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Clinical and Diagnostic Laboratory Immunology, July 1999, p. 457-463, Vol. 6, No. 4
1071-412X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

Expression of Fas (CD95/APO-1) Ligand by Human Breast Cancers: Significance for Tumor Immune Privilege

Joe O'Connell,1 Michael W. Bennett,1 Gerald C. O'Sullivan,2 Jim O'Callaghan,1 J. Kevin Collins,1 and Fergus Shanahan1,*

Department of Medicine, Cork University Hospital,1 and Department of Surgery, Mercy Hospital,2 National University of Ireland, Cork, Ireland

Received 26 October 1998/Returned for modification 7 January 1999/Accepted 29 March 1999

Breast cancers have been shown to elicit tumor-specific immune responses. As in other types of cancer, the antitumor immune response fails to contain breast tumor growth, and a reduction in both the quantity and cytotoxic effectiveness of tumor-infiltrating lymphocytes (TILs) is associated with a poorer prognosis. Fas ligand (FasL) induces apoptotic death of activated lymphocytes that express its cell surface receptor, FasR (CD95/APO-1). FasL-mediated apoptosis of activated lymphocytes contributes to normal immune downregulation through its roles in tolerance acquisition, immune response termination, and maintenance of immune privilege in the eye, testis, and fetus. In this report, we demonstrate that breast carcinomas express FasL. Using in situ hybridization and immunohistochemistry, we show that breast tumors constitutively express FasL at both the mRNA and protein levels, respectively. FasL expression is prevalent in breast cancer: 100% of breast tumors (17 of 17) were found to express FasL, and expression occurred over more than 50% of the tumor area in all cases. By immunohistochemistry, FasR was found to be coexpressed with FasL throughout large areas of all the breast tumors. This suggests that the tumor cells had acquired intracellular defects in FasL-mediated apoptotic signaling. FasL and FasR expression were independent of tumor type or infiltrative capacity. FasL expressed by tumor cells has previously been shown to kill Fas-sensitive lymphoid cells in vitro and has been associated with apoptosis of TILs in vivo. We conclude that mammary carcinomas express FasL in vivo as a potential inhibitor of the antitumor immune response.


* Corresponding author. Mailing address: Department of Medicine, Clinical Sciences Building, University Hospital, Cork, Ireland. Phone: 353 21 901225. Fax: 353 21 345300. E-mail: FShanahan{at}iruccvax.ucc.ie.


Clinical and Diagnostic Laboratory Immunology, July 1999, p. 457-463, Vol. 6, No. 4
1071-412X/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.



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