Follicular T cells and the control of IgE responses

Atopy is considered the epidemic of the 21st century, and while decades of research have established a direct link between Th2 cells driving pathogenic IgE-mediated allergic disease, only in the past years have T follicular helper (Tfh) cells emerged as pivotal drivers of these responses. In this re...

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Main Authors: Pablo F. Cañete, Di Yu
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Allergology International
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Online Access:http://www.sciencedirect.com/science/article/pii/S1323893024001151
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author Pablo F. Cañete
Di Yu
author_facet Pablo F. Cañete
Di Yu
author_sort Pablo F. Cañete
collection DOAJ
description Atopy is considered the epidemic of the 21st century, and while decades of research have established a direct link between Th2 cells driving pathogenic IgE-mediated allergic disease, only in the past years have T follicular helper (Tfh) cells emerged as pivotal drivers of these responses. In this review, we will examine the molecular mechanisms governing the IgE response, with a particular emphasis on the key cytokines and signaling pathways. We will discuss the exclusion of IgE-producing B cells from germinal centers and explore the recently established role of follicular T cell function and heterogeneity in driving or curtailing these immune responses. Additionally, we will assess the current state of major monoclonal antibodies and allergen immunotherapies designed to counteract Th2-driven inflammation, as well as reflect on the need to investigate how these biologics impact Tfh cell activity, differentiation, and function, as these insights could pave the way for much-needed therapeutic innovation in the treatment of allergic diseases.
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spelling doaj-art-b1500efdb80045b09abf6182d15d23e62025-01-04T04:56:08ZengElsevierAllergology International1323-89302025-01-017411319Follicular T cells and the control of IgE responsesPablo F. Cañete0Di Yu1Frazer Institute, Faculty of Medicine, The University of Queensland, Brisbane, Australia; Ian Frazer Centre for Children's Immunotherapy Research, Child Health Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, Australia; Corresponding author. Frazer Institute, Faculty of Medicine, The University of Queensland, Brisbane, QLD 4072, Australia.Frazer Institute, Faculty of Medicine, The University of Queensland, Brisbane, Australia; Ian Frazer Centre for Children's Immunotherapy Research, Child Health Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, Australia; Corresponding author. Frazer Institute, Faculty of Medicine, The University of Queensland, Brisbane, QLD 4072, Australia.Atopy is considered the epidemic of the 21st century, and while decades of research have established a direct link between Th2 cells driving pathogenic IgE-mediated allergic disease, only in the past years have T follicular helper (Tfh) cells emerged as pivotal drivers of these responses. In this review, we will examine the molecular mechanisms governing the IgE response, with a particular emphasis on the key cytokines and signaling pathways. We will discuss the exclusion of IgE-producing B cells from germinal centers and explore the recently established role of follicular T cell function and heterogeneity in driving or curtailing these immune responses. Additionally, we will assess the current state of major monoclonal antibodies and allergen immunotherapies designed to counteract Th2-driven inflammation, as well as reflect on the need to investigate how these biologics impact Tfh cell activity, differentiation, and function, as these insights could pave the way for much-needed therapeutic innovation in the treatment of allergic diseases.http://www.sciencedirect.com/science/article/pii/S1323893024001151AllergyFollicular T cellsIgETfh cellsTfr cells
spellingShingle Pablo F. Cañete
Di Yu
Follicular T cells and the control of IgE responses
Allergology International
Allergy
Follicular T cells
IgE
Tfh cells
Tfr cells
title Follicular T cells and the control of IgE responses
title_full Follicular T cells and the control of IgE responses
title_fullStr Follicular T cells and the control of IgE responses
title_full_unstemmed Follicular T cells and the control of IgE responses
title_short Follicular T cells and the control of IgE responses
title_sort follicular t cells and the control of ige responses
topic Allergy
Follicular T cells
IgE
Tfh cells
Tfr cells
url http://www.sciencedirect.com/science/article/pii/S1323893024001151
work_keys_str_mv AT pablofcanete folliculartcellsandthecontrolofigeresponses
AT diyu folliculartcellsandthecontrolofigeresponses