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Mapping of cerebral metabolites in rats by 1H magnetic resonance spectroscopic imaging. Distribution of metabolites in normal brain and postmortem changes.

The goal of this study was to examine metabolic differences between cortex and basal ganglia in normal rat brain and to determine postmortem changes using in vivo 1H magnetic resonance spectroscopic imaging at 300 MHz. The resonances observed were: choline, creatine + phosphocreatine, N-acetyl aspartate (NAA), lactate (Lac), and three small resonances in the amino acid region which included resonances from aspartate + NAA (Asp), glutamine + NAA (Gln), and glutamate + GABA (Glu). A previously unassigned resonance was observed at 1.13 ppm in brain of rats anesthetized with pentobarbital. Spectroscopic images in normal brain demonstrated increased NAA and Gln and decreased Glu in cortex compared to basal ganglia. The major postmortem changes were an increase of Lac, Glu and Cho and a decrease of NAA and Asp. The rise in Lac was significantly higher in cortex than in basal ganglia.

Amino Acids↗

Postmortem changes in electrical resistance of the gastric wall during the early postmortem period in rats.

A simple and reliable technique was employed for measurement of (dc) electrical resistance of the gastric wall of rats. Tissue resistance decreased linearly (r = -0.87; P less than 0.001) from 66.1 +/- 12.1 kOhm/cm2 immediately following death to 23.3 +/- 3.5 kOhm/cm2 at a postmortem interval of 24 h. These changes are believed to reflect progressive postmortem changes in the physical dimensions of the intercellular space and/or changes in electrical conductivity of the intercellular/extracellular fluids.

Animals↗

Postmortem changes of ingested thinner components in tissues.

Postmortem changes of thinner components in body tissues were examined in rats, orally given 1 ml of standard thinner solution, which was prepared by mixing toluene, ethyl acetate and isobutanol in the proportion of 8:1:1. Analysis was made by gas chromatography combined with the head space method. Three thinner components and ethanol, a metabolite of ethyl acetate, were detected in the gastric contents of all rats up until 48 hours after death. An increase in the concentration of toluene was found in the blood, lung, kidney, liver, brain and abdominal muscle with the lapse of time. On the other hand, no changes were observed in the thigh muscle throughout the 48-hour period. Isobutanol showed a similar increasing pattern to toluene, with little or no changes in the brain or in the thigh muscle. Ethyl acetate was not detected in any tissues throughout the study but it was found in the gastric contents. The results indicate that every thinner component ingested, gradually diffuses into the surrounding tissues through the stomach wall after death, and that only muscle tissue remote from the abdominal cavity, together with the gastric contents, should be analyzed for a correct diagnosis of thinner ingestion.

Administration, Oral↗

Postmortem changes in drug-metabolizing enzymes of rat liver microsome.

Postmortem changes in the drug-metabolizing enzymes in rat liver microsome were studied. Parameters investigated were: microsomal protein, NADPH-cytochrome P-450 reductase activity, NADH-cytochrome b5 reductase activity, cytochrome b5 content, cytochrome P-450 content, aminopyrine N-demethylase activity, aniline p-hydroxylase activity, p-nitroanisole O-demethylase activity, uridine diphosphate (UDP)-glucuronyl transferase activity and glutathione S-transferase activity. Nearly all the parameters based on microsomal protein decreased during autolysis and the time-dependent decrement ratios of the parameters changed by various amounts. Cytochrome b5 content decreased more rapidly than that of other components. By 36 h post mortem, levels of cytochrome b5 were not detectable. By 48 h post mortem, NADPH-cytochrome P-450 reductase activity decreased to 91%, NADH-cytochrome b5 reductase activity decreased to 94%, and cytochrome P-450 content decreased to 92% of relative activities. By 48 h post mortem, aminopyrine N-demethylase activity decreased to 87%, aniline p-hydroxylase activity decreased to 98% and p-nitroanisole O-demethylase activity decreased to 75% of relative activities. The activity of p-nitroanisole O-demethylase appeared to be more stable than that of aminopyrine N-demethylase or aniline p-hydroxylase. These results demonstrate that there are multiple forms of isozymes of the cytochrome P-450-linked monooxygenase system. Hepatic transferases showed decrease patterns different to those of monooxygenases, so UDP-glucuronyl transferase activity of approximately 32% of relative activity was detected at 48 h post mortem. Thus, UDP-glucuronyl transferase activity appeared to be more stable than the cytochrome P-450-linked monooxygenases. These results show that these activities and components would be useful as markers of postmortem time. The causes of the variety of instability of these enzyme systems are discussed.

