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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.
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“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]
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“Recent mechanistic insights from Tekguc et al. [52]. revealed that Treg-expressed CTLA-4 depletes CD80/CD86 through trogocytosis, releasing free PD-L1 on antigen-presenting cells, providing a novel mechanistic link between CTLA-4 and PD-L1 pathways that explains the synergistic effects of…”
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“Consequently, there is increased interaction between PD-1 and PD-L1 on T cells [117,118], leading to the negative regulation of T cell function [119].”
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“DCs can also create a microenvironment that enables naïve T cells to differentiate into effector T cells by releasing cytokines, which is also known as the “ third signal ” (55, 56).”
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“CTLA-4 inhibitors exert anti-tumor effects by preventing Tregs from down-regulating CD80/86 expression and depleting Tregs through antibody-dependent cell-mediated cytotoxicity (ADCC) and phagocytosis (ADCP) (78).”
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“Furthermore, combination therapy signi fi cantly increases the CD8+/Treg ratio (41, 42), supports memory CD8+ T cell formation, and promotes tissue-resident memory T cells (TRMs), reinforcing long-term immune surveillance (43).”
The homeostasis and heterogeneity of regulatory T cells in sepsis
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“…helps explain why: CTLA-4 removal not only expands a progenitorlike pool of exhausted CD8 + T cells that can be rejuvenated by PD-1 blockade but also strips regulatory T cells of their ability to steal CD80/86 from antigenpresenting cells, thereby freeing additional PD-L1 for interception[31,83].”
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“CTLA-4 not only transmits intrinsic inhibitory signals but also, on Tregs, mediates the trans-endocytosis and degradation of CD80-CD86 from the APC surface, thereby limiting co-stimulation for other T cells (43, 45).”
Skin immunity and inflammation: cellular interactions and communication
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RetractedBreaking Immunosuppressive Barriers by Engineered Nanoplatforms for Turning Cold Tumor to Hot
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News from the T cell trogocytosis front
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“133 This can competitively inhibit B7 binding to CD28 receptors, thereby inhibiting T cell activation and promoting immune suppression in PDAC.”
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“In 75–78 In contrast to CAR-based immunotherapies, in which adverse effects due to trogocytosis are triggered by Fc-mediated antibody binding to the acceptor cells, the process we describe elicits anti-body-mediated trogocytosis upon binding to the Fc g R on the donor cell.”
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“In addition, CTLA-4 binding to CD80 on antigen presenting cells induces transendocytosis where the CTLA-4/CD80 complex internalizes and reduces CD80 signaling [90].”
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“27 Finally, it should bring to light that CTLA4 dysfunctions have been related with autoimmunity.”
BackgroundThe Biological Significance of Trogocytosis
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BackgroundTreg cells augment self-tolerance during infection
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Self-citationImmunotherapy in central nervous system tumors
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“Treg has been shown to express CTLA-4, which has been demonstrated to competitively bind to CD80/CD86 and to block CD28 co-stimulatory signaling [ 83 ] .”
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“17 Besides CD80/CD86, CTLA-4 also removes other immune-stimulating factors.”
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“CTLA-4 competes with CD28 for CD80/CD86 on antigen-presenting cells (71,72) and reduces their costimulatory capacity through trogocytosis (73).”
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“Because belatacept has a high binding affinity for CD80, it can disrupt CD80/PD-L1 heterodimers [36].”
Foxp3+ Tregs in HCC immunity and immunotherapy
Feng, M., & Granito, A. (2026) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2026.05.004 · Cited by 6
Non-coding RNA in tumor-infiltrating regulatory T cells formation and associated immunotherapy
Ma, Y., Xu, X., Wang, H., Liu, Y., & Piao, H. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1228331 · Cited by 5
Yin, Y., Wang, Y., Wang, C., Zhang, Y., Qi, A., Song, J., Xu, L., Yang, W., & Jiao, L. (2024) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2024.117984 · Cited by 5
Structural insights into antibody-based immunotherapy for hepatocellular carcinoma
Shah, M., Hussain, M. S., & Woo, H. G. (2025) · Genomics & Informatics · doi:10.1186/s44342-024-00033-0 · Cited by 6
Peter, A., Vermeulen, M., Delen, M. V., Dams, A., Peeters, S., Reu, H. D., Marei, W. F. A., Berneman, Z. N., & Cools, N. (2025) · Cells · doi:10.3390/cells14100736 · Cited by 5
“T cell immunoreceptor with immunoglobulin and ITIM domains (TIGIT), and CD80/CD86—cytotoxic T lymphocyte-associated protein-4 (CTLA-4) interactions, combined with secretion of anti-inflammatory cytokines (e.g., IL-10), suppress effector T cell activation and support Treg induction [21–24].”
