“…The mechanism by which this focusing of the antibody response occurs is not clear from these data, but three possibilities include (a) a limited response in the first exposure to a new virus (13), (b) selection of cross-reacting B cells from the available repertoire induced by earlier exposure to related influenza viruses (15, 16, 25, 34-37, 41, 44, 47, 56, 57), or (c) the selection and expansion of B cells making antibodies that influence antigen processing and presentation to T cells in such a way that optimizes T cell help, "T-B reciprocity" (33,(58)(59)(60)(61)(62). These mechanisms are not mutually exclusive and could act together.…”