Figure 1.
The cytokine environment regulates the Tfh/Th1 balance. Top panel: Upon prolonged or inflammatory viral replication, IFN-α production inducesIL-6 secretion by dendritic cells, which promotes Tfh differentiation through Bcl-6induction. Tfh cells then produce IL-21, which provides help to maturing B cells. Bottom panel: Transient and non-cytopathic viral replication induces limited IFN-αproduction but still causes DC maturation with IL-12 production, which promotes Th1differentiation via T-bet induction. IL-2 also plays a key role in Th1 differentiation by inducing Blimp-1 and inhibiting Tfh differentiation. Reciprocally, IL-6 inhibits Th1differentiation, in part through downregulation of the IL-2 receptor.