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Quorum sensing allows T cells to discriminate between self and nonself

Thomas Charles Butler, Mehran Kardar, and Arup K. Chakraborty
PNAS July 16, 2013 110 (29) 11833-11838; https://doi.org/10.1073/pnas.1222467110
Thomas Charles Butler
Departments of aPhysics andbChemical Engineering, Massachusetts Institute of Technology, Cambridge MA 02139;
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Mehran Kardar
Departments of aPhysics and
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Arup K. Chakraborty
cDepartments of Chemical Engineering, Physics, Chemistry, and Biological Engineering, Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA 02139; anddRagon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard University, Cambridge, MA
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  • For correspondence: arupc@mit.edukardar@mit.edu
  1. Edited* by David R. Nelson, Harvard University, Cambridge, MA, and approved June 4, 2013 (received for review December 26, 2012)

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Abstract

T cells orchestrate pathogen-specific adaptive immune responses by identifying peptides derived from pathogenic proteins that are displayed on the surface of infected cells. Host cells also display peptide fragments from the host’s own proteins. Incorrectly identifying peptides derived from the body’s own proteome as pathogenic can result in autoimmune disease. To minimize autoreactivity, immature T cells that respond to self-peptides are deleted in the thymus by a process called negative selection. However, negative selection is imperfect, and autoreactive T cells exist in healthy individuals. To understand how autoimmunity is yet avoided, without loss of responsiveness to pathogens, we have developed a model of T-cell training and response. Our model shows that T cells reliably respond to infection and avoid autoimmunity because collective decisions made by the T-cell population, rather than the responses of individual T cells, determine biological outcomes. The theory is qualitatively consistent with experimental data and yields a criterion for thymic selection to be adequate for suppressing autoimmunity.

  • statistical mechanics
  • T-cell–mediated autoimmunity
  • self tolerance

T-cell receptors (TCRs) expressed on the surface of T cells bind (and recognize) peptides displayed on cells. The diversity of the TCR repertoire allows T cells to recognize peptides from a vast range of pathogens (1⇓⇓–4). However, because TCR diversity is generated by stochastic gene rearrangement, newly created TCRs also have the potential to respond to peptides originating from endogenous proteins, possibly leading to autoimmune responses. Immature T cells (thymocytes) are screened for autoreactivity in the thymus before maturation. Within the thymus, thymocytes are exposed to large numbers of ectopically expressed proteins from throughout the body, including peptides derived from all organs. If any of the peptides that a thymocyte encounters binds strongly to its TCR, the thymocyte is deleted, greatly reducing the likelihood that a mature T cell will be activated by self-peptides (5⇓–7).

Encounters between thymocytes and self-peptides during thymic selection are affected by stochastic effects, including how the thymocyte explores the thymus, stochastic ectopic gene expression, and other factors (8⇓⇓⇓–12). These factors imply that thymic selection does not expose thymocytes to every possible self-peptide a mature T cell may encounter in the periphery. This suggests that autoreactive T cells may enter circulation as part of normal T-cell development. In fact, experimental studies of human T-cell repertoire samples confirm that healthy humans contain T cells specific for self-peptides (13, 14).

We present a theory that describes how, despite each individual T cell’s potential for autoimmunity, the immune system can avoid T-cell–mediated autoimmunity without the risk of immunodeficiency. Whereas each individual T cell has been only negatively selected against a limited cross-section of self-peptides, other T cells have survived negative selection against different cross-sections of the self repertoire. The key insight is that, if a mechanism exists for activated T cells to check whether neighboring T cells have also been activated before proliferating and mounting an immune response, then even a repertoire containing many autoreactive individual T cells can avoid autoimmunity. Evidence for such collective decision making exists.

