Quantitative and qualitative characteristics of the signals received b
y a T cell determine whether receptor ligation results in cell activat
ion, cell death, or the induction of antigen-specific non-responsivene
ss. Environmental factors such as the nature of costimulation, antigen
-presenting cell type, peptide structure and cytokine levels also infl
uence the differentiation of CD4+ helper T cells into functionally dis
tinct subsets, which now appear pivotal in many immune-mediated disord
ers, including autoimmunity and allergy. Selective manipulation of the
immune response, such as the functional inactivation or deviation of
the cytokine secretion patterns of specific T cells, may be an effecti
ve strategy for immunotherapy.