Interestingly, despite their ability to kill target tumor cells and to proliferate more readily than CD4+ T cells in a single round killing assay, in a repeat challenge assay system we found that CD8+ T cells exhibited markedly reduced proliferation and target cell killing over time in the absence of CD4+ cells, with the overall maintenance of CD8+ T cell responses being dependent upon the starting ratio of CD4:CD8 T cells (Figure 1E). Here, CD8A is linked to neoplasm.