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[Immunology](https://durgical.com/en/immunology/) · [Immune cells](https://durgical.com/en/immunology/#a-cells)

# CD8⁺ cytotoxic T cell

- Cell

Cytotoxic T cells recognize viral or tumor peptides on MHC class I and kill the cell that shows them.

Updated 2026-11-01

## Key points

- CD8 binds MHC class I, which presents peptides from the cell's own cytosol (viral or tumor proteins).
- Kill with perforin and granzymes, or with Fas ligand binding Fas on the target; one CD8 cell can kill several targets.
- Also secrete interferon-γ and TNF-α.
- Naive CD8 activation usually needs a dendritic cell that cross-presents antigen, plus CD4 help for good memory.
- Key effectors in viral hepatitis damage, acute cellular transplant rejection and type IV contact reactions.

## What it is

CD8⁺ T cells recognize peptides from inside a cell presented on MHC class I, which almost every nucleated cell expresses. When a cell shows a foreign peptide, such as from a virus or a mutated tumor protein, the activated CD8 cell binds it and triggers its death by apoptosis. They are central to clearing viruses, controlling tumors and rejecting transplanted organs.

## Key facts

- Origin: lymphoid progenitor in the marrow; selected in the thymus on MHC class I.
- Memory CD8 cells persist for years and respond faster on re-exposure.
- Viruses and tumors can lower MHC class I to escape them, which is when NK cells take over.

## Step by step

- A virus makes proteins inside an infected cell.
- The proteasome cuts them into peptides, which TAP carries into the endoplasmic reticulum.
- Peptides load onto MHC class I and travel to the cell surface.
- An activated CD8 T cell with a matching receptor binds the complex.
- It releases perforin and granzymes (or uses Fas ligand) and the infected cell dies by apoptosis.

## Markers

- CD3
- CD8
- TCR αβ
- Perforin and granzymes
- PD-1 when exhausted

## Clinical notes

- Atypical lymphocytes in infectious mononucleosis are mostly activated CD8 T cells responding to EBV-infected B cells.
- Persistent infections and tumors exhaust CD8 cells (PD-1, CTLA-4); checkpoint inhibitors release this brake and can cause autoimmune side effects.
- HLA class I (for example HLA-B27) presents peptides to CD8 cells and is linked to some diseases.
- Low CD8 function contributes to severe viral infections in combined immunodeficiencies.

## Memory aid

MHC class I is the window every cell has: the CD8 cell looks through it, and if it sees a stranger inside, it ends the house.

## Test yourself

Think of the answer, then tap the question to see it.

## Which MHC class presents antigen to CD8 T cells, and where do those peptides come from?

MHC class I, presenting peptides made inside the cell, such as viral or tumor proteins.

## What are two ways a CD8 T cell kills its target?

Perforin and granzymes, and Fas ligand binding Fas on the target cell; both induce apoptosis.

## What are the atypical lymphocytes of infectious mononucleosis?

Mostly activated CD8 T cells responding to Epstein-Barr virus-infected B cells.

## Why do NK cells complement CD8 T cells?

When a virus or tumor lowers MHC class I to escape CD8 cells, NK cells kill the cells that lack MHC class I.

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## Related

- [CD4⁺ helper T cell](https://durgical.com/en/immunology/cd4-helper-t-cell/)
- [Natural killer cell](https://durgical.com/en/immunology/natural-killer-cell/)
- [MHC/HLA class I and II](https://durgical.com/en/immunology/mhc-hla-class-i-and-ii/)
- [Antigen processing and presentation](https://durgical.com/en/immunology/antigen-processing-and-presentation/)
- [Transplant rejection: hyperacute, acute, chronic](https://durgical.com/en/immunology/transplant-rejection-hyperacute-acute-chronic/)
- [Tumor immunology and checkpoint inhibitors](https://durgical.com/en/immunology/tumor-immunology-and-checkpoint-inhibitors/)

## Related conditions

- [HIV infection and AIDS](https://durgical.com/en/conditions/hiv-infection-and-aids/)

[← All of immunology](https://durgical.com/en/immunology/)

Educational content on the immune system; not a treatment or individual vaccination guide and no substitute for a health professional's advice. No doses are given.

Sources: [21.3 The Adaptive Immune Response: T lymphocytes and Their Functional Types](https://openstax.org/books/anatomy-and-physiology-2e/pages/21-3-the-adaptive-immune-response-t-lymphocytes-and-their-functional-types) (OpenStax, Rice University (Anatomy and Physiology 2e), 2022); [Natural Killer Cells](https://www.immunology.org/public-information/bitesized-immunology/cells/natural-killer-cells) (British Society for Immunology, 2024); [18.4 Leukocytes and Platelets](https://openstax.org/books/anatomy-and-physiology-2e/pages/18-4-leukocytes-and-platelets) (OpenStax, Rice University (Anatomy and Physiology 2e), 2022).

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License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/immunology/cd8-cytotoxic-t-cell/
