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1998 ; 13
(1
): 41-6
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Delayed activation-induced T lymphocytes death in aplastic anemia: related with
abnormal Fas system
#MMPMID9538630
Kim SC
; Min YH
; Lee S
; Chung SY
; Yoo NC
; Lee JW
; Hahn JS
; Ko YW
Korean J Intern Med
1998[Feb]; 13
(1
): 41-6
PMID9538630
show ga
OBJECTIVES: To quantitate apoptosis and Fas antigen expression of T lymphocytes
by activation in aplastic anemia (AA) and compare with that of normal controls
and completely-recovered AA, and to investigate the apoptotic sensitivity to
anti-fas antibody of activated T lymphocytes in AA. METHODS: We studied the
expression of Fas antigen on fresh T lymphocytes of twenty patients with AA [13
newly diagnosed, 7 recorvered AA after immunosuppressive therapy (IST)], and
investigated the activation-induced cell death (AICD) and Fas expression by
activation [interleukin-2 (200 U/ml) and phytohemagglutinin (50 micrograms/ml)]
in 5 newly-diagnosed AA, 5 normal controls and 5 AA in complete response (CR).
Apoptotic sensitivity to anti-Fas antibody was assessed by the time-course
kinetics of induction of cell death by anti-Fas antibody (500 ng/ml). RESULTS:
There was no significant difference of Fas antigen expression on freshly-isolated
T lymphocytes among newly-diagnosed severe AA, normal controls and patients with
AA in CR after IST. In normal controls, T lymphocytes death was greatly increased
at 3 days of activation, and Fas antigen expression on T lymphocytes was
increased above baseline at day 1 of activation. In contrast, in newly-diagnosed
AA, T lymphocytes showed delayed cell death, which correlated with a slowed
increase of Fas antigen expression by activation. Also, anti-Fas antibody
sensitivity of activated T lymphocytes was decreased in newly-diagnosed AA. In
completely recovered AA, these abnormal AICD and Fas antigen expressions by
activation were recovered to normal range. CONCLUSIONS: Abnormal AICD plays a
role in the immune pathophysiology of AA, and defective Fas system is involved in
this process.