We measured the serum level of soluble Fas (sFas) antigen in gastric MALT (
mucosa-associated lymphoid tissue) lymphoma patients to investigate immune
response of B lymphoma cells in gastric MALT lymphoma. The serum sFas antig
en levels in 21 patients with Helicobacter pylori (HP)-positive MALT lympho
ma were 4.51+/-0.25 (mean+/-SD) in the high grade malignant group (n=9) tha
t demonstrated diffuse large cell (DL) components and 2.53+/-0.46 (mean+/-S
D) in the low grade malignant group (n=12) that did not demonstrate DL comp
onents, Among 12 patients who underwent HP eradication therapy, the blood s
Fas antigen level lowered after eradication in 7 out of 10 patients who sho
wed complete response or partial response, while sFas antigen level did not
decrease in the 2 patients who showed no change or progression of the dise
ase. In the high grade malignant group, 2 of 3 patients who underwent HP er
adication treatment showed a mild decrease in the sFas antigen level as wel
l as an improvement on endoscopic and histological examinations, but these
sFas level were not normalized. The blood sFas antigen level tended to coin
cide with pathological activity and malignancy, suggesting that the sFas an
tigen level may be a prognostic indicator and useful index for the response
of HP eradication treatment in gastric MALT lymphoma.