The generation of knockout mice with targeted gene disruption has prov
ided a valuable tool for studying the immune response. Here we describ
e the use of CD4 and CD8 knockout mice to examine the role of CD4(+) a
nd CD8(+) cells in initiating allotransplantation rejection. Pretreatm
ent with a brief course of depletive anti-CD4 monoclonal antibody ther
apy allowed permanent survival of heart, but not skin, allografts tran
splanted across a major histocompatibility barrier. However, skin as w
ell as heart grafts were permanently accepted in the CD4 knockout mice
. Transfer of CD4(+) cells into CD4 knockout recipient mice 1 d before
skin engraftment reconstituted rejection, demonstrating that CD4(+) c
ells are necessary for initiating rejection of allogeneic transplants.
Major histocompatibility complex disparate heart and skin allografts
transplanted into CD8 knockout recipients were rejected within 10 d. T
his study demonstrates that CD4(+) but not CD8(+) T cells are absolute
ly required to initiate allograft rejection.