Spatial and functional heterogeneity of follicular helper T cells in autoimmunity

A Seth, J Craft - Current opinion in immunology, 2019 - Elsevier
A Seth, J Craft
Current opinion in immunology, 2019Elsevier
Highlights•Tfh cells drive isotype switch and affinity maturation of pathogenic
autoantibodies.•Tfh cell subsets acquire unique functional properties based on the cytokine
milieu.•T cells that help B cells localize to germinal centers or extrafollicular spaces.•Tfh cells
are therapeutic targets in autoimmune disease.Follicular helper T cells provide signals that
promote B cell development, proliferation, and production of affinity matured and
appropriately isotype switched antibodies. In addition to their classical locations within B cell …
Highlights
  • Tfh cells drive isotype switch and affinity maturation of pathogenic autoantibodies.
  • Tfh cell subsets acquire unique functional properties based on the cytokine milieu.
  • T cells that help B cells localize to germinal centers or extrafollicular spaces.
  • Tfh cells are therapeutic targets in autoimmune disease.
Follicular helper T cells provide signals that promote B cell development, proliferation, and production of affinity matured and appropriately isotype switched antibodies. In addition to their classical locations within B cell follicles and germinal centers therein, B cell helper T cells are also found in extrafollicular spaces–either in secondary lymphoid or non-lymphoid tissues. Both follicular and extrafollicular T helper cells drive autoantibody-mediated autoimmunity. Interfering with B cell help provided by T cells can ameliorate autoimmune disease in animal models and human patients. The next frontier in Tfh cell biology will be identification of Tfh cell-specific pathogenic changes in autoimmunity and exploiting them for therapeutic purposes.
Elsevier