Animals↗

Postmortem changes and pharmacokinetics: review of the literature and case report.

OBJECTIVE: To review the mechanisms and sequence of events that occur during ischemia and cell death and following death of the human body. The impact of these postmortem events on the distribution and pharmacokinetic behavior of drugs is described. The case study presented illustrates a possible situation where such postmortem changes could have affected the pharmacokinetics of procainamide. DATA SOURCES: English-language journal articles and reference texts identified from pertinent data sources. DATA SYNTHESIS: Postmortem changes in the human body begin at the cellular level with the onset of ischemia. As the length of time of ischemia increases and death ensues, more changes occur and lead to deterioration in tissue and organ function. These changes may affect the pharmacokinetic and distribution behavior of certain drugs. Drugs particularly affected are those whose distribution is dependent on molecular size, lipophilicity, pH, energy-dependent transport, and tissue binding. Such drugs include the tricyclic antidepressants, digoxin, and cimetidine. Other drugs with similar characteristics, such as procainamide, may also demonstrate like changes in distribution and pharmacokinetics. CONCLUSIONS: When measuring drug concentrations after death, it is important to consider the phenomenon of postmortem redistribution. Postmortem drug concentrations may not be a true reflection of antemortem concentrations and as a result, wrong conclusions could be made about the cause of death. More studies characterizing the postmortem distribution and pharmacokinetic characteristics of specific drugs are necessary.

Antidepressive Agents, Tricyclic↗

Postmortem changes in ultrastructures of the mouse intervertebral disc.

To elucidate the effects of nutrition and oxygen deficiencies on the intervertebral disc, cell components of mouse intervertebral discs and their postmortem changes were observed by electron microscopy. The annulus fibrosus could be divided into an inner and outer region. The main cell components of the annulus fibrosus were fibroblast-like cells in the outer region and chondrocytes in the inner region. The nucleus pulposus consisted of massively packed notochordal cells. The cartilage plates could also be divided into two zones: articular cartilage and growth cartilage containing chondrocytes. Postmortem degenerative changes proceeded from the peripheral to the central parts of the intervertebral disc, ie, showing degeneration of first the fibroblast-like cells, next the chondrocytes, and finally, the notochordal cells. The findings suggest that cells situated at the periphery predominantly depend on aerobic metabolism, whereas the cells situated more centrally depend on anaerobic metabolism. Furthermore, postmortem changes of the nucleus pulposus were similar to age-related changes. The age-related changes or degeneration in the intervertebral disc appear to be related to deficiencies of nutrition or oxygen caused by changes in structures of the disc and the surrounding tissues.

Animals↗

Postmortem changes in the actin-myosin interaction of rabbit skeletal muscle.

Postmortem changes in the actin-myosin interaction were studied by determining the amount of thick and thin filaments dissociated by ATP. The amount of separated filaments was very small in myofibrils prepared from muscles in rigor, while it increased markedly during post-rigor storage of muscles. Electron microscopically, separated thick and thin filaments prepared from stored muscles were similar to freshly prepared ones and no signs of proteolytic degradation of either type of filament could be observed. A protein which was released from myofibrils (probably from Z discs) on Ca2+-treatment seemed to be most closely related to the post-rigor dissociation of thick filaments from thin filaments.

