Binding of the CTL to the infected cell triggers the CTL to release pore-forming proteins called perforins, proteolytic enzymes called granzymes, and chemokines. Granzymes pass through the pores and activate the caspase enzymes that lead to apoptosis of the infected cell by means of destruction of its structural cytoskeleton proteins and by chromosomal degradation. (Alternately, the granzymes and perforins may enter by endocytosis and the perforins then promote the release of the gnanzymes from the endocytic vesicle into the cytoplasm.) As a result, the cell breaks into fragments that are subsequently removed by phagocytes.
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