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236    Part III  Immunologic Basis of Hematology


                                              APC






                                              T cell

                                   T cell activation
                                    and expansion











                                     Upregulation
                                       of CD95


                                                  CD95
                               CD95
                                                     CD95
                                          CD95
                                                              CD95
                                CD95
                                        CD95
                                   CD95           CD95  CD95  CD95
                                            CD95
                                          CD95
                                                                               CD95
                                                       CD95
                                       Interaction
                                                    CD95
                                       of CD95
                                      with CD95L
                                                                              FADD
                                APC   CD95L
                                                                             Caspase activation
                                                                Apoptosis
                                       CD95
                                                                                 cascade
                             B cell
                                     CD95L          CD95
                                        CD95            CD95L
                                                               T cell
                                         T cell
                                       contraction


                                            CD95
                                                      Surviving
                                                      memory cell
                                                  CD95
                                         CD95
                                            CD95  CD95

                        Fig. 21.11  CD95-DEPENDENT ACTIVATION-INDUCED CELL DEATH.  After T-cell activation and
                        resultant expansion, T cells begin to upregulate the cell death receptor CD95. The ligand for CD95, CD95L,
                        is expressed on many cell types, including antigen-presenting cells (APCs), B cells, and the activated T cells
                        themselves. Binding of CD95 to CD95L triggers recruitment of the adapter protein Fas-activating via death
                        domain (FADD), resulting in activation of caspases and the induction of cell death through apoptosis. The
                        process of CD95 upregulation and apoptosis leads to contraction of activated T-cell populations.
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