Metastasis of colorectal carcinomas rarely occurs in cirrhotic livers. Our
study investigated the influence of activated Kupffer cells from cirrhotic
rat livers on hepatic colonization and FasR-mediated apoptosis of colon can
cer cells. A rat colon cancer cell line, RCN-9, was used to inoculate rat l
ivers. Treatment with conditioned media of Kupffer cells isolated from CCl4
-induced cirrhotic rat livers (cirrhotic KCM) significantly reduced the inc
idence of hepatic colonization of RCN-9 cells. In vitro cytotoxicity of Kup
ffer cells and tumour infiltrating lymphocytes (TILs) on RCN-9 cells was ev
aluated using [H-3]-release assay. RCN-9 cells were resistant to cytotoxici
ty mediated by cirrhotic Kupffer cells, but were sensitized to TIL-mediated
killing after treatment with cirrhotic KCM. The specific killing induced b
y TILs was FasR-mediated, as it was inhibited by ZB4, an antagonistic anti-
FasR antibody. In agreement, cirrhotic KCM increased recombinant Fas ligand
-induced apoptosis of RCN-9 cells, and up-regulated FasR expression on RCN-
9 cells as evaluated by RT-PCR and flow cytometry. These findings suggest t
hat Kupffer cells in cirrhotic livers sensitize metastatic colon cancer cel
ls to FasR-mediated apoptosis by up-regulating the receptors, which thus pr
epare them to be eliminated by infiltrating lymphocytes. (C) 2001 Cancer Re
search Campaign.