The mature immune synapse is organized into distinct zones. The central SMAC (cSMAC) contains TCR-MHC complexes and costimulatory/inhibitory receptors. The peripheral SMAC (pSMAC) contains adhesion molecules (LFA-1/ICAM-1). The distal SMAC (dSMAC) is enriched in large glycoproteins like CD45.
This organization concentrates checkpoint receptorLoading...-ligand pairs in a defined zone where their interactions determine T cell fate: activation vs. anergy vs. exhaustion.