CD4+ T follicular helper (Tfh) cells are central to the formation of germinal facilities and subsequent manufacturing of excessive affinity antibodies by means of their interactions with B cells inside lymphoid tissue. Though Tfh cells are vital for sturdy serologic immunity in opposition to pathogens, self-reactive Tfh cells promotes autoantibody manufacturing, thereby disrupting immune tolerance. This evaluate synthesizes research which have elucidated the event and performance of Tfh cells, mechanisms by which they trigger autoimmunity, and the position of circulating Tfh (cTfh) cells as accessible biomarkers of illness exercise.
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