As recently highlighted (25), current studies underscore the need for a more complete understanding of the role of T FH functions during influenza virus infection, because of their importance in shaping protective B cell responses during infection and vaccination. Moreover, T cells deficient in SLAM adaptor protein (SAP), a signaling molecule required for their ability to migrate into germinal centers, have been shown to be critical for the generation of a protective humoral memory response to influenza virus infection (21). However, functional studies of T FH populations have been hampered by the lack of markers distinguishing T cells supporting different B cell fate decisions (reviewed in reference 49).The existence of CXCR4 ϩ CXCR5 Ϫ helper T cells that support extrafollicular B cell responses in autoimmune-prone mice has been indicated (32). This is consistent with previous studies demonstrating that CXCR4 directs the migration and retention of extrafollicular plasmablasts within medullary regions of lymph nodes (16). Whether such cells are hallmarks of an aberrant autoimmune process or are part of the normal immune response following immunization or infection remains unclear. Interestingly, CXCR4 also regulates germinal center dark and light zone demarcation (1).The acquisition of CXCR5 and the loss of CCR7 direct the migration of primed CD4 T cells into B cell follicles, where they acquire effector functions needed to support germinal centers (18). The precise T cell signals are not understood, but interleukin-21 (IL-21) secretion was recently found to be necessary for the optimal affinity maturation of B cells and sustained germinal center responses (7, 51). The coexpression of CXCR5 and ICOS identifies T FH . Interestingly, the transcriptional repressor Bcl-6, shown previously to direct T FH development (20,31,48), regulates the