In vitro induction of features of Tfh cells in human naive CD4+ T cells. Naive CD4+ T cells were isolated from peripheral blood of healthy donors, and then cultured with T cell activation and expansion (TAE) beads alone (Th0) or under Th1 (+IL-12), Th2 (+IL-4), or Th17 (+TGF-β, IL-1β, IL-6, IL-21, IL-23, and PGE2) conditions for 5 d. After this time, the cells were harvested and analyzed for (A) production of IFN-γ, IL-5/IL-13, IL-17A/IL-17F, and IL-21 by intracellular staining or cytometric bead array (CBA; mean ± SEM; n = 8–17); and (B and C) expression of TBX21/Tbet, GATA3, RORC/Rorγt, or BCL6 by qPCR (B) or flow cytometry (C). The graphs in B correspond to the fold change (mean ± SEM; n = 10–17) in expression of the indicated transcription factor relative to Th0 culture. Histograms depicted in C are representative of three to five independent experiments. (D) Coexpression of IL-21 and IFN-γ by Th0- or Th1-stimulated human naive CD4+ T cells was determined by intracellular staining and flow cytometry. The graphs depicts the mean ± SEM of cytokine-expressing cells derived from nine different experiments. *, P < 0.05; **, P < 0.01; ***, P < 0.001; ****, P < 0.0001, compared with Th0 (ANOVA).