The proportions of peripheral blood mononuclear cells (PBMC), CD4(+) T cell
s, and CD8(+) T cells that produce gamma interferon (IFN-gamma) in response
to Mycobacterium tuberculosis were markedly reduced in tuberculosis patien
ts, particularly in those with severe disease. Depletion of CD4(+) but not
CD8(+) cells prior to stimulation of PBMC with M. tuberculosis abolished IF
N-gamma production. These results show that (i) IFN-gamma production by CD8
(+) and CD4(+) cells correlates with the clinical manifestations of M. tube
rculosis infection and (ii) IFN-gamma production by CD8(+) cells depends on
CD4(+) cells.