- Law, Calvin;
- Wacleche, Vanessa Sue;
- Cao, Ye;
- Pillai, Arundhati;
- Sowerby, John;
- Hancock, Brandon;
- Horisberger, Alice;
- Bracero, Sabrina;
- Skidanova, Viktoriya;
- Li, Zhihan;
- Adejoorin, Ifeoluwakiisi;
- Dillon, Eilish;
- Benque, Isaac J;
- Nunez, Diana Pena;
- Simmons, Daimon P;
- Keegan, Joshua;
- Chen, Lin;
- Baker, Tina;
- Brohawn, Phillip Z;
- Al-Mossawi, Hussein;
- Hao, Ling-Yang;
- Jones, Brian;
- Rao, Navin;
- Qu, Yujie;
- Alves, Stephen E;
- Jonsson, A Helena;
- Shaw, Katharina S;
- Vleugels, Ruth Ann;
- Massarotti, Elena;
- Costenbader, Karen H;
- Brenner, Michael B;
- Lederer, James A;
- Hultquist, Judd F;
- Choi, Jaehyuk;
- Rao, Deepak A
Systemic lupus erythematosus (SLE) is prototypical autoimmune disease driven by pathological T cell-B cell interactions1,2. Expansion of T follicular helper (TFH) and T peripheral helper (TPH) cells, two T cell populations that provide help to B cells, is a prominent feature of SLE3,4. Human TFH and TPH cells characteristically produce high levels of the B cell chemoattractant CXCL13 (refs. 5,6), yet regulation of T cell CXCL13 production and the relationship between CXCL13+ T cells and other T cell states remains unclear. Here, we identify an imbalance in CD4+ T cell phenotypes in patients with SLE, with expansion of PD-1+/ICOS+ CXCL13+ T cells and reduction of CD96hi IL-22+ T cells. Using CRISPR screens, we identify the aryl hydrocarbon receptor (AHR) as a potent negative regulator of CXCL13 production by human CD4+ T cells. Transcriptomic, epigenetic and functional studies demonstrate that AHR coordinates with AP-1 family member JUN to prevent CXCL13+ TPH/TFH cell differentiation and promote an IL-22+ phenotype. Type I interferon, a pathogenic driver of SLE7, opposes AHR and JUN to promote T cell production of CXCL13. These results place CXCL13+ TPH/TFH cells on a polarization axis opposite from T helper 22 (TH22) cells and reveal AHR, JUN and interferon as key regulators of these divergent T cell states.