Both experiments and theory indicate that, at least in some circumstances, the decision of T cells to proliferate and mount a response relies on a threshold number of T cells becoming activated by antigen (peptide) stimulation (Fig. 1) (15⇓–17). This is analogous to quorum sensing in bacterial populations (18). One experiment varied the concentration of antigen-stimulated T cells in vitro and measured the resulting levels of pSTAT5, a survival/proliferation marker. Levels of pSTAT5 sufficient to indicate proliferation occurred only when the concentration of antigen-stimulated T cells was sufficiently high (15). The T-cell interactions required for this phenomenon are believed to be mediated by the cytokine IL-2, which is produced by activated T cells (15, 16). Activated T cells can detect IL-2 being secreted by other activated T cells and begin to proliferate and respond only when a threshold number are activated. Experimental evidence suggests that the threshold is controlled by regulatory T cells, which compete with activated T cells for IL-2 (13, 15). Further experiments are needed to identify the conditions under which T cells are required to form a quorum to respond and to determine the precise mechanisms. However, we emphasize that the results in this paper do not depend on a particular mechanism for T-cell communication.

Fig. 1.
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Fig. 1.

Schematic representation of the role of a quorum-sensing-like mechanism for T-cell proliferation. Peptides bound to major histocompatibility complex (MHC) molecules on the surface of dendritic cells in the lymph nodes are presented to T cells. If an insufficient number of T cells are activated, no response is generated. If a sufficient number of T cells are activated, proliferation and response result.

That many T cells together may make a better decision about whether to respond is reminiscent of a classical result from social decision theory, the Condorcet Jury theorem (19). This theorem states that if there are N voters choosing between two alternatives, and the probability that a voter makes the correct choice is greater than one-half, then for large N, the probability that the vote returns the correct choice approaches 1. This is true even if individual voters are barely better than coin flips in discriminating between the correct and incorrect choices.

Condorcet’s theorem suggests that T cells, through their requirement to form quorums, could amplify their ability to make correct decisions about whether or not to respond. However, T cells respond only to a tiny fraction Graphic of the peptides they are exposed to (20, 21), so the direct application of Condorcet’s theorem with T-cell activation interpreted as a “yes” vote would imply that a T-cell response to infection would essentially never occur, so an alternative procedure is required. Here we develop a theory of T-cell decision making that explicitly accounts for the process of thymic selection and the existence of a quorum rule that requires a sufficient number of T cells to be locally activated for response. Our results highlight the role of intercellular communication between T cells in balancing the conflicting demands of self-tolerance and responsiveness to diverse pathogens.

T-Cell Activation Model

Each T cell usually expresses a single T-cell receptor clonotype. The receptor encounters and potentially binds to large numbers of peptides, both self- and pathogen-derived, mounted on major histocompatibility complex (MHC) molecules on the surface of antigen-presenting cells (APCs). TCR:peptide MHC (TCR:pMHC) complexes bind with energies taken from a TCR-dependent probability distribution Graphic, which is not known. Related models, as in our previous work, assume that the distribution of binding energies is Gaussian (22⇓–24). This is justified by the Central Limit Theorem and the fact that the binding energy of a TCR:pMHC complex is the result of many factors (22⇓⇓–25), including the sequence of the TCR and the sequence of the peptide. However, the results presented here do not require any specific functional form for the distribution of binding energies to be specified.

If the binding energy required to activate a T cell is indicated by Graphic, then the probability that the T-cell i is activated by a random peptide is given byEmbedded Imagetaking the sign convention that more negative binding energies are stronger.

Recent studies have shown that the cross-reactivity [represented by the magnitude of Graphic in Eq. 1] of naive T cells is decreased by thymic selection (22, 26⇓–28). Following ref. 22 by using extreme value theory to model thymic selection, we can explicitly model the impact of thymic selection on the properties of the T-cell repertoire. In the process of negative selection, if the magnitude of the binding energy of a thymocyte with a self-peptide in the thymus exceeds the magnitude of the negative selection energy Graphic, then the thymocyte does not enter the repertoire. On the other hand, if a thymocyte does not bind with any self-peptide at least as strongly as Graphic (positive selection), it is also deleted. Graphic is known to correspond to slightly weaker TCR:pMHC interactions compared with Graphic (29). Thus, as Graphic approaches Graphic, the strongest interaction, Graphic, that a thymocyte can have with a set of M self-peptides in the thymus and still survive, must be approximately equal to Graphic (22). Combined with the fact that the activation threshold of T cells in the periphery is approximately equal to the negative selection threshold Graphic (30), the strongest interaction, Graphic, in the thymus must be nearly equal to the activation threshold, Graphic, so that the activation probability for T cells that survive thymic selection is given byEmbedded Image

