Administering antigens through mucosal surfaces leads to the induction
of antigen-specific T cell unresponsiveness. This property of the muc
osal immune system is now beginning to be exploited in the design of i
mmunotherapeutic strategies aimed at targeting disease-inducing T cell
populations. The induction of high dose mucosal tolerance leads to th
e induction of T cell anergy. Recent studies have suggested that the i
nduction of anergy in vivo may not necessarily be due to a lack of cos
timulation by APC, Instead, recognition of mucosal antigen leads to tr
ansient T cell activation which eventually gives rise to a population
of regulatory T cells whose function is to modulate, rather than promo
te antigen-specific immune responses, These regulatory T cells mediate
linked suppression in vivo thus enabling T cell responses directed to
a multideterminant protein to be effectively controlled. The manner i
n which T cell responses to mucosally delivered antigens are regulated
are examined herein.