These mechanisms are commonly interpreted in the context of avoiding chronic inflammation and limiting responses against omnipresent antigens (i.e. self-peptides) [124], but could also be mechanisms by which Th cell judges their combined success in fighting infections – including those induced by cytokine-expressing pathogens. Another possibility for evaluating success-driven

feedback is resolving inflammation or restoring normal tissue function. This mechanism is more generic and would account for the shutdown of auto-inflammatory responses as well as selecting the correct Th response for the clearance of pathogens [121, 122]. The major open question in mechanistic models for phenotype development based on success-driven feedback is that the feedback has to differentiate between the phenotypically different responses involved in the immune reaction. If antigen is cleared by one PR-171 research buy appropriate type of response, calling for a positive feedback for that phenotype, the other ongoing unsuccessful immune responses should still receive a negative feedback to let the memory phase be dominated by Th memory cells having a correct phenotype [99]. It remains unclear how a global signal such as ‘antigen clearance’ would feed back differentially into such local environments, and mechanistically, this seems

possible only if responses take place in different microenvironments. Following activation by APCs in draining lymph nodes, Th cells migrate to tissues after a few days AZD9668 in vivo of activation and expansion in the lymphoid tissue. Because success can only be determined during the effector phase, success-driven feedback should be operating in the peripheral tissues rather than within secondary lymphoid organs. Evidence is accumulating that Th-cell phenotypes can be adjusted in peripheral tissues [125] and that T cells interact with APC in

nonlymphoid tissues [126-129]. Regardless of the precise cellular or ADP ribosylation factor molecular underpinnings, the effects of shutdown need to take place very locally. By assessing some measure of success in their immediate surroundings only, specific subsets of Th cells could be shut down, without affecting the responses in more successful microenvironments (Figure 4). For instance, Th-cell efficacy against cancer can be enhanced by depleting Treg cells from the tumour [130], illustrating that altering the Th-cell balance in tissues can have clinical effect. Compartmentalization would allow for synergy to occur between two Th-cell phenotypes, where their combined effects create the best response. Additionally, spatial segregation of different independent responses would allow for simultaneously generating responses to multiple pathogens that require different effector mechanisms at the same time. Memory formation would then preserve the outcome of successful decisions [99], rather than the outcome of previous instructive programmes.