2011
DOI: 10.1016/j.immuni.2010.12.012
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Human Blood CXCR5+CD4+ T Cells Are Counterparts of T Follicular Cells and Contain Specific Subsets that Differentially Support Antibody Secretion

Abstract: Although a fraction of human blood memory CD4+ T cells expresses chemokine (C-X-C motif) receptor 5 (CXCR5), their relationship to T follicular helper (Tfh) cells is not well-established. Here we show that human blood CXCR5+ CD4+ T cells share functional properties with Tfh cells, and appear to represent their circulating memory compartment. Blood CXCR5+ CD4+ T cells comprised three subsets; T helper 1 (Th1), Th2 and Th17 cells. Th2 and Th17 cells within CXCR5+, but not within CXCR5−, compartment efficiently i… Show more

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Cited by 1,298 publications
(1,435 citation statements)
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References 62 publications
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“…found that the number of antigen‐specific memory cells that expressed Tfh markers declined over time, suggesting that Tfh cells fail to differentiate into long‐lived memory cells 57. However, we and others have shown that both mouse and human CXCR5+ memory CD4 T‐cells provide rapid assistance to B‐cells upon reactivation 61, 62, 63, 64, 65, 66, 67, 68, 69. Importantly, Alexander et al .…”
Section: Memory Cd4 T‐cells Are Found Throughout the Bodymentioning
confidence: 74%
“…found that the number of antigen‐specific memory cells that expressed Tfh markers declined over time, suggesting that Tfh cells fail to differentiate into long‐lived memory cells 57. However, we and others have shown that both mouse and human CXCR5+ memory CD4 T‐cells provide rapid assistance to B‐cells upon reactivation 61, 62, 63, 64, 65, 66, 67, 68, 69. Importantly, Alexander et al .…”
Section: Memory Cd4 T‐cells Are Found Throughout the Bodymentioning
confidence: 74%
“…T‐cell‐mediated ligation of CD40 on the B cell triggers B‐cell clonal expansion and differentiation,96 and cytokines produced by the T cell including interleukin (IL)‐21 and IL‐4 promote growth and differentiation and direct Ig class switching 97, 98. Provision of help is dependent on an active two‐way interaction between the B and T cell, with inducible T‐cell costimulatory (ICOS) triggering being important for IL‐21 production99 and IL‐4 production being dependent on signaling lymphocytic activation molecule (SLAM) 100. Following activation, the B cells may differentiate into short‐lived extrafollicular plasma cells that have very few mutations in their Ig variable (V)‐region genes and secrete low‐affinity Ig, develop into early memory B cells, or undergo proliferation within the follicle, giving rise to GCs (reviewed in 101).…”
Section: T Follicular Helper Cells and Their Role In Bnab Inductionmentioning
confidence: 99%
“…They are found within the CXCR5 + subset of circulating CD4 + T cells,99, 159 although CXCR5 + can also be expressed on non‐Tfh cells. Precise definition of circulating memory Tfh cells is challenging, as resting memory Tfh cells in blood do not express Bcl6 or the high levels of PD‐1 and ICOS characteristic of GC Tfh cells and require re‐stimulation in order to mediate B‐cell helper activity 99, 159, 160, 162. A subpopulation of blood CXCR5 +  CD4 + T cells expresses PD‐1, although at lower levels than GC Tfh cells.…”
Section: T Follicular Helper Cells and Their Role In Bnab Inductionmentioning
confidence: 99%
“…As expression of the CXCR5 chemokine receptor on CD4 ϩ T cells ostensibly defines a subset of pTfh cells in peripheral blood (7,19,21), we assessed whether specific gp120-specific B cell memory subsets were associated with CXCR5 ϩ CD4 ϩ T cells. Overall, gp120-specific RM and IM cells were significantly expanded in HIV EC (P ϭ 0.0004 and P ϭ 0.04, respectively), while the AM cell subset was larger in HIV progressors (P ϭ 0.01), as was the TLM subset, albeit to a lower degree ( Fig.…”
Section: Bulk B Cells Are Expanded In Uncontrolled Hiv Infection Butmentioning
confidence: 99%
“…To further explore functional impairment in pTfh cells in HIV progressors compared to controllers, we next performed coculture assays to directly determine whether CD4 helper quality varies between PBMCs derived from these two cohorts in response to both global and antigen-specific stimulation, as previously shown (21,22). Specimens from both HIV VC and HIV EC were grouped for this analysis to achieve sufficient statistical power.…”
Section: Bulk B Cells Are Expanded In Uncontrolled Hiv Infection Butmentioning
confidence: 99%