Using the theory of extreme values, the integral in Eq. 2 can be carried out (SI Text I), even though the underlying distribution Graphic in Eq. 1 is unknown and potentially varies between T cells. Carrying out the integral, we have the very simple result ofEmbedded ImageThe decreasing value of p as a function of increasing exposure to self-peptides in the thymus is consistent with experiments and models showing that T cells gain specificity from thymic selection (26, 28). However, if Graphic is not asymptotically close to Graphic, the T cells that enter the periphery may be more difficult to activate and Eq. 3 represents an upper bound of activation probability. Rather than deal with the resulting distribution of activation probabilities, we rely on experiments to estimate the correction to Eq. 3 for a typical T cell. For fixed Graphic, increasing the difference between Graphic and Graphic increases the likelihood that less reactive T cells that easily survive negative selection will be positively selected and enter the periphery. If the probability of negative selection is 1/K, the result is (SI Text I)Embedded ImageThe probability of negative selection for thymocytes is estimated experimentally to be of order 10−1 (31, 32), leading to the estimate Graphic. We also investigated the dependence of activation probability on thymic selection, using simulations. To carry out the simulations, we adopted the string model of TCR:pMHC binding and thymic selection described in ref. 26. In this model, strings represent amino acid sequences for the complementarity-determining region 3 (CDR3) loop of the TCR, as well as the peptide antigen. The binding energy of the TCR to the peptide is then computed using an empirical potential (33). To simulate thymic selection, we generated random TCR sequences and used sequences from the mouse proteome from UNIPROT (34) to generate random ensembles of self-peptides that the TCRs were negatively selected against. Testing binding probabilities for the resulting TCRs yielded results consistent with the estimate in Eq. 4 (SI Text II).

When a T cell encounters a self-peptide, the probability that the self-peptide is one of those that the T cell encountered in the thymus is M/N, where N is the total number of self-peptides. Thus, the probability that a T cell is activated by a random self-peptide is given byEmbedded Imagewith p as defined in Eq. 4.

Eqs. 4 and 5 assume that the binding energy distribution of peptides to a given T cell does not depend on whether the peptide originates from self or pathogen. Simulations of thymic selection similar to those described in refs. 26 and 35 were used to create a set of T-cell receptors in silico. These TCRs were then used to obtain simulated binding energy distributions from human peptides that were not present in the thymus and Salmonella typhi peptides. The results confirm that the binding energy distributions for human and pathogenic peptides binding to TCRs are approximately equal (SI Text IV).

Let us assume that the T-cell repertoire in the periphery is composed of T distinct cells. Experiments indicate that Graphic is a conservative lower bound on T-cell diversity (4), although larger numbers are likely. Indeed, given the small activation probability of an individual T cell in Eq. 4, a large T is essential to avoid immunodeficiency; i.e., Graphic for mean activation number Graphic. However, a large T also increases the chance of activation by self-peptides. The probability that no member of the repertoire is activated by the entirety of N self-peptides isEmbedded ImageEven in a hypothetical case where thymic selection is nearly perfect, with each thymocyte exposed to all but one self-peptide (Graphic and Graphic), according to Eq. 6 the probability that every T cell is not activated by self-peptides Graphic is still quite small (because Graphic), equal to 10−4 for Graphic, Graphic, and Graphic. This argument shows that a T-cell repertoire diverse enough to avoid immunodeficiency (requiring Graphic) cannot be fully self-tolerant unless thymic selection is perfect, which is inconsistent with experiments showing that healthy humans contain autoreactive T cells (13, 14).

However, as conjectured above, satisfactory determination of self and nonself relies on a collective mechanism of T-cell decision making through the quorum rule. This requires accounting for not only the diversity, T, of the T-cell population, but also interactions between T cells. Incorporating the latter can be accomplished by introducing an additional parameter, t, denoting the threshold number of T cells that must be activated before a response is initiated. The resulting theory described below shows how the challenge of tolerating a diverse proteome (N) while maintaining responsiveness to infection requires a sufficient amount of thymic selection (M) and T-cell diversity (T) to make effective decisions.

