Molecular pathology of pulmonary surfactants and cytokines in drowning compared with other asphyxiation and fatal hypothermia
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  • 作者:Takako Miyazato (1)
    Takaki Ishikawa (1) takaki@med.osaka-cu.ac.jp
    Tomomi Michiue (1)
    Hitoshi Maeda (1)
  • 关键词:Molecular pathology &#8211 ; Drowning &#8211 ; Hypothermia &#8211 ; Immunohistochemistry &#8211 ; Real ; time RT ; PCR &#8211 ; Cytokines &#8211 ; Pulmonary surfactant ; associated protein
  • 刊名:International Journal of Legal Medicine
  • 出版年:2012
  • 出版时间:July 2012
  • 年:2012
  • 卷:126
  • 期:4
  • 页码:581-587
  • 全文大小:537.8 KB
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  • 作者单位:1. Department of Legal Medicine, Osaka City University Medical School, Asahi-machi 1-4-3, Abeno, Osaka 545-8585, Japan
  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Forensic Medicine
    Medical Law
    Medicine/Public Health, general
  • 出版者:Springer Berlin / Heidelberg
  • ISSN:1437-1596
文摘
Drowning involves complex fatal factors, including asphyxiation and electrolyte/osmotic disturbances, as well as hypothermia in cold water. The present study investigated the molecular pathology of pulmonary injury due to drowning, using lung specimens from forensic autopsy cases of drowning (n = 21), acute mechanical asphyxia due to neck compression and smothering (n = 24), and hypothermia (cold exposure, n = 11), as well as those of injury (n = 23), intoxication (n = 13), fire fatality (n = 18), and acute cardiac death (n = 9) for comparison. TaqMan real-time reverse transcription polymerase chain reaction was used to quantify messenger RNA (mRNA) expressions of pulmonary surfactant-associated proteins A and D (SP-A and SP-D), tumor necrosis factor (TNF)-α, interleukin (IL)-1β, and IL-10. SP-A and SP-D mRNA levels were lower for drowning, mechanical asphyxiation, fire fatality, and acute cardiac deaths than for hypothermia and injury. TNF-α, IL-1β, and IL-10 mRNA levels were higher for drowning or for drowning and injury than for other groups; there was no significant difference between fire fatality, involving airway injury due to inhalation of hot/irritant gases, and other control groups. These observations suggest characteristic molecular biological patterns of pulmonary injury involving suppression of pulmonary surfactants and activation of early-phase mediators of inflammation in drowning, with high mRNA expression levels of pulmonary surfactants in fatal hypothermia; however, there was no significant difference among these markers in immunohistochemical detection, except for SP-A. These mRNA expressions can be used as markers of pulmonary injury to assist in investigations of the pathophysiology of drowning and fatal hypothermia in combination with other biochemical and biological markers.

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