“…Since T-bet + B cells have been reported in the context of aging, autoimmunity, and infections (74), these cells may arise in response to TLR9 ligands delivered via the BCR, and while such signals would ordinarily trigger apoptosis, cognate T cell help and additional cytokines could result in the breakthrough of autoantibody production. Additionally, in vivo and in vitro data suggest that RNA-sensing receptors, such as TLR7, do not promote post-proliferative cell death, but instead foster plasma cell differentiation (75). Thus, activation via these pathways may require concomitant TLR9 signals to control the overall response (30,33,76).…”