Results

To analyze the effects of the quorum rule and thymic selection on the ability to discriminate between self and nonself, we must compute the probability that the T-cell population makes a mistake. We explicitly include the assumption that a quorum of activated T cells of threshold size is required for a response. The theory of T-cell activation probability and thymic selection developed above provides the basis for the calculation.

Consider the probabilities of mutually exclusive mistakes of T-cell responses under different assumptions about the threshold number of activated T cells (t) required to initiate a response. The first mistake (M1) occurs when there is no T-cell response even though there is infection, and pathogenic peptides are presented by APCs in the lymph nodes. The lower the threshold number of T cells required to be activated before a response is initiated, the smaller the probability of M1. This is because the requirement for proliferation in response to any stimuli is less stringent, so response to pathogen is more likely. In the opposite limit, where infinitely many activated T cells are required for a response, M1 occurs upon every exposure to pathogen because no response can occur.

The second type of mistake (M2) occurs when inflammation or injury leads to tissue-specific self-peptides being presented more abundantly in the lymph nodes, and activated T cells proliferate, respond, and attack the body’s own tissues. In this case, the larger the number of T cells required to be activated before a response occurs (the larger t is), the lower the probability of M2. In the opposite limit, where only one T cell is required for a response, M2 is very likely to occur because if any of the T cells in the body recognize a self-peptide as presented in the lymph node, then response will occur (Eq. 6).

Without thymic selection, no possible balance of M1 and M2 exists. For any threshold, one or the other mistake will happen with high probability. However, thymic selection ensures that, on average, peptides derived from self have fewer precursor T cells than those derived from pathogens as implied by Eq. 5. Thus, the mean number of T cells activated by a display of self will be lower than the mean number activated by a pathogen. If the quorum threshold is chosen to lie between the two means, both classes of mistakes can be suppressed. This is illustrated in Fig. 2, Upper.

Fig. 2.
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Fig. 2.

(Upper) Probability distributions for the number of T cells activated by a collection of self-peptides vs. a collection of pathogenic peptides. (Lower) Risk functions for all three kinds of error computed as conditional risks in Eq. 7. An optimal threshold requires more T cells to be activated than are likely to be activated by self but a sufficiently low number that at least the threshold number will essentially always be activated by pathogen. The parameters are Graphic, Graphic, and Graphic.

The probabilities of each of these mistakes can be computed explicitly:Embedded ImageThe subscript t on the probabilities indicates the quorum threshold, the state R indicates a response, S represents self-peptide display, T represents the number of unique T-cell–antigen interactions, p and x are as defined above in Eq. 5, and ∼ indicates negation.

Assuming that the cost to the organism of any mistake is equal, and without loss of generality setting that cost to be 1, each of the conditional mistake probabilities is equal to the risk of loss associated with the corresponding mistake. Combining the risks, there exists an optimal threshold Graphic that minimizes the risks. To solve for Graphic, a decision rule must be chosen. The simplest decision rule minimizes the expected loss [Bayes expected loss principle (36)]. However, computing the expected loss correctly requires specifying the probabilities Graphic and Graphic. In the absence of sufficient information to assign the probabilities Graphic and Graphic, we chose to adopt the minimax decision principle introduced originally by John Von Neumann (36, 37). The robustness of the results with respect to the decision principle and costs is discussed below and in SI Text III.

The minimax principle, as applied to this problem, corresponds to a threshold chosen to minimize the largest risk at the value of the threshold. Mathematically, the minimax decision rule gives the optimum thresholdEmbedded Imagewith Graphic and Graphic. To evaluate Eq. 8, we consider the Gaussian approximation of the probabilities (or risks) in Eq. 7,Embedded ImageEmbedded Imagewhere Graphic and Graphic. To satisfy the minimax principle, we seek the point Graphic. This gives the solutionEmbedded Image(Fig. 2). To gain insight into how the threshold depends on the original parameters, we note that p is small and take x close to 1 (corresponding to sparse coverage in thymic selection). Expanding Eq. 11, we obtainEmbedded ImageEq. 12 shows that a greater degree of thymic selection (larger M) allows a lower threshold to be chosen, whereas a greater degree of diversity in the proteome (larger N) requires a larger threshold for self-tolerance.

