To study the role of perforin in cell-mediated graft rejection, vascul
arized hearts were grafted to perforin-deficient C57BL/6 and control C
57BL/6 recipient mice. Fully allogeneic heart grafts (BALB/c) were acu
tely rejected by both recipients within 6 days. Peritoneal exudate lym
phocytes from control mice but not from perforin-deficient mice exhibi
t a strong alloreactive cytotoxic activity in vitro. Histological anal
ysis of the rejected tissues demonstrated extensive mononuclear cell i
nfiltrates in both recipients. Flow cytometry analysis and immunohisto
logy of graft-infiltrating cells showed similar proportions of lymphoc
yte subsets (CD8 much greater than CD4). Collectively, these data indi
cate that perforin is not essential in the cell-mediated acute rejecti
on of a fully mismatched heart allograft. However, perforin-dependent
effector mechanisms appeared to be limiting in the T cell-mediated rej
ection of heart allografts differing only at a single major histocompa
tibility complex class I antigen (bm1), because these grafts survived
longer (mean 87.8 days) in perforin-deficient than in control mice (me
an 31.5 days).