Human T follicular helper cells and their impact on IgE and IgG4 production across allergy, malignancy, and IgG4-related disease

Human T follicular helper (Tfh) cells play a crucial role in orchestrating B cell differentiation, maturation, and immunoglobulin class switching. Recent studies have underscored the presence of Bcl-6 + Tfh cells not only in secondary lymphoid organs but also within tertiary lymphoid structures at i...

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Main Authors: Mitsuhiro Akiyama, Waleed Alshehri, Sho Ishigaki, Koichi Saito, Yuko Kaneko
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Allergology International
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Online Access:http://www.sciencedirect.com/science/article/pii/S1323893024000789
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author Mitsuhiro Akiyama
Waleed Alshehri
Sho Ishigaki
Koichi Saito
Yuko Kaneko
author_facet Mitsuhiro Akiyama
Waleed Alshehri
Sho Ishigaki
Koichi Saito
Yuko Kaneko
author_sort Mitsuhiro Akiyama
collection DOAJ
description Human T follicular helper (Tfh) cells play a crucial role in orchestrating B cell differentiation, maturation, and immunoglobulin class switching. Recent studies have underscored the presence of Bcl-6 + Tfh cells not only in secondary lymphoid organs but also within tertiary lymphoid structures at inflammatory sites, emphasizing their pivotal role in disease pathogenesis. Furthermore, Tfh cells have been found to transit between lesion sites, lymph nodes, and peripheral blood, as revealed by T cell receptor repertoire analysis. Among Tfh subsets, Tfh2 cells have emerged as central orchestrators in driving the production of IgE and IgG4 from B cells. Their critical role in diseases such as allergy, malignancy, and IgG4-related disease highlights their profound impact on balancing inflammation and immune tolerance. Our current review provides the molecular characteristics of human Tfh cells, the differentiation pathways of Tfh subsets, mechanisms by which Tfh subsets induce IgE and IgG4 production, and their clinical implications in allergy, malignancy, and IgG4-related disease.
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series Allergology International
spelling doaj-art-d1d5cdaa6ff74caa9c870d4be08c77482025-01-04T04:56:05ZengElsevierAllergology International1323-89302025-01-017412532Human T follicular helper cells and their impact on IgE and IgG4 production across allergy, malignancy, and IgG4-related diseaseMitsuhiro Akiyama0Waleed Alshehri1Sho Ishigaki2Koichi Saito3Yuko Kaneko4Corresponding author. Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.; Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, JapanDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, JapanDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, JapanDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, JapanDivision of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, JapanHuman T follicular helper (Tfh) cells play a crucial role in orchestrating B cell differentiation, maturation, and immunoglobulin class switching. Recent studies have underscored the presence of Bcl-6 + Tfh cells not only in secondary lymphoid organs but also within tertiary lymphoid structures at inflammatory sites, emphasizing their pivotal role in disease pathogenesis. Furthermore, Tfh cells have been found to transit between lesion sites, lymph nodes, and peripheral blood, as revealed by T cell receptor repertoire analysis. Among Tfh subsets, Tfh2 cells have emerged as central orchestrators in driving the production of IgE and IgG4 from B cells. Their critical role in diseases such as allergy, malignancy, and IgG4-related disease highlights their profound impact on balancing inflammation and immune tolerance. Our current review provides the molecular characteristics of human Tfh cells, the differentiation pathways of Tfh subsets, mechanisms by which Tfh subsets induce IgE and IgG4 production, and their clinical implications in allergy, malignancy, and IgG4-related disease.http://www.sciencedirect.com/science/article/pii/S1323893024000789AllergyIgEIgG4IgG4-related diseaseMalignancy
spellingShingle Mitsuhiro Akiyama
Waleed Alshehri
Sho Ishigaki
Koichi Saito
Yuko Kaneko
Human T follicular helper cells and their impact on IgE and IgG4 production across allergy, malignancy, and IgG4-related disease
Allergology International
Allergy
IgE
IgG4
IgG4-related disease
Malignancy
title Human T follicular helper cells and their impact on IgE and IgG4 production across allergy, malignancy, and IgG4-related disease
title_full Human T follicular helper cells and their impact on IgE and IgG4 production across allergy, malignancy, and IgG4-related disease
title_fullStr Human T follicular helper cells and their impact on IgE and IgG4 production across allergy, malignancy, and IgG4-related disease
title_full_unstemmed Human T follicular helper cells and their impact on IgE and IgG4 production across allergy, malignancy, and IgG4-related disease
title_short Human T follicular helper cells and their impact on IgE and IgG4 production across allergy, malignancy, and IgG4-related disease
title_sort human t follicular helper cells and their impact on ige and igg4 production across allergy malignancy and igg4 related disease
topic Allergy
IgE
IgG4
IgG4-related disease
Malignancy
url http://www.sciencedirect.com/science/article/pii/S1323893024000789
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