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Targeting TFH cells in human diseases and vaccination: rationale and practice

Yu, Di; Walker, Lucy SK; Liu, Zheng; Linterman, Michelle A; Li, Zhanguo; (2022) Targeting TFH cells in human diseases and vaccination: rationale and practice. Nature Immunology , 23 (8) pp. 1157-1168. 10.1038/s41590-022-01253-8. Green open access

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Abstract

The identification of CD4+ T cells localizing to B cell follicles has revolutionized the knowledge of how humoral immunity is generated. Follicular helper T (TFH) cells support germinal center (GC) formation and regulate clonal selection and differentiation of memory and antibody-secreting B cells, thus controlling antibody affinity maturation and memory. TFH cells are essential in sustaining protective antibody responses necessary for pathogen clearance in infection and vaccine-mediated protection. Conversely, aberrant and excessive TFH cell responses mediate and sustain pathogenic antibodies to autoantigens, alloantigens, and allergens, facilitate lymphomagenesis, and even harbor viral reservoirs. TFH cell generation and function are determined by T cell antigen receptor (TCR), costimulation, and cytokine signals, together with specific metabolic and survival mechanisms. Such regulation is crucial to understanding disease pathogenesis and informing the development of emerging therapies for disease or novel approaches to boost vaccine efficacy.

Type: Article
Title: Targeting TFH cells in human diseases and vaccination: rationale and practice
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41590-022-01253-8
Publisher version: http://dx.doi.org/10.1038/s41590-022-01253-8
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Science & Technology, Life Sciences & Biomedicine, Immunology, FOLLICULAR HELPER-CELL, GERMINAL CENTER RESPONSES, CXC CHEMOKINE RECEPTOR-5, MESSENGER-RNA VACCINES, B-CELL, ANTIBODY-RESPONSES, DENDRITIC CELLS, TFH CELLS, INFLUENZA VACCINE, PEYERS-PATCHES
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Infection and Immunity
URI: https://discovery.ucl.ac.uk/id/eprint/10187487
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