The effective regulation of T cell responses is dependent on opposing signa
ls transmitted through two related cell-surface receptors, CD28 and cytotox
ic T Lymphocyte-associated antigen 4 (CTLA-4). Dimerization of CTLA-4 is re
quired for the formation of high-avidity complexes with B7 ligands and for
transmission of signals that attenuate T cell activation. We determined the
crystal structure of the extracellular portion of CTLA-4 to 2.0 angstrom r
esolution. CTLA-4 belongs to the immunoglobulin superfamily and displays a
strand topology similar to Vor domains, with an unusual mode of dimerizatio
n that places the B7 binding sites distal to the dimerization interface. Th
is organization allows each CTLA-4 dimer to bind two bivalent B7 molecules
and suggests that a periodic arrangement of these components within the imm
unological synapse may contribute to the regulation of T cell responsivenes
s.