PMID- 11555580 OWN - NLM STAT- MEDLINE DCOM- 20011004 LR - 20171116 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 7 IP - 9 DP - 2001 Sep TI - Fas ligand expression by neoplastic T lymphocytes mediates elimination of CD8+ cytotoxic T lymphocytes in mycosis fungoides: a potential mechanism of tumor immune escape? PG - 2682-92 AB - Mycosis fungoides (MF) is the most common form of cutaneous T-cell lymphoma (CTCL) and arises from the accumulation and clonal proliferation of epidermotropic, CD4+/CD45RO+ (helper/memory) T lymphocytes. Loss of CD8+ CTLs within MF lesions is associated with poor prognosis and disease progression. Because T-lymphocyte apoptosis is controlled mainly through the Fas/Fas ligand (FasL) pathway and tumor cells may escape immune surveillance by expressing FasL, triggering apoptosis of tumor-infiltrating T lymphocytes, we studied the role of this system in MF. T-cell subsets, Fas/FasL expression, and apoptosis were evaluated in normal and lesional skin biopsy specimens from 21 patients with all stages of MF and in cultured CTCL cell lines (MJ, HUT78, and HH) using immunohistochemistry, terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL), and Western blotting. MF lesions and paired, clinically "normal," uninvolved skin showed increased numbers of both TUNEL-positive epidermal keratinocytes (n = 13; F = 31.146; P < 0.01, ANOVA) and dermal lymphocyte infiltrates (n = 13; F = 15.825, P < 0.01, ANOVA) compared with the normal control skin. FasL expression was highest in lesional epidermal keratinocytes, in CTCL tumor cell lines, and in dermal tumor lymphocytes in MF lesions compared with uninvolved skin. FasL colocalized with CD45RO+ cells. CD8+ cells in or adjacent to CD45RO+ cells were positively labeled by TUNEL for apoptosis. In addition, CD8+ cell numbers were decreased in areas in which FasL+ tumor cells were abundant (2.01 +/- 0.86%) compared with non-FasL expressing areas (13.53 +/- 3.54%; P < 0.02). These results suggest that a potential mechanism of tumor immune escape in MF is FasL-mediated apoptosis of infiltrating CD8+ CTLs. FAU - Ni, X AU - Ni X AD - Department of Dermatology, University of Texas, M. D. Anderson Cancer Center, Houston, Texas 77030, USA. FAU - Hazarika, P AU - Hazarika P FAU - Zhang, C AU - Zhang C FAU - Talpur, R AU - Talpur R FAU - Duvic, M AU - Duvic M LA - eng GR - CA 16672-22/CA/NCI NIH HHS/United States GR - R21-CA74117/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (CD8 Antigens) RN - 0 (FASLG protein, human) RN - 0 (Fas Ligand Protein) RN - 0 (Membrane Glycoproteins) RN - EC 3.1.3.48 (Leukocyte Common Antigens) SB - IM MH - Adult MH - Aged MH - Apoptosis MH - CD8 Antigens/*metabolism MH - Fas Ligand Protein MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Nick-End Labeling MH - Jurkat Cells MH - Leukocyte Common Antigens/metabolism MH - Male MH - Membrane Glycoproteins/*biosynthesis MH - Middle Aged MH - Mycosis Fungoides/immunology/metabolism/*pathology MH - Skin/chemistry/immunology/pathology MH - Skin Neoplasms/immunology/metabolism/*pathology MH - T-Lymphocytes/chemistry/*immunology/pathology MH - T-Lymphocytes, Cytotoxic/*immunology/metabolism/pathology MH - Tumor Cells, Cultured EDAT- 2001/09/14 10:00 MHDA- 2001/10/05 10:01 CRDT- 2001/09/14 10:00 PHST- 2001/09/14 10:00 [pubmed] PHST- 2001/10/05 10:01 [medline] PHST- 2001/09/14 10:00 [entrez] PST - ppublish SO - Clin Cancer Res. 2001 Sep;7(9):2682-92.