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Table 1.

The demographic and clinical characteristics of subjects.

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Fig 1.

Increased frequencies of total and activated peripheral memory Tfh cells in patients with schistosomiasis japonica.

PBMCs were isolated from healthy controls (HC, n = 50) and patients with schistosomiasis japonica (Sj, n = 50) and analyzed. (A) Gating schemes for analysis of the percentages of total peripheral memory Tfh (CD3+CD4+CD45RA-CXCR5+) and activated peripheral memory Tfh cells (PD-1+ICOS+ Tfh cells). PBMCs were stained with CD3, CD4, CD45RA, CXCR5, PD-1, and ICOS antibodies. Gating strategy defining total peripheral memory Tfh cells (R3), activated peripheral memory Tfh cells (R4); (B,C) Percentages of T cells (B) and CD4+ T cells (C) in total lymphocytes; (D-H) Representative flow cytometry data plots and statistics show the total peripheral memory Tfh cells (D, E), activated peripheral memory Tfh cells (F, G, H); (I) Representative flow cytometry profiles indicating the expression of GATA-3 in total Tfh cells. All flow cytometry results were analyzed and plotted using Fluorescence Minus One controls (FMO). *P<0.05, **P<0.01. ***P<0.001, NS indicating not significant.

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Fig 2.

Tfh2 cells and Tfr cells, but not Tfh1 or Tfh17 cells, were significantly increased in patients with schistosomiasis japonica.

(A) Gating schemes for analysis of the percentages of activated Tfh1, Tfh2 and Tfh17 cells. PBMCs were stained with CD3, CD4, CD45RA, CXCR5, CXCR3, and CCR6 antibodies. Gating strategy defining Tfh1 (CXCR3+CCR6- Tfh cells), Tfh2 (CXCR3-CCR6- Tfh cells), and Tfh17 cells (CXCR3-CCR6+ Tfh cells); (B) Shown is the distribution of Tfh1 (red), Tfh2 (purple), Tfh17 (green), and the other subsets (black) within total Tfh cells in healthy controls and patients with schistosomiasis japonica. Areas represent the means of percentages of Tfh1, Tfh2, Tfh17 or the other subsets with CR45RA-CXCR5+ cells. Gated to CR45RA-CXCR5+CD4+ T cells; (C) Shown is the distribution of total Th1 (CXCR3+CCR6- CD4+ T cells, red), Th2 (CXCR3-CCR6- CD4+ T cells, purple), Th17 (CXCR3-CCR6+ CD4+ T cells, green), and the other CD4+ T subsets (black) within total CD4+ T cells in patients with schistosomiasis japonica. Areas represent the means of percentages of Th1, Th2, Th17 or the other CD4+ T subsets with CD4+ T cells; (D-E) Frequencies of Tfh2 with CD4+ T cells (D) or total Th2 cells (E) in healthy controls or patients with schistosomiasis japonica; (F-G) Frequencies Tfh1 (F), and Tfh17 (G) cells within CD4+ T cells in healthy controls or patients with schistosomiasis japonica. (H) Gating schemes for analysis of the percentage of Tfr cells. PBMCs were stained with CD3, CD4, CD45RA, CXCR5, and FOXP3 antibodies. Gating strategy defining Tfr cells (R1); (I-K) Flow cytometry data plots and statistics show the Tfr cells within CD4+ T cells (I, J) or total Tfh cells (K) from one representative individual in indicated groups. All flow cytometry results were analyzed and plotted using Fluorescence Minus One controls (FMO). ***P<0.001, NS indicating not significant.

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Fig 3.

Accumulation of Tfh2 cells was associated with increased frequency of plasma cells in patients with schistosomiasis japonica.

(A) Gating schemes for analysis of the percentages of different subsets of B cells. PBMCs were stained with CD3, CD4, CD19, CD27, CD86, and CD38 antibodies. Gating strategy defining memory B cells (R4), naive B cells (R5), activated B cells (R6), and plasma cells (R7); (B) Percentage of total B cells in total lymphocytes; (C-H) Representative flow cytometry data plots and statistics show the memory B cells (C, D), naïve B cells (C), activated B cells (E, F) and plasma cells (G, H); (I, J) The correlation analysis among the percentage of Tfh2 cells and activated B cells (I) as well as plasma cells (J). All flow cytometry results were analyzed and plotted using Fluorescence Minus One controls (FMO). **P<0.01. ***P<0.001.

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Fig 3 Expand

Fig 4.

Accumulation of Tfh2 cells was associated with increased level of IgG antibody in schistosomiasis patients.

(A, C) The concentration of total IgG (A) and IgE (C) antibodies in the serum from schistosomiasis patients or healthy controls; (B,D) The frequency of Tfh2 cells was correlated with the levels of serum IgG antibody (A) or IgE antibody (B) in schitosomiasis patients.

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