In many cases, induction of CD8(+) CTL responses requires CD4(+) T cell hel
p. Recently, it has been shown that a dominant pathway of CD4(+) help is vi
a antigen presenting cell (APC) activation through engagement of CD40 by CD
40 ligand on CD4(+) T cells. To further study this three cell interaction,
we established an in vitro system using dendritic cells (DCs) as APCs and i
nfluenza hemagglutinin (HA) class I and II peptide-specific T cell antigen
receptor transgenic T cells as cytotoxic T lymphocyte precursors and CD4(+)
T helper cells, respectively. We found that CD4(+) T cells can provide pot
ent help for DCs to activate CD8(+) T cells when antigen is provided in the
form of either cell lysate, recombinant protein, or synthetic peptides. Su
rprisingly, this help is completely independent of CD40. Moreover, CD40-ind
ependent CD4(+) help can be documented in vivo. Finally, we show that CD40-
independent T cell help is delivered through both sensitization of DCs and
direct CD4(+)-CD8(+) T cell communication via lymphokines. Therefore, we co
nclude that CD4(+) help comprises at least three components: CD40-dependent
DC sensitization, CD40-independent DC sensitization, and direct lymphokine
-dependent CD4(+)-CD8(+) T cell communication.