DOI: 10.1177/152216202237625 © 2002 SAGE Publications Antigen Receptor Revision as a Mechanism of Peripheral T Cell Tolerance
Tolerance induction among mature T cells in the lymphoid periphery operates throughmany mechanisms, including the induction of anergy and cell death. By a newly de-scribedpathway, CD4+T cells that encounter a tolerogen are either deleted or are drivento reexpress the proteins that mediate DNA recombination and to rearrange and ex-pressdiverse novel antigen receptor genes encoding proteins that no longer recognizethe tolerogen. T cells that have successfully completed such receptor revision are bothfunctional and self-tolerant. The broad antigen receptor repertoire that results from receptorrevision benefits the individual faced with decreasing CD4+T cell counts due toelimination of T cells recognizing a widespread self-antigen that cannot be cleared.However, reexpression of the recombinase machinery in mature peripheral T cells offersthe potential for illegitimate recombination and subsequent dysregulation of cellularfunctions. Why would such a risky venture be undertaken? Perhaps the down-regulationof receptor expression that precedes revision decreases the basal level of signalingthrough the receptor, signaling that is critical for T cell survival. The cell may interpretthis loss of signaling capacity as a developing thymocyte would, by generating alternateantigen receptors whose expression levels are conducive to cell survival. In this way, receptorrevision may recapitulate thymocyte maturation.
Key Words: T cell receptor major histocompatibility complex recombination activating gene transgenic mammary tumor virus green fluorescent protein germinal center
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