Even with an optimal choice of threshold, it may be that costs are not significantly reduced. For the T-cell quorum rule, the decision rule performs well if the risks of each of the mistakes are both substantially depressed at the threshold Graphic. This can be formalized by requiring that Graphic for both M1 and M2, resulting in the criterionEmbedded ImageEq. 13 defines the conditions required for the T-cell population to be both self-tolerant and immune-competent even with imperfect thymic selection. This result has the surprising implication that T-cell diversity (proportional to T) plays a key role in self-tolerance by allowing a larger threshold (Eq. 12). It further shows the interplay between the degree of thymic selection (parameterized by M as defined above), the diversity of self-peptides (N), and the diversity of T cells. For a highly diverse proteome, the amount of T-cell diversity multiplied by the amount of self seen in the thymus must scale as approximately the square of the proteome diversity.

As noted above, it is not clear that the minimax rule is the best choice for the problem. However, if the criterion in Eq. 13 is satisfied, then the results are qualitatively robust to variations in both the decision rule and losses assigned to each mistake (SI Text III).

Accurate estimates of the independent parameters of this model (T, M, N) for human and mouse are difficult to determine. For T, as a first approximation, we use the estimate Graphic discussed above. We use the total number of distinct T-cell receptors because circulation of T cells through the body is surprisingly efficient, allowing a large fraction of T cells to participate in the decision, even if the infection is local (38). For the number of self-epitopes that can be displayed, N, the proteome of a human or mouse is of order Graphic distinct peptides. Each protein can be broken up into of order 100 distinct epitopes. However, only a small fraction, roughly 1% (39), will be displayed, suggesting the estimate in the range Graphic. For numerical study, we adopt Graphic. Estimating M is more difficult. Thymocytes scan around 500 distinct APCs during thymic selection (10, 40). However, it is very difficult to assess how many unique proteins they are exposed to in each contact. To avoid this difficulty, we estimate M indirectly using Eq. 3, which relates M to the more experimentally accessible quantity p, the probability that a random peptide activates a given T cell. Experimental measurements of p are typically in the range Graphic (20, 21). Seeking values of M consistent with these data, using Eq. 3, suggests a rough estimate for M centered near Graphic. These parameter estimates satisfy the criterion of Eq. 13 and underscore the importance of high T-cell diversity in maintaining self-tolerance (because Graphic). With these parameters, the quorum threshold is estimated to be Graphic. The risks as a function of threshold and the calculated optimal threshold using the estimated parameters are shown in Fig. 2. Further experiments are needed to better estimate the values of the parameters. However, we emphasize that our results depend only upon the experimentally justified assumption of a quorum rule Graphic and the condition in Eq. 13 being satisfied.

Discussion

T-cell activation functions at the single-cell level and plays an essential role in self–nonself discrimination. Negative selection in the thymus ensures that the chance that a T cell is activated by a self-peptide is less than the chance that it is activated by a pathogenic peptide. We have proposed that this difference is amplified by T cells making collective decisions according to a quorum rule to realize robust self-tolerance in the face of autoreactive T cells. If such collective decision-making mechanisms functioning at the many-cell level play this critical role in self-tolerance, how can this be affirmed in vivo? Consider an idealized experiment. Genetically modified mice with altered T-cell signaling machinery such that no quorum is required for response should develop autoimmune disease spontaneously if collective decision making is critical for self-tolerance. However, it is difficult to see how to carry out such an experiment.

In the absence of such an idealized experiment, it is possible that IL-2 dosage experiments similar to those reported in ref. 41 on nonobese diabetic (NOD) mice (42) may provide some insight into how an experimental test might be developed. These experiments showed that low dosages of IL-2 supported the regulatory T-cell population and delayed the onset of diabetes compared with that in untreated NOD mice. In contrast, high dosages of IL-2 promoted the proliferation of effector T cells and led to the rapid onset of diabetes concomitant with an excess of effector cells in the pancreas. If, as suggested in ref. 15 and discussed in the Introduction, IL-2 mediates the communication between T cells that underlies the quorum rule, the results of these experiments can be interpreted in the light of collective T-cell decision making. Regulatory T cells are known to be more sensitive to IL-2 dosage than other CD4 and CD8 T cells (41). In the low-dosage experiments, the regulatory T cells become more active whereas the effector cells are unaffected, thus enhancing the quorum threshold. In the high-dosage experiments, there was sufficient IL-2 to allow the effector T cells to proliferate on their own without need for IL-2 secretion by other cells, leading directly to diabetes by circumventing the quorum rule. Cytokines might dynamically and locally regulate the number of T cells required to form a quorum. However, in the absence of more direct evidence of a quorum threshold in vivo, the primary value of these experiments is in suggesting a possible experimental path.

