Other methods of associating a certificate with an access token are possible, per agreement by the authorization server and the protected resource, but are beyond the scope of Mutual TLS Profiles for OAuth Clients.
The client makes Protected Resource requests as described in RFC 6750, however, those requests MUST be made over a Mutual Authentication TLS connection using the same certificate that was used for mutual TLS at the token_endpoint.
The Protected Resource MUST obtain the client certificate used for mutual TLS authentication and MUST verify that the certificate matches the certificate associated with the Access Token.
If they do not match, the resource access attempt MUST be rejected with an OAuth Error per RFC 6750 using an HTTP 401 status code and the "invalid_token" error code.
Metadata to convey server and client capabilities for mutual TLS sender constrained access tokens is defined in Section 3.3 and Section 3.4 respectively.