2022
DOI: 10.1111/sji.13192
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T cell help in the autoreactive germinal center

Abstract: The germinal center serves as a site of B cell selection and affinity maturation, critical processes for productive adaptive immunity. In autoimmune disease tolerance is broken in the germinal center reaction, leading to production of autoreactive B cells that may propagate disease. Follicular T cells are crucial regulators of this process, providing signals necessary for B cell survival in the germinal center. Here, we review the emerging roles of follicular T cells in the autoreactive germinal center. Recent… Show more

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Cited by 4 publications
(3 citation statements)
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References 467 publications
(827 reference statements)
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“…By contrast, autoreactive B cells can enter the follicular niche, receive survival factors and survive in TLSs 33 . In autoimmunity, disease-specific autoantibodies are produced in TLSs in target organs 34,35 . Autoantibody production in TLSs has also been reported in aged, injured kidneys 20 .…”
Section: Characteristics Of Tlss and Slosmentioning
confidence: 99%
“…By contrast, autoreactive B cells can enter the follicular niche, receive survival factors and survive in TLSs 33 . In autoimmunity, disease-specific autoantibodies are produced in TLSs in target organs 34,35 . Autoantibody production in TLSs has also been reported in aged, injured kidneys 20 .…”
Section: Characteristics Of Tlss and Slosmentioning
confidence: 99%
“…There is increasing evidence that Tfh cells may indeed play a central role in this disease, according to analyses of NMO patients ( 12 ) and a murine model of the disease ( 13 ). The emergence of Tfh cells as a key player in this autoantibody-mediated disorder is not surprising, given their central contribution to B cell selection, differentiation, and affinity maturation against both foreign and self-antigens and role in the loss of B cell tolerance ( 14 , 15 ). Indeed, a recent analysis of the TCR repertoire of self-reactive CD4 + T cells has revealed that autoreactive clones mainly express a Tfh or Tfh-like helper phenotype ( 16 ).…”
Section: T Helper Subsets and Autoimmune Diseasementioning
confidence: 99%
“…Peripheral B cell tolerance is maintained in the GC through mechanisms such as clonal redemption and clonal anergy ( 1 7 ), but failures in these mechanisms can lead to production of pathogenic, class-switched, and epitope-spread autoantibodies ( 8 10 ). Although the function of follicular T cells, including T follicular helper (T FH ) and T follicular regulatory (T FR ) cells, has been well characterized in the normal GC ( 11 , 12 ), the role of these cells in the autoreactive GC is less well understood ( 13 15 ).…”
Section: Introductionmentioning
confidence: 99%