Cell-mediated immunity involves T cells and other white blood cells killing pathogens inside infected cells. It responds to intracellular bacteria and viruses through T cells, macrophages, and natural killer cells without using antibodies. Some T cells become memory cells to provide a stronger secondary response if the same pathogen is encountered again. The functions of cell-mediated immunity include immune surveillance, graft rejection, hypersensitivity reactions, and immunity against various intracellular pathogens.