Background. Apoptosis is involved in the mechanism of cell death observed i
n liver allograft rejection. The liver cells are sensitive to Fas-mediated
apoptosis; however, little is known about the involvement of the Fas system
in liver allograft rejection. are used rat models to investigate the expre
ssion of Fas/Fas ligand and apoptosis-related proteins during liver allogra
ft rejection.
Materials and methods. DA rats to Lewis, and Lewis to Lewis orthotopic live
r transplantation were performed; liver samples were collected on days 1, 3
, 5, 7, and 9 postoperatively (each n = 3). Apoptosis was monitored by TUNE
L and electron microscopy. The expression of Fas, Fast, bcl-2, and bar was
examined at the mRNA level and by means of immunohistochemistry.
Results. The TUNEL index in the allografts and isografts on day 7 was 20.1
+/- 1.5 and 7.7 +/- 2.6/1000 cells, respectively. Fas and bar mRNA were con
stitutively expressed in both of the groups. The expression of Fas ligand m
RNA in the allografts which rose on day 5 was 10 times stronger compared to
that in the isografts. On the other hand, bcl-2 mRNA was generally express
ed in the isografts while it decreased in the allografts. The immunohistoch
emical analysis also showed an increased reactivity of Fas ligand on day 5
in the allograft, which was observed both in parenchymal and nonparenchymal
cells.
Conclusions. These results strongly suggest that Fas/Fas ligand interaction
mediates the liver injury during allograft rejection. In addition, other r
egulatory factors of apoptosis, such as bcl-2, might also be involved in th
is pathogenesis. (C) 1999 Academic Press.