The ability to activate macrophages in vitro for nitric oxide production and killing of Leishmania major parasites is dependent on tumor necrosis factor, although L. major-infected mice lacking the TNF receptor p55 (TNFRp55 ؊/؊ mice) or both the TNFRp55 and TNFRp75 (TNFRp55p75 ؊/؊ mice) are able to produce NO in vivo and eliminate the parasites. Here we report that activated T cells cocultured with macrophages results in TNFR-independent activation sufficient to control parasites and that both CD40/CD40L and LFA-1 contribute to T-cell-mediated macrophage activation. Thus, anti-CD3-stimulated T cells activated TNFR-deficient macrophages, while T cells from CD40L ؊/؊ mice were partially defective in triggering NO production by TNFRp55p75 ؊/؊ macrophages. Moreover, in the presence of gamma interferon, anti-CD40 monoclonal antibody (MAb) activated TNFR-deficient macrophages. Finally, MAb blockade of LFA-1 completely inhibited macrophage NO production. Our data indicate that T cells can activate macrophages in the absence of TNF, thus providing a mechanism for how TNFR-deficient mice can control intracellular pathogens.The protozoan parasite Leishmania major infects mononuclear phagocytes, and control of infection depends on adequate activation of the infected macrophages to kill parasites and inhibit their replication (15). In vitro studies with murine macrophages revealed that soluble factors secreted by activated T cells mediate activation of macrophages to produce nitric oxide (NO), resulting in killing or control of L. major parasites (2). Macrophage activation by soluble factors (cytokines) depends on gamma interferon (IFN-␥) as well as tumor necrosis factor (TNF) (11,12,19,41). Optimal NO production occurs in macrophages via upregulation of inducible nitric oxide synthase (iNOS) mRNA, which is itself optimally induced when IFN regulatory factor 1 is upregulated by IFN-␥, and NF-B is activated by a second signal (22,32). TNF has been shown to be a major NF-B-activating signal for macrophage activation. Thus, IFN-␥ and autocrine secretion of TNF by macrophages are sufficient to mediate production of NO and killing of L. major parasites (11,18).We previously demonstrated that macrophages derived from TNFR (TNF receptor)p55 Ϫ/Ϫ or TNFRp55p75 Ϫ/Ϫ mice failed to produce NO and control parasites upon stimulation with IFN-␥ in vitro, whereas TNFRp75 Ϫ/Ϫ mice lacked this defect (25). This suggested that the TNF dependence of in vitro macrophage activation to produce NO and kill parasites was mediated by the TNFRp55. However, work with receptor knockouts, soluble TNFR-Ig (immunoglobulin) overexpression transgenics, and neutralizing antibodies show that TNF is not required for in vivo control of parasites, for the development of the type 1 IFN-␥ response to antigen restimulation, or for upregulation of iNOS at the site of infection in vivo (9,20,25,42,44). These data suggest that an in vivo mechanism exists that permits macrophages to produce NO and control parasites independent of TNF.Since T cells are present in the le...