Human Vγ9Vδ2-T Cells Synergize CD4+ T Follicular Helper Cells to Produce Influenza Virus-Specific Antibody

Human Vγ9Vδ2-T cells recognize nonpeptidic antigens and exert effector functions against microorganisms and tumors, but little is known about their roles in humoral immune response against influenza virus infection. Herein, in the coculture of autologous human B cells, dendritic cells and/or naïve CD4 T cells, and Vγ9Vδ2-T cells, we demonstrated that Vγ9Vδ2-T cells could facilitate H9N2 influenza virus-specific IgG and IgM productions in a CD4 T cell-dependent manner. Vγ9Vδ2-T cells promoted the differentiation of CXCR5+PD1+CD4+ T follicular helper (Tfh) cells, CD19+IgD−CD38++ plasma cells (PCs), and drove B cell proliferation as well as immunoglobulin class switching. Interestingly, Vγ9Vδ2-T cells acquired Tfh-associated molecules such as CXCR5, PD1, CD40L, and ICOS during influenza virus stimulation, especially in the presence of CD4 T cells. Moreover, Vγ9Vδ2-T cells promoted CD4 T cells to secrete IL-13 and IL-21, and neutralizing IL-13 and IL-21 significantly reduced the number of CD19+IgD−CD38++ PCs. Using humanized mice, we further demonstrated that Vγ9Vδ2-T cells could synergize CD4 T cells to produce influenza virus-specific antibody. Our findings provide a greater scope for Vγ9Vδ2-T cells in adaptive immunity, especially for the Tfh development and humoral immune responses against influenza virus infection.

