Lupus & antiphospholipid syndrome

Transforming growth factor (TGF)-β3 in differentiation and function of T peripheral helper (Tph)-like cells and its relevance to disease activity in patients with systemic lupus erythematosus

Rheumatology (Oxford)Published Mechanistic study

An erratum to this article was published (Rheumatology (Oxford), 1 Sep 2026 ↗)

Authors' conclusion

The induction of Tph-like cells by TGF-β3 mainly produced from tissue macrophages plays a pivotal role in the pathological processes of active LN by enhancing B-cell differentiation in patients with SLE.

Study context

Population
Human CD4+ T cells from volunteers or patients with SLE; renal biopsy specimens from patients with LN
Methodological detailsflow cytometry, quantitative PCR, multicolour immunofluorescence staining of renal biopsy specimens
  • Flow cytometry
  • Quantitative PCR
  • Multicolour immunofluorescence staining of renal biopsy specimens

Main finding

As reported in the abstract

  • Among multiple cytokines, TGF-β3 characteristically induced PD-1hi musculoaponeurotic fibrosarcoma (MAF)+, IL-21+IL-10+ Tph-like cells, with marked upregulation of PDCD-1, MAF, SOX4 and CXCL13
  • Induction of Tph-like cells by TGF-β3 suppressed by neutralization of TGF-βR2
  • TGF-β3-induced Tph-like cells efficiently promoted differentiation of class-switch memory B cells into plasmocytes, enhancing antibody production
  • Proportion of peripheral blood Tph cells significantly increased in SLE vs healthy volunteers, in concordance with disease activity and severity of organ manifestations such as LN
  • TGF-β3 strongly expressed on macrophages, associated with accumulation of CD4+ CXCR5-PD-1+ Tph cells in renal tissue of patients with active LN

Original publication

TGF-β3 in differentiation and function of Tph-like cells and its relevance to disease activity in patients with systemic lupus erythematosus. Rheumatology (Oxford). Published 12 November 2022. doi:10.1093/rheumatology/keac646

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