“…In the case of increased resistance to extrinsic cell death, such as Fas, this may occur through downmodulation of the receptor itself, defects in caspase family members or dysregulation of the signalling pathway due to the overexpression of key anti-apoptotic proteins, such as FLICE inhibitory proteins (FLIP), inhibitors of apoptosis or survivin, which also affect caspase activation. The potential importance of Fas loss of function in tumour escape and tumour progression reflects two important considerations in cancer biology and tumour immunology: (a) Fas downregulation has been noted in the progression of a range of human malignancies (Keane et al, 1996;Krammer et al, 1998;von Reyher et al, 1998;Owen-Schaub et al, 2000;Worth et al, 2002;Liu et al, 2003;Gordon et al, 2005); and (b) if Fas-mediated cytotoxicity is an important host defense mechanism during the effector phase of the immune reaction and if it becomes compromised, this could lead to the emergence of Fas-resistant (Fas lo ) tumour escape variants with potentially enhanced malignant capabilities. Fas lo variants have been shown to exhibit enhanced tumour growth and reduced sensitivity to CTL-based immunotherapy, as shown in mouse models of experimental lung metastasis (Liu et al, 2005b(Liu et al, , 2006.…”