inTrODUcTiOn Influenza virus continues to threaten global human health with significant morbidity and mortality. Induction of influenza virus-specific neutralizing antibodies (Abs) by vaccines is the most efficient strategy, because the neutralizing Abs can conjugate virus particles at the first contact of their invasion and promote clearance by host cells (1,2). To generate Abs with high affinity and pathogen-neutralization ability, naïve B cells are activated and divide in response to cognate antigen and subsequently undergo rounds of somatic hypermutation and selection (3). This process is tightly regulated by T follicular helper (Tfh) cells, which are the specialized subset of CD4 T cells providing help to B cells (4,5). Tfh cells are characterized by expressing the surface molecules CXCR5, PD1, ICOS, and CD40 ligand (CD40L), the cytokine IL-21, and the transcription factor Bcl-6 that directs Tfh lineage commitment (6). These molecules are important for Tfh cell development, migration, and function (7). Tfh cell differentiation starts when naïve CD4 + T cells meet with dendritic cells (DCs), and these activated CD4 + T cells upregulate CXCR5 expression and become early precursors of Tfh cells. B cells are required as a second stage of antigenpresenting cells (APCs)-CD4 + T cell conjugation to maintain and complete Tfh differentiation. Fully polarized Tfh cells are located within germinal center (GC) and have high expression of CXCR5 and Bcl-6 (8,9).
Vγ9Vδ2-T cells constitute 1-5% of circulating T cells in human peripheral blood and they can be expanded rapidly in response to microbes that produce the metabolite pyrophosphate (10,11). Although Vγ9Vδ2-T cells only constitute a small proportion of human immune cells, their broad antiviral and antitumor activities have been well demonstrated (12,13). Moreover, human Vγ9Vδ2-T cells are also capable of regulating adaptive immune response through antigen presentation or signal transduction by soluble factors or membrane-attached molecules (14,15). However, the role of Vγ9Vδ2-T cells in the humoral response against influenza virus infection remains unknown.
In mice, production of class-switched Abs, especially IgG1 and IgE can be efficiently generated in TCRα −/− mice. Well-developed GCs are also present in the secondary lymphoid organs of TCRα −/− and TCRβ −/− mice (16,17), indicating that γδ T cells may participate in antibody production. More recently, the deficiency in certain γδ T cell subsets was found to alter antibody production and shape peripheral B cell populations in non-immunized mice (18,19). However, γδ T cell-deficient mice did not show marked defects in antibody production, therefore, γδ T cells may have a modulatory, rather than a dominant role in the control of humoral immunity (20). In human, γδ T cells can be detected in secondary lymphoid tissues such as gastrointestinal lymph nodes and intestinal mucosa-associated follicles, and express costimulatory molecules after TCR triggering, suggesting a role of γδ T cells in the maintenance of humoral immune responses after microbial infections (21). Subsequent studies demonstrated that phosphoantigen and IL-21 significantly induced Vγ9Vδ2-T cells to express Tfh cell-associated molecules such as CXCR5, CD40L, ICOS, OX40, and CD70, and these Vγ9Vδ2-T cells could support B cells to produce large amounts of IgM, IgG, and IgA in vitro cultures (21,22). Although Vγ9Vδ2-T cells have been shown to provide potent B cell help during in vitro antibody production, it is still unknown about their roles in influenza virus-specific antibody production, CD4 + Tfh cell differentiation, and the combinational role of Vγ9Vδ2-T cells and CD4 + Tfh cells in the production of influenza virus-specific antibody.
Plasma cells (PCs) and their precursors play pivotal roles in humoral immune response by secreting antigen-specific immunoglobulin (Ig) (3). In the GCs, B cells undergo an iterative process of proliferation, somatic mutation of their rearranged Ig genes before differentiating into PCs, and Ig isotype switching in B cells has been found to be linked to cell division (23,24). Most aspects of PC differentiation can be effectively recapitulated in vitro in response to Tfh cell-derived stimuli, such as CD40 ligation and cytokines including IL-4, IL-5, IL-10, IL-6, and IL-21 (25)(26)(27)(28). IL-21, IL-4, and IL-13 were demonstrated to promote B cell survival, proliferation, isotype switching, and differentiation into Ig-secreting PCs (29,30). Although IL-13 is a less efficient promoter of B cell growth than IL-4, it can induce the isotype switching of CD40L-actived naïve B cells in a division-linked, time-independent manner (24,31). While much is known about the CD4 + Tfh cell-induced PC differentiation, our understanding about the effect of Vγ9Vδ2-T cells on the PC differentiation and isotype switching during influenza virus infection is still limited.
The aim of our work is to examine the role of Vγ9Vδ2-T cells in antigen-specific antibody production, PC differentiation, as well as B cell Ig isotype switching during influenza virus stimulation, and then applied humanized mice to confirm their effects in vivo. We demonstrated that Vγ9Vδ2-T cells could increase H9N2 influenza virus-specific IgG and IgM productions in a CD4 T cell-dependent manner both in vitro and in vivo. During this process, Vγ9Vδ2-T cells also acquired Tfh-associated features especially in the presence of CD4 T cells, indicating a reciprocal effect between Vγ9Vδ2-T and CD4 T cells in the differentiation of Tfh-like cells.

Flowcytomix assay
To detect the cytokine production in supernatant, the beadbased flowcytomix assay was used according to the manual provided by the manufacturer (BioLegend, LEGENDplex™ USA). The concentration of the cytokines was calculated by extrapolating the mean fluorescence intensity on the respective standard curves and expressed as picogram per milliliter.
Transwell assay 1 × 10 4 DCs/well were seeded at the bottom of 96 well-transwell plate (pore size: 0.3 μm, Millipore). 1 × 10 5 CD19 + B cells and 5 × 10 4 CD4 T cells that have been cultured with UV-H9N2 pulsed DCs were added directly to the bottom wells of the transwell plate. 1 × 10 5 Vγ9Vδ2-T cells were added in the upper chamber or the lower chamber in indicated groups. In some inserts, CD4 T cells were separated from B cells in the upper chamber. The B cells in each group were pulsed with UV-H9N2 influenza viruses (MOI = 2). On the day 6-8 after incubation, the differentiation of PCs and CD4 + Tfh cells were determined by FACS LSR II.

