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通过大鼠心脏和肾脏的生化及病理变化评估早期死后间隔时间

Estimation of Early Postmortem Interval Through Biochemical and Pathological Changes in Rat Heart and Kidney.

作者信息

Abo El-Noor Mona Mohamed, Elhosary Naema Mahmoud, Khedr Naglaa Fathi, El-Desouky Kareema Ibraheem

机构信息

From the *Forensic Medicine and Clinical Toxicology Department, Faculty of Medicine, †Biochemisty Department, Faculty of Pharmacy, and ‡Pathology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

出版信息

Am J Forensic Med Pathol. 2016 Mar;37(1):40-6. doi: 10.1097/PAF.0000000000000214.

Abstract

Accurate estimation of time passed since death is a complicated task in forensic medicine especially in homicide or unwitnessed death investigations. Changes in oxidant/antioxidant parameters were investigated if it can be relied upon in estimating the early postmortem interval (EPI) in rat heart and kidney, and whether these changes were correlated with histopathological findings in these tissues. Heart and kidney tissues of 84 male albino rats were divided into 2 parts. One part used for estimation of levels of malondialdehyde (MDA), nitric oxide (NO), and total thiol as well as the activity of glutathione reductase (GR), glutathione S transferase, and catalase. The second part was examined histopathologically. It was found that MDA and NO were significantly increased earlier in the heart than kidney tissues. Meanwhile, total thiol, catalase, glutathione S transferase, and GR were commenced to be significantly decreased in the heart before kidney tissues. Linear regression analysis of independent variables of heart was found to be of a high predictive value of 97.2% (EPI = 8.607 - 0.240 GR + 0.002 MDA + 0.014 NO). Structural deterioration of heart started 3 to 4 hours compared with renal sections that began 5 to 6 hours after death. The relationship between oxidant and antioxidant parameters is crucial in determining the EPI. The kidney was found to be more resistible to oxidative damage. Further research on humans is needed.

摘要

准确估计死亡时间是法医学中的一项复杂任务,尤其是在凶杀案或无人见证的死亡调查中。研究了氧化/抗氧化参数的变化,以确定其是否可用于估计大鼠心脏和肾脏的早期死后间隔(EPI),以及这些变化是否与这些组织的组织病理学结果相关。将84只雄性白化大鼠的心脏和肾脏组织分为两部分。一部分用于估计丙二醛(MDA)、一氧化氮(NO)和总硫醇水平以及谷胱甘肽还原酶(GR)、谷胱甘肽S转移酶和过氧化氢酶的活性。第二部分进行组织病理学检查。结果发现,心脏组织中MDA和NO的显著升高比肾脏组织更早。与此同时,心脏组织中总硫醇、过氧化氢酶、谷胱甘肽S转移酶和GR在肾脏组织之前就开始显著下降。心脏独立变量的线性回归分析显示具有97.2%的高预测价值(EPI = 8.607 - 0.240 GR + 0.002 MDA + 0.014 NO)。与死后5至6小时开始的肾脏切片相比,心脏的结构恶化在3至4小时开始。氧化和抗氧化参数之间的关系对于确定EPI至关重要。发现肾脏对氧化损伤更具抵抗力。需要对人类进行进一步研究。

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