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Follicular T-helper cell recruitment governed by bystander B cells and ICOS-driven motility
ICOS ligand expression by bystander B cells is shown to induce pseudopod extension and migration of CXCR5-expressing T-helper cells into B-cell follicles, where they provide help to cognate B cells for germinal centre development. T-helper cell recruitment by ICOS The molecule called ICOS — or induc...
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Published in: | Nature (London) 2013-04, Vol.496 (7446), p.523-527 |
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container_title | Nature (London) |
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creator | Xu, Heping Li, Xuanying Liu, Dan Li, Jianfu Zhang, Xu Chen, Xin Hou, Shiyue Peng, Lixia Xu, Chenguang Liu, Wanli Zhang, Lianfeng Qi, Hai |
description | ICOS ligand expression by bystander B cells is shown to induce pseudopod extension and migration of CXCR5-expressing T-helper cells into B-cell follicles, where they provide help to cognate B cells for germinal centre development.
T-helper cell recruitment by ICOS
The molecule called ICOS — or inducible T-cell costimulator — is known to be important for the formation of the germinal centres, specialized tissue structures in the lymphoid system that host maturing antibodies. This study shows that ICOS recruits T lymphocytes into the follicle tissue in which germinal centres develop. ICOS ligand expression by bystander B cells induces pseudopod extension and migration of CXCR5-expressing helper T cells into the B cell follicles, where they promote B cells for differentiation into antibody-secreting plasma cells and memory B cells. This work helps to explain why patients lacking ICOS have difficulties making antibodies and suggests new avenues for vaccine design.
Germinal centres support antibody affinity maturation and memory formation
1
. Follicular T-helper cells promote proliferation and differentiation of antigen-specific B cells inside the follicle
2
,
3
. A genetic deficiency in the inducible co-stimulator (ICOS), a classic CD28 family co-stimulatory molecule highly expressed by follicular T-helper cells, causes profound germinal centre defects
4
,
5
, leading to the view that ICOS specifically co-stimulates the follicular T-helper cell differentiation program
2
,
6
,
7
. Here we show that ICOS directly controls follicular recruitment of activated T-helper cells in mice. This effect is independent from ICOS ligand (ICOSL)-mediated co-stimulation provided by antigen-presenting dendritic cells or cognate B cells, and does not rely on Bcl6-mediated programming as an intermediate step. Instead, it requires ICOSL expression by follicular bystander B cells, which do not present cognate antigen to T-helper cells but collectively form an ICOS-engaging field. Dynamic imaging reveals ICOS engagement drives coordinated pseudopod formation and promotes persistent T-cell migration at the border between the T-cell zone and the B-cell follicle
in vivo
. When follicular bystander B cells cannot express ICOSL, otherwise competent T-helper cells fail to develop into follicular T-helper cells normally, and fail to promote optimal germinal centre responses. These results demonstrate a co-stimulation-independent function of ICOS, uncover a key role for bystander B cells in |
doi_str_mv | 10.1038/nature12058 |
format | article |
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T-helper cell recruitment by ICOS
The molecule called ICOS — or inducible T-cell costimulator — is known to be important for the formation of the germinal centres, specialized tissue structures in the lymphoid system that host maturing antibodies. This study shows that ICOS recruits T lymphocytes into the follicle tissue in which germinal centres develop. ICOS ligand expression by bystander B cells induces pseudopod extension and migration of CXCR5-expressing helper T cells into the B cell follicles, where they promote B cells for differentiation into antibody-secreting plasma cells and memory B cells. This work helps to explain why patients lacking ICOS have difficulties making antibodies and suggests new avenues for vaccine design.
