A large array of heterogeneous aberrations of the immune system have b
een described in systemic lupus erythematosus (SLE). Since the functio
n and the fate of the immune system cells are governed principally by
the biochemical events that follow ligation of specialized cell-surfac
e receptors, we will review in this article recent developments in our
understanding of abnormalities in the biochemistry of signals generat
ed either by the antigen-receptor complex or by systems of costimulato
ry cell-surface molecules, like the CD28/CTLA4:CD80/CD86 and the CD40:
CD40L pairs found on the surface membrane of lupus immune cells.