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新兴的玻璃体蛋白和脂质浓度概念可作为淡水溺亡的鉴别诊断依据。

Emerging concept of vitreous concentrations of proteins and lipids as discriminant of fresh water drowning death.

机构信息

Department of Biochemistry, Federal University Otuoke, Bayelsa State, Nigeria.

Department of Biochemistry, Abia State University, Abia State, Nigeria.

出版信息

J Forensic Leg Med. 2020 Jul;73:101994. doi: 10.1016/j.jflm.2020.101994. Epub 2020 Jun 11.

DOI:10.1016/j.jflm.2020.101994
PMID:32658752
Abstract

BACKGROUND

Drowning is the leading cause of unintentional death in the world, with about 372,000 drowning deaths reported annually. Forensic opinion of drowning is considered one of the most difficult tasks in confirming the exact cause of death. Drowning is now possibly patronized to cover up intentional crimes. This study was aimed at utilizing concentrations of vitreous proteins and lipids in making inroad into the inquest of true drowning. Twelve albino rabbits constituted the sample size. The rabbits were divided into three groups; control death (CD), post-mortem submersion death (PSD) and truly drowned death (TDD). Vitreous humor was extracted from the eyes of all the rabbits and centrifuged for biochemical analysis. The biochemical parameters analyzed included vitreous total protein (TP), albumin (ALB), globulin (GLO), albumin/globulin (A/G) ratio, immunoglobulin G (IgG), immunoglobin M (IgM) total cholesterol (TC), triacylglycerol (TG), high density lipoprotein (HDL), low density lipoprotein (LDL), very low density lipoprotein (VLDL) and glucose (GLU) using standard methods.

RESULT

The mean concentrations of vitreous parameters amongst the groups were compared using one-way anova (pos hoc-LSD). The findings revealed that the concentrations of vitreous TP, GLO, IgG, IgM, TG, TC, TG, HDL, VLDL and GLU were significantly elevated (p < 0.05), whereas ALB and A/G ratio decreased significantly amongst the drowned death group compared to that either CD or PSD.

CONCLUSION

The findings have indicated that some vitreous protein and lipid parameters could aid in discriminating deaths that truly emanated from true drowning from that of post-mortem drowning and suffocation.

摘要

背景

溺水是世界上导致非故意死亡的主要原因,每年报告的溺水死亡人数约为 37.2 万。法医对溺水的意见被认为是确认确切死因的最困难任务之一。溺水现在可能被用来掩盖故意犯罪。本研究旨在利用玻璃体液蛋白和脂质浓度来深入探讨真正溺水的死因。12 只白化兔构成了样本量。兔子被分为三组; 对照组死亡 (CD)、死后浸泡死亡 (PSD) 和真正溺水死亡 (TDD)。从所有兔子的眼睛中提取玻璃体液并进行离心进行生化分析。分析的生化参数包括玻璃体液总蛋白 (TP)、白蛋白 (ALB)、球蛋白 (GLO)、白蛋白/球蛋白 (A/G) 比值、免疫球蛋白 G (IgG)、免疫球蛋白 M (IgM)、总胆固醇 (TC)、三酰甘油 (TG)、高密度脂蛋白 (HDL)、低密度脂蛋白 (LDL)、极低密度脂蛋白 (VLDL) 和葡萄糖 (GLU) 使用标准方法。

结果

使用单因素方差分析 (事后 LSD) 比较各组玻璃体液参数的平均值。研究结果表明,与 CD 或 PSD 相比,溺水死亡组的玻璃体液 TP、GLO、IgG、IgM、TG、TC、TG、HDL、VLDL 和 GLU 浓度显着升高 (p < 0.05),而 ALB 和 A/G 比值显着降低。

结论

研究结果表明,一些玻璃体液蛋白和脂质参数可帮助区分真正源于真正溺水的死亡与死后溺水和窒息的死亡。

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