Apoptotic cell death plays an important role in the cascade of neuronal deg
eneration after traumatic brain injury (TBI), but the underlying mechanisms
are not fully understood. However, increasing evidence suggests that expre
ssion of Fas and its ligand (FasL) could play a major role in mediating apo
ptotic cell death in acute and chronic neurologic disorders. To further inv
estigate the temporal pattern of Fas and Fast expression after experimental
TBI in the rat, male Sprague Dawley rats were subjected to unilateral cort
ical impact injury. The animals were killed and examined for Fas and FasL p
rotein expression and for immunohistologic analysis at intervals from 15 mi
nutes to 14 days after injury. Increased Fas and FasL immunoreactivity was
seen in the cortex ipsilateral to the injury site from 15 minutes to 72 hou
rs after the trauma, respectively. Immunohistologic investigation demonstra
ted a differential pattern of Fas and FasL expression in the cortex, respec
tively: increased Fas immunoreactivity was seen in cortical astrocytes and
neurons from 15 minutes to 72 hours after the injury. In contrast, increase
d expression of FasL was seen in cortical neurons, astrocytes, and microgli
a from 15 minutes to 72 hours after impact injury. Concurrent double-labeli
ng examinations using terminal deoxynucleotidyl tranferase-mediated deoxyur
idine-biotin nick end labeling identified Fas- and FasL-immunopostive cells
with high frequency in the cortex ipsilateral to the injury site. In contr
ast, there was no evidence of Fas- and FasL-immunopositive cells in the hip
pocampus ipsilateral to the injury site up to 14 days after the trauma. Fur
ther, Fas and Fast immunoreactivity was absent in the contralateral cortex
and hippocampus at all time points investigated. These results reveal induc
tion of Fas and Fast expression in the cortex after TBI in the rat. Further
, these data implicate an involvement of Fas and Fast in the pathophysiolog
ic mechanism of apoptotic neurodegeneration after TBI. Last, these data sug
gest that strategies aimed to repress posttraumatic Fas- and Fast-induced a
poptosis may open new perspectives for the treatment of TBI.