[PDF][PDF] Interferon-γ excess leads to pathogenic accumulation of follicular helper T cells and germinal centers

SK Lee, DG Silva, JL Martin, A Pratama, X Hu… - Immunity, 2012 - cell.com
SK Lee, DG Silva, JL Martin, A Pratama, X Hu, PP Chang, G Walters, CG Vinuesa
Immunity, 2012cell.com
Overactivity of the germinal center (GC) pathway resulting from accumulation of follicular
helper T (Tfh) cells causes autoimmunity, underscoring the need to understand the factors
that control Tfh cell homeostasis. Here we have identifed posttranscriptional repression of
interferon-γ (Ifng) mRNA as a mechanism to limit Tfh cell formation. By using the sanroque
lupus model, we have shown that decreased Ifng mRNA decay caused excessive IFN-γ
signaling in T cells and led to accumulation of Tfh cells, spontaneous GC, autoantibody …
Summary
Overactivity of the germinal center (GC) pathway resulting from accumulation of follicular helper T (Tfh) cells causes autoimmunity, underscoring the need to understand the factors that control Tfh cell homeostasis. Here we have identifed posttranscriptional repression of interferon-γ (Ifng) mRNA as a mechanism to limit Tfh cell formation. By using the sanroque lupus model, we have shown that decreased Ifng mRNA decay caused excessive IFN-γ signaling in T cells and led to accumulation of Tfh cells, spontaneous GC, autoantibody formation, and nephritis. Unlike ICOS and T-bet deficiency that failed to rescue several autoimmune manifestations, interferon-γ receptor (IFN-γR) deficiency prevented lupus development. IFN-γ blockade reduced Tfh cells and autoantibodies, demonstrating that IFN-γ overproduction was required to sustain lupus-associated pathology. Increased IFN-γR signaling caused Bcl-6 overexpression in Tfh cells and their precursors. This link between IFN-γ and aberrant Tfh cell formation provides a rationale for IFN-γ blockade in lupus patients with an overactive Tfh cell-associated pathway.
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