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Delineation of the Human Germinal Centre Immune Landscape Using Multiplex Imaging Analysis
Spiros Georgakis1, Michail Orfanakis1, Craig Fenwick2
1Department of Laboratory Medicine and Pathology, Institute of Pathology, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland.
Immunology
|May 27, 2025
Summary
We developed a new imaging pipeline to analyze immune cells in human lymph nodes. This method reveals distinct subtypes of follicular helper T (TFH) cells and their functions, crucial for understanding immune responses.
Area of Science:
- Immunology
- Cell Biology
- Pathology
Background:
- Follicular immune dynamics, particularly germinal centers, are vital for antibody development.
- In situ characterization of these cells is crucial for understanding immune responses and diseases.
Purpose of the Study:
- To develop and validate a multiplex immunofluorescence imaging pipeline for analyzing human follicular immune cell subsets.
- To investigate the in situ phenotypic heterogeneity and localization of follicular helper CD4 T (TFH) cells.
- To explore the functional heterogeneity of TFH cells and compare immune cell densities between tonsils and lymph nodes.
Main Methods:
- Development of a multiplex immunofluorescence imaging pipeline.
- Analysis of human follicular adaptive and innate immune cell subsets in tonsils and reactive lymph nodes.
- Application of cell clustering analysis and multiplex RNAscope/protein imaging assays.
Main Results:
- Revealed in situ phenotypic heterogeneity and differential localization of TFH cell subsets in tonsils and lymph nodes.
- Identified specific TFH subsets with varying prevalence between tonsils and lymph nodes via clustering analysis.
- Demonstrated functional heterogeneity of TFH cells using multiplex RNAscope/protein imaging.
- Found no significant differences in follicular innate immune cell densities between tonsils and lymph nodes.
Conclusions:
- A combinatory experimental approach provides comprehensive analysis of human follicular and germinal center immune dynamics.
- This pipeline can be utilized to further understand the pathogenesis of diseases like HIV and lymphomas.
- The study highlights the importance of characterizing TFH cell heterogeneity for immunological research.

