Pepper, MarionArroyo, Enidza Nicole2019-10-152019-10-152019-10-152019Arroyo_washington_0250E_20704.pdfhttp://hdl.handle.net/1773/44832Thesis (Ph.D.)--University of Washington, 2019CD4+ T follicular helper (Tfh) cells dominate the acute response to a blood- stage Plasmodium infection and provide signals to direct B cell differentiation and protective antibody expression. We studied antigen-specific CD4+ Tfh cells responding to Plasmodium infection in order to understand the generation and maintenance of the Tfh response. We discovered that a dominant, phenotypically stable, CXCR5+ Tfh population emerges within the first four days of infection and results in a CXCR5+ CCR7+ Tfh/central memory T cell response that persists well after parasite clearance. We also found that CD4+ T cell priming by B cells was both necessary and sufficient to generate this Tfh-dominant response, whereas priming by conventional dendritic cells was dispensable. This study provides important insights into the development of CD4+ Tfh cells during Plasmodium infection and highlights the heterogeneity of antigen-presenting cells involved in CD4+ T cell priming.application/pdfen-USnonememory T cellsPlasmodiumT cell primingT follicular helper cellsImmunologyImmunologyB cells, not dendritic cells, prime the dominant CD4+ Tfh response to Plasmodium infectionThesis