Lack of perforin renders the relatively resistant mouse strain C57BL/6 high
ly susceptible to the natural mouse pathogen ectromelia virus, a cytopathic
orthopoxvirus. This is indicated by increased mortality, elevated virus ti
ters and pathology in liver and spleen, and increased levels of liver enzym
es in blood. Cowpox virus on the other hand is more virulent in the presenc
e of perforin than in its absence. An additional lack of granzyme A which t
ogether with perforin is a constituent of cytoplasmic granules from cytotox
ic T cells increases the virulence of cowpox virus.