Nasopharyngeal carcinoma (NPC) is an epithelial cancer with a high incidenc
e in Southeast Asia. How it escapes attack from the host immune system is n
ot fully understood. Recently, pieces of evidence show that Fas-ligand (Fas
-L)-mediated apoptosis may be involved in immune privilege of tumours. To d
etermine whether a similar mechanism may exist in NPC, the expression of Fa
s-L was analysed. Biopsy specimens of the nasopharynx were taken from 27 NP
C patients. Histologically, they were either non-keratinizing or undifferen
tiated carcinomas. Nasopharyngeal biopsies of 11 other patients that proved
to have no tumour served as control. The transcripts of Fas-L were detecte
d by reverse transcription-polymerase chain reaction. Localization of Fas-L
protein was performed with immunohistostaining using an antibody recognizi
ng human Fas-L. All nasopharyngeal tissues have a similar amount of transcr
ipts of Fas-L. However, the Fas-L protein was detected exclusively on the c
ell surface of malignant epithelial cells of NPC. The present findings sugg
est that Fas-L protein may be involved in evading immune attack of NPC. (C)
1999 Elsevier Science Ltd. All rights reserved.