IntroductionAs most tumor cells express major histocompatibility complex (MHC) class I but not class II molecules, it has been assumed that the predominant tumoricidal effector mechanism involved in rejecting tumors is direct cytotoxic killing by CD8 T cells, and in many models CD8 T cells have been effective in eliminating tumors in the absence of CD4 T cells. [1][2][3] However, CD4 T-cell help can play a role in the development of tumor immunity in both the priming phase, for development and maintenance of cytotoxic T lymphocytes, 4,5 and during the effector phase of an antitumor immune response, particularly against MHC class II-negative tumors. [6][7][8][9][10][11][12][13][14] This has been demonstrated by depleting vaccinated mice of CD4 T cells before tumor challenge and showing that they were unable to reject the tumor 6,12 and by adoptive transfer of CD4 T cells into tumor-bearing mice, which could then mediate tumor rejection. 9 Nevertheless, the mechanism by which CD4 T cells mediate antitumor immunity is relatively poorly understood. As most tumor cells do not express MHC class II molecules and CD4 T cells can promote rejection of MHC class II-negative tumors, much of their action has been attributed to effector mechanisms such as the production of cytokines crucial for tumor rejection. 12,[15][16][17] A key cytokine associated with the antitumor effects of CD4 T cells in vivo is interferon-␥ (IFN-␥). 9,18 IFN-␥ can up-regulate MHC expression, 18,19 inhibit tumor cell growth, 20,21 activate innate effector cells involved in tumor rejection (such as macrophages), [22][23][24][25] induce angiogenesis inhibitors, 20,[26][27][28] and bring about inhibition of tumor-induced angiogenesis. 29,30 However, because of poor immunogenicity and strong immunosuppression, the induction of therapeutic T-cell responses to tumors has been difficult to achieve. Many strategies have been devised to try to optimize conditions that may lead to productive antitumor immune responses. These have included transfecting tumor cells with costimulatory molecules, 31,32 using dendritic cell (DC)-based vaccine therapy, 33-42 and transferring cytokines or cytokine genes into the hosts. 43,44 Although successful induction of CD4 immune responses resulting in tumor rejection has been widely reported, it is less clear whether such immune responses are able to protect against re-emerging tumor cells once the acute response has terminated and T cells have differentiated to resting memory cells.The aim of this study was to assess the contribution of CD4 T cells in different activation states in controlling tumor growth. For this, we made use of an experimental system previously described by us that allows the in vivo generation of pure effector or memory CD4 T cells from naive T-cell precursors. 45 Naive CD4 T cells from the T-cell receptor transgenic strain (TCR tg Rag1 Ϫ/Ϫ ) A18, recognizing the complement component C5 in the context of H-2E k , 46 were cotransferred with syngeneic bone marrow-derived DCs into common cytokine ␥ chain (Ra...