The ability of CD4(+) T cells to reject class I mismatched skin allogr
afts remains controversial. In this study, we compare the ability of C
D4(+) T cells to reject class I disparate skin grafts differing by eit
her a single class I allelic disparity or only 3 amino acids encoded b
y the H-2K locus. We demonstrate that skin grafts across a full H-2K a
llelic disparity, but not across a disparity of only three amino acids
are efficiently rejected by CD4(+) T cells. This observation is consi
stent with the possibility that peptides derived from allogeneic class
I molecules generated through the major histocompatibility complex (M
HC) class II antigen processing pathway can be recognized by host CD4
T cells and lead to rejection of class I mismatched skin grafts. The a
vailability of peptides derived from allogeneic MHC class I molecules
for presentation by host MHC class II may determine the efficiency of
rejection of class I mismatched allografts by CD4(+) T cells. Thus, cl
ass I mismatched allografts can be rejected by CD4(+) T cells provided
that host and donor MHC class I molecules are sufficiently disparate
to activate CD4(+) effectors.