Medical Hypotheses
Volume 53, Issue 1 , Pages 50-62, July 1999

Fas/Fas ligand on the road: an apoptotic pathway common to AIDS, autoimmunity, lymphoproliferation and transplantation

  • G. Famularo

      Affiliations

    • Ospedale San Camillo, Rome, Italy
    • Department of Experimental Medicine, University of L'Aquila, L'Aquila, 67100, Italy
  • ,
  • E. Nucera

      Affiliations

    • Department of Experimental Medicine, University of L'Aquila, L'Aquila, 67100, Italy
  • ,
  • S. Marcellini

      Affiliations

    • Department of Experimental Medicine, University of L'Aquila, L'Aquila, 67100, Italy
  • ,
  • C. De Simone

      Affiliations

    • Department of Experimental Medicine, University of L'Aquila, L'Aquila, 67100, Italy

Received 7 October 1997; accepted 23 December 1997.

Abstract 

There is considerable interest in the role of Fas protein as it induces apoptotic cell death when ligated by its natural ligand (FasL).

Interaction between Fas and FasL is a crucial mechanism for clonal deletion and immune tolerance and privilege, control of T cell expansion during immune responses and killing by cytotoxic T lymphocytes. Loss of function of the system can block lymphocyte apoptosis and cause lymphoproliferation and autoimmunity but, when the system overfunctions, it can end to tissue injury and destruction.

Recent studies have demonstrated that the Fas/FasL system is implicated in the pathogenesis of several human diseases ranging from AIDS to autoimmunity and lymphoproliferation, hepatitis, multiple sclerosis and transplant rejection.

It is conceivable that modulating the activity of the Fas/fasL pathway would have clinical applications for the treatment of these patients.

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PII: S0306-9877(97)90712-X

doi:10.1054/mehy.1997.0712

Medical Hypotheses
Volume 53, Issue 1 , Pages 50-62, July 1999