Germinal centres support antibody affinity maturation and memory formation
1
. Follicular T-helper cells promote proliferation and differentiation of antigen-specific B cells inside the follicle
2
,
3
. A genetic deficiency in the inducible co-stimulator (ICOS), a classic CD28 family co-stimulatory molecule highly expressed by follicular T-helper cells, causes profound germinal centre defects
4
,
5
, leading to the view that ICOS specifically co-stimulates the follicular T-helper cell differentiation program
2
,
6
,
7
. Here we show that ICOS directly controls follicular recruitment of activated T-helper cells in mice. This effect is independent from ICOS ligand (ICOSL)-mediated co-stimulation provided by antigen-presenting dendritic cells or cognate B cells, and does not rely on Bcl6-mediated programming as an intermediate step. Instead, it requires ICOSL expression by follicular bystander B cells, which do not present cognate antigen to T-helper cells but collectively form an ICOS-engaging field. Dynamic imaging reveals ICOS engagement drives coordinated pseudopod formation and promotes persistent T-cell migration at the border between the T-cell zone and the B-cell follicle
in vivo
. When follicular bystander B cells cannot express ICOSL, otherwise competent T-helper cells fail to develop into follicular T-helper cells normally, and fail to promote optimal germinal centre responses. These results demonstrate a co-stimulation-independent function of ICOS, uncover a key role for bystander B cells in promoting the development of follicular T-helper cells, and reveal unsuspected sophistication in dynamic T-cell positioning
in vivo
.</description><identifier>ISSN: 0028-0836</identifier><identifier>EISSN: 1476-4687</identifier><identifier>DOI: 10.1038/nature12058</identifier><identifier>PMID: 23619696</identifier><identifier>CODEN: NATUAS</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/250/1619/554/1898/1270 ; 631/250/2152/2153/1982 ; 631/250/2503 ; 631/80/84/1372 ; Animals ; B cells ; B-Lymphocytes - immunology ; B-Lymphocytes - metabolism ; Bystander Effect - immunology ; Cell Movement ; DNA-Binding Proteins - metabolism ; Genetic aspects ; Genotype ; Germinal Center - cytology ; Germinal Center - immunology ; Humanities and Social Sciences ; Immune system ; Immunization ; Immunology ; Inducible T-Cell Co-Stimulator Ligand - metabolism ; Inducible T-Cell Co-Stimulator Protein - metabolism ; letter ; Lymphocyte Activation ; Lymphocytes ; Mice ; Motility ; multidisciplinary ; Physiological aspects ; Proteins ; Proto-Oncogene Proteins c-bcl-6 ; Pseudopodia - metabolism ; Receptors, CXCR5 ; Recruitment ; Science ; T cell receptors ; T cells ; T-Lymphocytes, Helper-Inducer - cytology ; T-Lymphocytes, Helper-Inducer - immunology</subject><ispartof>Nature (London), 2013-04, Vol.496 (7446), p.523-527</ispartof><rights>Springer Nature Limited 2013</rights><rights>COPYRIGHT 2013 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Apr 25, 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c556t-fd5e603b5e071234012dba0a2cdc4d2e9e945a1caa407c7015142cb2cf36e7ea3</citedby><cites>FETCH-LOGICAL-c556t-fd5e603b5e071234012dba0a2cdc4d2e9e945a1caa407c7015142cb2cf36e7ea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23619696$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xu, Heping</creatorcontrib><creatorcontrib>Li, Xuanying</creatorcontrib><creatorcontrib>Liu, Dan</creatorcontrib><creatorcontrib>Li, Jianfu</creatorcontrib><creatorcontrib>Zhang, Xu</creatorcontrib><creatorcontrib>Chen, Xin</creatorcontrib><creatorcontrib>Hou, Shiyue</creatorcontrib><creatorcontrib>Peng, Lixia</creatorcontrib><creatorcontrib>Xu, Chenguang</creatorcontrib><creatorcontrib>Liu, Wanli</creatorcontrib><creatorcontrib>Zhang, Lianfeng</creatorcontrib><creatorcontrib>Qi, Hai</creatorcontrib><title>Follicular T-helper cell recruitment governed by bystander B cells and ICOS-driven motility</title><title>Nature (London)</title><addtitle>Nature</addtitle><addtitle>Nature</addtitle><description>ICOS ligand expression by bystander B cells is shown to induce pseudopod extension and migration of CXCR5-expressing T-helper cells into B-cell follicles, where they provide help to cognate B cells for germinal centre development.
T-helper cell recruitment by ICOS
The molecule called ICOS — or inducible T-cell costimulator — is known to be important for the formation of the germinal centres, specialized tissue structures in the lymphoid system that host maturing antibodies. This study shows that ICOS recruits T lymphocytes into the follicle tissue in which germinal centres develop. ICOS ligand expression by bystander B cells induces pseudopod extension and migration of CXCR5-expressing helper T cells into the B cell follicles, where they promote B cells for differentiation into antibody-secreting plasma cells and memory B cells. This work helps to explain why patients lacking ICOS have difficulties making antibodies and suggests new avenues for vaccine design.
