“…Though they are meant to control the early stages of viral infection, infiltrating NK cells release perforin, which damages myocardial cells Lutz et al, 2014;Hsiao et al, 2015;Künkele et al, 2015;Peng et al, 2015). Between 7 and 14 days after the initial onset of the viral infection, most of the infiltrated cells are T-cells, which become CTLs when activated, and are programmed to kill target cells (Chen et al, 2014;Grygorczuk et al, 2015;Shi et al, 2015;Tao et al, 2015). There are two primary means by which CTLs kill target cells: one is perforin/granzyme-mediated and the other involves the Fas-FasL signaling pathway (Arai et al, 2014;Gmeiner et al, 2015;Liu et al, 2015;Nallapalle et al, 2015;O'Donnell et al, 2015;Saigusa et al, 2015).…”