The development of follicular helper T cells (TFH cells) is initiated when T cells migrate into the B cell follicle as they upregulate expression of the chemokine receptor CXCR5. In Nature, Dong and colleagues show that the helix-loop-helix factor Ascl2 initiates TFH cell development. Ascl2 expression in TFH cells is dependent on Wnt agonists but is independent of transcription factors known to regulate TFH cell development, such as Bcl-6, Batf and STAT5. Ascl2 induces Cxcr5 expression by directly binding to E-boxes in the Cxcr5 promoter and represses genes related to the TH1, TH2 and TH17 subsets of helper T cells through a transcriptional profile distinct from that of Maf, Batf and IRF4, which are required for TFH differentiation. Acute deletion of Ascl2 in vivo leads to total impairment of TFH cell development and germinal center response in mice. In addition, the E-protein inhibitor Id3 inhibits Ascl2 function and the generation of TFH cells, which suggests that E-box proteins control TFH differentiation.

Nature (19 January 2014) doi:10.1038/nature12910