Fas (CD95) and bcl-2 expression in active skin lesions of Behçet's disease

J Eur Acad Dermatol Venereol. 2005 Sep;19(5):569-72. doi: 10.1111/j.1468-3083.2005.01250.x.

Abstract

Over-expression of bcl-2 in lymphocytes has an important role in some immunological and inflammatory diseases. Fas (CD95) is a cell surface molecule that mediates receptor-triggered apoptosis in various cells including autoreactive T cells. In this study we investigated bcl-2 and Fas (CD95) expression in dermal lymphocytes in active skin lesions of Behçet's disease (BD) and in skin biopsy samples with chronic, non-specific inflammations. Tissue sections of 29 skin lesions of Behçet's disease and of 10 chronic non-specific inflammatory process cases from the archives of the Ondokuz Mayis University's Pathology Department were immunohistochemically stained for bcl-2 and Fas (CD95), and lymphocytes in the dermal infiltrate were evaluated for cytoplasmic staining. bcl-2 staining was observed in the skin lesions of 22 cases (75.8%) of Behçet's disease. bcl-2 staining was detected in two (20%) control skin biopsy samples with non-specific chronic inflammation. Fas (CD95) positivity was not detected in lymphocytes in Behçet's disease-related skin lesions. Fas (CD95) staining was observed in only three skin biopsy samples with non-specific chronic inflammation. bcl-2 and Fas (CD95) staining values in Behçet's and non-specific inflammation groups were significantly different (P < 0.01); differences in the bcl-2 staining values between Behçet's patients with mucocutaneous involvement only and mucocutaneous and other systemic involvements were not significant (P > 0.05). Expression of bcl-2 and loss of Fas (CD95) expression in dermal lymphocytes may play a role in the development of skin lesions and may account for the chronic course with periodic exacerbations in BD.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Apoptosis / genetics
  • Behcet Syndrome / complications
  • Behcet Syndrome / genetics*
  • Biopsy, Needle
  • Case-Control Studies
  • Disease Progression
  • Female
  • Gene Expression Regulation
  • Genetic Markers / genetics
  • Humans
  • Immunohistochemistry
  • In Situ Nick-End Labeling
  • Male
  • Middle Aged
  • Prognosis
  • Proto-Oncogene Proteins c-bcl-2 / genetics
  • Proto-Oncogene Proteins c-bcl-2 / metabolism*
  • Recurrence
  • Risk Assessment
  • Sampling Studies
  • Sensitivity and Specificity
  • Skin Diseases / etiology
  • Skin Diseases / genetics*
  • Skin Diseases / pathology
  • Tissue Culture Techniques
  • fas Receptor / genetics
  • fas Receptor / metabolism*

Substances

  • Genetic Markers
  • Proto-Oncogene Proteins c-bcl-2
  • fas Receptor