enzyme-linked immunosorbent assay (elisa)
The amounts of total human IgG and IgM Abs in the supernatant were determined by human IgG and IgM ELISA Quantitation Set (Bethyl). For virus-specific IgG and IgM Abs production, 96 well plates were coated with UV-H9N2 influenza viruses in coating buffer (5 × 10 5 virus/well) at 4°C overnight. Supernatant from different groups was added to the blocked plate and incubated for 2 h at 37°C. HRP conjugated human IgG and IgM detection antibody was added to each well for 1 h at 37°C. TMB substrate solution was added to each well. Fifteen minutes later, the reaction was stopped by adding 2 M hydrochloric acid (HCL). Plates were read at 450 nm.
influenza hemagglutination inhibition assay (hai assay) 25 µl PBS was added in 96 well U-bottom plates from the second row to the last row. Supernatant or receptor destroyed enzymetreated serum were added to the first row (50 μl/well) and serially diluted twofold. 4 HAU UV-inactivated H9N2 viruses in 25 µl volume PBS were added to each well. After 30 min incubation in 37°C, 0.05% turkey red blood cells were added to the plates and incubated for 40 min at room temperature. Then, the HAI titers were read and recorded.

generation of humanized Mice in rag2 −/− γc −/− immune Deficient Mice
Vγ9Vδ2-T cell-depleted PBMC, CD4 T cell-depleted PBMC, and both Vγ9Vδ2-T and CD4 T cell-depleted PBMC were obtained after depletion cells by magnetic microbeads (Miltenyi Biotec). 4-to 5-week-old male or female Rag2 −/− γc −/− mice were treated with liposomes (VU Medisch Centrum, Amsterdam, the Netherlands) 1 day before transplantation. The sublethally irradiated mice were transplanted i.p. with 30 × 10 6 PBMC or specific cell-depleted PBMC. The immune reconstitution of humanized mice was according to published paper in our group (13,32,33). Four weeks later, established humanized mice in different groups were vaccinated UV-inactivated H9N2 influenza viruses (10 3 TCID50) through i.p. pathway on day 0 and 7. Serum was collected on day 21 postvaccination, and total IgG, IgM, and virus-specific Abs were determined by ELISA and HAI assay.

ethics statement
Human PBMC were collected from the buffy coats, which were obtained from the Hong Kong Red Cross approved by the Institutional Review Board of the University of Hong Kong/ Hospital Authority Hong Kong West Cluster (IRB number: UW 07-154). All animal studies were approved and performed

Vγ9Vδ2-T cells Facilitated influenza Virus-specific antibody Production
To investigate the role of Vγ9Vδ2-T cells in antibody response against influenza virus, B cells were cocultured with CD4 and/or Vγ9Vδ2-T (γδ T) cells for 7-10 days in the presence of UV-H9N2pulsed DCs, and the total and influenza virus-specific Abs in the supernatants were determined. As shown in Figures 1A,B, CD4 and Vγ9Vδ2-T cells helped B cells produce total IgM and IgG Abs, respectively, but the helper efficiency of Vγ9Vδ2-T cells was lower than that of CD4 T cells. Vγ9Vδ2-T cells could not further enhance the helper capacity of CD4 T cells for B cells to produce total IgM and IgG production. Interestingly, Vγ9Vδ2-T cells showed a synergizing effect with CD4 T cells on inducing H9N2 virus-specific IgG and IgM, although Vγ9Vδ2-T cells alone only had a little effect on virus-specific antibody production (Figures 1C,D).

The numbers of B cells and CD4 T cells were shown in Figures S1A,B in
Supplementary Material. To address if the Tfh-like Vγ9Vδ2-T cells could help B cells directly after activation by CD4 T cell, we culture the naïve CD4 T cells with fresh isolated Vγ9Vδ2-T cells, then, the pre-activated Vγ9Vδ2-T cells were isolated to stimulate B cells producing Abs. We found that the pre-activated Vγ9Vδ2-T alone could not promote H9N2 virus-specific antibody production even when they were cultured with CD4 T cells before (Figures S1C-F in Supplementary Material). The pre-activated Vγ9Vδ2-T cells did not show differences in cytokines secretion such as IL-13, IL-21, and IL-6 compared with fresh Vγ9Vδ2-T cells (Figures S1G-J in Supplementary Material). Our results demonstrated that Vγ9Vδ2-T cells were unable to improve virus-specific antibody productions by themselves, but they could induce total IgG and IgM productions and facilitate virus-specific antibody productions in a CD4 T cell-dependent manner.

Vγ9Vδ2-T cells Promoted cD4 + Tfh cells Differentiation
We further determined whether Vγ9Vδ2-T cells could facilitate CD4 + Tfh cell differentiation during influenza virus stimulation. As shown in Figures 2A,B, Vγ9Vδ2-T cells enhanced Bcl-6 expression in CD4 T cells. Vγ9Vδ2-T cells also increased the frequency and number of CXCR5 + PD1 + CD4 + Tfh cells (Figures 2C-E). These results demonstrated that Vγ9Vδ2-T cells could promote CXCR5 + PD1 + CD4 + Tfh cell differentiation.
In addition, Vγ9Vδ2-T cells increased the number of CD40L + CD4 + T cells ( Figure S2A in Supplementary Material), but they did not alter the expressions of OX40 and ICOS in CD4 T cells (Figures S2B,C in Supplementary Material). Using transwell system, we further found that the number of CXCR5 + PD1 + CD4 + Tfh cells significantly reduced when CD4-and Vγ9Vδ2-T cells were separated ( Figure 2F). These results indicated that cell-cell contact was important for Vγ9Vδ2-T cells to provide "help" to improve CXCR5 + PD1 + CD4 + Tfh cell differentiation.

cD4 T cells Promoted Vγ9Vδ2 Tfh cell Differentiation
To explore whether Vγ9Vδ2-T cells exhibit Tfh feature during the coculture, Tfh cell-associated molecules were examined. As shown in Figures 3A-D, Vγ9Vδ2-T cells acquired Tfh characteristics during the culture with B cells as evidenced by the increase of the frequency of Tfh-like CXCR5 + PD1 + Vγ9Vδ2-T cells and CD40L + Vγ9Vδ2-T cells. CD4 T cells further enhanced the frequency of Tfh-like CXCR5 + PD1 + Vγ9Vδ2-T cells and CD40L + Vγ9Vδ2-T cells during the coculture (Figures 3A-D).

CD4 T cells also increased the expressions of ICOS and CD40 in
Vγ9Vδ2-T cells (Figures 3E-H). These data demonstrated that

Vγ9Vδ2-T cells Promoted Pc Differentiation and B cell ig class switching
To investigate whether Vγ9Vδ2-T cells could promote PC differentiation, CD19 + IgD − CD38 ++ PCs were examined. As shown in Figures 4A-C, Vγ9Vδ2-T cells alone did not support CD19 + IgD − CD38 ++ PC differentiation, but they could synergize CD4 T cells to improve PC differentiation, as indicated by the increase of the frequency and number of CD19 + IgD − CD38 ++ PCs during the coculture with both CD4-and Vγ9Vδ2-T cells compared to that with CD4 T cells alone. The direct contact of Vγ9Vδ2-and CD4 T cells was also required for the PC differentiation as the frequency and number of CD19 + IgD − CD38 ++ PCs significantly reduced when these two cell populations were separated by transwell (Figures 4D,E). We also noted that PC differentiation was inefficient when CD4 T cells and B cells were separated (Figures 4D,E). These results indicated that PC differentiation was CD4 T cells dependent, and Vγ9Vδ2-T cells had a synergi zing effect with CD4 T cells on promoting PC differentiation. Before differentiating into PCs, activated B cells will undergo a strong proliferative burst, in which the proportion of cells that undergo isotype switching increases with division number (24,(34)(35)(36)(37)(38). We noted that the proportion and number of Ki67 + IgG + CD19 + B cells significantly increased in the presence of both CD4 T and Vγ9Vδ2-T cells compared with CD4 T cells alone (Figures 4F,G). Almost all the IgG + B cells also exhibited Ki67, indicating these B cells were undergoing cell division. However, we observed no change of isotype switching to IgA with or without Vγ9Vδ2-T cells (Figures 4F,K,L). Our data indicated that Vγ9Vδ2-T cells could improve the capacity of CD4 T cells to drive B cell proliferation and Ig class switching to IgG (Figures 4F-J).

