Skip to main content

T Follicular Helper Cells in HIV Infection

  • Living reference work entry
  • First Online:
Encyclopedia of AIDS

Definition

T follicular helper (TFH) cells are CD4+T helper cells that localize in germinal centers of secondary lymphoid tissues and specialize in supporting B-cell differentiation and maturation, mainly through secretion of IL-21. These cells are phenotypically characterized by constitutive expression of the B-cell follicle homing marker CXCR5, and their developmental program seems to be guided by the transcription factor Bcl6. Increasing data suggest that functional defects of TFH cells during HIV-1 infection contribute to dysregulation of humoral immunity and decreased responsiveness to vaccines in HIV-1-infected persons. In addition, TFH cells seem to be highly susceptible to HIV-1 infection and may play an important role as a cellular reservoir for HIV-1 persistence. Manipulation of TFH cells may be necessary for the induction of HIV-1-specific broadly neutralizing antibodies by preventative vaccine candidates. This entry provides a summary of the multiple roles of TFH cells in...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  • Breitfeld D, Ohl L, Kremmer E, Ellwart J, Sallusto F, Lipp M, Forster R. Follicular B helper T cells express CXC chemokine receptor 5, localize to B cell follicles, and support immunoglobulin production. J Exp Med. 2000;192(11):1545–52.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Chtanova T, Tangye SG, Newton R, Frank N, Hodge MR, Rolph MS, Mackay CR. T follicular helper cells express a distinctive transcriptional profile, reflecting their role as non-Th1/Th2 effector cells that provide help for B cells. J Immunol. 2004;173(1):68–78.

    Article  PubMed  CAS  Google Scholar 

  • Crotty S. Follicular helper CD4 T cells (T(FH)). Annu Rev Immunol. 2011;29:621–63.

    Article  PubMed  CAS  Google Scholar 

  • Cubas RA, Mudd JC, Savoye AL, Perreau M, van Grevenynghe J, Metcalf T, Connick E, Meditz A, Freeman GJ, Abesada-Terk Jr G, Jacobson JM, Brooks AD, Crotty S, Estes JD, Pantaleo G, Lederman MM, Haddad EK. Inadequate T follicular cell help impairs B cell immunity during HIV infection. Nat Med. 2013;19(4):494–9.

    Article  PubMed  CAS  Google Scholar 

  • Deenick EK, Chan A, Ma CS, Gatto D, Schwartzberg PL, Brink R, Tangye SG. Follicular helper T cell differentiation requires continuous antigen presentation that is independent of unique B cell signaling. Immunity. 2010;33(2):241–53.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Eto D, Lao C, DiToro D, Barnett B, Escobar TC, Kageyama R, Yusuf I, Crotty S. IL-21 and IL-6 are critical for different aspects of B cell immunity and redundantly induce optimal follicular helper CD4 T cell (Tfh) differentiation. PLoS One. 2011;6(3):e17739.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Fahey LM, Wilson EB, Elsaesser H, Fistonich CD, McGavern DB, Brooks DG. Viral persistence redirects CD4 T cell differentiation toward T follicular helper cells. J Exp Med. 2011;208(5):987–99.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Hong JJ, Amancha PK, Rogers K, Ansari AA, Villinger F. Spatial alterations between CD4(+) T follicular helper, B, and CD8(+) T cells during simian immunodeficiency virus infection: T/B cell homeostasis, activation, and potential mechanism for viral escape. J Immunol. 2012;188(7):3247–56.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Hufert FT, van Lunzen J, Janossy G, Bertram S, Schmitz J, Haller O, Racz P, von Laer D. Germinal centre CD4+ T cells are an important site of HIV replication in vivo. AIDS. 1997;11(7):849–57.

