2019
DOI: 10.4049/jimmunol.1800986
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With a Little Help from T Follicular Helper Friends: Humoral Immunity to Influenza Vaccination

Abstract: Influenza remains a global and unpredictable threat. Annual vaccination against influenza A and B viruses promotes the induction of Abs and memory B cells, which can provide strain-specific protection against subsequent infections. The formation of effective memory B cell and Ab responses is highly dependent on the germinal center reaction, a well-orchestrated process involving B cells and a specialized CD4+ T cell subset called T follicular helper (Tfh) cells. As Tfh cells predominantly reside within B cell f… Show more

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Cited by 62 publications
(56 citation statements)
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“…Follicular helper T cells (Tfh), with high expression of CXCR5, PD‐1 and ICOS, are critical in germinal centre (GC) reaction of B cells and determine the quality of humoral responses . Circulating Tfh (cTfh) cells in blood are also found, which are probably linked developmentally and functionally to GC Tfh . Other T cell subtypes that provide B cell help are also reported.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Follicular helper T cells (Tfh), with high expression of CXCR5, PD‐1 and ICOS, are critical in germinal centre (GC) reaction of B cells and determine the quality of humoral responses . Circulating Tfh (cTfh) cells in blood are also found, which are probably linked developmentally and functionally to GC Tfh . Other T cell subtypes that provide B cell help are also reported.…”
Section: Discussionmentioning
confidence: 99%
“…33 Circulating Tfh (cTfh) cells in blood are also found, which are probably linked developmentally and functionally to GC Tfh. 45 Other T cell subtypes that provide B cell help are also reported. PD-1 hi CXCR5 − CD4 + T cells, termed peripheral helper T cells (Tph), are expanded in rheumatoid arthritis synovium, which promote plasma cell differentiation and antibody production.…”
Section: Discussionmentioning
confidence: 99%
“…CD4 T cell help is essential for production of high affinity antibodies in response to vaccination (reviewed in refs [1][2][3] ). The nature and complexity of the immunogen within vaccines will therefore affect the specificity and abundance of CD4 T cell responses and thus potentially the magnitude and quality of the elicited antibody.…”
Section: Introductionmentioning
confidence: 99%
“…TFH drive GCB formation which leads to B cell isotype class switching, generation of high affinity somatically mutated B cells, and generation of long-lived plasma cells and memory B cells (Crotty, 2019). TFH are required for, and are a reliable indicator of, protective Ab after influenza vaccination (Koutsakos et al, 2019b). ThCTL reduce viral titers and are associated with better disease control in many viral infections (Juno et al, 2017;Muraro et al, 2017;Phetsouphanh et al, 2017) and tumor models (Melssen and Slingluff, 2017), especially those where class I is downregulated by viruses and tumor microenvironments where CD8 cytotoxic cells are ineffective.…”
Section: Discussionmentioning
confidence: 99%