Actins↗

A study of non-isotopic in situ hybridization histochemistry on postmortem changes in vasopressin mRNA in rat brain.

Rat models which stimulated various postmortem conditions were used to determine postmortem changes in the vasopressin mRNA content of the brain. In situ hybridization histochemistry experiments using biotinylated oligonucleotide probes revealed that vasopressin mRNA could be detected in the rat hypothalamic nuclei, even though the rats had been killed and left for 8 h postmortem at room temperature and the brains were then fixed by immersion in 4% paraformaldehyde instead of by transcardial perfusion. However, these signals were greatly reduced in the nuclei if the brains were removed after a 24-h delay. These results suggest that gene expression study of neuropeptides at the cellular level can be performed on postmortem human brains after a short postmortem delay.

Animals↗

Postmortem changes in serum noradrenaline and adrenaline concentrations in rabbit and human cadavers.

Postmortem changes in serum noradrenaline and adrenaline concentrations in adrenectomised rabbits and in human sudden death cases were measured with HPLC in order to obtain information of the usefulness of these biogenic amines as indicators of antemortem stress. It appeared that serum concentrations increased with time postmortem, except for adrenaline in the adrenectomised rabbits. The values varied considerably between individuals in both materials. It is concluded that postmortem assays of serum catecholamines cannot be used in practice to demonstrate antemortem stress, although this would theoretically be a promising approach, e.g., in cases of suffocation. So far there seems to be no reliable and conclusive method for estimating short lasting antemortem stress in individual forensic cases.

Animals↗

Effect of postmortem changes and freezing on the viscoelastic properties of vocal fold tissues.

It is common practice in laryngeal research laboratories to store excised larynges and vocal fold tissue specimens frozen, presumably to preserve viability and structural integrity of the specimens for physiologic and biomechanical experiments. However, little is known about the biomechanical effects of postmortem changes and frozen storage in vocal fold tissues. This study attempted to quantify the effects of postmortem changes and freezing on the viscoelastic shear properties of the canine vocal fold mucosa. Sixteen larynges were excised from adult dogs immediately postmortem in a viable state. Using a torsional rheometer, the complex shear modulus (G*) of the mucosal tissue from one vocal fold of each larynx was measured as a function of frequency (0.01-15 Hz) by linear small-amplitude oscillation experiments. Measurement was repeated for ten mucosal specimens after 24 h of postmortem storage in saline solution at room temperature. Eleven of the 16 larynges were frozen and stored at -20 degrees C, six of them at a slow rate of cooling (storage in a regular freezer) and five others by quick freezing (chilling by liquid nitrogen prior to frozen storage). The larynges were thawed slowly overnight after one month and the viscoelastic shear properties of the contralateral vocal fold mucosa were measured. Results showed that the elastic shear modulus (G') and dynamic viscosity (eta') of the vocal fold mucosa did not seem to change significantly after 24 h of storage in saline at room temperature, nor after one month of frozen storage following quick freezing, whereas both G' and eta' decreased significantly for tissues that were slowly frozen. These findings supported the feasibility of using quick freezing to preserve laryngeal tissues for in vitro biomechanical testing, for excised larynx experiments, and for tissue engineering applications.

Animals↗

Postmortem changes in the level of brain proteins.

A systematic study on postmortem changes of brain proteins has not been performed so far and information is limited to basic principles of specific or nonspecific proteolysis or proteolysis of individual proteins. We studied protein level alterations in rat brain of animals kept at 23 degrees C for several postmortem times up to 72 h. Brain tissue protein extracts were analyzed by two-dimensional electrophoresis and the proteins with different levels were identified by matrix-assisted laser desorption ionization mass spectrometry. The changes observed mainly concerned structural proteins and enzymes. The levels of dihydropyrimidinase-related protein-2 decreased within 6 h and two new spots were detected representing shorter forms of the protein. Most of the other alterations appeared about 48 h postmortem. The most significant were reduced levels of neurofilament, alpha-internexin, synaptosomal-associated protein 25, glial fibrillary acidic protein, heat shock proteins, and dynamin-1; increased levels of 14-3-3 proteins and spectrin; and generation of shorter forms of certain proteins, such as tubulins, actin, and serum albumin. The results may be useful in neuropathology and brain protein studies.

