Lymphocyte function-associated antigen-1 (LFA-1) interaction with intercellular adhesion molecules (ICAMs) facilitates T cell antigen receptor (TCR)-mediated killing. To dissect TCR and LFA-1 contributions, we evaluated cytolytic activity and granule release by cytotoxic T lymphocytes (CTL) as well as intracellular granule redistribution and morphology of CTL stimulated with natural TCR ligand in the presence or absence of LFA-1 engagement. Although other adhesion mechanisms, e.g., CD2-CD58 interaction, could substitute for LFA-1 to trigger CTL degranulation, productive LFA-1 ligation was indispensable for effective target cell lysis by the released granules. LFA-1-mediated adhesion to glass-supported bilayers containing intercellular adhesion molecule-1 was characterized by a much larger junction area, marked by LFA-1 segregation, and a more compact cell shape compared with those observed for CD2-mediated adhesion to bilayers containing CD58. A larger contact induced by intercellular adhesion molecule 1 determined a unique positioning of granules near the interface. These data provide evidence that LFA-1 delivers a distinct signal essential for directing released cytolytic granules to the surface of antigenbearing target cells to mediate the effective destruction of these cells by CTL.cytolytic granules ͉ immunological synapse ͉ T cell receptor K illing of virus-infected cells by cytotoxic T lymphocytes (CTL) is triggered by interactions of T cell antigen receptor (TCR) with viral peptides presented by MHC class I proteins on the surface of infected cells and can be mediated by cytotoxic granule exocytosis or FasL-Fas interaction (1, 2). This is a sensitive response often requiring less than a dozen cognate peptide-MHC [complex of antigenic peptide with MHC protein (pMHC)] complexes on the target cell (3, 4). Although productive TCR engagement is necessary and essential to induce CTL cytolytic activity, other accessory and costimulatory molecules are thought to play a role in mediating CTL degranulation and effective cytolytic activity of released granules. For example, both lymphocyte function-associated antigen-1 (LFA-1) and CD2 contribute to CTL adhesion and killing of target cells (5). Ligation of LFA-1 on CTL by high densities of intercellular adhesion molecule-1 (ICAM-1) is sufficient to initiate large-scale molecular segregation and formation of peripheral supramolecular-activating cluster (6), which typically requires antigen for helper T cells (7,8) and CTL precursors (9). In contrast, ligation of CD2 with its natural ligand CD58 (5) mediates formation of a very small adhesion area by CTL (10). However, how specifically LFA-1, CD2, and other adhesion molecules mediate granuleinduced cytotoxicity has not been defined.Here we have investigated the role of productive LFA-1 engagement for antigen-induced granule release and target cell lysis in vitro as well as for granule polarization in CTL exposed to the glasssupported bilayer. We have found that, although blocking of LFA-1-ICAM-1 interaction abrogates ...