PD-1/PDL-1 blockage restores functions to exhausted CD8+ T cells. In the literature, I always see that people isolate CD8+ T cells with high-PD-1 expression, characteristic of exhaustion. These isolated cells are cultured in vitro, and have impaired functions, but have improved functions when blockade antibody (anti-PD-1 or anti-PDL-1) is added. My question is: Isolated PD-1 high CD8+ T cells, when cultured in vitro, how do they maintain the exhausted phenotypes given that no PDL-1 ligand is added to the medium? If there is no ligand, PD-1 is not activated, then why the anti-PD-1 or anti-PDL-1 even matter? Thanks a lot. 

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