Tregs and Platelets Play Synergistic Roles in Tumor Immune Escape and Inflammatory Diseases
Gao, H., Zhou, Y., & Chen, X. (2022) · Critical Reviews in Immunology · doi:10.1615/critrevimmunol.2023047234 · Cited by 7
Immune checkpoints targeting dendritic cells for antibody-based modulation in cancer
Lei, X., Wang, Y., Broens, C., Borst, J. G., & Xiao, Y. (2023) · International review of cytology · doi:10.1016/bs.ircmb.2023.07.006 · Cited by 5
Convergence, plasticity, and tissue residence of regulatory T cell response via TCR repertoire prism
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“Biomarkers like CD8 + TIL density and IFN-γ levels are being studied to enhance patient stratification for these therapies (Tekguc et al. 2021).”
Convergence, plasticity, and tissue residence of regulatory T cell response via TCR repertoire prism
Nakonechnaya, T. O., Moltedo, B., Putintseva, E. V., Leyn, S., Bolotin, D. A., Britanova, O. V., Shugay, M., & Chudakov, D. M. (2023) · eLife · doi:10.7554/elife.89382 · Cited by 7
The Therapeutic Potential of Farm Dust Extracts in a Mouse Model of Eosinophilic Inflammation
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“26 Furthermore, the mechanistic underpinnings of the differential impact of hUC-MSCs on naive and non-naive Treg subpopulations are of fundamental interest for future investigation.”
Loss of PI3Kδ Activity Drives Autoimmune Colitis by Impairing Extrathymic Treg Differentiation
Lim, E. L., Qian, Y., Sugihara, F., Tanaka, A., & Sakaguchi, S. (2025) · European Journal of Immunology · doi:10.1002/eji.70069 · Cited by 5
“Tregs (CD4 + CD25 + GITR + DAPI − ) were sorted from the spleen and LN (after B cell depletion) of WT and PI3K δ D910A mice, and cocultured overnight with JAWS immortalized dendritic cells expressing GFP or fusion constructs of CD80-GFP and CD86-GFP [38].”
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Immunotherapeutic Strategies Based on CAR-T Cells in Hepatocellular Carcinoma
Hemmati, N. (2025) · EMJ Oncology · doi:10.33590/emjoncol/tabt3057 · Cited by 4
Ashayeripanah, M., Roquilly, A., & Villadangos, J. A. (2026) · Immunological Reviews · doi:10.1111/imr.70087 · Cited by 6
“In a mutually reinforcing loop, Tregs promote cDC toleroge-nicity through contact dependent inhibitory receptors such as CTLA-4::CD80/CD86 [126, 127], and LAG3::MHC-II [128] as well as via soluble mediators including IL-10 [127] and IDO [105].”
Next generation CAR-T cells to tackle solid tumors
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Kobayashi, K., & Sasaki, K. (2024) · Drug Discoveries & Therapeutics · doi:10.5582/ddt.2023.01100 · Cited by 4
“CTLA-4 expressed on Tregs has the ability to strip off MHC-Ⅱ and the costimulatory molecule B7 from APCs and express B7 on the surface of CTLA-4 + Tregs, resulting in impaired antigen-presenting activity of APCs ( 28 ).”
BackgroundSingle-cell analysis of nasal epithelial cell development in domestic pigs
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“In brief, dendritic cells and macrophages exhibit increased expression of CD80, CD86, CD163 and HLA-DRA [38–40].”
BackgroundGaps in maternal-fetal interface rejection response: chronic histiocytic intervillositis
Zhang, X., Fang, Z., & Wang, X. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1625701 · Cited by 4
Nishiyama, N., Ruoff, P., Jiménez, J. C., Miwakeichi, F., Nishiyama, Y., & Yata, T. (2023) · Biosystems · doi:10.1016/j.biosystems.2023.104889 · Cited by 4
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Zhou, D., Liu, L., Liu, J., Li, H., Zhang, J., & Cao, Z. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13051210 · Cited by 4
“Concurrently, it stimulates the release of free PD-L1 from APCs, exerting a dual inhibitory influence on T cell immune responses [23].”
BackgroundRen, Y., Ying, Q., Chen, Y., Liao, C., Li, A., & Ye, Q. (2024) · Acta Haematologica · doi:10.1159/000538749 · Cited by 4
“A reduction in CD80/CD86 expression on APCs inhibits the immune responses of T cells [48].”
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CTLA4 prohibits T cells from cross-dressing
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Cardiovascular Disease Risk Factors, Immune Checkpoints and Tregs
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“On the contrary, in vivo experiments have verified that CTLA-4 can deplete CD80 and CD86 via trogocytosis [17].”
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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
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