Little is known about the in vivo kinetics of T-cell responses in smallpox/monkeypox. We showed that macaque V␥2V␦2 T cells underwent 3-week-long expansion after smallpox vaccine immunization and displayed simple reexpansion in association with sterile anti-monkeypox virus (anti-MPV) immunity after MPV challenge. Virus-activated V␥2V␦2 T cells exhibited gamma interferon-producing effector function after phosphoantigen stimulation. Surprisingly, like ␣ T cells, suboptimally primed V␥2V␦2 T cells in vaccinia virus/cidofovir-covaccinated macaques mounted major recall-like expansion after MPV challenge. Finally, V␥2V␦2 T cells localized in inflamed lung tissues for potential regulation. Our studies provide the first in vivo evidence that viruses, despite their inability to produce exogenous phosphoantigen, can induce expansion, reexpansion, and recall-like expansion of V␥2V␦2 T cells and stimulate their antimicrobial cytokine response.Human ␥␦ T cells appear to contribute to both innate and adaptive immune responses (4,6,10,19). V␥2V␦2 T cells exist only in primates, and in humans, they constitute 60 to 95% of total blood ␥␦ T cells. The capacity of V␥2V␦2 T cells to undergo major clonal expansion in primary infection and to mount rapid recall expansion upon reinfection has been proposed as an adaptive immune response (6), which is consistent with memory phenotypes of V␥2V␦2 T cells (7), long-term expansion of memory-like V␦2 T cells, and in vitro recall expansion of blood ␥␦ T cells in vaccinated or infected humans (1, 15a, 16, 17, 25). It is important to note that the microbial antigen recognized by V␥2V␦2 T cells is temporally limited to (E)-4-hydroxy-3-methyl-but-2-enyl pyrophosphate (HMBPP), commonly referred to as phosphoantigen, produced in the newly discovered 2-C-methyl-D-erythritol-4-phosphate pathway of isoprenoid biosynthesis in bacteria, but not viruses (8).Our recent study has demonstrated that HMBPP is presented by a putative molecule on antigen-presenting cell membranes and recognized by V␥2V␦2 T-cell receptor (TCR) (24). Since viruses do not produce exogenous HMBPP recognized by V␥2V␦2 T cells, in vivo V␥2V␦2 T-cell expansion usually occurs only in HMBPP-producing bacterial or protozoal infections.Monkeypox virus (MPV) (an orthopoxvirus) has biological features similar to those of smallpox virus, and MPV infection is clinically similar to smallpox in humans (9,12,22). Immune responses of V␥2V␦2 T cells during lethal MPV infection have not been studied, although some laboratories have undertaken in vitro studies of ␥␦ T-cell immune responses to vaccinia virus (1, 2, 15). We presume that initial vaccinia virus immunization and subsequent MPV challenge of macaques would provide an ideal in vivo setting in which to determine whether V␥2V␦2 T cells can mount innate-like or recall-like responses to orthopoxvirus infections. We made a novel observation indicating expansion, reexpansion, and recall-like expansion of V␥2V␦2 T cells with effector function in response to smallpox vaccination and MPV infection...