腐败尸体中的伤口活力:通过免疫组织化学探索新领域

Wound Vitality in Decomposed Bodies: New Frontiers Through Immunohistochemistry.

作者信息

Bertozzi Giuseppe, Ferrara Michela, La Russa Raffaele, Pollice Giovanni, Gurgoglione Giovanni, Frisoni Paolo, Alfieri Letizia, De Simone Stefania, Neri Margherita, Cipolloni Luigi

机构信息

Department of Clinical and Experimental Medicine, Section of Legal Medicine, University of Foggia, Foggia, Italy.

Department of Medical Sciences, Section of Legal Medicine, University of Ferrara, Ferrara, Italy.

出版信息

Front Med (Lausanne). 2021 Dec 24;8:802841. doi: 10.3389/fmed.2021.802841. eCollection 2021.

Abstract

The question about wound vitality and the estimation of wound age of production are two of the classic investigation fields of forensic sciences. To answer this, the techniques most frequently used in research studies are immunohistochemistry (IHC), molecular biology, and biochemistry. Despite the great data on the literature about the usefulness of IHC in forensic pathology, there is always a request for further studies, especially on tissues altered by putrefactive phenomena. In fact, the degradation of the tissues is intended as the main limiting factor to the use of this technique. The aim of this pilot study was to evaluate the immunohistochemical behavior of samples collected from decomposed bodies (in different putrefaction phases) and to relate these findings to wound vitality and postmortem interval. Samples of skin and soft tissues were collected during autopsies, which were executed on decomposed bodies, whose cause of death was concluded to be traumatic. An immunohistochemical study was performed using antibodies against CD15, CD45, IL-15, tryptase, and glycophorin-A MMPs (endopeptidases involved in degrading extracellular matrix proteins: MMP-9 and MMP-2). An immunohistochemistry (IHC) reaction was evaluated according to a qualitative method as the following legend: (0): not expressed, (+): isolated and disseminated expression, (++): expression in groups or widespread foci, and (+++): widespread expression. Most of the tested markers (tryptase, glycophorin, IL15, CD 15, CD 45, and MMP9) showed to be highly expressed in the tissue of putrefied skin for 15 days. Although certainly inconclusive, this experimental application demonstrated that a nonexclusive but combined use of multiple antibodies is appropriate to verify wound vitality in decomposed bodies. Among them, GPA exhibited major reliability.

摘要

关于伤口活力以及伤口形成时间的估算问题是法医学经典研究领域中的两个问题。为了回答这些问题,研究中最常用的技术是免疫组织化学(IHC)、分子生物学和生物化学。尽管文献中有大量关于免疫组织化学在法医病理学中实用性的数据,但人们始终要求进行进一步研究,特别是针对因腐败现象而改变的组织。事实上,组织的降解被认为是使用该技术的主要限制因素。 这项初步研究的目的是评估从腐败尸体(处于不同腐败阶段)采集的样本的免疫组织化学行为,并将这些发现与伤口活力和死后间隔时间联系起来。 在对腐败尸体进行尸检期间采集皮肤和软组织样本,这些尸体的死因被判定为创伤性。 使用针对CD15、CD45、IL-15、组织蛋白酶、血型糖蛋白-A基质金属蛋白酶(参与降解细胞外基质蛋白的内肽酶:MMP-9和MMP-2)的抗体进行免疫组织化学研究。 根据以下图例,通过定性方法评估免疫组织化学(IHC)反应:(0):未表达,(+):孤立和散在表达,(++):成组或广泛病灶中的表达,(+++):广泛表达。 大多数测试标记物(组织蛋白酶、血型糖蛋白、IL15、CD 15、CD 45和MMP9)在腐败15天的皮肤组织中显示高表达。 尽管肯定没有定论,但该实验应用表明,非排他性但联合使用多种抗体适用于验证腐败尸体中的伤口活力。其中,血型糖蛋白-A表现出较高的可靠性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bc3/8739223/b453c4a07d66/fmed-08-802841-g0001.jpg

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