    Article  PubMed  CAS  Google Scholar 

  • Lindqvist M, van Lunzen J, Soghoian DZ, Kuhl BD, Ranasinghe S, Kranias G, Flanders MD, Cutler S, Yudanin N, Muller MI, Davis I, Farber D, Hartjen P, Haag F, Alter G, Schulze Zur Wiesch J, Streeck H. Expansion of HIV-specific T follicular helper cells in chronic HIV infection. J Clin Invest. 2012;122(9):3271–80.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Moir S, Fauci AS. B cells in HIV infection and disease. Nat Rev Immunol. 2009;9(4):235–45.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Perreau M, Savoye AL, De Crignis E, Corpataux JM, Cubas R, Haddad EK, De Leval L, Graziosi C, Pantaleo G. Follicular helper T cells serve as the major CD4 T cell compartment for HIV-1 infection, replication, and production. J Exp Med. 2013;210(1):143–56.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Petrovas C, Yamamoto T, Gerner MY, Boswell KL, Wloka K, Smith EC, Ambrozak DR, Sandler NG, Timmer KJ, Sun X, Pan L, Poholek A, Rao SS, Brenchley JM, Alam SM, Tomaras GD, Roederer M, Douek DC, Seder RA, Germain RN, Haddad EK, Koup RA. CD4 T follicular helper cell dynamics during SIV infection. J Clin Invest. 2012;122(9):3281–94.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Popovic M, Tenner-Racz K, Pelser C, Stellbrink HJ, Van Lunzen J, Lewis G, Kalyanaraman VS, Gallo RC, Racz P. Persistence of HIV-1 structural proteins and glycoproteins in lymph nodes of patients under highly active antiretroviral therapy. Proc Natl Acad Sci U S A. 2005;102:14807–12.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Pratama A, Vinuesa CG. Control of TFH cell numbers: why and how? Immunol Cell Biol. 2014;92(1):40–8.

    Article  PubMed  CAS  Google Scholar 

  • Ramiscal RR, Vinuesa CG. T-cell subsets in the germinal center. Immunol Rev. 2013;252(1):146–55.

    Article  PubMed  Google Scholar 

  • Schaerli P, Willimann K, Lang AB, Lipp M, Loetscher P, Moser B. CXC chemokine receptor 5 expression defines follicular homing T cells with B cell helper function. J Exp Med. 2000;192(11):1553–62.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Schmitt N, Ueno H. Blood Tfh cells come with colors. Immunity. 2013;39(4):629–30.

    Article  PubMed  CAS  Google Scholar 

  • Schulze Zur WJ, Thomssen A, Hartjen P, Toth I, Lehmann C, Meyer-Olson D, Colberg K, Frerk S, Babikir D, Schmiedel S, Degen O, Mauss S, Rockstroh J, Staszewski S, Khaykin P, Strasak A, Lohse AW, Fatkenheuer G, Hauber J, Van Lunzen J. Comprehensive analysis of frequency and phenotype of T regulatory cells in HIV infection: CD39 expression of FoxP3+ T regulatory cells correlates with progressive disease. J Virol. 2011;85:1287–97.

    Article  Google Scholar 

  • Stellbrink HJ, Van Lunzen J. Lymph nodes during antiretroviral therapy. Curr Opin Infect Dis. 2001;14:17–22.

    Article  PubMed  CAS  Google Scholar 

  • Tao X, Constant S, Jorritsma P, Bottomly K. Strength of TCR signal determines the costimulatory requirements for Th1 and Th2 CD4+ T cell differentiation. J Immunol. 1997;159(12):5956–63.

    PubMed  CAS  Google Scholar 

  • Tenner-Racz K, Stellbrink HJ, Van Lunzen J, Schneider C, Jacobs JP, Raschdorff B, Grosschupff G, Steinman RM, Racz P. The unenlarged lymph nodes of HIV-1-infected, asymptomatic patients with high CD4 T cell counts are sites for virus replication and CD4 T cell proliferation. The impact of highly active antiretroviral therapy. J Exp Med. 1998;187:949–59.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Toth I, Le AQ, Hartjen P, Thomssen A, Matzat V, Lehmann C, Scheurich C, Beisel C, Busch P, Degen O, Lohse AW, Eiermann T, Fatkenheuer G, Meyer-Olson D, Bockhorn M, Hauber J, Van Lunzen J, Schulze Zur Wiesch J. Decreased frequency of CD73+CD8+ T cells of HIV-infected patients correlates with immune activation and T cell exhaustion. J Leukoc Biol. 2013;94:551–61.

    Article  PubMed  CAS  Google Scholar 

  • Yu D, Vinuesa CG. The elusive identity of T follicular helper cells. Trends Immunol. 2010;31(10):377–83.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jan van Lunzen .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this entry

Cite this entry

van Lunzen, J., Lindqvist, M. (2014). T Follicular Helper Cells in HIV Infection. In: Hope, T., Stevenson, M., Richman, D. (eds) Encyclopedia of AIDS. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9610-6_181-1

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-9610-6_181-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, New York, NY

  • Online ISBN: 978-1-4614-9610-6

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics