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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2021.749325</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Interferon-&#x3bb; Improves the Efficacy of Intranasally or Rectally Administered Influenza Subunit Vaccines by a Thymic Stromal Lymphopoietin-Dependent Mechanism</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Ye</surname>
<given-names>Liang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/578453"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schnepf</surname>
<given-names>Daniel</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1350160"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ohnemus</surname>
<given-names>Annette</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ong</surname>
<given-names>Li Ching</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gad</surname>
<given-names>Hans Henrik</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hartmann</surname>
<given-names>Rune</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lycke</surname>
<given-names>Nils</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/21164"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Staeheli</surname>
<given-names>Peter</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/18745"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Immunology, International Cancer Center, Shenzhen University Health Science Center</institution>, <addr-line>Shenzhen</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Institute of Virology, Medical Center University of Freiburg</institution>, <addr-line>Freiburg</addr-line>, <country>Germany</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Microbiology and Immunology, University of Gothenburg</institution>, <addr-line>Gothenburg</addr-line>, <country>Sweden</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Molecular Biology and Genetics, Aarhus University</institution>, <addr-line>Aarhus</addr-line>, <country>Denmark</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Achille Broggi, INSERM U1104 Centre d&#x2019;immunologie de Marseille-Luminy (CIML), France</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Emily A. Hemann, The Ohio State University, United States; Sergei Kotenko, Rutgers, The State University of New Jersey, United States; Mehdi Benamar, Harvard Medical School, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Peter Staeheli, <email xlink:href="mailto:peter.staeheli@uniklinik-freiburg.de">peter.staeheli@uniklinik-freiburg.de</email>; Liang Ye, <email xlink:href="mailto:liangyeszu@163.com">liangyeszu@163.com</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Cytokines and Soluble Mediators in Immunity, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>29</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>749325</elocation-id>
<history>
<date date-type="received">
<day>29</day>
<month>07</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>13</day>
<month>09</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Ye, Schnepf, Ohnemus, Ong, Gad, Hartmann, Lycke and Staeheli</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Ye, Schnepf, Ohnemus, Ong, Gad, Hartmann, Lycke and Staeheli</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Previous work showed that interferon-&#x3bb; (IFN-&#x3bb;) can trigger the synthesis of thymic stromal lymphopoietin (TSLP) by specialized epithelial cells in the upper airways of mice, thereby improving the performance of intranasally administered influenza vaccines. Here we demonstrate that protein-only influenza vaccines containing either IFN-&#x3bb; or TSLP boosted antigen-specific IgG1 and IgA responses and enhanced the resistance of mice to influenza virus challenge, irrespective of whether the vaccines were applied <italic>via</italic> the intranasal or the rectal route. TSLP receptor deficiency negatively influenced vaccine-induced antiviral immunity by impairing the migration of dendritic cells from the airways to the draining lymph nodes of immunized mice, thereby restraining follicular helper T cell and germinal center B cell responses. As previously observed during intranasal vaccination, the adjuvant effect of IFN-&#x3bb; on a rectally administered influenza vaccine was no longer observed when TSLP receptor-deficient mice were used for immunization, highlighting the central role of the IFN-&#x3bb;/TSLP axis for vaccine-induced antiviral immunity in the mucosa.</p>
</abstract>
<kwd-group>
<kwd>interferon-&#x3bb;</kwd>
<kwd>TSLP pathway</kwd>
<kwd>influenza a virus</kwd>
<kwd>mucosa</kwd>
<kwd>intestinal immunity </kwd>
</kwd-group>
<counts>
<fig-count count="4"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="39"/>
<page-count count="9"/>
<word-count count="4815"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Influenza viruses cause severe respiratory disease in humans, resulting in approximately 300,000 deaths each year worldwide (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). Vaccination with subunit vaccines can ameliorate influenza virus-induced disease, but vaccine responses are usually weak in the most vulnerable population, including the elderly (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>). This problem might be solved in the near future by supplementing viral subunit vaccines with adjuvants that promote robust immune responses (<xref ref-type="bibr" rid="B5">5</xref>). Delivering viral subunit vaccines by intranasal or rectal routes that specifically trigger mucosal immune responses might further enhance the potency of influenza vaccines (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B6">6</xref>).</p>
<p>Thymic stromal lymphopoietin (TSLP) is a cytokine of the interleukin-7 (IL-7) family that is predominantly produced by epithelial cells in mucosal tissues (<xref ref-type="bibr" rid="B7">7</xref>). TSLP signals through a heterodimeric receptor complex composed of the TSLP receptor (TSLPR) and the IL-7 receptor &#x3b1;-chain (IL-7R&#x3b1;) in humans and mice (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>). TSLP acts by binding to TSLPR expressed on immune cells, including dendritic cells (DCs), T cells and B cells (<xref ref-type="bibr" rid="B8">8</xref>). TSLP can stimulate the proliferation of B and T cell progenitors (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>). Recent studies indicate that viral infection can induce TSLP expression in upper airway microfold (M) cells, and that expression of TSLP correlates with viral load after influenza virus infection (<xref ref-type="bibr" rid="B11">11</xref>&#x2013;<xref ref-type="bibr" rid="B13">13</xref>). These results suggested that TSLP might play a role in regulating adaptive antiviral immune responses. Indeed, TSLP can enhance antiviral CD8<sup>+</sup> T cell responses by acting on inflammatory and migratory DCs (<xref ref-type="bibr" rid="B12">12</xref>). TSLP can also induce human T follicular helper (Tfh) cell differentiation and IgE production by activating DCs to express OX40 ligand (<xref ref-type="bibr" rid="B14">14</xref>).</p>
<p>Dysregulated production of TSLP can result in disease. For example, overproduction of TSLP in the skin is associated with atopic dermatitis, contact allergy and lupus skin lesions in humans (<xref ref-type="bibr" rid="B15">15</xref>). TSLP-specific antibodies are used to ameliorate disease in asthma patients (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>). TSLP can initiate allergic airway inflammation in mice (<xref ref-type="bibr" rid="B18">18</xref>). Overproduction of TSLP can also be protective, suppressing breast cancer development and preventing pancreatic cancer in mice by a mechanism that involves CD4 T cells (<xref ref-type="bibr" rid="B19">19</xref>).</p>
<p>TSLP can exert adjuvant activity on protein vaccines (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>). TSLP was shown to boost production of antigen-specific systemic IgG and mucosal IgA in mice immunized by the intranasal route with HIV glycoprotein gp140 (<xref ref-type="bibr" rid="B20">20</xref>). Mice lacking functional TSLPR showed diminished antigen-specific IgA responses after intranasal immunization with a pneumococcal surface protein (<xref ref-type="bibr" rid="B21">21</xref>). We demonstrated that TSLP can boost antibody production and T cell responses, and we showed that TSLP is the crucial factor that mediates the strong adjuvant activity of IFN-&#x3bb; on mucosal influenza vaccines (<xref ref-type="bibr" rid="B13">13</xref>). IFN-&#x3bb; stimulated the migration of CD103<sup>+</sup> DCs to draining lymph nodes in the mouse model, stimulating the germinal center reaction and enhancing vaccine-specific systemic IgG1 and mucosal IgA levels, which resulted in efficient protection from influenza virus challenge and strongly reduced transmission of virus to naive contact animals (<xref ref-type="bibr" rid="B13">13</xref>). No such vaccine adjuvant activity of IFN-&#x3bb; was observed in <italic>Tslpr<sup>-/-</sup>
</italic> mice (<xref ref-type="bibr" rid="B13">13</xref>), demonstrating that endogenous TSLP signaling determines the immunity-enhancing effect of IFN-&#x3bb;.</p>
<p>IFN-&#x3bb; can regulate antiviral immunity mediated by CD8<sup>+</sup> T cells (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>). CD8<sup>+</sup> T cell responses were blunted in mice lacking a functional IFN-&#x3bb; system, facilitating reinfection with influenza A viruses (<xref ref-type="bibr" rid="B22">22</xref>). This protective effect was due to IFN-&#x3bb; acting directly on migratory dendritic cells (<xref ref-type="bibr" rid="B22">22</xref>). Infection with a live-attenuated influenza virus that strongly boosts the production of endogenous IFN triggered robust CD8<sup>+</sup> T cell responses in wild-type but not <italic>Tslpr<sup>-/-</sup>
</italic> mice (<xref ref-type="bibr" rid="B13">13</xref>), suggesting that the IFN-&#x3bb;/TSLP axis is also regulating cytotoxic T cell responses after viral insults of the respiratory tract.</p>
<p>Although the IFN-&#x3bb;/TSLP axis might be employed to improve the efficacy of existing influenza vaccines, current evidence that the TSLP system is of crucial importance for vaccine-induced protective immunity is quite limited. In this study, we demonstrate that recombinant TSLP exhibited strong adjuvant activity on various intranasal influenza vaccines. Immunization of <italic>Tslpr<sup>-/-</sup>
</italic> mice with influenza subunit vaccines did not result in robust protection against challenge with virulent influenza virus. This lack of protection was associated with low numbers of CD103<sup>+</sup> DCs in draining lymph nodes of immunized mice, low numbers of T follicular helper (Tfh) cells and poor vaccine-induced germinal center B cell responses. Interestingly, IFN-&#x3bb; or TSLP alone also improved the performance of influenza vaccines applied by the rectal route. TSLP signaling was essential for the enhancing effect of IFN-&#x3bb; on rectally administered influenza vaccines, illustrating the importance of the IFN-&#x3bb;/TSLP axis for mucosal protective immunity in general.</p>
</sec>
<sec id="s2" sec-type="results">
<title>Results</title>
<sec id="s2_1">
<title>TSLP Enhances Vaccine-Induced Immunity Against Influenza A Virus-Induced Disease</title>
<p>We previously showed that TSLP can boost influenza vaccine-induced serum IgG1 titers in mice (<xref ref-type="bibr" rid="B13">13</xref>), but it remained unclear whether enhanced antibody titers in TSLP-treated mice would provide better protection from influenza virus-induced disease. To address this issue, we first performed intranasal immunizations of WT mice with Influsplit Tetra<sup>&#xae;</sup> (designated HA vaccine in this study), a commercial influenza vaccine that contains particle-derived hemagglutinin (HA) of four different seasonal influenza viruses as its main component. One group of animals was immunized with non-supplemented HA vaccine, whereas the other group received HA vaccine supplemented with 1 &#xb5;g TSLP. After three booster immunizations, all animals were infected with a lethal dose of influenza A virus strain PR8/34. Under these conditions, mice immunized with the non-supplemented HA vaccine started to lose weight on day 6 post-infection, and 80% of the animals had to be euthanized between day 8 and day 9 (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). In contrast, weight loss of mice immunized with the TSLP-supplemented HA vaccine was minimal and all animals survived the challenge infection (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>TSLP boosts efficacy of influenza vaccines administered by the intranasal route. <bold>(A)</bold> B6-WT mice (n = 5-6 per group) were immunized by intranasal application of the Influsplit Tetra<sup>&#xae;</sup> vaccine (HA) in the presence or absence of 1 &#x3bc;g TSLP. Three weeks after the third booster immunization, mice were challenged with 3&#xd7;10<sup>3</sup> PFU of influenza A virus PR8 strain. Weight loss and survival were monitored daily for 14 days. <bold>(B)</bold> B6-WT mice (n = 5-7 per group) were intranasally immunized with the CTA1-3M2e-DD (M2e) vaccine in the presence or absence of 1 &#x3bc;g TSLP. Five weeks after a single booster immunization, mice were challenged with 50 PFU of influenza A virus PR8 strain. Weight loss and survival were monitored daily for 14 days. Mice were sacrificed as soon as they lost 25% of their original body weight. Data are shown as mean &#xb1; SD. *P &lt; 0.05, ***P &lt; 0.001, by log-rank test. Data are representative of two independent experiments.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-749325-g001.tif"/>
</fig>
<p>A similar picture emerged when WT mice were immunized with CTA1-3M2e-DD, a fusion protein that contains the highly conserved ectodomain of the influenza A virus M2 protein (designated M2e vaccine in this study) (<xref ref-type="bibr" rid="B24">24</xref>). Mice immunized twice with TSLP-supplemented M2e vaccine by the intranasal route lost substantially less weight after infection with PR8/34 than control mice immunized with plain M2e vaccine (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). The majority of mice immunized with the TSLP-containing M2e vaccine survived the challenge infection whereas all control animals had to be euthanized due to severe symptoms and massive weight loss (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). Taken together, these results demonstrated that TSLP enhances protective antiviral immunity induced by influenza subunit vaccines applied by the intranasal route.</p>
</sec>
<sec id="s2_2">
<title>Vaccine-Induced Influenza Immunity Is Strongly Reduced in <italic>Tslpr</italic>
<sup>-/-</sup> Mice</title>
<p>Our previous work showed that IFN-&#x3bb; is unable to boost influenza vaccine-induced IgG1 and IgA levels in <italic>Tslpr<sup>-/-</sup>
</italic> mice (<xref ref-type="bibr" rid="B13">13</xref>), but it remained unclear whether <italic>Tslpr<sup>-/-</sup>
</italic> mice would still profit from IFN-&#x3bb;-adjuvanted vaccines. To answer this question, we immunized WT and <italic>Tslpr<sup>-/-</sup>
</italic> mice with the HA vaccine by the intranasal route. Four cycles of immunization were performed using either plain vaccine or vaccine supplemented with 1 &#xb5;g IFN-&#x3bb;. After infection with influenza A virus strain PR8/34, we observed a rapid weight loss in WT and <italic>Tslpr<sup>-/-</sup>
</italic> mice immunized with the non-adjuvanted HA vaccine, and most of these mice had to be killed for animal welfare reasons before day 10 post-infection (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). As expected, weight loss in WT mice immunized with the HA vaccine supplemented with IFN-&#x3bb; was minimal, and all animals survived the challenge infection (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). In contrast, all <italic>Tslpr<sup>-/-</sup>
</italic> mice that were immunized with the IFN-&#x3bb;-supplemented HA vaccine showed rapid weight loss after influenza virus challenge, and these mice had to be euthanized within 8-9 days post-infection (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). Control experiments with na&#xef;ve mice demonstrated that WT and <italic>Tslpr<sup>-/-</sup>
</italic> mice exhibit similar intrinsic resistance to infection with PR8 (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure&#xa0;1</bold>
</xref>). Since previous work had shown that WT and <italic>Tslpr<sup>-/-</sup>
</italic> mice display similar antibody responses after intranasal immunization with non-adjuvanted or type I IFN-adjuvanted vaccines (<xref ref-type="bibr" rid="B25">25</xref>), these findings collectively demonstrate that functional TSLP receptors are specifically required for optimal efficacy of IFN-&#x3bb;-adjuvanted mucosal vaccines.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>TSLP receptor deficiency negatively affects performance of intranasal influenza vaccines. B6-WT (n = 5) and <italic>Tslpr<sup>&#x2013;/&#x2013;</sup>
</italic> (n = 5) mice were intranasally immunized with Influsplit Tetra<sup>&#xae;</sup> vaccine (HA) in the presence or absence of 1 &#x3bc;g IFN-&#x3bb;2. Four weeks after the third booster immunization, mice were infected with 3&#xd7;10<sup>3</sup> PFU of influenza A virus strain PR8/34. Weight loss and survival were monitored daily for 14 days. Mice were sacrificed as soon as they lost 25% of their original body weight. *P &lt; 0.05, **P &lt; 0.01, by log-rank test. Data are representative of two independent experiments and shown as mean &#xb1; SD.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-749325-g002.tif"/>
</fig>
</sec>
<sec id="s2_3">
<title>TSLPR Deficiency Impairs Germinal Center Reaction in Lymph Nodes of Immunized Mice</title>
<p>To better understand the mechanism by which TSLP improves the efficacy of influenza vaccines, we monitored early immunological events by flow cytometry in draining lymph nodes of WT and <italic>Tslpr<sup>-/-</sup>
</italic> mice infected with hvPR8-&#x394;NS1, a live-attenuated influenza A virus that cannot suppress cytokine production of the infected host (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>). We found that draining lymph nodes of <italic>Tslpr<sup>-/-</sup>
</italic> mice contained about 2-fold fewer CD103<sup>+</sup> migratory DCs than WT mice on day 5 post-infection (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). The frequency of CXCR5<sup>+</sup> PD1<sup>+</sup> Tfh cells among the CD19<sup>&#x2212;</sup>CD4<sup>+</sup> CD44<sup>+</sup> cells was also significantly reduced in lymph nodes of <italic>Tslpr<sup>-/-</sup>
</italic> mice on day 10 post-infection compared with WT mice (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). Furthermore, the frequency of FAS<sup>+</sup> GL7<sup>+</sup> germinal center B cells among live CD4<sup>-</sup>B220<sup>+</sup> cells was about 2-fold lower in lymph nodes of <italic>Tslpr<sup>-/-</sup>
</italic> mice compared with WT mice (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>), and the frequency of IgG1<sup>+</sup> germinal center B cells among live CD4<sup>&#x2212;</sup>B220<sup>+</sup>GL7<sup>+</sup>Fas<sup>+</sup> cells in the lymph nodes was approximately 3-fold reduced (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>). Similar differences between <italic>Tslpr<sup>-/-</sup>
</italic> and WT mice were observed when the frequencies of splenic CD103<sup>+</sup> migratory DCs, Tfh cells and germinal center B&#xa0;cells of hvPR8-&#x394;NS1-infected mice were compared (<xref ref-type="supplementary-material" rid="SF2">
<bold>Supplementary Figure&#xa0;2</bold>
</xref>). Importantly, these populations were not reduced at baseline in lymph nodes and spleens of <italic>Tslpr<sup>-/-</sup>
</italic> mice (<xref ref-type="supplementary-material" rid="SF3">
<bold>Supplementary Figure&#xa0;3</bold>
</xref>). Taken together, these results demonstrated that TSLP promotes the germinal center reaction in lymphoid organs of immunized mice.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>TSLPR deficiency impairs migration of DCs and limits germinal center reaction in draining lymph nodes of mice infected with live-attenuated influenza virus.&#xa0;<bold>(A)</bold> B6-WT (n = 5) and <italic>Tslpr<sup>&#x2013;/&#x2013;</sup>
</italic> mice (n = 5) were intranasally infected with live-attenuated influenza A virus strain hvPR8-&#x394;NS1, and the frequency of CD103<sup>+</sup> DCs among live CD11c<sup>+</sup>MHC-II<sup>+</sup> immune cells were determined at day 5 post-infection. <bold>(B&#x2013;D)</bold> B6-WT (n = 5) and <italic>Tslpr<sup>&#x2013;/&#x2013;</sup>
</italic> mice (n = 5) were intranasally infected with hvPR8-&#x394;NS1. Mice were sacrificed on day 10 post-infection and cells in draining lymph nodes were analyzed by flow cytometry for <bold>(B)</bold> Tfh cells among live CD19<sup>&#x2212;</sup>CD4<sup>+</sup> CD44<sup>+</sup> cells. <bold>(C)</bold> Germinal center B cells among live CD4<sup>-</sup>B220<sup>+</sup> cells or <bold>(D)</bold> IgG1<sup>+</sup> germinal center B cells among live CD4<sup>&#x2212;</sup>B220<sup>+</sup>GL7<sup>+</sup>Fas<sup>+</sup> cells. Each symbol represents the&#xa0;result from an individual animal. **P &lt; 0.01 by unpaired two-tailed Student&#x2019;s t-test. Results are representative of three independent experiments and shown as mean&#xa0;&#xb1; SEM.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-749325-g003.tif"/>
</fig>
</sec>
<sec id="s2_4">
<title>TSLP and IFN-&#x3bb; Can Boost the Efficacy of Rectally Administered Influenza Vaccines</title>
<p>Since IFN-&#x3bb; exhibits strong adjuvant activity on influenza subunit vaccines when immunizations are performed <italic>via</italic> the intranasal but not the intramuscular route (<xref ref-type="bibr" rid="B13">13</xref>), we wondered whether IFN-&#x3bb; might also have adjuvant activity during rectal immunizations. Rectal vaccination is an effective mucosal vaccine delivery route that can provide powerful protective immunity (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B29">29</xref>). By this application route, the vaccine should quickly reach epithelia-rich mucosal surfaces like in the case of intranasal vaccine administration. To evaluate this possibility, we applied either 1 &#xb5;g of plain M2e vaccine or 1 &#xb5;g of M2e vaccine supplemented with 1 &#xb5;g IFN-&#x3bb; to the rectum of WT mice and performed a booster immunization 10 days later. M2e vaccine supplemented with IFN-&#x3bb; induced approximately 5-fold higher total M2e-specific serum IgG levels and mainly boosted the synthesis of M2e-specific IgG1 antibodies (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). Including IFN-&#x3bb; into the rectal vaccine also increased the levels of M2e-specific IgA in BAL fluids (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). A comparable booster effect was observed when TSLP rather than IFN-&#x3bb; was used as vaccine adjuvant (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A, B</bold>
</xref>), demonstrating that both cytokines can exert adjuvant effects at multiple mucosal sites and that rectal immunization results in enhanced antigen-specific IgA levels in the respiratory tract.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>The IFN-&#x3bb;/TSLP axis enhances the efficacy of rectally administered M2e vaccine. <bold>(A&#x2013;C)</bold> B6-WT mice were immunized by the rectal route with CTA1-3M2e-DD (M2e) alone (n = 5), M2e+TSLP (n = 5) or M2e+IFN-&#x3bb; (n = 6). Ten days later, all mice received a booster immunization. M2e-specific antibodies in <bold>(A)</bold> sera and <bold>(B)</bold> BAL fluid on day 10 after booster immunization were measured by ELISA. Each symbol represents an individual animal. Results are representative of three independent experiments and shown as mean &#xb1; SEM. ***P &lt; 0.001 and ****P &lt; 0.0001 by one-way ANOVA with Tukey&#x2019;s multiple-comparison test. NS, no significant difference. <bold>(C)</bold> Groups of immunized mice were challenged with 50 PFU of influenza A virus strain PR8/34. Weight loss and survival were monitored daily for 14 days. Animals were sacrificed when they lost 25% of their original body weight. Data are shown as mean &#xb1; SD. **P &lt; 0.01, by log-rank test. <bold>(D)</bold> B6-WT (n = 7) and <italic>Tslpr<sup>&#x2013;/&#x2013;</sup>
</italic> (n = 7) mice were rectally immunized with the CTA1-3M2e-DD (M2e) vaccine in the presence or absence of 1 &#x3bc;g IFN-&#x3bb;. Ten days later, all mice received a booster immunization and, 24 days later, they were infected with 50 PFU of influenza A virus strain PR8/34 as in <bold>(C)</bold>. ***P &lt; 0.001, by log-rank test. Data are pooled from two independent experiments and shown as mean &#xb1; SD.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-749325-g004.tif"/>
</fig>
<p>To determine whether the elevated M2e-specific antibody levels might confer enhanced protection against influenza A virus infection, we challenged the mice with wild-type PR8/34 virus. Mice immunized rectally with plain M2e vaccine rapidly lost weight and had to be euthanized between days 6 and 7 post-infection (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). In contrast, mice rectally immunized with M2e in the presence of IFN-&#x3bb; or TSLP showed less severe weight loss and most of these animals survived the challenge infection (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>).</p>
<p>To investigate whether the adjuvant activity of IFN-&#x3bb; on rectally administered M2e vaccine was dependent on TSLP as previously described for intranasal applications (<xref ref-type="bibr" rid="B13">13</xref>), we determined whether <italic>Tslpr<sup>-/-</sup>
</italic> mice would benefit from rectal immunization with IFN-&#x3bb;-adjuvanted M2e vaccine. We observed that all immunized <italic>Tslpr<sup>-/-</sup>
</italic> mice succumbed to infection with influenza A virus strain PR8/34, whereas the majority of WT mice immunized with the IFN-&#x3bb;-adjuvanted M2e vaccine survived the infection (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>). Taken together, these results demonstrated that IFN-&#x3bb; and TSLP can improve the performance of rectally administered vaccines, and that the IFN-&#x3bb;/TSLP axis is operative in the airways and the gastrointestinal tract.</p>
</sec>
</sec>
<sec id="s3" sec-type="discussion">
<title>Discussion</title>
<p>Previous work revealed that IFN-&#x3bb; can boost the efficacy of intranasal influenza subunit vaccines <italic>via</italic> an indirect mechanism that involves IFN-&#x3bb;-mediated production of TSLP by specialized epithelial cells in the airways (<xref ref-type="bibr" rid="B13">13</xref>). However, it remained unclear whether the IFN-&#x3bb;/TSLP axis is also operative at other mucosal sites. Here we found that recombinant TSLP can greatly improve the efficacy of intranasal influenza vaccines. Similar immune-enhancing effects of IFN-&#x3bb; and TSLP were observed if an influenza subunit vaccine was delivered to mice <italic>via</italic> the rectal route. Importantly, as in the airways, TSLP signaling was also required for the vaccine adjuvant activity of IFN-&#x3bb; in the intestinal tract, demonstrating that the IFN-&#x3bb;/TSLP axis is operative in both the airways and the gastrointestinal tract. These findings support the view that IFN-&#x3bb; plays a previously overlooked role as regulator of adaptive immunity at mucosal sites (<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B30">30</xref>).</p>
<p>Immune cells show poor responsiveness to IFN-&#x3bb; (<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B31">31</xref>). Thus, to alert the immune system about an ongoing viral attack in the mucosa, IFN-&#x3bb; acts indirectly by using TSLP that can activate a large number of immune cells (<xref ref-type="bibr" rid="B30">30</xref>). TSLP is a potent initiator of type 2 inflammatory immune responses at barrier surfaces that, if not regulated stringently, can result in asthma exacerbation (<xref ref-type="bibr" rid="B18">18</xref>). TSLP has protective activity under certain conditions and can prevent the development of cancer or enhance resistance to viral infections (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B19">19</xref>). Previous work further showed that TSLP has vaccine adjuvant activity (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>). We confirmed these observations and found that TSLP can activate Tfh cells and can stimulate the germinal center B cell response after infection with a live-attenuated virus by promoting the migration of dendritic cells from the mucosal tissue to the draining lymph nodes. Thus, IFN-&#x3bb; produced by virus-infected cells exhibits at least two different activities. First, it triggers innate immune responses that help limiting virus spread in the tissue (<xref ref-type="bibr" rid="B32">32</xref>). Second, IFN-&#x3bb; improves adaptive immune responses to invading pathogens by promoting the production of TSLP in epithelia-rich tissues (ref (<xref ref-type="bibr" rid="B23">23</xref>). and current work).</p>
<p>Interestingly, <italic>Tslpr<sup>-/-</sup>
</italic> and wild-type mice responded similarly well to intranasal immunization with non-adjuvanted or type I IFN-adjuvanted vaccines (<xref ref-type="bibr" rid="B25">25</xref>). Furthermore, naive <italic>Tslpr<sup>-/-</sup>
</italic> and wild-type mice exhibited a similar degree of susceptibility to infection with non-pathogenic (<xref ref-type="bibr" rid="B11">11</xref>) and pathogenic (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure&#xa0;1</bold>
</xref>) influenza A virus strains. Thus, <italic>Tslpr<sup>-/-</sup>
</italic> mice appear to specifically lack the ability to profit from the vaccine-improving effects of IFN-&#x3bb;. Earlier work indicated that <italic>Tslpr<sup>-/-</sup>
</italic> mice do not show normal IgA responses after immunization with a cholera toxin-containing vaccine (<xref ref-type="bibr" rid="B21">21</xref>). Since this vaccine likely did not trigger IFN-&#x3bb; production, this observation suggests that additional pathogen-induced cytokines may engage the TSLP system to improve adaptive immunity.</p>
<p>Using influenza virus as a model for severe airway infections, previous work demonstrated that IFN-&#x3bb; can also improve antiviral immunity mediated by CD8<sup>+</sup> T cells (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B22">22</xref>). In one of these studies, a live-attenuated influenza virus mutant was used for immunizations that cannot block cytokine production in the infected host. Under these conditions, <italic>Tslpr<sup>-/-</sup>
</italic> mice mounted a much less pronounced antiviral CD8<sup>+</sup> T cell response compared with wild-type mice (<xref ref-type="bibr" rid="B13">13</xref>), indicating that the T cell-stimulatory effect of IFN-&#x3bb; was mediated by TSLP. Our current work showed that this particular live-attenuated influenza virus failed to trigger efficient migration of CD103<sup>+</sup> DCs to draining lymph nodes and did not efficiently induce germinal center reactions in <italic>Tslpr<sup>-/-</sup>
</italic> mice (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>). Consistent with this observation, depletion of DCs dampened the enhancing effects of TSLP on Tfh and GC B cells responses in an unrelated study (<xref ref-type="bibr" rid="B33">33</xref>), supporting the notion that TSLP-activated DCs are required for Tfh and GC B responses. We thus speculate that the increased presence of activated CD103<sup>+</sup> DCs in lymph nodes of mice immunized with IFN-&#x3bb;-adjuvanted vaccines triggered stronger antigen-specific germinal center reactions and stronger antiviral CD8<sup>+</sup> T cell responses compared with mice receiving non-adjuvanted vaccines. Two other studies indicated that IFN-&#x3bb; can enhance protective CD8<sup>+</sup> T cell responses after DNA vaccination by modulating regulatory T cell activity (<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B35">35</xref>). Since the DNA vaccines were applied intramuscularly, it remains unclear how IFN-&#x3bb; could be beneficial in these cases and whether the IFN-&#x3bb;/TSLP axis is involved.</p>
<p>Our previous work revealed that IFN-&#x3bb; can stimulate TSLP secretion in specialized upper airways epithelial cells, namely M cells, to regulate adaptive mucosal immunity (<xref ref-type="bibr" rid="B13">13</xref>). Although M cells are also abundantly present in gut-associated lymphoid tissues, they display a distinct phenotype and exhibit functional specialization distinct from M cells in the upper airway (<xref ref-type="bibr" rid="B36">36</xref>). It remains an open question if intestinal M cells or other specialized epithelial cells in the gut respond to IFN-&#x3bb; by inducing the production of TSLP. A recent study in which single-cell RNA sequencing data of the small intestine were analyzed concluded that tuft cells can express TSLP (<xref ref-type="bibr" rid="B37">37</xref>). However, another study found that tuft cells mainly produce IL-25 and are not the major source of TSLP in the small intestine (<xref ref-type="bibr" rid="B38">38</xref>). Future single-cell RNA sequencing work may answer the question which epithelial cell types are producing TSLP in response to IFN-&#x3bb; in the intestinal tract.</p>
<p>Taken together our work revealed that the protective efficacy of protein-only vaccines administered by the mucosal route can be improved dramatically if IFN-&#x3bb; or TSLP are co-administered as adjuvants. Our work further demonstrated that the vaccine adjuvant effect of IFN-&#x3bb; in both the airways and the intestinal tract are strongly dependent on a functional TSLP system.</p>
</sec>
<sec id="s4" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="s4_1">
<title>Mice</title>
<p>8-10 week-old female C57BL/6 mice (designated B6-WT) were purchased from Janvier Laboratories (Strasbourg, France). <italic>Tslpr<sup>&#x2013;/&#x2013;</sup>
</italic> mice with C57BL/6 genetic background were described before (<xref ref-type="bibr" rid="B13">13</xref>). All animals used in this study were maintained under specific pathogen-free conditions in the animal facility of the Institute of Virology at the University of Freiburg.</p>
</sec>
<sec id="s4_2">
<title>Immunization With M2 Vaccine by Intranasal or Rectal Routes</title>
<p>Mice were anesthetized with a ketamine/xylazine mixture and immunized with 1 &#x3bc;g of the CTA1-3M2e-DD (M2e) vaccine (<xref ref-type="bibr" rid="B24">24</xref>) alone, 1 &#x3bc;g of M2e plus 1 &#x3bc;g IFN-&#x3bb;2 (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B39">39</xref>), or 1 &#x3bc;g of M2e plus&#xa0;1 &#x3bc;g TSLP (555-TS, R&amp;D Systems) (<xref ref-type="bibr" rid="B39">39</xref>). Intranasal immunizations were performed by applying the vaccines in a 40 &#xb5;l volume to the nostrils. Immunizations by the rectal routes were performed by applying 50 &#xb5;l of the M2e vaccine using a syringe with button cannula. Booster immunizations were performed 10 days later. Blood and BAL fluid samples were collected at day 10 post booster immunization and M2e-specific antibodies titers were analyzed by ELISA.</p>
</sec>
<sec id="s4_3">
<title>Intranasal Immunization With Influsplit Tetra<sup>&#xae;</sup> Vaccine</title>
<p>B6-WT and <italic>Tslpr<sup>&#x2013;/&#x2013;</sup>
</italic> mice were immunized by intranasal application of 4 &#x3bc;g of Influsplit Tetra<sup>&#xae;</sup> (GSK) vaccine (containing 1 &#x3bc;g HA of each seasonal influenza virus subtype, designated here &#x201c;HA&#x201d;) alone, or 4 &#x3bc;g of HA plus 1 &#x3bc;g IFN-&#x3bb;2, or 4 &#x3bc;g of HA plus 1 &#x3bc;g TSLP. Immunizations were performed by applying the vaccines in a 40 &#xb5;l volume to the nostrils. Booster immunizations were performed 10, 20 and 30 days later. Subsequently, immunized animals were anesthetized with a ketamine/xylazine mixture and infected by applying 3&#xd7;10<sup>3</sup> PFU of PR8/34 influenza A virus to the nostrils in a volume of 40 &#xb5;l. Changes in body weight were monitored for 14 days. Mice were sacrificed when 75% of the initial body weight was reached.</p>
</sec>
<sec id="s4_4">
<title>Immunization by Infection With Live-Attenuated Influenza A Virus</title>
<p>B6-WT and <italic>Tslpr<sup>&#x2013;/&#x2013;</sup>
</italic> mice were anesthetized with a ketamine/xylazine mixture and infected intranasally with 10<sup>5</sup> PFU of live-attenuated influenza A virus strain hvPR8-&#x394;NS1 (<xref ref-type="bibr" rid="B26">26</xref>) that cannot block cytokine production by the infected host in a volume of 40 &#x3bc;l.</p>
</sec>
<sec id="s4_5">
<title>Challenge Infections With Influenza A Virus</title>
<p>Influenza A virus strain PR8/34 was applied in a volume of 40 &#xb5;l to the nostrils of animals anesthetized with a ketamine/xylazine mixture. For mice immunized with the M2e vaccine, the challenge dose was 50 PFU. For mice immunized with the HA vaccine, the challenge dose was 3x10<sup>3</sup> PFU. Changes in body weight were monitored for 14 days. Mice were sacrificed as soon as they had lost 25% of their initial body weight.</p>
</sec>
<sec id="s4_6">
<title>Measuring M2e-Specific Antibody Levels</title>
<p>M2e-specific antibodies in serum and BAL fluids of immunized mice were determined by ELISA as described (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B25">25</xref>). Briefly, high-binding 96-well microtiter plates (MaxiSorp, Nunc) were coated with 2 &#xb5;g/ml of M2e peptide (GenScript) and incubated overnight at 4&#xb0;C. Next, the ELISA plates were washed four times with wash buffer (PBS containing 0.1% Tween 20) and blocked with 5% BSA in PBS for 2&#xa0;h at 37&#xb0;C. Plates were washed four times with wash buffer. Afterwards, diluted serum and BAL fluid samples were added and incubated for 1&#xa0;h at room temperature. Plates were washed three times with wash buffer. Horseradish peroxidase-labeled antibodies directed against either total IgG (62-6520, Invitrogen), IgG1 (A10551, Invitrogen), IgG2c (1078-05, Southern Biotech), or IgA (626720, Invitrogen) were added to each well and incubated for 1&#xa0;h at room temperature. Plates were washed four times and incubated with tetramethylbenzidine (TMB) substrate (Life Technologies) for 10-30&#xa0;min. The reaction was stopped by adding 0.5 M H<sub>2</sub>SO<sub>4,</sub> then the absorbance was measured at 450 nm. The endpoint M2e-specific IgG subclasses titers were defined as highest dilutions resulting in optical density (OD) values which were four-fold above background. Undiluted BAL fluids samples were used to measure M2e-specific IgA by ELISA. Since IgA titers were low, the OD readings were plotted directly.</p>
</sec>
<sec id="s4_7">
<title>Antibodies for Flow Cytometry</title>
<p>Different combinations of the following fluorescence-labeled antibodies were used for flow cytometry: For analysis of DC subsets in the lymph nodes a combination of CD103 (2E7, BioLegend), CD11c (N418, BioLegend) anti-CD16/32 (93, BioLegend) and MHC-II (M5/114.15.2, BioLegend) was used. For analysis of Tfh cells and GC B cells in spleen and lymph nodes a combination of anti-CD4 (RM4-5, BioLegend), anti-CD19 (1D3, BioLegend), anti-B220 (RA3-6B2, eBioscience), anti-CD16/32 (93, BioLegend), anti-PD1 (29F.1A12, BioLegend), anti-CXCR5 (L138D7, BioLegend), anti-CD44 (IM7, BioLegend), anti-FAS (SA367H8, BioLegend), anti-IgG1 (A85-1, BD Biosciences) and anti-GL7 (GL7, BioLegend) was used.</p>
</sec>
<sec id="s4_8">
<title>Statistical Analysis</title>
<p>Statistical significance was determined by unpaired two-tailed Student&#x2019;s t-test, one-way ANOVA with Tukey&#x2019;s multiple-comparison test, or log-rank test, which was indicated in the relative figure legends. Graph generation and statistical analyses were performed using GraphPad Prism 7 software. Data are represented as mean and SEM, or as mean and SD.</p>
</sec>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics Statement</title>
<p>All mouse experiments were carried out in accordance with the Federation for Laboratory Animal Science Associations (FELASA) guidelines and the national animal welfare body, and were approved by the Regierungspr&#x00E4;sidium Freiburg animal welfare committee (permits G-16/177 and G-17/74).</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author Contributions</title>
<p>LY, DS and AO performed experiments. LO, HG, RH, and NL provided essential reagents. LY and PS conceived the project. LY and PS wrote the manuscript with input from all authors. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by the Deutsche Forschungsgemeinschaft grant agreement STA 338/15-1 to PS, the Danish Council for Independent Research, Medical Research grant agreement 11-107588 to RH and National Natural Science Foundation of China (32170937), Shenzhen Science and Technology Program (RCBS20200714114958310, 20200803131335002), Guangdong medical science and technology research foundation (A2021336), Guangdong Basic and Applied Basic Research Foundation (2020A1515110410, 2020A1515010917), and SZU Top Ranking Project (86000000210) agreement to LY.</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<sec id="s11" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2021.749325/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2021.749325/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Image_1.tif" id="SF1" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;1</label>
<caption>
<p>Influenza virus susceptibility of na&#xef;ve Tslpr-/- and WT mice is comparable. Naive B6-WT (n = 6) and <italic>Tslpr<sup>&#x2013;/&#x2013;</sup>
</italic> mice (n = 6) were intranasally infected with <bold>(A)</bold> 40 PFU or <bold>(B)</bold> 100 PFU of influenza virus PR8. Weight loss and survival were monitored for 14 days. Mice were sacrificed when having lost 25% of their original body weight. Data are representative of two independent experiments and shown as mean &#xb1; SD.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_2.tif" id="SF2" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;2</label>
<caption>
<p>TSLPR deficiency impairs migration of DCs and restrains GC reaction in the spleen of mice infected with live-attenuated influenza virus. <bold>(A)</bold> B6-WT (n = 5) and <italic>Tslpr<sup>&#x2013;/&#x2013;</sup>
</italic> mice (n = 5) were intranasally infected with live-attenuated influenza virus (hvPR8-&#x394;NS1), and the frequency of CD103<sup>+</sup> DCs among live CD11c<sup>+</sup>MHC-II<sup>+</sup> immune cells in the spleen were determined at day 5 post-infection. <bold>(B, C)</bold> B6-WT (n = 5) and <italic>Tslpr<sup>&#x2013;/&#x2013;</sup>
</italic> mice (n = 5) were intranasally infected with hvPR8-&#x394;NS1 and sacrificed on day 10 post-infection. The frequencies of <bold>(B)</bold> Tfh cells among live CD19<sup>&#x2212;</sup>CD4<sup>+</sup> CD44<sup>+</sup> cells and (<bold>C</bold>, upper panels) GC B cells among live CD4<sup>-</sup>B220<sup>+</sup> cells in spleen were determined by flow cytometry. (<bold>C</bold>, lower panels) Flow cytometry analyzing the frequency of IgG1<sup>+</sup> GC B cells among live CD4<sup>&#x2212;</sup>B220<sup>+</sup>GL7<sup>+</sup>Fas<sup>+</sup> cells in the spleen. Data are representative of three independent experiments and shown as mean &#xb1; SEM. Each symbol represents the result from an individual animal. **P &lt; 0.01, ***P &lt; 0.001 by unpaired two-tailed Student&#x2019;s t-test.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_3.tif" id="SF3" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;3</label>
<caption>
<p>TSLPR deficiency does not alter the proportions of migratory DCs and has no effect on the GC reaction in the lymph nodes and spleen. <bold>(A)</bold> The frequency of CD103<sup>+</sup> DCs among live CD11c<sup>+</sup>MHC-II<sup>+</sup> immune cells from lymph nodes and spleen was determined in na&#xef;ve B6-WT (n = 6) and <italic>Tslpr<sup>&#x2013;/&#x2013;</sup>
</italic> mice (n = 5). <bold>(B, C)</bold> B6-WT (n = 6) and <italic>Tslpr<sup>&#x2013;/&#x2013;</sup>
</italic> mice (n = 5) were sacrificed, and the frequencies of <bold>(B)</bold> Tfh cells among live CD19<sup>&#x2212;</sup>CD4<sup>+</sup> CD44<sup>+</sup> cells and <bold>(C)</bold> GC B cells among live CD4<sup>-</sup>B220<sup>+</sup> cells in lymph nodes and spleen were determined by flow cytometry. Data are representative of two independent experiments and shown as mean &#xb1; SEM. Each symbol represents the result from an individual animal. Unpaired two-tailed Student&#x2019;s t-tests were performed to determine significant difference. NS, no significant difference.</p>
</caption>
</supplementary-material>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Krammer</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>The Human Antibody Response to Influenza A Virus Infection and Vaccination</article-title>. <source>Nat Rev Immunol</source> (<year>2019</year>) <volume>19</volume>:<page-range>383&#x2013;97</page-range>. doi: <pub-id pub-id-type="doi">10.1038/s41577-019-0143-6</pub-id>
</citation>
</ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Palese</surname> <given-names>P</given-names>
</name>
</person-group>. <article-title>Influenza: Old and New Threats</article-title>. <source>Nat Med</source> (<year>2004</year>) <volume>10</volume>:<page-range>S82&#x2013;87</page-range>. doi: <pub-id pub-id-type="doi">10.1038/nm1141</pub-id>
</citation>
</ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>WH</given-names>
</name>
<name>
<surname>Kozlovsky</surname> <given-names>BF</given-names>
</name>
<name>
<surname>Effros</surname> <given-names>RB</given-names>
</name>
<name>
<surname>Grubeck-Loebenstein</surname> <given-names>B</given-names>
</name>
<name>
<surname>Edelman</surname> <given-names>R</given-names>
</name>
<name>
<surname>Sztein</surname> <given-names>MB</given-names>
</name>
</person-group>. <article-title>Vaccination in the Elderly: An Immunological Perspective</article-title>. <source>Trends Immunol</source> (<year>2009</year>) <volume>30</volume>:<page-range>351&#x2013;9</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.it.2009.05.002</pub-id>
</citation>
</ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>de Jong</surname> <given-names>JC</given-names>
</name>
<name>
<surname>Beyer</surname> <given-names>WE</given-names>
</name>
<name>
<surname>Palache</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Rimmelzwaan</surname> <given-names>GF</given-names>
</name>
<name>
<surname>Osterhaus</surname> <given-names>AD</given-names>
</name>
</person-group>. <article-title>Mismatch Between the 1997/1998 Influenza Vaccine and the Major Epidemic A(H3N2) Virus Strain as the Cause of an Inadequate Vaccine-Induced Antibody Response to This Strain in the Elderly</article-title>. <source>J Med Virol</source> (<year>2000</year>)&#xa0;<volume>61</volume>:<page-range>94&#x2013;9</page-range>. doi: <pub-id pub-id-type="doi">10.1002/(SICI)1096-9071(200005)61:1&lt;94::AID-JMV15&gt;3.0.CO;2-C</pub-id>
</citation>
</ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wei</surname> <given-names>CJ</given-names>
</name>
<name>
<surname>Crank</surname> <given-names>MC</given-names>
</name>
<name>
<surname>Shiver</surname> <given-names>J</given-names>
</name>
<name>
<surname>Graham</surname> <given-names>BS</given-names>
</name>
<name>
<surname>Mascola</surname> <given-names>JR</given-names>
</name>
<name>
<surname>Nabel</surname> <given-names>GJ</given-names>
</name>
</person-group>. <article-title>Next-Generation Influenza Vaccines: Opportunities and Challenges</article-title>. <source>Nat Rev Drug Discov</source> (<year>2020</year>) <volume>19</volume>:<page-range>239&#x2013;52</page-range>. doi: <pub-id pub-id-type="doi">10.1038/s41573-019-0056-x</pub-id>
</citation>
</ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hellfritzsch</surname> <given-names>M</given-names>
</name>
<name>
<surname>Scherliess</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>Mucosal Vaccination <italic>via</italic> the Respiratory Tract</article-title>. <source>Pharmaceutics</source> (<year>2019</year>) <volume>11</volume>(<issue>8</issue>):<fpage>375</fpage>. doi: <pub-id pub-id-type="doi">10.3390/pharmaceutics11080375</pub-id>
</citation>
</ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Corren</surname> <given-names>J</given-names>
</name>
<name>
<surname>Ziegler</surname> <given-names>SF</given-names>
</name>
</person-group>. <article-title>TSLP: From Allergy to Cancer</article-title>. <source>Nat Immunol</source> (<year>2019</year>) <volume>20</volume>:<page-range>1603&#x2013;9</page-range>. doi: <pub-id pub-id-type="doi">10.1038/s41590-019-0524-9</pub-id>
</citation>
</ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pandey</surname> <given-names>A</given-names>
</name>
<name>
<surname>Ozaki</surname> <given-names>K</given-names>
</name>
<name>
<surname>Baumann</surname> <given-names>H</given-names>
</name>
<name>
<surname>Levin</surname> <given-names>SD</given-names>
</name>
<name>
<surname>Puel</surname> <given-names>A</given-names>
</name>
<name>
<surname>Farr</surname> <given-names>AG</given-names>
</name>
<etal/>
</person-group>. <article-title>Cloning of a Receptor Subunit Required for Signaling by Thymic Stromal Lymphopoietin</article-title>. <source>Nat Immunol</source> (<year>2000</year>) <volume>1</volume>:<fpage>59</fpage>&#x2013;<lpage>64</lpage>. doi: <pub-id pub-id-type="doi">10.1038/76923</pub-id>
</citation>
</ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Levin</surname> <given-names>SD</given-names>
</name>
<name>
<surname>Koelling</surname> <given-names>RM</given-names>
</name>
<name>
<surname>Friend</surname> <given-names>SL</given-names>
</name>
<name>
<surname>Isaksen</surname> <given-names>DE</given-names>
</name>
<name>
<surname>Ziegler</surname> <given-names>SF</given-names>
</name>
<name>
<surname>Perlmutter</surname> <given-names>RM</given-names>
</name>
<etal/>
</person-group>. <article-title>Thymic Stromal Lymphopoietin: A Cytokine That Promotes the Development of IgM+ B Cells <italic>In Vitro</italic> and Signals <italic>via</italic> a Novel Mechanism</article-title>. <source>J Immunol</source> (<year>1999</year>) <volume>162</volume>:<page-range>677&#x2013;83</page-range>.</citation>
</ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Friend</surname> <given-names>SL</given-names>
</name>
<name>
<surname>Hosier</surname> <given-names>S</given-names>
</name>
<name>
<surname>Nelson</surname> <given-names>A</given-names>
</name>
<name>
<surname>Foxworthe</surname> <given-names>D</given-names>
</name>
<name>
<surname>Williams</surname> <given-names>DE</given-names>
</name>
<name>
<surname>Farr</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>A Thymic Stromal Cell Line Supports <italic>In Vitro</italic> Development of Surface IgM+ B Cells and Produces a Novel Growth Factor Affecting B and T Lineage Cells</article-title>. <source>Exp Hematol</source> (<year>1994</year>) <volume>22</volume>:<page-range>321&#x2013;8</page-range>.</citation>
</ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shane</surname> <given-names>HL</given-names>
</name>
<name>
<surname>Klonowski</surname> <given-names>KD</given-names>
</name>
</person-group>. <article-title>A Direct and Nonredundant Role for Thymic Stromal Lymphopoietin on Antiviral CD8 T Cell Responses in the Respiratory Mucosa</article-title>. <source>J Immunol</source> (<year>2014</year>) <volume>192</volume>:<page-range>2261&#x2013;70</page-range>. doi: <pub-id pub-id-type="doi">10.4049/jimmunol.1302085</pub-id>
</citation>
</ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yadava</surname> <given-names>K</given-names>
</name>
<name>
<surname>Sichelstiel</surname> <given-names>A</given-names>
</name>
<name>
<surname>Luescher</surname> <given-names>IF</given-names>
</name>
<name>
<surname>Nicod</surname> <given-names>LP</given-names>
</name>
<name>
<surname>Harris</surname> <given-names>NL</given-names>
</name>
<name>
<surname>Marsland</surname> <given-names>BJ</given-names>
</name>
</person-group>. <article-title>TSLP Promotes Influenza-Specific CD8+ T-Cell Responses by Augmenting Local Inflammatory Dendritic Cell Function</article-title>. <source>Mucosal Immunol</source> (<year>2013</year>) <volume>6</volume>:<fpage>83</fpage>&#x2013;<lpage>92</lpage>. doi: <pub-id pub-id-type="doi">10.1038/mi.2012.50</pub-id>
</citation>
</ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ye</surname> <given-names>L</given-names>
</name>
<name>
<surname>Schnepf</surname> <given-names>D</given-names>
</name>
<name>
<surname>Becker</surname> <given-names>J</given-names>
</name>
<name>
<surname>Ebert</surname> <given-names>K</given-names>
</name>
<name>
<surname>Tanriver</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Bernasconi</surname> <given-names>V</given-names>
</name>
<etal/>
</person-group>. <article-title>Interferon-Lambda Enhances Adaptive Mucosal Immunity by Boosting Release of Thymic Stromal Lymphopoietin</article-title>. <source>Nat Immunol</source> (<year>2019</year>) <volume>20</volume>:<fpage>593</fpage>&#x2013;<lpage>601</lpage>. doi: <pub-id pub-id-type="doi">10.1038/s41590-019-0345-x</pub-id>
</citation>
</ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pattarini</surname> <given-names>L</given-names>
</name>
<name>
<surname>Trichot</surname> <given-names>C</given-names>
</name>
<name>
<surname>Bogiatzi</surname> <given-names>S</given-names>
</name>
<name>
<surname>Grandclaudon</surname> <given-names>M</given-names>
</name>
<name>
<surname>Meller</surname> <given-names>S</given-names>
</name>
<name>
<surname>Keuylian</surname> <given-names>Z</given-names>
</name>
<etal/>
</person-group>. <article-title>TSLP-Activated Dendritic Cells Induce Human T Follicular Helper Cell Differentiation Through OX40-Ligand</article-title>. <source>J Exp Med</source> (<year>2017</year>) <volume>214</volume>:<page-range>1529&#x2013;46</page-range>. doi: <pub-id pub-id-type="doi">10.1084/jem.20150402</pub-id>
</citation>
</ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>He</surname> <given-names>R</given-names>
</name>
<name>
<surname>Oyoshi</surname> <given-names>MK</given-names>
</name>
<name>
<surname>Garibyan</surname> <given-names>L</given-names>
</name>
<name>
<surname>Kumar</surname> <given-names>L</given-names>
</name>
<name>
<surname>Ziegler</surname> <given-names>SF</given-names>
</name>
<name>
<surname>Geha</surname> <given-names>RS</given-names>
</name>
</person-group>. <article-title>TSLP Acts on Infiltrating Effector T Cells to Drive Allergic Skin Inflammation</article-title>. <source>Proc Natl Acad Sci USA</source> (<year>2008</year>) <volume>105</volume>:<page-range>11875&#x2013;80</page-range> doi: <pub-id pub-id-type="doi">10.1073/pnas.0801532105</pub-id>
</citation>
</ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gauvreau</surname> <given-names>GM</given-names>
</name>
<name>
<surname>O&#x2019;Byrne</surname> <given-names>PM</given-names>
</name>
<name>
<surname>Boulet</surname> <given-names>LP</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Cockcroft</surname> <given-names>D</given-names>
</name>
<name>
<surname>Bigler</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Effects of an Anti-TSLP Antibody on Allergen-Induced Asthmatic Responses</article-title>. <source>N Engl J Med</source> (<year>2014</year>) <volume>370</volume>:<page-range>2102&#x2013;10</page-range>. doi: <pub-id pub-id-type="doi">10.1056/NEJMoa1402895</pub-id>
</citation>
</ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Menzies-Gow</surname> <given-names>A</given-names>
</name>
<name>
<surname>Corren</surname> <given-names>J</given-names>
</name>
<name>
<surname>Bourdin</surname> <given-names>A</given-names>
</name>
<name>
<surname>Chupp</surname> <given-names>G</given-names>
</name>
<name>
<surname>Israel</surname> <given-names>E</given-names>
</name>
<name>
<surname>Wechsler</surname> <given-names>ME</given-names>
</name>
<etal/>
</person-group>. <article-title>Tezepelumab in Adults and Adolescents With Severe, Uncontrolled Asthma</article-title>. <source>N Engl J Med</source> (<year>2021</year>) <volume>384</volume>:<page-range>1800&#x2013;9</page-range>. doi: <pub-id pub-id-type="doi">10.1056/NEJMoa2034975</pub-id>
</citation>
</ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname> <given-names>B</given-names>
</name>
<name>
<surname>Comeau</surname> <given-names>MR</given-names>
</name>
<name>
<surname>De Smedt</surname> <given-names>T</given-names>
</name>
<name>
<surname>Liggitt</surname> <given-names>HD</given-names>
</name>
<name>
<surname>Dahl</surname> <given-names>ME</given-names>
</name>
<name>
<surname>Lewis</surname> <given-names>DB</given-names>
</name>
<etal/>
</person-group>. <article-title>Thymic Stromal Lymphopoietin as a Key Initiator of Allergic Airway Inflammation in Mice</article-title>. <source>Nat Immunol</source> (<year>2005</year>) <volume>6</volume>:<page-range>1047&#x2013;53</page-range>. doi: <pub-id pub-id-type="doi">10.1038/ni1247</pub-id>
</citation>
</ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Demehri</surname> <given-names>S</given-names>
</name>
<name>
<surname>Cunningham</surname> <given-names>TJ</given-names>
</name>
<name>
<surname>Manivasagam</surname> <given-names>S</given-names>
</name>
<name>
<surname>Ngo</surname> <given-names>KH</given-names>
</name>
<name>
<surname>Moradi Tuchayi</surname> <given-names>S</given-names>
</name>
<name>
<surname>Reddy</surname> <given-names>R</given-names>
</name>
<etal/>
</person-group>. <article-title>Thymic Stromal Lymphopoietin Blocks Early Stages of Breast Carcinogenesis</article-title>. <source>J Clin Invest</source> (<year>2016</year>) <volume>126</volume>:<page-range>1458&#x2013;70</page-range>. doi: <pub-id pub-id-type="doi">10.1172/JCI83724</pub-id>
</citation>
</ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Van Roey</surname> <given-names>GA</given-names>
</name>
<name>
<surname>Arias</surname> <given-names>MA</given-names>
</name>
<name>
<surname>Tregoning</surname> <given-names>JS</given-names>
</name>
<name>
<surname>Rowe</surname> <given-names>G</given-names>
</name>
<name>
<surname>Shattock</surname> <given-names>RJ</given-names>
</name>
</person-group>. <article-title>Thymic Stromal Lymphopoietin (TSLP) Acts as a Potent Mucosal Adjuvant for HIV-1 Gp140 Vaccination in Mice</article-title>. <source>Eur J Immunol</source> (<year>2012</year>) <volume>42</volume>:<page-range>353&#x2013;63</page-range>. doi: <pub-id pub-id-type="doi">10.1002/eji.201141787</pub-id>
</citation>
</ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Joo</surname> <given-names>S</given-names>
</name>
<name>
<surname>Fukuyama</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Park</surname> <given-names>EJ</given-names>
</name>
<name>
<surname>Yuki</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Kurashima</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Ouchida</surname> <given-names>R</given-names>
</name>
<etal/>
</person-group>. <article-title>Critical Role of TSLP-Responsive Mucosal Dendritic Cells in the Induction of Nasal Antigen-Specific IgA Response</article-title>. <source>Mucosal Immunol</source> (<year>2017</year>) <volume>10</volume>:<page-range>901&#x2013;11</page-range>. doi: <pub-id pub-id-type="doi">10.1038/mi.2016.103</pub-id>
</citation>
</ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hemann</surname> <given-names>EA</given-names>
</name>
<name>
<surname>Green</surname> <given-names>R</given-names>
</name>
<name>
<surname>Turnbull</surname> <given-names>JB</given-names>
</name>
<name>
<surname>Langlois</surname> <given-names>RA</given-names>
</name>
<name>
<surname>Savan</surname> <given-names>R</given-names>
</name>
<name>
<surname>Gale</surname> <given-names>M</given-names> <suffix>Jr.</suffix>
</name>
</person-group> <article-title>Interferon-Lambda Modulates Dendritic Cells to Facilitate T Cell Immunity During Infection With Influenza A Virus</article-title>. <source>Nat Immunol</source> (<year>2019</year>) <volume>20</volume>:<page-range>1035&#x2013;45</page-range>. doi: <pub-id pub-id-type="doi">10.1038/s41590-019-0408-z</pub-id>
</citation>
</ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ye</surname> <given-names>L</given-names>
</name>
<name>
<surname>Schnepf</surname> <given-names>D</given-names>
</name>
<name>
<surname>Staeheli</surname> <given-names>P</given-names>
</name>
</person-group>. <article-title>Interferon-Lambda Orchestrates Innate and Adaptive Mucosal Immune Responses</article-title>. <source>Nat Rev Immunol</source> (<year>2019</year>) <volume>19</volume>:<page-range>614&#x2013;25</page-range>. doi: <pub-id pub-id-type="doi">10.1038/s41577-019-0182-z</pub-id>
</citation>
</ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Eliasson</surname> <given-names>DG</given-names>
</name>
<name>
<surname>El Bakkouri</surname> <given-names>K</given-names>
</name>
<name>
<surname>Schon</surname> <given-names>K</given-names>
</name>
<name>
<surname>Ramne</surname> <given-names>A</given-names>
</name>
<name>
<surname>Festjens</surname> <given-names>E</given-names>
</name>
<name>
<surname>Lowenadler</surname> <given-names>B</given-names>
</name>
<etal/>
</person-group>. <article-title>CTA1-M2e-DD: A Novel Mucosal Adjuvant Targeted Influenza Vaccine</article-title>. <source>Vaccine</source> (<year>2008</year>) <volume>26</volume>:<page-range>1243&#x2013;52</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.vaccine.2007.12.027</pub-id>
</citation>
</ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ye</surname> <given-names>L</given-names>
</name>
<name>
<surname>Ohnemus</surname> <given-names>A</given-names>
</name>
<name>
<surname>Ong</surname> <given-names>LC</given-names>
</name>
<name>
<surname>Gad</surname> <given-names>HH</given-names>
</name>
<name>
<surname>Hartmann</surname> <given-names>R</given-names>
</name>
<name>
<surname>Lycke</surname> <given-names>N</given-names>
</name>
<etal/>
</person-group>. <article-title>Type I and Type III Interferons Differ in Their Adjuvant Activities for Influenza Vaccines</article-title>. <source>J Virol</source> (<year>2019</year>) <volume>93</volume>(<issue>23</issue>):<page-range>e01262&#x2013;19</page-range>. doi: <pub-id pub-id-type="doi">10.1128/JVI.01262-19</pub-id>
</citation>
</ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kochs</surname> <given-names>G</given-names>
</name>
<name>
<surname>Martinez-Sobrido</surname> <given-names>L</given-names>
</name>
<name>
<surname>Lienenklaus</surname> <given-names>S</given-names>
</name>
<name>
<surname>Weiss</surname> <given-names>S</given-names>
</name>
<name>
<surname>Garcia-Sastre</surname> <given-names>A</given-names>
</name>
<name>
<surname>Staeheli</surname> <given-names>P</given-names>
</name>
</person-group>. <article-title>Strong Interferon-Inducing Capacity of a Highly Virulent Variant of Influenza A Virus Strain PR8 With Deletions in the NS1 Gene</article-title>. <source>J Gen Virol</source> (<year>2009</year>) <volume>90</volume>:<page-range>2990&#x2013;4</page-range>. doi: <pub-id pub-id-type="doi">10.1099/vir.0.015727-0</pub-id>
</citation>
</ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Talon</surname> <given-names>J</given-names>
</name>
<name>
<surname>Salvatore</surname> <given-names>M</given-names>
</name>
<name>
<surname>O&#x2019;Neill</surname> <given-names>RE</given-names>
</name>
<name>
<surname>Nakaya</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zheng</surname> <given-names>H</given-names>
</name>
<name>
<surname>Muster</surname> <given-names>T</given-names>
</name>
<etal/>
</person-group>. <article-title>Influenza A and B Viruses Expressing Altered NS1 Proteins: A Vaccine Approach</article-title>. <source>Proc Natl Acad Sci USA</source> (<year>2000</year>) <volume>97</volume>(<issue>8</issue>):<page-range>4309&#x2013;14</page-range>. doi: <pub-id pub-id-type="doi">10.1073/pnas.070525997</pub-id>
</citation>
</ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Abolhassani</surname> <given-names>M</given-names>
</name>
<name>
<surname>Lagranderie</surname> <given-names>M</given-names>
</name>
<name>
<surname>Chavarot</surname> <given-names>P</given-names>
</name>
<name>
<surname>Balazuc</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Marchal</surname> <given-names>G</given-names>
</name>
</person-group>. <article-title>Mycobacterium Bovis BCG Induces Similar Immune Responses and Protection by Rectal and Parenteral Immunization Routes</article-title>. <source>Infect Immun</source> (<year>2000</year>) <volume>68</volume>:<page-range>5657&#x2013;62</page-range>. doi: <pub-id pub-id-type="doi">10.1128/IAI.68.10.5657-5662.2000</pub-id>
</citation>
</ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Moreno-Fierros</surname> <given-names>L</given-names>
</name>
<name>
<surname>Garcia</surname> <given-names>N</given-names>
</name>
<name>
<surname>Gutierrez</surname> <given-names>R</given-names>
</name>
<name>
<surname>Lopez-Revilla</surname> <given-names>R</given-names>
</name>
<name>
<surname>Vazquez-Padron</surname> <given-names>RI</given-names>
</name>
</person-group>. <article-title>Intranasal, Rectal and Intraperitoneal Immunization With Protoxin Cry1Ac From Bacillus Thuringiensis Induces Compartmentalized Serum, Intestinal, Vaginal and Pulmonary Immune Responses in Balb/c Mice</article-title>. <source>Microbes Infect</source> (<year>2000</year>) <volume>2</volume>:<page-range>885&#x2013;90</page-range>. doi: <pub-id pub-id-type="doi">10.1016/S1286-4579(00)00398-1</pub-id>
</citation>
</ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wieland</surname> <given-names>SF</given-names>
</name>
<name>
<surname>Heim</surname> <given-names>MH</given-names>
</name>
</person-group>. <article-title>The IFN-Lambda Pony Express</article-title>. <source>Nat Immunol</source> (<year>2019</year>) <volume>20</volume>:<page-range>522&#x2013;4</page-range>. doi: <pub-id pub-id-type="doi">10.1038/s41590-019-0362-9</pub-id>
</citation>
</ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lazear</surname> <given-names>HM</given-names>
</name>
<name>
<surname>Schoggins</surname> <given-names>JW</given-names>
</name>
<name>
<surname>Diamond</surname> <given-names>MS</given-names>
</name>
</person-group>. <article-title>Shared and Distinct Functions of Type I and Type III Interferons</article-title>. <source>Immunity</source> (<year>2019</year>) <volume>50</volume>:<page-range>907&#x2013;23</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.immuni.2019.03.025</pub-id>
</citation>
</ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Klinkhammer</surname> <given-names>J</given-names>
</name>
<name>
<surname>Schnepf</surname> <given-names>D</given-names>
</name>
<name>
<surname>Ye</surname> <given-names>L</given-names>
</name>
<name>
<surname>Schwaderlapp</surname> <given-names>M</given-names>
</name>
<name>
<surname>Gad</surname> <given-names>HH</given-names>
</name>
<name>
<surname>Hartmann</surname> <given-names>R</given-names>
</name>
<etal/>
</person-group>. <article-title>IFN-Lambda Prevents Influenza Virus Spread From the Upper Airways to the Lungs and Limits Virus Transmission</article-title>. <source>Elife</source> (<year>2018</year>) <volume>7</volume>:<fpage>e33354</fpage>. doi: <pub-id pub-id-type="doi">10.7554/eLife.33354</pub-id>
</citation>
</ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Marschall</surname> <given-names>P</given-names>
</name>
<name>
<surname>Wei</surname> <given-names>R</given-names>
</name>
<name>
<surname>Segaud</surname> <given-names>J</given-names>
</name>
<name>
<surname>Yao</surname> <given-names>W</given-names>
</name>
<name>
<surname>Hener</surname> <given-names>P</given-names>
</name>
<name>
<surname>German</surname> <given-names>BF</given-names>
</name>
<etal/>
</person-group>. <article-title>Dual Function of Langerhans Cells in Skin TSLP-Promoted TFH Differentiation in Mouse Atopic Dermatitis</article-title>. <source>J Allergy Clin Immunol</source> (<year>2021</year>) <volume>147</volume>:<page-range>1778&#x2013;94</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.jaci.2020.10.006</pub-id>
</citation>
</ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Morrow</surname> <given-names>MP</given-names>
</name>
<name>
<surname>Pankhong</surname> <given-names>P</given-names>
</name>
<name>
<surname>Laddy</surname> <given-names>DJ</given-names>
</name>
<name>
<surname>Schoenly</surname> <given-names>KA</given-names>
</name>
<name>
<surname>Yan</surname> <given-names>J</given-names>
</name>
<name>
<surname>Cisper</surname> <given-names>N</given-names>
</name>
<etal/>
</person-group>. <article-title>Comparative Ability of IL-12 and IL-28B to Regulate Treg Populations and Enhance Adaptive Cellular Immunity</article-title>. <source>Blood</source> (<year>2009</year>) <volume>113</volume>:<page-range>5868&#x2013;77</page-range>. doi: <pub-id pub-id-type="doi">10.1182/blood-2008-11-190520</pub-id>
</citation>
</ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Hua</surname> <given-names>R</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>W</given-names>
</name>
<etal/>
</person-group>. <article-title>Optimized DNA Vaccine Enhanced by Adjuvant IL28B Induces Protective Immune Responses Against Herpes Simplex Virus Type 2 in Mice</article-title>. <source>Viral Immunol</source> (<year>2017</year>) <volume>30</volume>:<page-range>601&#x2013;14</page-range>. doi: <pub-id pub-id-type="doi">10.1089/vim.2017.0033</pub-id>
</citation>
</ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lo</surname> <given-names>DD</given-names>
</name>
</person-group>. <article-title>Vigilance or Subversion? Constitutive and Inducible M Cells in Mucosal Tissues</article-title>. <source>Trends Immunol</source> (<year>2018</year>) <volume>39</volume>:<page-range>185&#x2013;95</page-range>. doi: <pub-id pub-id-type="doi">10.1016/j.it.2017.09.002</pub-id>
</citation>
</ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Haber</surname> <given-names>AL</given-names>
</name>
<name>
<surname>Biton</surname> <given-names>M</given-names>
</name>
<name>
<surname>Rogel</surname> <given-names>N</given-names>
</name>
<name>
<surname>Herbst</surname> <given-names>RH</given-names>
</name>
<name>
<surname>Shekhar</surname> <given-names>K</given-names>
</name>
<name>
<surname>Smillie</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>A Single-Cell Survey of the Small Intestinal Epithelium</article-title>. <source>Nature</source> (<year>2017</year>) <volume>551</volume>:<page-range>333&#x2013;9</page-range>. doi: <pub-id pub-id-type="doi">10.1038/nature24489</pub-id>
</citation>
</ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>von Moltke</surname> <given-names>J</given-names>
</name>
<name>
<surname>Ji</surname> <given-names>M</given-names>
</name>
<name>
<surname>Liang</surname> <given-names>HE</given-names>
</name>
<name>
<surname>Locksley</surname> <given-names>RM</given-names>
</name>
</person-group>. <article-title>Tuft-Cell-Derived IL-25 Regulates an Intestinal ILC2-Epithelial Response Circuit</article-title>. <source>Nature</source> (<year>2016</year>) <volume>529</volume>:<page-range>221&#x2013;5</page-range>. doi: <pub-id pub-id-type="doi">10.1038/nature16161</pub-id>
</citation>
</ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dellgren</surname> <given-names>C</given-names>
</name>
<name>
<surname>Gad</surname> <given-names>HH</given-names>
</name>
<name>
<surname>Hamming</surname> <given-names>OJ</given-names>
</name>
<name>
<surname>Melchjorsen</surname> <given-names>J</given-names>
</name>
<name>
<surname>Hartmann</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>Human Interferon-Lambda3 Is a Potent Member of the Type III Interferon Family</article-title>. <source>Genes Immun</source> (<year>2009</year>) <volume>10</volume>:<page-range>125&#x2013;31</page-range>. doi: <pub-id pub-id-type="doi">10.1038/gene.2008.87</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>