Germinal centres support antibody affinity maturation and memory formation
1
. Follicular T-helper cells promote proliferation and differentiation of antigen-specific B cells inside the follicle
2
,
3
. A genetic deficiency in the inducible co-stimulator (ICOS), a classic CD28 family co-stimulatory molecule highly expressed by follicular T-helper cells, causes profound germinal centre defects
4
,
5
, leading to the view that ICOS specifically co-stimulates the follicular T-helper cell differentiation program
2
,
6
,
7
. Here we show that ICOS directly controls follicular recruitment of activated T-helper cells in mice. This effect is independent from ICOS ligand (ICOSL)-mediated co-stimulation provided by antigen-presenting dendritic cells or cognate B cells, and does not rely on Bcl6-mediated programming as an intermediate step. Instead, it requires ICOSL expression by follicular bystander B cells, which do not present cognate antigen to T-helper cells but collectively form an ICOS-engaging field. Dynamic imaging reveals ICOS engagement drives coordinated pseudopod formation and promotes persistent T-cell migration at the border between the T-cell zone and the B-cell follicle
in vivo
. When follicular bystander B cells cannot express ICOSL, otherwise competent T-helper cells fail to develop into follicular T-helper cells normally, and fail to promote optimal germinal centre responses. These results demonstrate a co-stimulation-independent function of ICOS, uncover a key role for bystander B cells in promoting the development of follicular T-helper cells, and reveal unsuspected sophistication in dynamic T-cell positioning
in vivo
.</description><subject>631/250/1619/554/1898/1270</subject><subject>631/250/2152/2153/1982</subject><subject>631/250/2503</subject><subject>631/80/84/1372</subject><subject>Animals</subject><subject>B cells</subject><subject>B-Lymphocytes - immunology</subject><subject>B-Lymphocytes - metabolism</subject><subject>Bystander Effect - immunology</subject><subject>Cell Movement</subject><subject>DNA-Binding Proteins - metabolism</subject><subject>Genetic aspects</subject><subject>Genotype</subject><subject>Germinal Center - cytology</subject><subject>Germinal Center - immunology</subject><subject>Humanities and Social Sciences</subject><subject>Immune system</subject><subject>Immunization</subject><subject>Immunology</subject><subject>Inducible T-Cell Co-Stimulator Ligand - metabolism</subject><subject>Inducible T-Cell Co-Stimulator Protein - metabolism</subject><subject>letter</subject><subject>Lymphocyte Activation</subject><subject>Lymphocytes</subject><subject>Mice</subject><subject>Motility</subject><subject>multidisciplinary</subject><subject>Physiological aspects</subject><subject>Proteins</subject><subject>Proto-Oncogene Proteins c-bcl-6</subject><subject>Pseudopodia - metabolism</subject><subject>Receptors, CXCR5</subject><subject>Recruitment</subject><subject>Science</subject><subject>T cell receptors</subject><subject>T cells</subject><subject>T-Lymphocytes, Helper-Inducer - cytology</subject><subject>T-Lymphocytes, Helper-Inducer - immunology</subject><issn>0028-0836</issn><issn>1476-4687</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp10s9v0zAUB3ALgVgZnLijCC4gyPCP2EmOpWJQaWISK-LAwXKcl-LJcTrbmdb_fi4b0KIgW7Jsf_zVk_UQek7wCcGseu9UHD0Qinn1AM1IUYq8EFX5EM0wplWOKyaO0JMQLjHGnJTFY3REmSC1qMUM_TgdrDV6tMpnq_wn2A34TIO1mQftRxN7cDFbD9fgHbRZs00zROXaxD78giFLu2y5OL_IW2-uwWX9EI01cfsUPeqUDfDsfj1G304_rhaf87PzT8vF_CzXnIuYdy0HgVnDAZeEsgIT2jYKK6pbXbQUaqgLrohWqsClLjHhpKC6obpjAkpQ7Bi9vsvd-OFqhBBlb8KuNOVgGIMkrBC8IpTWib76h14Oo3epuqQ4roWomfir1sqCNK4bold6FyrnjNakopzzpPIJtQYHXtnBQWfS8YF_OeH1xlzJfXQygdJooTd6MvXNwYNkItzEtRpDkMuLr4f27f_tfPV98WVSaz-E4KGTG2965beSYLnrPLnXeUm_uP_Zsemh_WN_t1oC7-5ASFduDX