Most studies and perspectives focus on one mechanism of tolerance and few have seriously considered all these together in the context of T cell differentiation.
We attempted to draw a conceptual framework for the known tolerance checkpoints at each stage of the T cell lifespan
In summary, we present 6 main tolerance hallmarks:
Quiescence
Ignorance
Anergy
Exhaustion
Senescence
Death
Quiescence and Ignorance are dominant in the naive T cell stage (Yes tolerance is relevant to naive T cells)
Whereas Anergy occurs early during priming
Exhaustion is relevant during persistent costimulation, whereas we introduce senescence as a relevant tolerance hallmark
Finally, different forms of programmed death occur at virtually every stage of lymphocyte life, and serves as a critical checkpoint to restrain pathogenic inflammation.
Recall that the lymphocyte is a rare example of a cell capable of enormous damage without being transformed, therefore a T cell has to be tightly regulated via various overlapping mechanisms that we collectively label as tolerance
Genuine and profuse thanks to Dr. Steve Hedrick @ljiresearch and Dr. Chris Burns @GeiselMed for their constructive edits
Thanks to @NatRevImmunol and Daniel Utzschneider, Vassiliki Boussiotis and Pamela Ohashi for their constructive reviews which guided us and helped affinity mature this effort into much higher quality.
I truly hope the T cell immunology world would benefit from this effort to start and rethink the way we approach T cell tolerance experimentally and conceptually
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