title: Expression of Fas antigen in liver tissue of patients with chronic hepatitis B and C.
abstract: OBJECTIVE
  Cells infected with the hepatitis B or C virus can be eliminated by an immune response mediated by cytotoxic T cells. Recently, the Fas Ligand has been detected on the surface of cytotoxic T cells, and is thought to induce cells to apoptosis by adhering to the Fas antigen.
  
  
  METHODS
  To evaluate the role of the Fas antigen and apoptosis in chronic hepatitis B or C, we used immunohistochemistry to study Fas antigen expression in liver samples obtained from 30 patients infected with chronic hepatitis B and 32 patients with chronic hepatitis C.
  
  
  RESULTS
  In samples from patients with chronic hepatitis C and B, Fas antigen was mainly expressed in the cytoplasm (partly at the membrane) of hepatocytes, and these positive cells were detected especially at the periportal region near 'piecemeal necrosis'. According to Knodell's scoring system for the histological activity index, the scores of periportal inflammation and necrosis were higher in cases that were positive for Fas antigen than in cases that were negative for the antigen (n = 62, P < 0.001) and there was a positive correlation between these scores and the degree of Fas antigen expression (r = 0.621). There was also a positive correlation between the scores of intralobular inflammation and necrosis and the degree of Fas antigen expression (n = 62, r = 0.522, P = 0.001). Fas antigen was not detected in patients without hepatitis infection.
  
  
  CONCLUSIONS
  These findings suggest that apoptosis of hepatocytes is induced via the Fas antigen and contributes to the elimination of infected cells.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, University of Cukurova, Adana, Turkey. m_oksuz@hotmail.com
authors.forename: Murat
authors.initials: M
authors.lastname: Oksuz
authors.forename: Hikmet
authors.initials: H
authors.lastname: Akkiz
authors.forename: Y Fatih
authors.initials: YF
authors.lastname: Isiksal
authors.forename: Gülsah
authors.initials: G
authors.lastname: Seydaoglu
authors.forename: Mehmet
authors.initials: M
authors.lastname: Serin
authors.forename: Fazilet
authors.initials: F
authors.lastname: Kayaselcuk
authors.forename: Bahri
authors.initials: B
authors.lastname: Abayli
authors.forename: Ilhan
authors.initials: I
authors.lastname: Tuncer
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000410:Alanine Transaminase / Q000032:analysis; D017209:Apoptosis / Q000276:immunology; D003593:Cytoplasm / Q000276:immunology; D005260:Female; D019694:Hepatitis B, Chronic / Q000276:immunology* / Q000473:pathology; D019698:Hepatitis C, Chronic / Q000276:immunology* / Q000473:pathology; D006801:Humans; D007150:Immunohistochemistry / Q000379:methods; D008099:Liver / Q000276:immunology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D019014:fas Receptor / Q000032:analysis*
chemical_list: D019014:fas Receptor; D000410:Alanine Transaminase