Elsevier

Experimental Eye Research

Volume 67, Issue 6, December 1998, Pages 687-697
Experimental Eye Research

Regular article
Expression of Fas-Fas Ligand Antigens and Apoptotic Marker APO2.7 by the Human Conjunctival Epithelium. Positive Correlation with Class II HLA DR Expression in Inflammatory Ocular Surface Disorders

https://doi.org/10.1006/exer.1998.0566Get rights and content

Abstract

Fas antigen (CD95) is a membrane receptor that plays a major role in induction of apoptosis. In surface conjunctival epithelial cells the expressions of Fas, Fas ligand, the apoptotic marker APO2.7 and of HLA DR class II antigen, a membrane marker known to be expressed in inflammatory conditions were investigated. Impression cytology specimens were collected in 65 patients: 20 normal ones, 15 contact lens wearers, 20 receiving chronic topical antiglaucoma treatment and 10 with nonspecific chronic conjunctivitis. Cells were processed for flow cytometry, using monoclonal antibodies to Fas, Fas ligand, APO2.7, HLA DR antigens and a negative isotypic control. Percentages of positive cells were recorded and levels of fluorescence quantified using fluorescent beads at standardized fluorescence intensities. In addition, a human conjunctival cell line was incubated with anti-Fas stimulating antibodies in order to test Fas-induced apoptosis in vitro. Fas was found in all specimens in most of the conjunctival cells, but quantitation of levels of fluorescence showed a significantly higher expression in pathologic eyes than in normal ones. Fas ligand and APO2.7 were variably expressed by conjunctival cells, but in a significantly higher percentage of cells in pathological eyes than in normal ones. In these eyes a strong expression of HLA DR was also observed, whereas normal eyes showed lowest levels. Highly significant correlations were found between Fas, Fas ligand, APO2.7 and HLA DR levels. Anti-Fas antibodies in vitro induced strong apoptosis in epithelial cells as confirmed by APO2.7 expression and DAPI staining. This study confirms that conjunctival epithelial cells normally express Fas antigen, and more inconstantly its ligand, as do corneal ones or keratinocytes. Fluorescence quantitation by flow cytometry showed much higher expression in inflammatory eyes than in normal ones, and demonstrated a strong correlation between apoptotic and inflammatory pathways in the ocular surface.

References (32)

  • C. Baudouin et al.

    Flow cytometry in impression cytology specimens. A new method for evaluation of conjunctival inflammation

    Invest. Ophthalmol. Vis. Sci.

    (1997)
  • C. Baudouin et al.

    Immunopathological findings in conjunctival cells using immunofluorescence staining of impression cytology specimens

    Br. J. Ophthalmol.

    (1992)
  • M.M. Brysk et al.

    Induction of apoptotic nuclei by interferon-gamma and by predesquamin in cultured keratinocytes

    J. Interferon Cytokine Res.

    (1995)
  • L.E. French et al.

    Fas and Fas ligand in embryos and adult mice: ligand expression in several immune-privileged tissues and coexpression in adult tissues characterized by apoptotic cell turnover

    J. Cell Biol.

    (1996)
  • A. Gessl et al.

    Influence of tumour necrosis factor-alpha on the expression of Fc IgG and IgA receptors, and other markers by cultured human blood monocytes and U937 cells

    Sand. J. Immunol.

    (1994)
  • T.S. Griffith et al.

    Fas ligand-induced apoptosis as a mechanism of immune privilege

    Science

    (1995)
  • Cited by (86)

    • Conjunctival melanoma: New insights in tumour genetics and immunology, leading to new therapeutic options

      2022, Progress in Retinal and Eye Research
      Citation Excerpt :

      The expression of these checkpoints in CoM is unknown, but may be relevant in cases that fail to respond against immunotherapy. Even so, Fas Ligand is a suppressor of immune activity and being expressed in conjunctival epithelium (Brignole et al., 1998), may contribute to CoM resistance against new therapies. Despite a limited number of studies on CoM, several conclusions can be drawn regarding the role of the immune infiltrate (Table 6).

    • HLA-DR expression as a biomarker of inflammation for multicenter clinical trials of ocular surface disease

      2013, Experimental Eye Research
      Citation Excerpt :

      Since its introduction (Egbert et al., 1977), IC has been found to be useful in assessing the ocular surface in various ocular disorders such as dry eye/keratoconjunctivitis sicca (KCS; Wittpenn et al., 1986; Brignole et al., 2001), cicatricial ocular pemphigoid (Rivas et al., 2004), and vitamin A deficiency (McKelvie, 2003; Natadisastra et al., 1988) and has been used in clinical trials to evaluate HLA-DR expression in ocular surface diseases (Barabino et al., 2010; Mrugacz et al., 2007; Rolando et al., 2005; Baudouin et al., 2002; Brignole et al., 2000; Pisella et al., 2000; Tsubota et al., 1999; Baudouin et al., 1992, 1997). However, the reliability, reproducibility and storage limitations for the use of relative HLA-DR expression on IC-collected cells as a biomarker of inflammation for clinical trials has not yet been clearly established although there are several articles highlighting the uses of IC (Barabino et al., 2010; Baudouin et al., 1992, 1997, 2000; Brignole et al., 1998; Brignole et al., 2000; Brignole et al., 2001; Brignole-Baudouin et al., 2004a, 2004b; Calonge et al., 2004; Lopin et al., 2009; Fernandez et al., 2001; McKelvie, 2003; Natadisastra et al., 1987, 1988; Nelson et al., 1983; Puangsricharern and Tseng, 1995; Rolando et al., 2005; Roy et al., 2011; Singh et al., 2005; Stern et al., 2002; Stevenson et al., 2000; Thiel et al., 1997; Tole et al., 2001; Tseng, 1985. Tsubota et al., 1999; Wittpenn et al., 1986).

    View all citing articles on Scopus
    f1

    Correspondence to: C. Baudouin MD, PhD, Ambroise Paré Hospital, APHP, Department of Ophthalmology, 9 avenue Charles de Gaulle, 92104 Boulogne Cedex, France.

    View full text