Vγ9Vδ2-T cells increased Productions of il-13, il-5, il-6, and il-21
To investigate whether Vγ9Vδ2-T cells could induce cytokine release during PC differentiation, cytokine productions in  (Figures 5D,E). However, no changes of IL-13and IL-21-secreting Vγ9Vδ2-T cells were observed after addition of CD4 T cells ( Figures S2G,H in Supplementary Material). These data demonstrated that Vγ9Vδ2-T cells could facilitate CD4 T cells to secrete IL-13 and IL-21. We further investigated the effects of IL-13 or IL-21 on PC differentiation. Blockade of IL-13 by its neutralization Abs significantly reduced the number of CD19 + IgD − CD38 ++ PCs, the frequency of CD19 + Ki67 + IgG + B cells, and the number of PD1 + CXCR5 + CD4 + Tfh cells (Figures 5F,H,J).
Blockade of IL-21 signaling by IL-21R Fc chimera protein also decreased the number of CD19 + IgD − CD38 ++ PCs ( Figure 5G), but had no effect on the frequency of CD19 + Ki67 + IgG + B cells and the number of PD1 + CXCR5 + CD4 + Tfh cells (Figures 5I,K). Anti-IL-13 and anti-IL-21 signaling Abs co-treatment showed similar effect in suppression PC differentiation compared with IL-13 or IL-21 neutralization antibody treatment alone ( Figure  S2J in Supplementary Material). These data indicated both IL-13 and IL-21 were involved in PC differentiation.

Vγ9Vδ2-T cells increased h9n2 Virusspecific igg and igM Productions In Vivo
To further confirm the above results in vivo, humanized mice reconstituted with whole PBMC and certain immune cell-depleted PBMC were generated as we described before (13,32). The humanized mice were immunized with UVinactivated H9N2 virus, and serum total and antigen-specific Abs were detected. As shown in Figures 6A,B, serum total IgM and IgG levels in CD4/Vγ9Vδ2 T cell-deficient humanized mice were significantly lower than that in CD4 T cell-deficient humanized mice. By contrast, the serum total IgM and IgG showed no significant decrease in Vγ9Vδ2 T cell-deficient humanized mice compared with that in humanized mice reconstituted with whole PBMC. Compared with total IgG and IgM, similar results were also found for serum H9N2 virus-specific IgM, IgG, and HAI titers in humanized mice (Figures 6C-E). However, different from total Abs, serum virus-specific IgM and IgG and HAI titers in Vγ9Vδ2 T cell-deficient humanized mice were significantly reduced compared with that in humanized mice reconstituted with whole PBMC (Figures 6C-E). Therefore, our data demonstrated in humanized mice that even Vγ9Vδ2-T cells were unable to improve virus-specific antibody productions by themselves, they could induce total IgG and IgM production and facilitate virus-specific antibody productions in a CD4 T celldependent manner.
To identify whether CD4 T cells, B cells, and γδ-T cells directly contact in vivo, we stained and visualized these cells on a single paraffin-embedded slide of the spleen from humanized mice reconstituted with whole PBMC. The double staining showed the localizations of human CD4 + -CD20 + , CD4 + -γδ-TCR + , and CD20 + -γδ-TCR + cells (Figure 6F), which verified the direct contact of these cells in spleen of humanized mice.

