T cell stimulation in the absence of a second, costimulatory signal can lea
d to anergy or the induction of cell death. CD28 is a major T cell costimul
atory receptor, the coengagement of which can prevent anergy and cell death
. The CD28 receptor is a member of a complex family of polypeptides that in
cludes at least two receptors and two ligands. Cytotoxic lymphocyte-associa
ted molecule-4 (CTLA-4, CD152) is the second member of the CD28 receptor fa
mily. The ligands or counterreceptors for these two proteins are the B7 fam
ily members, CD80 (B7-1) and CD86 (B7-2). This article reviews the CD28/CTL
A4 and CD80/CD86 families, and outlines the functional outcomes an biochemi
cal signaling pathways recruited after CD28 ligation.