Animals↗

Interpretation of postmortem change in cadavers in Spain.

Estimating time since death is especially difficult in the examination of poorly preserved cadavers and depends on the experience of the examiner and comparison with previously documented cases showing similar characteristics. The present study reports on information obtained over the past ten years through the work of the Laboratorio de Antropología y Odontología Forense (LAF) of the Instituto Anatómico Forense de Madrid, Spain, in particular evaluating how the type of fracture influences postmortem change. From the original 225 forensic cases examined between 1992 and 2002 in the LAF, a sample of 29 cases were selected from various regions of the Spanish mainland. A data collection protocol was established to reflect factors which the existing specialized literature, documenting the relation existing in the sample analyzed between time since death and the extent of postmortem change, which in the environments examined are distributed into the following phases: Phase 1 (putrefaction): one week to one month on the surface and two months in water. Phase 2 (initial skeletonization): two months on the surface and five to six months in water. Phase 3 (advanced skeltonization): six months to 1.5 years on the surface and 2.5 years buried. Phase 4 (complete skeletonization): about one year on the surface and three years buried. This paper also provide useful information on the impact of carrion insect activity, location, climate, seasonality, and predator.

Cadaver↗

Postmortem changes in blood concentrations of phenytoin and carbamazepine: an experimental study.

Observations of low postmortem blood concentrations of antiepileptic drugs in cases of sudden unexpected death in epilepsy (SUDEP) have led to the assumption that noncompliance may play a role in SUDEP. However, the reliability of postmortem drug levels has been questioned. The purpose of this study was to analyze possible postmortem changes in blood concentrations of carbamazepine (CBZ) and phenytoin (PHT). New Zealand white rabbits were fed with PHT or CBZ until assumed steady state. A blood sample was then drawn for determination of serum and whole blood concentrations of CBZ and PHT, after which the rabbits were killed and stored at 6 degrees C. A further blood sample for drug analysis was obtained 72 hours after death. Antemortem serum concentrations of CBZ were not significantly different from whole blood concentration 72 hours after death. In contrast, antemortem whole blood concentrations of PHT were only 65% of the corresponding serum concentrations, and postmortem PHT blood levels were even lower, being 35% of antemortem serum concentrations. In conclusion, blood concentrations of CBZ seem to be stable during 72 hours after death under these experimental conditions. However, postmortem PHT concentrations should be interpreted with caution and low postmortem concentrations do not necessarily imply a poor compliance.

Animals↗

Nucleotide levels in human and bovine lenses: a study on regional postmortem changes.

Regional lens adenine nucleotide levels were determined in human and bovine lenses using sensitive HPLC techniques. In adult lenses of both species adenine nucleotide levels were highest in the anterior cortex (plus epithelium and capsule) followed by the posterior cortex (plus capsule) and lowest in the nucleus. With increasing lens age ATP level remained steady in the anterior cortex (plus epithelium and capsule) and nucleus, while those in the posterior cortex showed a tendency toward decrease. In both species, human as well as bovine, adenine nucleotide levels of the anterior cortex (plus epithelium and capsule) underwent early postmortem changes. Thus, immediate postmortem sampling as well as regional determinations are a must for detailed studies of lens nucleotide metabolism.

Adenine Nucleotides↗

Postmortem changes in mitochondrial respiratory enzymes in brain and a preliminary observation in Parkinson's disease.

