Background. Fas (Apo-1/CDgB), a member of the tumor necrosis factor re
ceptor family, can mediate apoptosis when engaged by its ligand or by
anti-Fas antibody, Fas is expressed by cells of the immune system and
by some nonlymphoid tissues. Numerous studies have suggested that the
Fas pathway may play a role in the rejection of allografts, Functional
, soluble forms of the Fas receptor are produced by activated peripher
al blood mononuclear cells and some transformed cell lines, The purpos
e of this study was to determine if soluble variants of Fas are produc
ed in the liver and to determine if blockade of the Fas pathway, by li
ver-derived soluble Fas, inhibits Fas-mediated apoptosis, Methods. Liv
er and purified hepatocyte specimens were analyzed for Fas transcripts
by reverse transcriptase-polymerase chain reaction with primers that
span the transmembrane region of the molecule, Bile and cell lysates w
ere analyzed for soluble Fas by specific enzyme-linked immunosorbent a
ssay, Lysates were prepared from normal liver and hepatocytes and util
ized to block Fas-mediated apoptosis of Jurkat cells as determined by
terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling
and flow cytometry, Results, A variant form of Fas is abundantly expre
ssed in normal liver and purified hepatocytes, This variant form of Fa
s is expressed in all normal liver specimens but only in half of the l
iver specimens obtained during allograft rejection. The levels of solu
ble Fas diminish in patients undergoing liver allograft rejection in c
ontrast to patients with stable grafts, Importantly, a soluble form of
Fas is produced in the liver by hepatocytes and can specifically inhi
bit Fas-mediated apoptosis, Conclusion, These data raise the possibili
ty that soluble Fas, produced by hepatocytes, may influence the immune
response by blocking Fas-mediated apoptosis and, thus, may have a rol
e in liver transplantation.