Activation of the Fas receptor by Fas-ligand (FasL) results in apoptosis, a
nd dysregulation of this pathway may contribute to abnormal cell proliferat
ion and cell death. The aim of this study was to compare the expression of
Fas and Fast in the normal pancreas and chronic pancreatitis (CP). By North
ern blotting, Fas messenger RNA (mRNA) levels were increased in CP in compa
rison to the normal pancreas. Immunostaining revealed that faint Fas and Fa
st immunoreactivity was present in ductal and islet cells of the normal pan
creas. In CP, there was faint Fas and strong Fast immunoreactivity in the p
roliferating ductal cells. Additionally, many of these ductal cells in the
CP samples exhibited an apoptotic signal, as determined by DNA 3'-OH end la
beling. These findings suggest that activation of apoptosis through the Fas
receptor may contribute to the pathobiology of CP.