“…This interpretation is strengthened by the observations (Zajac et al, 1996) that (i) the cytotoxic effect of the CD4 þ T cells is Fas-mediated, and (ii) the in vivo effects are Fas-dependent; Fas-dependence strongly suggests that the effects require a direct cell/ cell interaction between a FasL þ CD4 þ T cell and a Fas-expressing target cell. However, the model of 2-microglobulin-deficient mice is fraught with difficulties (reviewed in Frelinger and Serody, 1998), and direct cytolytic effects of CD4 þ T cells on infected cells in vivo remain to be demonstrated. Cytolytic CD4 þ T cells also have been identified following Epstein-Barr virus infection (Khanolkar et al, 2001), and perforin þ CD4 þ T cells have been reported in HIV infected individuals (Appay et al, 2002).…”