T cell anergy |
Naïve/Effector |
Impaired antigen presentation |
Impaired activation and proliferation |
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Reduced costimulation |
Defective differentiation and effector function |
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Expression of immunomodulatory molecules (IDO, CD73, CD39) |
Apoptosis |
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Regulatory cytokines (IL-10, TGF-β) |
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T cell exhaustion |
Effector |
Antigen persistence, chronic activation |
Progressive impairment of effector function |
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Regulatory cytokines (IL-10, TGF-β) |
Expression of inhibitory receptors (PD-1, TIM-3, LAG-3) |
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Suboptimal priming (while in the naïve state) |
Decreased expression of common γ chain cytokine receptors |
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Apoptosis |