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表皮水通道蛋白3表达在法医学鉴定人类颈部受压皮肤伤口活力中的应用

Forensic application of epidermal AQP3 expression to determination of wound vitality in human compressed neck skin.

作者信息

Ishida Yuko, Kuninaka Yumi, Nosaka Mizuho, Shimada Emi, Hata Satoshi, Yamamoto Hiroki, Hashizume Yumiko, Kimura Akihiko, Furukawa Fukumi, Kondo Toshikazu

机构信息

Department of Forensic Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan.

Takatsuki Red Cross Hospital, Japan, 1-1-1 Abuno, Takatsuki, 569-1045, Japan.

出版信息

Int J Legal Med. 2018 Sep;132(5):1375-1380. doi: 10.1007/s00414-018-1780-1. Epub 2018 Jan 22.

Abstract

In forensic practices, it is often difficult to determine wound vitality in compression marks of the neck with naked eyes. AQP1 and AQP3 are the major water channels associated with skin. Thus, we immunohistochemically examined the expression of AQP1 and AQP3 in neck skin samples to discuss their forensic applicability to determination of the wound vitality. Skin samples were obtained from 56 neck compression cases (hanging, 35 cases; strangulation, 21 cases). The intact skin from the same individual was taken as a control. Although AQP1 was immnunostained in dermal capillaries in both the neck compression marks and intact skin samples, there was no significant difference in the magnitude of AQP1 expression between both groups. On the contrary, AQP3-positive signals could be faintly detected in uninjured skin samples, and the positive signals seemed more intense in the keratinocytes in compression regions. Morphometrical analyses revealed that the ratio of AQP3-expressed keratinocytes was significantly enhanced in neck compression regions, compared with control groups. From the viewpoints of forensic pathology, immunohistochemical detection of AQP3 in the neck skin can be considered a valuable marker to diagnose the trace of antemortem compression.

摘要

在法医实践中,用肉眼判断颈部压迫痕迹中的伤口活力往往很困难。水通道蛋白1(AQP1)和水通道蛋白3(AQP3)是与皮肤相关的主要水通道。因此,我们通过免疫组织化学方法检测了颈部皮肤样本中AQP1和AQP3的表达,以探讨它们在法医上用于判断伤口活力的适用性。皮肤样本取自56例颈部压迫案件(上吊,35例;勒死,21例)。取同一人的完整皮肤作为对照。虽然在颈部压迫痕迹和完整皮肤样本的真皮毛细血管中均检测到AQP1免疫染色,但两组之间AQP1表达量无显著差异。相反,在未受伤的皮肤样本中可微弱检测到AQP3阳性信号,而在压迫区域的角质形成细胞中阳性信号似乎更强。形态计量学分析显示,与对照组相比,颈部压迫区域中表达AQP3的角质形成细胞比例显著增加。从法医病理学的角度来看,免疫组织化学检测颈部皮肤中的AQP3可被视为诊断生前压迫痕迹的一个有价值的标志物。

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