Human urinary bladder transitional cell carcinomas acquire the functional Fas ligand during tumor progression

Am J Pathol. 2003 Apr;162(4):1139-49. doi: 10.1016/S0002-9440(10)63910-7.

Abstract

The interaction between FasL on tumor cells and Fas on lymphocytes may represent a tumor immune escape mechanism. We explored FasL expression and function in human urinary bladder transitional cell carcinomas (TCCs). FasL expression was observed in situ in 45% of TCCs (n = 45) and was absent in normal urothelium (n = 20). A correlation existed between FasL expression and high tumor grade (0% in G1, 14% in G2, and 75% in G3; P < 0.0001) and stage (13% in superficial Ta-T1 versus 81% in invasive T2-T4; P < 0.0001). FasL function was shown by the ability of two FasL-positive primary culture TCC cell lines (established from two FasL-positive invasive TCCs) to induce Fas-mediated killing not only of conventional Fas-sensitive targets (such as Jurkat cells or phytohemagglutinin-lymphoblasts), but also of autologous T lymphocytes generated in a mixed lymphocyte tumor-cell culture. In addition, an association between FasL expression by TCC cells and activated caspase-8, -9, and -3 expression by interferon-gamma-producing CD8-positive tumor-infiltrating lymphocytes was observed in situ. Our results show a functional expression of TCC-expressed FasL that correlates with tumor progression. These results suggest that TCC-expressed FasL may induce apoptosis of anti-tumor T lymphocytes in vivo, providing new insights on the mechanisms involved in bladder TCC progression.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens, CD / genetics
  • Carcinoma, Transitional Cell / immunology
  • Carcinoma, Transitional Cell / pathology*
  • Carcinoma, Transitional Cell / physiopathology
  • Disease Progression
  • Fas Ligand Protein
  • Humans
  • Lymphocytes / pathology
  • Membrane Glycoproteins / genetics*
  • Neoplasm Staging
  • Reference Values
  • Reverse Transcriptase Polymerase Chain Reaction
  • Urinary Bladder Neoplasms / immunology
  • Urinary Bladder Neoplasms / pathology*
  • Urinary Bladder Neoplasms / physiopathology
  • Urothelium / cytology
  • Urothelium / pathology

Substances

  • Antigens, CD
  • FASLG protein, human
  • Fas Ligand Protein
  • Membrane Glycoproteins