Aberrant T follicular helper cells generated by TH17 cell plasticity in the gut promote extraintestinal autoimmunity.

TitleAberrant T follicular helper cells generated by TH17 cell plasticity in the gut promote extraintestinal autoimmunity.
Publication TypeJournal Article
Year of Publication2025
AuthorsFan T, Tai C, Sleiman KC, Cutcliffe MP, Kim H, Liu Y, Li J, Xin G, Grashel M, Baert L, Ekeocha C, Vergenes P, Lima S, Lo W-L, Lin J, Hanaoka B, Tankersley TN, Wang M, Zhang X, Tsokos GC, Jarjour W, Longman R, Wu H-JJoyce
JournalNat Immunol
Volume26
Issue5
Pagination790-804
Date Published2025 May
ISSN1529-2916
KeywordsAnimals, Arthritis, Rheumatoid, Autoimmunity, B-Lymphocytes, Cell Plasticity, Gastrointestinal Microbiome, Germinal Center, Humans, Mice, Mice, Inbred C57BL, Peyer's Patches, T Follicular Helper Cells, Th17 Cells
Abstract

Much remains unknown regarding T follicular helper 17 (TFH17) cells commonly found in autoimmune patients. We previously showed that (and here ask why) egress of gut segmented filamentous bacteria (SFB)-induced TFH cells from Peyer's patches (PP) to systemic sites promotes arthritis. We found splenic TFH17 cells are gut derived. Functional analyses using fate-mapping mice revealed a c-Maf-dependent and SFB-induced TH17-to-TFH cell reprogramming that dominantly occurs in PPs. Unlike conventional TFH cells, TH17-derived TFH cells are highly migratory and atypically concentrated in the dark zone of germinal centers (GCs). Compared to conventional TFH cells, TH17-derived TFH cells express higher levels of TFH-associated functional molecules and more robustly conjugate with B cells. Gain- and loss-of-function studies demonstrated their dominance in promoting GC B cells and arthritis. Notably, murine gut TH17-derived TFH signatures exist in rheumatoid arthritis patients. Thus, gut T cell plasticity generates atypical, potent TFH cells promoting systemic autoimmunity.

DOI10.1038/s41590-025-02125-7
Alternate JournalNat Immunol
PubMed ID40307450
PubMed Central IDPMC12990214
Grant ListR01 AI107117 / AI / NIAID NIH HHS / United States
R01 HL148347 / HL / NHLBI NIH HHS / United States
AI107117 / / Division of Intramural Research, National Institute of Allergy and Infectious Diseases (Division of Intramural Research of the NIAID) /
HL148347 / / U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) /