Recent studies identified an association between genetic variants in the lymphotoxin-␣ (LT␣) gene and leprosy.To study the influence of LT␣ on the control of experimental leprosy, both low-and high-dose Mycobacterium leprae foot pad (FP) infections were evaluated in LT␣-deficient chimeric (cLT␣ On infection with many intracellular organisms, especially mycobacterial pathogens, a granulomatous response ensues. This complex process involves the participation of cell-mediated immunity (CMI), activation of endothelial cells, enhancement of adhesion molecule expression, management of macrophage and lymphocyte infiltration, and induction of the microbiostatic and microbicidal effects of macrophages.1 In addition, extensive intercellular communication, chiefly through cytokine and chemokine signals, is required to orchestrate this cellular accumulation and results in a three-dimensional structure that limits or prevents dissemination of the pathogen and is largely protective.The contributions of both soluble and membranebound tumor necrosis factor (TNF) to granuloma development have been established.2-5 Lymphotoxin (LT)-␣ is also a member of the TNF superfamily, but as compared with TNF, much less is known about its function. LT␣ is required for the development of secondary lymphoid tissue 6 through its association with LT, to form heterotrimeric LT␣ 1  2 and LT␣ 2  1 , which enable interaction between lymphocytes and surrounding fibroblasts, and epithelial and myeloid cells that express the LT receptor. Current evidence also suggests that LT␣ plays a regulatory role in CMI 7 and serves as an initiating stimuSupported by National Institutes of Health (NIH) grant AI-50027 (L. Adams) and the NHMRC of Australia (B. Saunders and W. Britton).