2019
DOI: 10.3389/fimmu.2019.02918
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T Follicular Helper Cell Subsets and the Associated Cytokine IL-21 in the Pathogenesis and Therapy of Asthma

Abstract: For many decades, T helper 2 (T H 2) cells have been considered to predominantly regulate the pathogenic manifestations of allergic asthma, such as IgE-mediated sensitization, airway hyperresponsiveness, and eosinophil infiltration. However, recent discoveries have significantly shifted our understanding of asthma from a simple T H 2 cell-dependent disease to a heterogeneous disease regulated by multiple T cell subsets, including T follicular helper (T FH ) cells. T FH cells, which are a specialized cell popul… Show more

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Cited by 44 publications
(34 citation statements)
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“…IL‐21, IL‐12, IL‐23 and TGF‐β are all required for development of Tfh cells, and IL‐21 plays a critical role in regulating Ig production and GC formation. It also acts in an autocrine fashion for Tfh cell development [64–66]. While IL‐21 is induced by IL‐6 through the STAT‐3 transcription factor, the mRNA for this cytokine showed minimal change with disease in young animals, but was significantly increased later in disease in the adult animals.…”
Section: Discussionmentioning
confidence: 99%
“…IL‐21, IL‐12, IL‐23 and TGF‐β are all required for development of Tfh cells, and IL‐21 plays a critical role in regulating Ig production and GC formation. It also acts in an autocrine fashion for Tfh cell development [64–66]. While IL‐21 is induced by IL‐6 through the STAT‐3 transcription factor, the mRNA for this cytokine showed minimal change with disease in young animals, but was significantly increased later in disease in the adult animals.…”
Section: Discussionmentioning
confidence: 99%
“…Although less characterized, majority of peripheral antigen specific CD4 + T cells that were shown to correlate with antibody production in COVID-19 convalescent individuals may represent cTFH cells (4,6). cTFH cells can be further defined as central memory like or effector memory like based on the expression of CCR7 and PD-1 (28)(29)(30). In particular, CCR7 lo PD-1 + effector memory like cTFH cells in the peripheral circulation can indicate the bona fide TFH cell activity and foster antibody response against re-exposure of antigen (29).…”
Section: Introductionmentioning
confidence: 99%
“…ICOS expression is associated with IL-4 production 31 and Th2 responses 32 in the lung and lymph nodes during asthma 33 . Moreover, ICOS is highly expressed on T follicular helper (Tfh) cells important for driving B cell class switching to IgE [34][35][36] , suggesting that P. kudriavzevii-exposed mice demonstrate increased adaptive immunity-driven lung inflammation. P. kudriavzevii-exposed animals also demonstrated an increase in the proportion and numbers of Th17 cells in the lung, identified by RORt high expression and IL-17 secretion (Figure 2G-H), and greater numbers of lung GATA3+ Th2 cells (Figure 2I).…”
mentioning
confidence: 99%