PMID- 31371561 OWN - NLM STAT- MEDLINE DCOM- 20200304 LR - 20230511 IS - 1095-9203 (Electronic) IS - 0036-8075 (Print) IS - 0036-8075 (Linking) VI - 365 IP - 6456 DP - 2019 Aug 30 TI - Identification of a T follicular helper cell subset that drives anaphylactic IgE. LID - 10.1126/science.aaw6433 [doi] LID - eaaw6433 AB - Cross-linking of high-affinity immunoglobulin E (IgE) results in the life-threatening allergic reaction anaphylaxis. Yet the cellular mechanisms that induce B cells to produce IgE in response to allergens remain poorly understood. T follicular helper (T(FH)) cells direct the affinity and isotype of antibodies produced by B cells. Although T(FH) cell-derived interleukin-4 (IL-4) is necessary for IgE production, it is not sufficient. We report a rare population of IL-13-producing T(FH) cells present in mice and humans with IgE to allergens, but not when allergen-specific IgE was absent or only low-affinity. These "T(FH)13" cells have an unusual cytokine profile (IL-13(hi)IL-4(hi)IL-5(hi)IL-21(lo)) and coexpress the transcription factors BCL6 and GATA3. T(FH)13 cells are required for production of high- but not low-affinity IgE and subsequent allergen-induced anaphylaxis. Blocking T(FH)13 cells may represent an alternative therapeutic target to ameliorate anaphylaxis. CI - Copyright (c) 2019 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. FAU - Gowthaman, Uthaman AU - Gowthaman U AUID- ORCID: 0000-0002-5484-7851 AD - Department of Laboratory Medicine, Yale University School of Medicine, New Haven, CT 06520, USA. AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Chen, Jennifer S AU - Chen JS AUID- ORCID: 0000-0002-7808-2670 AD - Department of Laboratory Medicine, Yale University School of Medicine, New Haven, CT 06520, USA. AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Zhang, Biyan AU - Zhang B AUID- ORCID: 0000-0003-0329-2451 AD - Department of Laboratory Medicine, Yale University School of Medicine, New Haven, CT 06520, USA. AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Flynn, William F AU - Flynn WF AUID- ORCID: 0000-0001-6533-0340 AD - The Jackson Laboratory for Genomic Medicine, Farmington, CT 06030, USA. FAU - Lu, Yisi AU - Lu Y AUID- ORCID: 0000-0002-7960-5445 AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Song, Wenzhi AU - Song W AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Joseph, Julie AU - Joseph J AD - Department of Laboratory Medicine, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Gertie, Jake A AU - Gertie JA AUID- ORCID: 0000-0002-3867-1884 AD - Department of Laboratory Medicine, Yale University School of Medicine, New Haven, CT 06520, USA. AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Xu, Lan AU - Xu L AUID- ORCID: 0000-0002-9909-7660 AD - Department of Laboratory Medicine, Yale University School of Medicine, New Haven, CT 06520, USA. AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Collet, Magalie A AU - Collet MA AUID- ORCID: 0000-0002-7200-345X AD - The Jackson Laboratory for Genomic Medicine, Farmington, CT 06030, USA. FAU - Grassmann, Jessica D S AU - Grassmann JDS AUID- ORCID: 0000-0001-9076-452X AD - The Jackson Laboratory for Genomic Medicine, Farmington, CT 06030, USA. FAU - Simoneau, Tregony AU - Simoneau T AUID- ORCID: 0000-0003-2407-4402 AD - The Asthma Center, CT Children's Medical Center, Hartford, CT 06106, USA. FAU - Chiang, David AU - Chiang D AUID- ORCID: 0000-0002-3844-6126 AD - Jaffe Food Allergy Institute and Precision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. FAU - Berin, M Cecilia AU - Berin MC AUID- ORCID: 0000-0002-9051-9249 AD - Jaffe Food Allergy Institute and Precision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. FAU - Craft, Joseph E AU - Craft JE AUID- ORCID: 0000-0002-1368-6756 AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Weinstein, Jason S AU - Weinstein JS AD - Center for Immunity and Inflammation, Rutgers New Jersey Medical School, Newark, NJ 07101, USA. FAU - Williams, Adam AU - Williams A AUID- ORCID: 0000-0002-5151-4103 AD - The Jackson Laboratory for Genomic Medicine, Farmington, CT 06030, USA. stephanie.eisenbarth@yale.edu adam.williams@jax.org. AD - The Department of Genetics and Genome Sciences, University of Connecticut Health Center, Farmington, CT 06032, USA. FAU - Eisenbarth, Stephanie C AU - Eisenbarth SC AUID- ORCID: 0000-0002-1244-208X AD - Department of Laboratory Medicine, Yale University School of Medicine, New Haven, CT 06520, USA. stephanie.eisenbarth@yale.edu adam.williams@jax.org. AD - Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06520, USA. LA - eng GR - R37 AR040072/AR/NIAMS NIH HHS/United States GR - UL1 TR001863/TR/NCATS NIH HHS/United States GR - R01 AI108829/AI/NIAID NIH HHS/United States GR - R21 AI133440/AI/NIAID NIH HHS/United States GR - R01 AI136942/AI/NIAID NIH HHS/United States GR - R21 AI135221/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20190801 PL - United States TA - Science JT - Science (New York, N.Y.) JID - 0404511 RN - 0 (Dock8 protein, mouse) RN - 0 (GATA3 Transcription Factor) RN - 0 (Guanine Nucleotide Exchange Factors) RN - 0 (Interleukin-13) RN - 0 (Proto-Oncogene Proteins c-bcl-6) RN - 37341-29-0 (Immunoglobulin E) SB - IM CIN - Trends Pharmacol Sci. 2019 Oct;40(10):714-716. PMID: 31493932 MH - Adolescent MH - Anaphylaxis/*immunology MH - Animals MH - Child MH - GATA3 Transcription Factor/metabolism MH - Guanine Nucleotide Exchange Factors/genetics/metabolism MH - Humans MH - Immunoglobulin E/*immunology MH - Interleukin-13/genetics/*metabolism MH - Mice MH - Mice, Inbred C57BL MH - Mice, Mutant Strains MH - Proto-Oncogene Proteins c-bcl-6/metabolism MH - T-Lymphocytes, Helper-Inducer/*immunology PMC - PMC6901029 MID - NIHMS1058199 EDAT- 2019/08/03 06:00 MHDA- 2020/03/05 06:00 PMCR- 2020/08/30 CRDT- 2019/08/03 06:00 PHST- 2019/01/28 00:00 [received] PHST- 2019/07/18 00:00 [accepted] PHST- 2019/08/03 06:00 [pubmed] PHST- 2020/03/05 06:00 [medline] PHST- 2019/08/03 06:00 [entrez] PHST- 2020/08/30 00:00 [pmc-release] AID - science.aaw6433 [pii] AID - 10.1126/science.aaw6433 [doi] PST - ppublish SO - Science. 2019 Aug 30;365(6456):eaaw6433. doi: 10.1126/science.aaw6433. Epub 2019 Aug 1.