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T follicular helper cells in space-time
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T follicular helper cells in space-time
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T follicular helper cells in space-time
T follicular helper cells in space-time
Journal Article

T follicular helper cells in space-time

2016
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Overview
Key Points T follicular helper (T FH ) cells are a phenotypically distinct subset of activated T cells that specializes in promoting germinal centre reactions that support B cell proliferation, somatic hypermutation and class-switch recombination. T FH cell development is regulated by a suite of transcriptional factors in conjunction with the master controller B cell lymphoma 6 (BCL-6). The classical cytokine-centric 'instructional' paradigm of T helper cell differentiation cannot fully explain how T FH cells develop and function. Key features of T FH cells are dictated by their dynamic interactions with cognate and bystander B cells and shaped by the tissue environment they traverse during distinct spatiotemporal stages of T cell-dependent B cell responses. Chance escape from an inhibitory tissue milieu and chance encounter with a conducive environment underlies the development of T FH cells. T FH cells contribute to the development of memory CD4 + T cell populations, and progression through an intermediate T FH cell stage may even be the predominant pathway for the formation of central memory T cell populations. A model of default T FH cell development with inherent spatiotemporal stochasticity is proposed. This Review discusses our current understanding of the development and functions of follicular helper T (T FH ) cells. The author explains how these cells do not fit with the classical instructional model of helper T cell differentiation and, instead, proposes a model of default T FH cell development with inherent spatiotemporal stochasticity. T follicular helper (T FH ) cells play a crucial part in the development of humoral immunity by controlling the formation of, and the cellular reactions that occur in, germinal centres. Within these organized lymphoid tissue microstructures, B cells proliferate and somatically mutate to produce long-lived, high-affinity plasma cells and memory B cells. T FH cells exhibit unique molecular, cellular and tissue-dynamic features that are integral to their development and function but that are not necessarily compatible with the classical paradigm of effector CD4 + T cell differentiation. Here, I discuss recent advances in T FH cell biology and their implications for our understanding of T cell differentiation and memory in humoral immunity from spatiotemporal and functional perspectives.