CD4 T cells are critical for the control of gammaherpesvirus persistence, but their direct effector mechanisms of virus control in vivo are still poorly understood. In this study, we use murine gammaherpesvirus 68 (␥HV68) in in vitro and in vivo cytotoxicity assays to show CD4-dependent killing of ␥HV68-loaded cells in mice persistently infected with ␥HV68. Our results underscore the cytotoxic capacity of CD4 T cells during ␥HV68 persistence.There is mounting evidence that during chronic or persistent viral infections, effector CD4 T cells have the ability to display cytotoxic characteristics (7,8,18). CD4 T cells with cytotoxic potential have been characterized during persistent human immunodeficiency virus and human cytomegalovirus infections (2,4,19). There are also extensive reports describing antigenspecific cytolytic CD4 T-cell cultures during persistent EpsteinBarr virus infection in humans (1,9,10,12,13,17). Whether effector CD4 T cells use cytotoxic abilities and/or other mechanisms to eliminate virus-infected cells during persistent gammaherpesvirus infection in vivo remains unknown.We first analyzed the existence of CD4 T cells with a cytotoxic phenotype in mice persistently infected with gammaherpesvirus 68 (␥HV68) (1,000 PFU in 30 l of phosphate-buffered saline, administered intranasally). Reduced surface expression of CD27 has been used as a marker of cytotoxic T cells (2). As shown in Fig. 1, the frequency of CD4 T cells lacking cell surface expression of CD27 increases from 10% in noninfected mice to 40% in the spleens and 80% in the lungs of mice at 3 months after ␥HV68 infection. The loss of CD27 expression during ␥HV68 herpesvirus latency suggested an increase in the frequency of CD4 T cells that may have a cytolytic phenotype. Next, we sought to analyze the potential of CD4 T cells to act as killers. We used CD107a and CD107b (CD107a/b) cell surface mobilization as an indicator of in vitro degranulation associated with cytolytic function (3). Splenocytes (10 6 ) obtained from the spleens of naive or long-term ␥HV68-infected mice were incubated with anti-CD28 (clone 37.51), anti-CD49d (clone 9C10 [MRF4.B]), anti-CD107a (clone 1D4B), and anti-CD107b (clone ABL-93) and stimulated with 2 g/ml of gp150 67-83 peptide, whole ␥HV68 virus (multiplicity of infection [MOI], 10), or phorbol myristate acetate/ionomycin or not stimulated (Fig. 1C). The cell suspensions were incubated for 1 h at 37°C followed by an additional 4 h in the presence of the secretion inhibitor monensin, and cell surface expression levels of CD4 (clone GK1.5), CD8 (clone 53.6.72), and CD107a/b were determined by flow cytometry. The data show that CD4 T cells isolated from the spleens of latently infected mice mobilize significantly more CD107a/b to the cell surface (4%) than their naïve counterparts (2%) (Fig. 1D). The pattern of degranulation of CD4 T cells isolated from ␥HV68-infected mice was similar in the presence or absence of exogenous in vitro restimulation. These results show that there is a statistically significant dif...