Antigen-specific B cells direct T follicular-like helper cells into lymphoid follicles to mediate Mycobacterium tuberculosis control

RV Swanson, A Gupta, TW Foreman, L Lu… - Nature …, 2023 - nature.com
RV Swanson, A Gupta, TW Foreman, L Lu, JA Choreno-Parra, SK Mbandi, BA Rosa, S Akter
Nature immunology, 2023nature.com
Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), is a global cause of death.
Granuloma-associated lymphoid tissue (GrALT) correlates with protection during TB, but the
mechanisms of protection are not understood. During TB, the transcription factor IRF4 in T
cells but not B cells is required for the generation of the TH1 and TH17 subsets of helper T
cells and follicular helper T (TFH)-like cellular responses. A population of IRF4+ T cells
coexpress the transcription factor BCL6 during Mtb infection, and deletion of Bcl6 (Bcl6 fl/fl) …
Abstract
Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), is a global cause of death. Granuloma-associated lymphoid tissue (GrALT) correlates with protection during TB, but the mechanisms of protection are not understood. During TB, the transcription factor IRF4 in T cells but not B cells is required for the generation of the TH1 and TH17 subsets of helper T cells and follicular helper T (TFH)-like cellular responses. A population of IRF4+ T cells coexpress the transcription factor BCL6 during Mtb infection, and deletion of Bcl6 (Bcl6fl/fl) in CD4+ T cells (CD4cre) resulted in reduction of TFH-like cells, impaired localization within GrALT and increased Mtb burden. In contrast, the absence of germinal center B cells, MHC class II expression on B cells, antibody-producing plasma cells or interleukin-10-expressing B cells, did not increase Mtb susceptibility. Indeed, antigen-specific B cells enhance cytokine production and strategically localize TFH-like cells within GrALT via interactions between programmed cell death 1 (PD-1) and its ligand PD-L1 and mediate Mtb control in both mice and macaques.
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