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Detectable concentrations of Fas ligand in cerebrospinal fluid after severe head injury.
Division of Trauma Surgery, University Hospital Zurich, Switzerland.
When the cell surface molecule Fas is triggered by its agonist Fas ligand the result is apoptosis of these cells and tissue destruction. To elucidate the pathophysiological relevance of Fas ligand in patients with cerebral oedema caused by trauma, we examined its concentrations in cerebrospinal fluid in 18 patients using specific ELISA. Serum and cerebrospinal fluid from healthy people and injured patients without head trauma did not contain detectable Fas ligand. In contrast, cerebrospinal fluid from patients with severe brain injury contained high concentrations of Fas ligand without detectable concentrations in serum. Soluble Fas ligand concentrations in cerebrospinal fluid correlated significantly with severity of brain injury. The Fas-Fas ligand-system may have a pivotal role in causing oedema and local tissue destruction in the brain after severe head injury.
PMID: 9413263 [PubMed - indexed for MEDLINE]
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Cited by 2 PubMed Central articles
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ReviewBench-to-bedside review: Apoptosis/programmed cell death triggered by traumatic brain injury.
Zhang X, Chen Y, Jenkins LW, Kochanek PM, Clark RS.
Crit Care. 2005 Feb; 9(1):66-75. Epub 2004 Sep 3.
[Crit Care. 2005]
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Increased cerebrospinal fluid concentrations of soluble Fas (CD95/Apo-1) in hydrocephalus.
Felderhoff-Mueser U, Herold R, Hochhaus F, Koehne P, Ring-Mrozik E, Obladen M, Bührer C.
Arch Dis Child. 2001 Apr; 84(4):369-72.
[Arch Dis Child. 2001]