DiscUssiOn
In this study, we demonstrated that Vγ9Vδ2-T cells could increase H9N2 influenza virus-specific IgG and IgM productions in a CD4 T cell dependent manner in vitro. Furthermore, using humanized mice, we confirmed that Vγ9Vδ2-T cells could facilitate influenza virus-specific Abs production in a CD4 T cell dependent manner in vivo. This, to the best of our knowledge, is the first report to show that human γδ-T cells could facilitate antigen-specific antibody production, PC differentiation, as well as Ig isotype switching. We further found that Vγ9Vδ2-T cells FigUre 5 | Vγ9Vδ2-T cells increased productions of IL-13, IL-5, IL-6, and IL-21. Naïve CD4 T cells were cultured with UV-H9N2 virus-pulsed dendritic cells for 4-5 days, then, the activated CD4 T cells were cultured with CD19 + B cells from same donor with or without Vγ9Vδ2-T cells for another 7-10 days. Supernatant in different groups were collected on day 5 and were detected by Cytometric Bead Array. Data showed the productions of IL-13 (a), IL-5 (B), and IL-6 (c). (D,e) Intracellular IL-13 and IL-21 in CD4 T cells were detected on day 5 by stimulating cells with PMA, inomycin, and BFA within the last 6 h. FACS data represent four to six independent experiments. (F-K) IL-13 neutralizing antibody or IL-21 receptor Fc fusion protein and their controls were added into each group, the number of CD19 + IgD − CD38 ++ plasma cells (F,g), the frequency of CD19 + Ki67 + IgG + B cells (h,i), and the number of PD1 + CXCR5 + CD4 + T follicular helper cells (J,K) were detected on days 6, 3, and 5, respectively. Each dot means one donor. The data shown are the mean ± SEM. *p < 0.05; **p < 0.01. NS, no significant difference. It is well accepted that Tfh cell differentiation is a multistep process including initial activation by DCs within the T cell zone, and followed by conjugations with B cells at the T-B border or within the follicle (6,39). Previous in vivo study had shown that the interaction between T and B cells is crucial for Tfh cell differentiation and other non-B cells with antigenpresenting ability could also replace B cells to help CD4 + Tfh cell differentiation (40). Vγ9Vδ2-T cells have an unexpected role in the initiation of the adaptive immune process, as they display characteristics of professional APCs that efficiently process and present antigens to naïve αβ T cells (41). Here, we found that cell-cell contact between CD4 T and Vγ9Vδ2-T cells was crucial for CD4 + Tfh cell generation, and Vγ9Vδ2-T cells exhibited high CD86, CD80, and MHCII expression during influenza virus stimulation in vitro (data not shown here). In the spleen of humanized mice reconstituted with whole PBMCs, we further observed the co-localization of CD20 + B cells, CD4 T cells, and Vγ9Vδ2-T cells. Thus, we believe that these APClike Vγ9Vδ2-T cells present antigen to CD4 cells and support CD4 + Tfh cell differentiation as well as proliferation in a cell-cell contact-dependent manner. Previous in vitro studies have shown that human IL-6, IL-12, and IL-21 are involved in promoting the commitment of naïve CD4 + T cells into the Tfh lineage (9,42,43). Both human IL-6 and IL-12 have been demonstrated to induce IL-21 production in human studies (42). More recently, it was reported that human IL-21 was important for Vγ9Vδ2-T cells to acquire Tfhassociated features (22,44). However, whether Vγ9Vδ2-T cells contribute to these cytokines production remains unknown. In this study, we found that Vγ9Vδ2-T cells could further increase the productions of IL-6, IL-21, and IL-13. Besides IL-6 and IL-21 that have been shown to promote Tfh cell differentiation (27), we demonstrated that IL-13 was also involved in inducing and polarizing the differentiations of both Tfh-like Vγ9Vδ2-T and CD4 + Tfh cells. Furthermore, our study showed at the first time that Vγ9Vδ2-and CD4 T cells could help each other to differentiate into Tfh cells, indicating a reciprocal effect between Vγ9Vδ2-T and CD4 T cells in the differentiation of Tfh-like cells.
