ICOS-dependent extrafollicular helper T cells elicit IgG production via IL-21 in systemic autoimmunity

JM Odegard, BR Marks, LD DiPlacido… - The Journal of …, 2008 - rupress.org
JM Odegard, BR Marks, LD DiPlacido, AC Poholek, DH Kono, C Dong, RA Flavell, J Craft
The Journal of experimental medicine, 2008rupress.org
The role of specialized follicular helper T (TFH) cells in the germinal center has become well
recognized, but it is less clear how effector T cells govern the extrafollicular response, the
dominant pathway of high-affinity, isotype-switched autoantibody production in the MRL/MpJ-
Faslpr (MRL lpr) mouse model of lupus. MRL lpr mice lacking the Icos gene have impaired
extrafollicular differentiation of immunoglobulin (Ig) G+ plasma cells accompanied by defects
in CXC chemokine receptor (CXCR) 4 expression, interleukin (IL) 21 secretion, and B cell …
The role of specialized follicular helper T (TFH) cells in the germinal center has become well recognized, but it is less clear how effector T cells govern the extrafollicular response, the dominant pathway of high-affinity, isotype-switched autoantibody production in the MRL/MpJ-Faslpr (MRLlpr) mouse model of lupus. MRLlpr mice lacking the Icos gene have impaired extrafollicular differentiation of immunoglobulin (Ig) G+ plasma cells accompanied by defects in CXC chemokine receptor (CXCR) 4 expression, interleukin (IL) 21 secretion, and B cell helper function in CD4 T cells. These phenotypes reflect the selective loss of a population of T cells marked by down-regulation of P-selectin glycoprotein ligand 1 (PSGL-1; also known as CD162). PSGL-1lo T cells from MRLlpr mice express CXCR4, localize to extrafollicular sites, and uniquely mediate IgG production through IL-21 and CD40L. In other autoimmune strains, PSGL-1lo T cells are also abundant but may exhibit either a follicular or extrafollicular phenotype. Our findings define an anatomically distinct extrafollicular population of cells that regulates plasma cell differentiation in chronic autoimmunity, indicating that specialized humoral effector T cells akin to TFH cells can occur outside the follicle.
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