An experimental test of the quorum threshold rule suggested by the NOD IL-2 dosage experiments might inject normal mice with self- and pathogenic peptides for which there are known amounts of T-cell precursors (20, 21). Along with the peptides, the mice would be injected with varying doses of IL-2. The resulting T-cell response could then be measured as a function of the number of precursors and the dosage of IL-2. Varying the dosage of IL-2 will, albeit in the nonmonotonic way described in the NOD experiments described above, adjust the quorum threshold. Varying the peptide will vary the number of activated T cells. We anticipate that such an experiment would lead to the discovery of all or nothing immune responses as a function of both IL-2 dosage and peptide identity in the event that the quorum rule functions in vivo.

By injecting a mouse with a heterogeneous mixture of self-peptides and varying dosages of IL-2, autoimmunity could be induced above a certain IL-2 dosage. In principle, the curve corresponding to M2 in Fig. 2 could be completely reconstructed. Injecting a mouse with a heterogeneous mix of pathogenic peptides and different IL-2 dosages should result in an immune response above an IL-2 dosage that is offset from that required for autoimmunity due to self-peptide injection, allowing in principle the reproduction of the curve corresponding to M1 in Fig. 2.

Experiments closely related to the ones we are proposing have been performed with a fixed amount of adjuvant coinjected with peptides in place of a varying amount of IL-2. These studies examined the proliferation of T cells in response to injection of antigen for which it is known that there are few precursors (20, 21). Although there are few precursors, there is still proliferation in response to the peptides. The number of T-cell precursors in the above studies is a minimum of about 15 cells total, and perhaps all of them participate in the decision, with a quorum threshold of less than 15. This would require that the 15 cells end up in the same lymph node and that they are able to signal each other. Some evidence that this is possible comes from experiments that give mice a highly localized infection and track the resulting T-cell response. Within 4 d nearly all of the T-cell precursors specific to the pathogen are recruited from circulation. However, in this experiment, there were much larger numbers of precursor cells (38). A more likely possibility is that the quorum rule was bypassed because of high dosages of adjuvant that were used in the experiments (20, 21). Under milder inflammatory conditions during natural infection, immune responses can occur, even if precursor frequencies are low, because many pathogenic peptides are presented by APCs. Thus, the quorum rule can be satisfied by T cells specific for different pathogenic peptides in the same lymph node.

We anticipate that the results we have reported will lead to further experimental work on how inter-T-cell communication and quorum sensing are connected with self-tolerance, leading to a deeper understanding of how the immune system is able to be both responsive to pathogen and tolerant of self.

Acknowledgments

This work was partially supported by a National Institutes of Health Pioneer Award (to A.K.C.) and National Science Foundation Grant 12-06323 (to M.K.).

Footnotes

  • ↵1To whom correspondence may be addressed. E-mail: arupc{at}mit.edu or kardar{at}mit.edu.
  • Author contributions: T.C.B., M.K., and A.K.C. designed research, performed research, and wrote the paper.

  • The authors declare no conflict of interest.

  • ↵*This Direct Submission article had a prearranged editor.

  • This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1222467110/-/DCSupplemental.

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Quorum sensing and T-cell decision making
Thomas Charles Butler, Mehran Kardar, Arup K. Chakraborty
Proceedings of the National Academy of Sciences Jul 2013, 110 (29) 11833-11838; DOI: 10.1073/pnas.1222467110

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Quorum sensing and T-cell decision making
Thomas Charles Butler, Mehran Kardar, Arup K. Chakraborty
Proceedings of the National Academy of Sciences Jul 2013, 110 (29) 11833-11838; DOI: 10.1073/pnas.1222467110
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