Three-color flow cytometry immunophenotyping revealed significant increases of CD57 + and CD28 − cells among both circulating CD4 + and CD8 + T lymphocytes of untreated hemato-oncological patients (n = 54) as compared to healthy donors (n = 55), with CD57 and CD28 expression on the patients' T cells being largely reciprocal. Marked expansion of CD57 + cells among circulating CD4 + T lymphocytes was frequently detected in patients with chronic leukemia of B cell origin (B-CLL, hairy cell leukemia) but not in patients with chronic myeloid leukemia, suggesting a causal relation with the tumor's major histocompatibility complex class II expression. Using immunomagnetic separation techniques, we further demonstrate that the patients' CD57 + /CD28 − T cells display a typical Th1-type cytokine secretion profile upon anti-CD3 stimulation, with a markedly higher secretion of the Th1-type cytokines IL-2, IFN-␥, and TNF-␣ than their CD57 − /CD28 + counterparts. Cytotoxic activity of circulating CD8 + T lymphocytes, measured ex vivo in an anti-CD3-redirected assay, was almost exclusively exerted by the CD57 + /CD28 − subset. Moreover, a marked cytotoxic activity was detected within CD4 + CD57 + T cells from some B-CLL patients. Finally, the patients' CD57 + /CD28 − T cells displayed an increased tendency to apoptosis in culture. Collectively, our results indicate that the expanded CD57 + /CD28 − T cells in hemato-oncological patients represent differentiated effector cells, similar to their (quantitatively minor) counterpart in healthy donors. The reason for their expansion and their pathophysiologic significance, however, remains unclear.