Upon exposure to appropriate stimuli, B cells will undergo an iterative process of proliferation, somatic mutation of rearranged Ig genes. Some fraction of these proliferating B cells will secrete Abs and are referred to as plasmablasts (45)(46)(47). Both ligation of CD40 and a second helper signal provided by cytokines have been demonstrated to induce B cells isotype switching and proliferation in response to T cell-dependent signals (24). However, whether Vγ9Vδ2-T cells participate in B cell division and PC differentiation is still unknown. In this study, we identified a greater degree of proliferation of B cells in the presence of both CD4 T and Vγ9Vδ2-T cells, and almost all the proliferating Ki67 + B cells expressed IgG, indicating that the IgG + B cells had undergone the greatest number of division. Here, we also noted significantly upregulated IL-13 in the presence of both CD4 T cells and Vγ9Vδ2-T cells compared with CD4 T cells alone. Like IL-4, IL-13 was found to be secreted by CD4 + Tfh cells and responsible for B cell proliferation and total IgM, IgG1 antibody production (30,48,49). In support of this, we showed that blocking IL-13 significantly reduced the frequency of CD19 + Ki67 + IgG + cells and the number of CD19 + IgD − CD38 ++ PCs. Therefore, for the first time, here we demonstrated that Vγ9Vδ2-T cells enabled CD4 T cells to secret more IL-13, and subsequently promoted B cells to entry into cell division, isotype switching, and differentiate into a rapidly dividing IgG-secreting cells.
B cells can process and present antigen in association with MHC class II molecules, thereby recruiting antigen-specific CD4 T cell help and stimulating B cell proliferation and differentiation (50,51). Thus, generation of antigen-specific antibody requires cooperation between antigen-specific T and B lymphocytes. Structure analysis of γδ TCR showed several Ig-like characteristics. The Ig-like features of γδ TCR indicated that these cells could interact with naïve compounds, not with MHCrelated antigens (52,53). Indeed, here we showed a reciprocal effect of Vγ9Vδ2-T cells and CD4 T cells on enhancing humoral response against influenza virus stimulation, but Vγ9Vδ2-T cell alone could not support antigen-specific antibody production. Therefore, we believe that Vγ9Vδ2-T cells provide general help to B cells and CD4 + Tfh cells, and then enhance humoral immune responses, while MHC-restricted CD4 T cells drive antigen specificity by regulating affinity maturation and clone selection.
In conclusion, our study demonstrated that human γδ-T cells could facilitate influenza virus-specific antibody production, PC differentiation, as well as Ig isotype switching. This study gives a greater scope for Vγ9Vδ2-T cells in adaptive immunity, especially for the Tfh development and humoral immune responses.

eThics sTaTeMenT
Human PBMC were collected from the buffy coats, which were obtained from the Hong Kong Red Cross approved by the Institutional Review Board of the University of Hong Kong/ Hospital Authority Hong Kong West Cluster (IRB number: UW 07-154). All animal studies were approved and performed in compliance with the guidelines for the use of experimental animals by the Committee on the Use of Live Animals in the Teaching and Research (CULATR), the University of Hong Kong (CULATR number: 2986-13).     (i) The number of PD1 + CXCR5 + Vγ9Vδ2-T cells was recorded after adding IL-13 neutralization antibody on day 5. (J) The number of CD19 + IgD − CD38 ++ plasma cells was recorded after adding IL-13 or IL-21 neutralization antibodies or both of them on day 6. *p < 0.05; **p < 0.01. NS, no significant difference.