Study on Fas/Fas-L expression in liver tissue and hepatocyte apoptosis in patients with hepatitis gravis.

Q Xia, S Shi
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Abstract

To explore the expression of Fas/Fas-L in liver tissue of hepatitis gravis patients and its implication in hepatocyte apoptosis, Fas/Fas-L expression and cell apoptosis was detected by the means of inmmunohistochemistry and terminal deoxynucleotidyl transferase mediated dUTP nick end labeling (TUNEL). It was found that in the 20 patients with clinical hepatitis gravis, Fas in hepatocytes showed strong expression and Fas-L also showed intensive expression in infiltrating lymphocytes and scattering hepatocytes. The apoptosis existed in all the samples, scattering in the areas of inflammatory, necrotic area and hepatic lobule. It was suggested that the overexpression of Fas/Fas-L could cause the death of hepatocytes and thus the occurrence of hepatitis gravis. The apoptosis caused by Fas might be one of the important pathogeneses of hepatitis gravis. Among the detected samples, apoptosis and necrosis coexisted, indicating that both two types of cellular death were closely associated with the pathogenesis of hepatitis gravis.

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关于重症肝炎患者肝组织中 Fas/Fas-L 表达和肝细胞凋亡的研究
为探讨Fas/Fas-L在重症肝炎患者肝组织中的表达及其在肝细胞凋亡中的作用,采用免疫组织化学和末端脱氧核苷酸转移酶介导的DUTP缺口标记(TUNEL)方法检测Fas/Fas-L的表达和细胞凋亡。结果发现,在 20 例临床重症肝炎患者中,肝细胞中的 Fas 呈强表达,浸润淋巴细胞和散在肝细胞中的 Fas-L 也呈高表达。所有样本中都存在细胞凋亡,分布在炎症区、坏死区和肝小叶。这表明 Fas/Fas-L 的过度表达可导致肝细胞死亡,从而引发重症肝炎。Fas 引起的细胞凋亡可能是重症肝炎的重要病因之一。在检测到的样本中,细胞凋亡和坏死同时存在,表明这两种细胞死亡与重症肝炎的发病机制密切相关。
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