A complete molecular description of the syndromes of graft-versus-host
disease (GVHD) and graft rejection could have a significant impact on
clinical bone marrow transplantation. Recent in vitro experiments (He
usel et al, Cell 76:977, 1994 and Shresta et al, Proc Natl Acad Sci US
A 92:5679, 1995) have shown that the putative mediators of these two s
yndromes, cytotoxic lymphocytes (CTL) and natural killer (NK) cells, r
espectively, initiate a program of cell death (apoptosis) in susceptib
le target tissues in a manner critically dependent on the serine prote
ase Granzyme B (gzm B). In the present study, we have analyzed the phe
notype of gzm B-deficient mice using experimental transplant models de
signed to isolate their CD8(+) CTL, CD4(+) CTL, and NK compartments. W
e found a significant impairment in class I-dependent GVHD mediated by
gzm B -/- CD8(+) CTL, whereas class II-dependent GVHD was not altered
using gzm B -/- CD4(+) effecters. In a hybrid resistance model, gzm B
-/- hosts rejected haplo-identical marrow grafts as efficiently as di
d their wild-type littermates. This result is surprising in light of a
severe defect in the ability of gzm B -/- NK cells to induce apoptosi
s in susceptible targets in vitro. These in vivo data define a signifi
cant role for gzm B in cytotoxicity mediated by CD8(+) CTL, but not by
CD4(+) CTL. Furthermore, these results do not support a model of hybr
id resistance in which NK cells play a pivotal role, (C) 1996 by The A
merican Society of Hematology.