The past year has seen significant advances in our understanding of the rol
e of cytotoxic T lymphocyte antigen 4 (CTLA-4) in regulating T cell activat
ion and tolerance. Recent studies indicate that CTLA-4 not only counterbala
nces CD28 signals but also can inhibit T cell responses independently of CD
28. Recent work,has. also revealed a role for CTLA-4 in regulating Th1/Th2
differentiation. Manipulation of CTLA-4 in animal models of autoimmunity ha
s shown that CTLA-4 regulates both the initiation and the progression of au
toimmune diseases.