antigen - presenting cells (47).”
Crosstalk between efferocytic myeloid cells and T-cells and its relevance to atherosclerosis
Ngai, D., Sukka, S. R., & Tabas, I. A. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1403150 · Cited by 10
“Secondly, CTLA-4 can mediate “ transendocytosis ” of CD80/CD86, which is the process by which T reg cells engulf and remove CD80/86 from the antigen-presenting cell (125, 128, 129).”
BackgroundFu, J., Mao, L., Yu, J., Mei, D., & Chen, Y. (2024) · Molecular Diversity · doi:10.1007/s11030-024-10917-6 · Cited by 10
“Predominantly expressed on the surface of activated CD4 + and CD8 + T lymphocytes, CTLA-4 transmits inhibitory signals to regulate T cell responses [16].”
Zuber, J., Léon, J., Déchanet‐Merville, J., & Kaminski, H. (2024) · American Journal of Transplantation · doi:10.1016/j.ajt.2024.09.035 · Cited by 10
Zhang, C., Chen, Y., Han, J., Liu, R., Liu, C., Zhao, Y., & Liu, C. (2025) · International Journal of Pharmaceutics · doi:10.1016/j.ijpharm.2024.125140 · Cited by 10
Attias, M., Alvarez, F., Al-Aubodah, T.-A., Istomine, R., McCallum, P. A., Huang, F., Sleiman, A., Nishimura, T., Rincon, S. V. D., Riazalhosseini, Y., et al. (2025) · Journal for ImmunoTherapy of Cancer · doi:10.1136/jitc-2024-009435 · Cited by 12
Ying, S., Liu, H., Zhang, Y., & Mei, Y. (2025) · Vaccines · doi:10.3390/vaccines13050496 · Cited by 10
“Concurrently, co-stimulatory molecules such as CD80 and CD86 on DCs bind to CD28 on T cells, providing the secondary activation signal [34].”
Metadata
- Authors
- Tekguc, M., Wing, J. B., Osaki, M., Long, J., & Sakaguchi, S.
- Affiliations
- Laboratory of Experimental Immunology, World Premier International (WPI) Immunology Frontier Research Center (IFReC), Osaka University, Suita 565-0871, Japan;
- Immunology Frontier Research Center, The University of Osaka (JP)
- Kyoto University (JP)
- Corresponding author
- Sakaguchi, Shimon
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2021-07-23
- Volume
- 118
- Issue
- 30
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC8325248
- OpenAlex
- W3185714107
- Cited by
- 490
- References
- 53
- Citations by year
- 2026: 116 · 2025: 123 · 2024: 114 · 2023: 72 · 2022: 61 · 2021: 4
- FWCI
- 23.46
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- OUKA (Osaka University Knowledge Archive) (Osaka University) (submittedVersion)
- Funders
- MEXT | Japan Society for the Promotion of Science (16H06295, 18K07175)
- MEXT | JST | Core Research for Evolutional Science and Technology (JP 19gm0010005)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Keywords
- regulatory T cells, CTLA-4, trogocytosis, CD80, CD86, PD-L1, antigen-presenting cells, immune checkpoint, cancer immunotherapy
- MeSH terms
- Trogocytosis, Animals, Antigen-Presenting Cells, Dendritic Cells, Female, Lymphocyte Activation, Mice, Inbred BALB C, Mice, Inbred C57BL, B7-1 Antigen, Mice, Knockout, T-Lymphocytes, Regulatory, Mice, B7-2 Antigen, B7-H1 Antigen, CTLA-4 Antigen
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review