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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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“However, the strongest mechanistic and in vivo support for this model derives from murine studies, whereas the human evidence remains more limited and is based mainly on indirect, in vitro, or ex vivo observations [23–26].”
InfluentialThe Gut–Pancreas Axis in Type 1 Diabetes: Emerging Insights into Microbiota and Immune Interactions
Mittal, R., Sinha, P., Doshi, J., Goldmann, R., Mittal, M., Chaudhary, N., Ravindra, V., & Hirani, K. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27114789 · Cited by 1
TME remodeling and clinical challenges of immune checkpoint blockade in nasopharyngeal carcinoma
Ou, C., Qi, L., Lai, H., Ye, J., Tian, X., & Li, Z. (2026) · Frontiers in Oncology · doi:10.3389/fonc.2026.1850783 · Cited by 1
Jiao, G., Peng, H., Yang, Y., Liu, Y., Liu, X., Hu, Y., Dai, Y., Li, Z., & Zhao, Q. (2026) · Molecular Cancer · doi:10.1186/s12943-026-02685-8 · Cited by 1
“Furthermore, anti-CTLA-4 antibodies also influence the immune landscape within the tumor tissue by participating in the regulation of regulatory T (Treg) cell proliferation and survival [79, 80].”
Kurt, A. S., Elgosbi, M., Kodela, E., Landmann, E., Ruiz, P., Zen, Y., Torres-Yaguana, J. P., PUTTICK, A. J., Bustamante, Q., Sharjeel, M., et al. (2026) · European Journal of Immunology · doi:10.1002/eji.70226 · Cited by 1
“Tregs employ the same mechanism to nibble costimulatory molecules such as CD80 and CD86 from APCs, resulting in reduced APC immunogenicity [ 35, 36 ].”
Regulatory T cells in the skin: Origin, function, and plasticity
Xu, Y., Liu, X., & Fang, D. (2026) · JID Innovations · doi:10.1016/j.xjidi.2026.100511 · Cited by 1
Chen, Y., Shi, Y., & You, J. (2026) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-026-02910-2 · Cited by 1
“78 In addition, CTLA-4 (CD152), 8,79 – 81 inducible synergistic co-stimulation molecules (ICOS, CD278), 82 – 84 CD39, 85,86 tumor necrosis factor receptor type 2 (TNFR2, CD120b), 87 LAG-3 9,88 and recombinant glycoprotein A33 (GPA33) 89 are also widely recognized as reliable surface markers for…”
Xiang, M., Liu, S., Xiao, D., & Tao, Y. (2026) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-026-02810-5 · Cited by 1
“313 Supporting this notion, one cross-sectional study revealed a signi fi cant association between the CTLA-4 + 49A/G polymorphism (both at the genotype and allele levels) and antibody-negative T2DM.”
Li, X., & Li, T. (2022) · Exploratory Research and Hypothesis in Medicine · doi:10.14218/erhm.2022.00062 · Cited by 1
Ipavec, N., Vidaković, M. R., Markotić, A., Pavelin, S., Šoda, M. B., Šoda, J., Dolić, K., & Mužinić, N. R. (2024) · Biomedicines · doi:10.3390/biomedicines12020464 · Cited by 1
“This process effectively reduces the presence of CD80/CD86, while enhancing free PD-L1 on the surface of antigen-presenting cells [32].”
BackgroundImmunotherapy: should we worry about immunosenescence?
Özkan, A., de Glas, N. A., & Portielje, J. E. A. (2024) · Ageing and Cancer Research & Treatment · doi:10.70401/acrt.2024.104 · Cited by 1
“This reduction in CD80/CD86 on APCs leads to dual suppressive effects on T cell immune responses: it limits CD80/CD86 costimulation specifically to naïve T cells and increases the availability of free PD-L1, which in turn suppresses PD-1-expressing effector T cells [40] .”
Silicon-based metal-organic frameworks (SiMOFs) for immunogenic cell death in cancer therapy
Han, M. H., Chen, Z., Zhou, S., Liao, Z., Yi, X., He, Y., Zhong, Y., & Leong, K. W. (2024) · Nano Research · doi:10.26599/nr.2025.94907080 · Cited by 1
Huang, X., Pawge, G., Snicer, C. E., Hsiao, C. C., & Wiemer, A. J. (2025) · The Journal of Immunology · doi:10.1093/jimmun/vkae002 · Cited by 1
Microbial influencers: treating diabetes through the gut
Snelson, M., Rampanelli, E., Nieuwdorp, M., Hanssen, N. M. J., & Coughlan, M. T. (2022) · Immunology and Cell Biology · doi:10.1111/imcb.12558 · Cited by 1
“The inhibitory molecule (and exhaustion marker) CTLA-4 binds to CD80/86 and limits their surface expression on antigen-presenting cells, thereby depleting the CD28mediated costimulatory signaling in T cells to reduce their effector functions and contribution to the inflammatory environment.(14,15) Consistently, the ex…”
BackgroundPD-1 and CTLA-4 exert additive control of effector regulatory T cellsPreprint
Perry, J. A., Lanzar, Z. R., Clark, J. T., Hart, A. P., Douglas, B. B., Shallberg, L. A., O’Dea, K. M., Christian, D. A., & Hunter, C. A. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.07.22.501159 · Cited by 1
Yu, G., Zuo, Y., Wang, B., & Liu, H. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.04.30.538851 · Cited by 1
“For instance, CD80 and CD86 are significant indicators of clinical pathological grading and prognosis and are promising targets for immunotherapy [35].”
