“…Interestingly, the CD4 differentiation profiles that predominate under these respective conditions are predicted to support a shift from cellular to humoral immune defense: with progression to chronicity T helper 1 (Th1) responses become exhausted (Brooks et al, 2005;Kaufmann et al, 2007;Oxenius et al, 1998), similar to CD8 + T cells, whereas T follicular helper (Tfh) cells start to dominate the CD4 T cell response (Fahey et al, 2011;Feng et al, 2012;Lindqvist et al, 2012). Chronic infection also favors the emergence of Tfh cells with distinct functional profiles, such as the ability to co-produce interleukin (IL)-10 and IL-21 (Xin et al, 2018). Accordingly, potent Tfh responses represent an essential component of efficient GC reactions in the chronic infection context (Greczmiel et al, 2017;Harker et al, 2011;Xin et al, 2018).…”