7v6yfybgEjed5z</recordid><startdate>20130425</startdate><enddate>20130425</enddate><creator>Xu, Heping</creator><creator>Li, Xuanying</creator><creator>Liu, Dan</creator><creator>Li, Jianfu</creator><creator>Zhang, Xu</creator><creator>Chen, Xin</creator><creator>Hou, Shiyue</creator><creator>Peng, Lixia</creator><creator>Xu, Chenguang</creator><creator>Liu, Wanli</creator><creator>Zhang, Lianfeng</creator><creator>Qi, Hai</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ATWCN</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QP</scope><scope>7QR</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7ST</scope><scope>7T5</scope><scope>7TG</scope><scope>7TK</scope><scope>7TM</scope><scope>7TO</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>BKSAR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PCBAR</scope><scope>PDBOC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>R05</scope><scope>RC3</scope><scope>S0X</scope><scope>SOI</scope><scope>7X8</scope></search><sort><creationdate>20130425</creationdate><title>Follicular T-helper cell recruitment governed by bystander B cells and ICOS-driven motility</title><author>Xu, Heping ; Li, Xuanying ; Liu, Dan ; Li, Jianfu ; Zhang, Xu ; Chen, Xin ; Hou, Shiyue ; Peng, Lixia ; Xu, Chenguang ; Liu, Wanli ; Zhang, Lianfeng ; Qi, Hai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c556t-fd5e603b5e071234012dba0a2cdc4d2e9e945a1caa407c7015142cb2cf36e7ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>631/250/1619/554/1898/1270</topic><topic>631/250/2152/2153/1982</topic><topic>631/250/2503</topic><topic>631/80/84/1372</topic><topic>Animals</topic><topic>B cells</topic><topic>B-Lymphocytes - immunology</topic><topic>B-Lymphocytes - metabolism</topic><topic>Bystander Effect - immunology</topic><topic>Cell Movement</topic><topic>DNA-Binding Proteins - metabolism</topic><topic>Genetic aspects</topic><topic>Genotype</topic><topic>Germinal Center - cytology</topic><topic>Germinal Center - immunology</topic><topic>Humanities and Social Sciences</topic><topic>Immune system</topic><topic>Immunization</topic><topic>Immunology</topic><topic>Inducible T-Cell Co-Stimulator Ligand - metabolism</topic><topic>Inducible T-Cell Co-Stimulator Protein - metabolism</topic><topic>letter</topic><topic>Lymphocyte Activation</topic><topic>Lymphocytes</topic><topic>Mice</topic><topic>Motility</topic><topic>multidisciplinary</topic><topic>Physiological aspects</topic><topic>Proteins</topic><topic>Proto-Oncogene Proteins c-bcl-6</topic><topic>Pseudopodia - metabolism</topic><topic>Receptors, CXCR5</topic><topic>Recruitment</topic><topic>Science</topic><topic>T cell receptors</topic><topic>T cells</topic><topic>T-Lymphocytes, Helper-Inducer - 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Academic</collection><jtitle>Nature (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xu, Heping</au><au>Li, Xuanying</au><au>Liu, Dan</au><au>Li, Jianfu</au><au>Zhang, Xu</au><au>Chen, Xin</au><au>Hou, Shiyue</au><au>Peng, Lixia</au><au>Xu, Chenguang</au><au>Liu, Wanli</au><au>Zhang, Lianfeng</au><au>Qi, Hai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Follicular T-helper cell recruitment governed by bystander B cells and ICOS-driven motility</atitle><jtitle>Nature (London)</jtitle><stitle>Nature</stitle><addtitle>Nature</addtitle><date>2013-04-25</date><risdate>2013</risdate><volume>496</volume><issue>7446</issue><spage>523</spage><epage>527</epage><pages>523-527</pages><issn>0028-0836</issn><eissn>1476-4687</eissn><coden>NATUAS</coden><abstract>ICOS ligand expression by bystander B cells is shown to induce pseudopod extension and migration of CXCR5-expressing T-helper cells into B-cell follicles, where they provide help to cognate B cells for germinal centre development.
