T Cells That Help B Cells in Chronically Inflamed Tissues

Chronically inflamed tissues commonly accrue lymphocyte aggregates that facilitate local T cell-B cell interactions. These aggregates can range from small, loosely arranged lymphocyte clusters to large, organized ectopic lymphoid structures. In some cases, ectopic lymphoid structures develop germina...

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Main Author: Deepak A. Rao
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-08-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2018.01924/full
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author Deepak A. Rao
author_facet Deepak A. Rao
author_sort Deepak A. Rao
collection DOAJ
description Chronically inflamed tissues commonly accrue lymphocyte aggregates that facilitate local T cell-B cell interactions. These aggregates can range from small, loosely arranged lymphocyte clusters to large, organized ectopic lymphoid structures. In some cases, ectopic lymphoid structures develop germinal centers that house prototypical T follicular helper (Tfh) cells with high expression of Bcl6, CXCR5, PD-1, and ICOS. However, in many chronically inflamed tissues, the T cells that interact with B cells show substantial differences from Tfh cells in their surface phenotypes, migratory capacity, and transcriptional regulation. This review discusses observations from multiple diseases and models in which tissue-infiltrating T cells produce factors associated with B cell help, including IL-21 and the B cell chemoattractant CXCL13, yet vary dramatically in their resemblance to Tfh cells. Particular attention is given to the PD-1hi CXCR5− Bcl6low T peripheral helper (Tph) cell population in rheumatoid arthritis, which infiltrates inflamed synovium through expression of chemokine receptors such as CCR2 and augments synovial B cell responses via CXCL13 and IL-21. The factors that regulate CD4+ T cell production of CXCL13 and IL-21 in these settings are also discussed. Understanding the range of T cell populations that can provide help to B cells within chronically inflamed tissues is essential to recognize these cells in diverse inflammatory conditions and to optimize either broad or selective therapeutic targeting of B cell-helper T cells.
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spelling doaj.art-51232fbcb1fb49c18b18edb35f8053c22022-12-21T19:55:49ZengFrontiers Media S.A.Frontiers in Immunology1664-32242018-08-01910.3389/fimmu.2018.01924402904T Cells That Help B Cells in Chronically Inflamed TissuesDeepak A. RaoChronically inflamed tissues commonly accrue lymphocyte aggregates that facilitate local T cell-B cell interactions. These aggregates can range from small, loosely arranged lymphocyte clusters to large, organized ectopic lymphoid structures. In some cases, ectopic lymphoid structures develop germinal centers that house prototypical T follicular helper (Tfh) cells with high expression of Bcl6, CXCR5, PD-1, and ICOS. However, in many chronically inflamed tissues, the T cells that interact with B cells show substantial differences from Tfh cells in their surface phenotypes, migratory capacity, and transcriptional regulation. This review discusses observations from multiple diseases and models in which tissue-infiltrating T cells produce factors associated with B cell help, including IL-21 and the B cell chemoattractant CXCL13, yet vary dramatically in their resemblance to Tfh cells. Particular attention is given to the PD-1hi CXCR5− Bcl6low T peripheral helper (Tph) cell population in rheumatoid arthritis, which infiltrates inflamed synovium through expression of chemokine receptors such as CCR2 and augments synovial B cell responses via CXCL13 and IL-21. The factors that regulate CD4+ T cell production of CXCL13 and IL-21 in these settings are also discussed. Understanding the range of T cell populations that can provide help to B cells within chronically inflamed tissues is essential to recognize these cells in diverse inflammatory conditions and to optimize either broad or selective therapeutic targeting of B cell-helper T cells.https://www.frontiersin.org/article/10.3389/fimmu.2018.01924/fullT follicular helper cellsT peripheral helper cellsIL-21CXCL13B cellsectopic lymphoid structure
spellingShingle Deepak A. Rao
T Cells That Help B Cells in Chronically Inflamed Tissues
Frontiers in Immunology
T follicular helper cells
T peripheral helper cells
IL-21
CXCL13
B cells
ectopic lymphoid structure
title T Cells That Help B Cells in Chronically Inflamed Tissues
title_full T Cells That Help B Cells in Chronically Inflamed Tissues
title_fullStr T Cells That Help B Cells in Chronically Inflamed Tissues
title_full_unstemmed T Cells That Help B Cells in Chronically Inflamed Tissues
title_short T Cells That Help B Cells in Chronically Inflamed Tissues
title_sort t cells that help b cells in chronically inflamed tissues
topic T follicular helper cells
T peripheral helper cells
IL-21
CXCL13
B cells
ectopic lymphoid structure
url https://www.frontiersin.org/article/10.3389/fimmu.2018.01924/full
work_keys_str_mv AT deepakarao tcellsthathelpbcellsinchronicallyinflamedtissues