Evidence map›Paper›PMID 31264971›Full record

ArticleThe Journal of clinical investigation2019

T follicular helper cells in human efferent lymph retain lymphoid characteristics.

Laura A Vella, Marcus Buggert, Sasikanth Manne, Ramin S Herati, Ismail Sayin, Leticia Kuri-Cervantes, Irene Bukh Brody, Kaitlin C O'Boyle, Hagop Kaprielian, Josephine R Giles and 14 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 156 citations in OpenAlex.

  1. Targeting T follicular helper cells for lifelong health.Nature reviews. Drug discovery · 2026
    Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Circulating TFH2 Cell Expansion and GZMKJournal of asthma and allergy · 2026
    Article
  12. Review
  13. Article
  14. Multimodal analysis definesbioRxiv : the preprint server for biology · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. T follicular helper cells in primary immune regulatory disorders.The Journal of allergy and clinical immunology · 2025
    Review
  19. Article
  20. T-cell and autoantibody profiling for primary immune regulatory disorders.The Journal of allergy and clinical immunology · 2025
    Article

48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 8 institutions in 3 countries.

Laura A VellaDivision of Infectious Diseases, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Marcus BuggertInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Sasikanth ManneInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ramin S HeratiInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ismail SayinDepartment of Medicine, Case Western Reserve University and Cleveland Veterans Affairs, Cleveland, Ohio, USA.
Leticia Kuri-CervantesInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Irene Bukh BrodyInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Kaitlin C O'BoyleInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Hagop KaprielianDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Josephine R GilesInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Son NguyenInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Alexander MuselmanInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jack P AntelNeuroimmunology Unit, Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada.
Amit Bar-OrInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Matthew E JohnsonDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
David H CanadayDepartment of Medicine, Case Western Reserve University and Cleveland Veterans Affairs, Cleveland, Ohio, USA.
Ali NajiInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Vitaly V GanusovDepartment of Microbiology, University of Tennessee, Knoxville, Tennessee, USA.
Terri M LauferInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Andrew D WellsInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Yoav DoriDivision of Cardiology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Maxim G ItkinCenter for Lymphatic Disorders, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Michael R BettsInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
E John WherryInstitute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
University of Pennsylvania · USChildren's Hospital of Philadelphia · USCase Western Reserve University · USMontreal Neurological Institute and Hospital · CAParker Institute for Cancer Immunotherapy · USKarolinska University Hospital · SEPhiladelphia VA Medical Center · USUniversity of Tennessee at Knoxville · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI DAVID S METZGER · 1999 to 2026
$78.6M
Virology CoreU19AI082630 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG, GEORG Michael LAUER · 2009 to 2026
$48.1M
Institutional Clinical and Translational Science AwardKL2TR001879 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$13.7M
Sequencing and Viral Evolution CoreU19AI117950 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI WHERRY, E. JOHN · 2015 to 2019
$12.0M
P3: Chemokine-Mediated T Cell Trafficking in HIV Transmission and Immune ResponseP01AI112521 · NIAID · HARVARD MEDICAL SCHOOL · PI LUSTER, ANDREW · 2014 to 2018
$9.8M
T cell functionality and control of HIV infectionR01AI076066 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI BETTS, MICHAEL R · 2008 to 2017
$4.6M
Epigenetic imprinting of follicular helper T cell fate and function in lupusR01AI123539 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAUFER, TERRI M. · 2017 to 2020
$3.1M
Cellular and transcriptional control of exhausted CD8 T cells lineage dynamicsR01AI105343 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI WHERRY, E. JOHN · 2014 to 2017
$1.6M
Mathematical modeling of immune response to malariaR01GM118553 · NIGMS · UNIVERSITY OF TENNESSEE KNOXVILLE · PI GANUSOV, VITALY V. · 2017 to 2021
$1.6M
Transcriptional and epigenetic regulation of Tfh dysfunction in HIVK08AI136660 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI VELLA, LAURA A · 2018 to 2022
$778k
BLRD VA I01 BX002644NCATS NIH HHS KL2 TR001879NIAID NIH HHS K08 AI136660NIAID NIH HHS P01 AI112521NIAID NIH HHS P30 AI045008NIAID NIH HHS R01 AI076066NIAID NIH HHS R01 AI105343NIAID NIH HHS R01 AI123539NIAID NIH HHS U19 AI082630NIAID NIH HHS U19 AI117950NIGMS NIH HHS R01 GM118553
6 · The paper itself

Abstract

T follicular helper cells (Tfh), a subset of CD4+ T cells, provide requisite help to B cells in the germinal centers (GC) of lymphoid tissue. GC Tfh are identified by high expression of the chemokine receptor CXCR5 and the inhibitory molecule PD-1. Although more accessible, blood contains lower frequencies of CXCR5+ and PD-1+ cells that have been termed circulating Tfh (cTfh). However, it remains unclear whether GC Tfh exit lymphoid tissues and populate this cTfh pool. To examine exiting cells, we assessed the phenotype of Tfh present within the major conduit of efferent lymph from lymphoid tissues into blood, the human thoracic duct. Unlike what was found in blood, we consistently identified a CXCR5-bright PD-1-bright (CXCR5BrPD-1Br) Tfh population in thoracic duct lymph (TDL). These CXCR5BrPD-1Br TDL Tfh shared phenotypic and transcriptional similarities with GC Tfh. Moreover, components of the epigenetic profile of GC Tfh could be detected in CXCR5BrPD-1Br TDL Tfh and the transcriptional imprint of this epigenetic signature was enriched in an activated cTfh subset known to contain vaccine-responding cells. Together with data showing shared TCR sequences between the CXCR5BrPD-1Br TDL Tfh and cTfh, these studies identify a population in TDL as a circulatory intermediate connecting the biology of Tfh in blood to Tfh in lymphoid tissue.

Indexed as

AnimalsFemaleHumansLymph NodesMacaca mulattaMaleProgrammed Cell Death 1 ReceptorReceptors, Antigen, T-CellReceptors, CXCR5Thoracic DuctT-Lymphocytes, Helper-InducerCXCR5 protein, humanPDCD1 protein, humanProgrammed Cell Death 1 ReceptorReceptors, Antigen, T-CellReceptors, CXCR5ImmunologyT cells

Identifiers

PMID31264971
PMCPMC6668682
OpenAlexW2953645244

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.