T-helper cell recruitment by ICOS
The molecule called ICOS — or inducible T-cell costimulator — is known to be important for the formation of the germinal centres, specialized tissue structures in the lymphoid system that host maturing antibodies. This study shows that ICOS recruits T lymphocytes into the follicle tissue in which germinal centres develop. ICOS ligand expression by bystander B cells induces pseudopod extension and migration of CXCR5-expressing helper T cells into the B cell follicles, where they promote B cells for differentiation into antibody-secreting plasma cells and memory B cells. This work helps to explain why patients lacking ICOS have difficulties making antibodies and suggests new avenues for vaccine design.
Germinal centres support antibody affinity maturation and memory formation
1
. Follicular T-helper cells promote proliferation and differentiation of antigen-specific B cells inside the follicle
2
,
3
. A genetic deficiency in the inducible co-stimulator (ICOS), a classic CD28 family co-stimulatory molecule highly expressed by follicular T-helper cells, causes profound germinal centre defects
4
,
5
, leading to the view that ICOS specifically co-stimulates the follicular T-helper cell differentiation program
2
,
6
,
7
. Here we show that ICOS directly controls follicular recruitment of activated T-helper cells in mice. This effect is independent from ICOS ligand (ICOSL)-mediated co-stimulation provided by antigen-presenting dendritic cells or cognate B cells, and does not rely on Bcl6-mediated programming as an intermediate step. Instead, it requires ICOSL expression by follicular bystander B cells, which do not present cognate antigen to T-helper cells but collectively form an ICOS-engaging field. Dynamic imaging reveals ICOS engagement drives coordinated pseudopod formation and promotes persistent T-cell migration at the border between the T-cell zone and the B-cell follicle
in vivo
. When follicular bystander B cells cannot express ICOSL, otherwise competent T-helper cells fail to develop into follicular T-helper cells normally, and fail to promote optimal germinal centre responses. These results demonstrate a co-stimulation-independent function of ICOS, uncover a key role for bystander B cells in promoting the development of follicular T-helper cells, and reveal unsuspected sophistication in dynamic T-cell positioning
in vivo
.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>23619696</pmid><doi>10.1038/nature12058</doi><tpages>5</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0028-0836 |
ispartof | Nature (London), 2013-04, Vol.496 (7446), p.523-527 |
issn | 0028-0836 1476-4687 |
language | eng |
recordid | cdi_proquest_miscellaneous_1346581229 |
source | Nature |
subjects | 631/250/1619/554/1898/1270 631/250/2152/2153/1982 631/250/2503 631/80/84/1372 Animals B cells B-Lymphocytes - immunology B-Lymphocytes - metabolism Bystander Effect - immunology Cell Movement DNA-Binding Proteins - metabolism Genetic aspects Genotype Germinal Center - cytology Germinal Center - immunology Humanities and Social Sciences Immune system Immunization Immunology Inducible T-Cell Co-Stimulator Ligand - metabolism Inducible T-Cell Co-Stimulator Protein - metabolism letter Lymphocyte Activation Lymphocytes Mice Motility multidisciplinary Physiological aspects Proteins Proto-Oncogene Proteins c-bcl-6 Pseudopodia - metabolism Receptors, CXCR5 Recruitment Science T cell receptors T cells T-Lymphocytes, Helper-Inducer - cytology T-Lymphocytes, Helper-Inducer - immunology |
title | Follicular T-helper cell recruitment governed by bystander B cells and ICOS-driven motility |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T12%3A49%3A51IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Follicular%20T-helper%20cell%20recruitment%20governed%20by%20bystander%20B%20cells%20and%20ICOS-driven%20motility&rft.jtitle=Nature%20(London)&rft.au=Xu,%20Heping&rft.date=2013-04-25&rft.volume=496&rft.issue=7446&rft.spage=523&rft.epage=527&rft.pages=523-527&rft.issn=0028-0836&rft.eissn=1476-4687&rft.coden=NATUAS&rft_id=info:doi/10.1038/nature12058&rft_dat=%3Cgale_proqu%3EA329182555%3C/gale_proqu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c556t-fd5e603b5e071234012dba0a2cdc4d2e9e945a1caa407c7015142cb2cf36e7ea3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1350966936&rft_id=info:pmid/23619696&rft_galeid=A329182555&rfr_iscdi=true |