Protective high affinity antibody responses depend on competitive selection of B cells carrying somatically-mutated BCRs by TFH cells in germinal centres (GC). The rapid T:B synaptic interactions that occur during this process are reminiscent of those within the nervous system. Therefore, we asked whether neural transmission pathways participate in GC selection. Here we show that a proportion of human, but not mouse, GC TFH cells contained dense-core granules marked by chromogranin B, which are normally found in neuronal pre-synaptic terminals and serve to store catecholamines such as dopamine. GC TFH cells contained high concentrations of dopamine and released it upon cognate interaction with GC B cells. In a search for dopamine-mediated effects on human GC B cells, we identified selective and rapid upregulation of ICOSL. High amount of intracellular preformed ICOSL was expressed in human GC B cells and translocated to the surface within minutes of stimulation by dopamine. ICOSL was able to enhance accumulation of CD40L and chromogranin B granules at the human TFH cell synapse and increase the synapse area. Mathematical modelling suggests that faster dopamine-induced T:B interactions do not change affinity maturation but rather increase total output and accelerate it by days. Human TFH cells have co-opted yet another form of synaptic help that may provide an evolutionary advantage in the face of infection.