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Influenza vaccination stimulates maturation of the human T follicular helper cell response

  • Stefan A. Schattgen,
  • Jackson S. Turner,
  • Mohamed A. Ghonim,
  • Jeremy Chase Crawford,
  • Aaron J. Schmitz,
  • Hyunjin Kim,
  • Julian Q. Zhou,
  • Walid Awad,
  • Robert C. Mettelman,
  • Wooseob Kim,
  • Katherine M. McIntire,
  • Alem Haile,
  • Michael K. Klebert,
  • Teresa Suessen,
  • William D. Middleton,
  • Sharlene A. Teefey,
  • Rachel M. Presti,
  • Ali H. Ellebedy,
  • Paul G. Thomas

摘要

The differentiation and specificity of human CD4+ T follicular helper cells (TFH cells) after influenza vaccination have been poorly defined. Here we profiled blood and draining lymph node (LN) samples from human volunteers for over 2 years after two influenza vaccines were administered 1 year apart to define the evolution of the CD4+ TFH cell response. The first vaccination induced an increase in the frequency of circulating TFH (cTFH) and LN TFH cells at week 1 postvaccination. This increase was transient for cTFH cells, whereas the LN TFH cells further expanded during week 2 and remained elevated in frequency for at least 3 months. We observed several distinct subsets of TFH cells in the LN, including pre-TFH cells, memory TFH cells, germinal center (GC) TFH cells and interleukin-10+ TFH cell subsets beginning at baseline and at all time points postvaccination. The shift toward a GC TFH cell phenotype occurred with faster kinetics after the second vaccine compared to the first vaccine. We identified several influenza-specific TFH cell clonal lineages, including multiple responses targeting internal influenza virus proteins, and found that each TFH cell state was attainable within a clonal lineage. Thus, human TFH cells form a durable and dynamic multitissue network.