BackgroundMethodInfluentialPPARδ restrains the suppression function of intra-tumoral Tregs by limiting CIITA-MHC II expressionPreprint
Yang, Q., Liang, Y., Inoue-Hatanaka, T., Koh, Z., Ilkenhans, N., Suman, E., Yu, J., & Zheng, Y. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.12.16.628819 · Cited by 1
CTLA-4 regulates PD-L1-PD-1 interactions via transendocytosis of CD80Preprint
Kennedy, A., Robinson, M., Hinze, C., Waters, E., Williams, C., Halliday, N., Dovedi, S. J., & Sansom, D. M. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.03.28.486104
“We observed that PD-1 Ig did not bind to cells co-expressing CD80 and PD-L1 at the outset or in the absence of CTLA-4, whereas binding to CD86/PD-L1 cells was unimpaired (Fig.”
BackgroundResultInfluentialMechanisms of Resistance to Immunotherapies in Cancer
Lengyel, C. G. (2023) · Springer eBooks · doi:10.1007/978-3-030-80962-1_335-1
Convergence, plasticity, and tissue residence of regulatory T cell response via TCR repertoire prismPreprint
Nakonechnaya, T. O., Moltedo, B., Putintseva, E. V., Leyn, S., Bolotin, D. A., Britanova, O. V., Shugay, M., & Chudakov, D. M. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.06.15.544726
“There is considerable data suggesting that Treg employ higher-affinity T cell receptor (TCRs) and CTLA4 to compete with conventional CD4 + T cells in an antigen-specific manner 12 .”
BackgroundXie, Z., Dai, L., He, H., Hong, D., Tang, H., Xu, W., Chen, Z., Wang, H.-T., Li, B., Xie, C., et al. (2023) · Research Square · doi:10.21203/rs.3.rs-3046056/v1
Convergence, plasticity, and tissue residence of regulatory T cell response via TCR repertoire prismPreprint
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.89382.1
Jamison, B. L., Lawrance, M. F., Wang, C. J., DeBerg, H. A., Sansom, D. M., Gavin, M. A., Walker, L. S. K., & Campbell, D. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.12.01.569613
“In addition to the CTLA-4 transendocytosis model, an alternative model of trogocytosis has also been proposed, in which CD80 and CD86 plus other membrane proteins such as CD40 and MHC class II are concomitantly transferred from APCs to the T R cell surface in a CTLA-4-dependent manner ( 56 ).”
Tang, G., Ding, G., Wu, G., Wang, X., Wang, T., Zou, Q., Sun, K., & Wu, J. (2024) · Discover Oncology · doi:10.1007/s12672-024-00864-x
“CTLA4, a T-cell co-stimulatory molecule, primarily functions by binding with co-stimulatory molecules CD80/CD86, thereby inhibiting T-cell activity and weakening immune response [42], ultimately promoting tumor growth and metastasis [43].”
BackgroundConvergence, plasticity, and tissue residence of regulatory T cell response via TCR repertoire prismPreprint
Nakonechnaya, T. O., Moltedo, B., Putintseva, E. V., Leyn, S., Bolotin, D. A., Britanova, O. V., Shugay, M., & Chudakov, D. M. (2024) · eLife · doi:10.7554/elife.89382.2
Rigid, bivalent CTLA-4 binding to CD80 is required to disrupt the cis CD80 / PD-L1 interactionPreprint
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) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.04.19.590271
Role of regulatory T cells in pathogenesis and therapeutics of ankylosing spondylitis
Vecellio, M. L., Rodolfi, S., Davidson, C., & Simone, D. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-13947-5.00021-x
Chudilova, G. A., Нестерова, И. В., Teterin, Y. V., Melkonyan, K. I., Atazhakhova, M. G., Chapurina, V. N., & Chicherev, E. A. (2024) · Medical Immunology (Russia) · doi:10.15789/1563-0625-aot-16737
Anurogo, D., Chen, C., Lin, C.-C., Pawitan, J. A., Qiu, D. W., & Qiu, J.-T. T. (2024) · Journal of Immunotoxicology · doi:10.1080/1547691x.2024.2400624
“…M monensin) and incubated for 8 hr at 37 � C. Intracellular interferon (IFN)- c levels from the mouse splenic CD8 þ or CD4 þ T-cells were characterized using an earlier-described flow cytometry protocol [with minor modification] (Latanova et al. 2018; Prompetchara et al. 2021; Tekguc et al. 2021).”
InfluentialNatural Treg Development in the Thymus
Kawakami, R., Kitagawa, Y., & Sakaguchi, S. (2024) · Elsevier eBooks · doi:10.1016/b978-0-128-24465-4.00067-3
Self-citationInducing and regulating human naive CD4+ T cell proliferation by different antigen presenting cells
Mazerolles, F., & Rieux‐Laucat, F. (2024) · Journal of Immunological Methods · doi:10.1016/j.jim.2024.113775
Dai, D., Wang, S., Li, J., & Zhao, Y. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1524798
Prasongtanakij, S., Soontrapa, K., & Thumkeo, D. (2025) · European Journal of Cell Biology · doi:10.1016/j.ejcb.2025.151482
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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