Postmortem changes in mitochondrial respiratory enzymes (Complex I-IV and NAD(+)-linked dehydrogenases in the TCA cycle) were studied in mouse brains and human frontal lobes. In mouse brains, activities of the enzymes studied were generally stable for as long as 12 h after cervical dislocation, except for the alpha-ketoglutarate dehydrogenase complex and NADP(+)-linked isocitrate dehydrogenase. In human frontal cortices, only NADH-ubiquinone reductase (Complex I) activity showed significant negative correlation with the duration between the patient's death and the freezing of the brain. No correlations between the activities of the enzymes studied and the age of the patients were noted. As most of our patients were 50 years of age or above, absence of the correlation cannot be extended to younger patients. From our observation, it was felt that analyses of these mitochondrial enzymes in human autopsy brains would give meaningful data. Preliminary observation in Parkinson's disease revealed a small but a significant decrease in the activity of Complex III in the striatum as compared with the control. Although, significance of our observation is not yet known, further studies on this line appear to be important to elucidate pathogenesis of Parkinson's disease.

Animals↗

[Postmortem changes in skin color].

By the employment of the colorimetric method statistically significant objective data on postmortem changes in the colour of different parts of the skin have first been obtained. Histological and spectrophotometric studies were carried out in order to elucidate the causes of these changes. The colour of the cadavar skin as well as the colour of the human skin in life depends on primary pigments: hemoglobin, melanin, carotene and melanoid. A certain role is likely to be played by the main structural proteins of the derma and epidermis: collagen and keratin. The cadavar skin colour differs in variations of the dominant wave length and reflectance which are associated with postmortem redistribution of the blood under the effect of the gravity and qualitative transformation of oxyhaemoglobin into reduced haemoglobin. The distribution of melanin, carotene, and melanoid does not differ from that in life. The most specific index of the amount of melanin is the purity of colour and not reflectance.

Adult↗

Postmortem changes in the enzymes of GABA and glutamate metabolism in the cerebellum and forebrain of newborn and adult rats.

Postmortem changes in the activity of GDH, GAD, GABA-T, and GS in the adult forebrain and cerebellum and in the forebrain of newborns have been investigated. The activities of GDH, GAD, and GS were stable till 12 hr after death in both adult and young brain regions studied. The activity of GABA-T was stable till 30 min postmortem, but declined progressively thereafter in both regions in adult, as well as in young forebrain.

4-Aminobutyrate Transaminase↗

Microscopic postmortem changes in kidneys of the domestic fowl.

Eighty-four male white leghorn chickens were killed by CO2 gas to determine the type, rate, and sequence of postmortem microscopic changes in the kidneys of dry and wet intact carcasses. They were held at 29 or 18 C with 50% relative humidity for different times postmortem. Microscopic postmortem changes in the different segments of the nephron underwent a different rate and sequence of cellular changes. Cellular changes occurred earlier at 29 C than at 18 C and earlier in chickens not wetted with detergent solution. The decrease in body temperature of wetted chickens over dry chickens was significant (P less than 0.05). The proximal convoluted tubule (PCT) underwent the earliest postmortem changes, followed by the distal convoluted tubule (DCT), collecting tubule (CT), medullary loop (ML), medullary collecting duct (MCD), and glomerulus. The PCT, DCT, and thin and thick segments of the ML underwent a sequential nuclear change of chromatin margination, progressive shrinkage, pyknosis, karyorrhexis, and karyolysis. Nuclei were pyknotic if cytoplasmic changes were severe. Primary karyorrhexis was the predominant feature of collecting tubules and ducts. As early as one hour after death, some PCT cells of all kidney sections were pyknotic, emphasizing that immediate tissue fixation was necessary for critical evaluation. By 9 and 18 hr postmortem, PCT of dry and wet chickens, respectively, held at 29 C had pyknotic and karyorrhectic nuclei with slight karyolysis and moderate to marked cytoplasmolysis that extended until 36 hr. At this time, DCT were hardly distinguishable because of loss of basophilia. Karyorrhectic nuclei were already evident in collecting tubules and ducts. At 48 hr postmortem, all tubular cells were non-nucleated with homogeneous, acidophilic cytoplasm. Basement membranes no longer stained with periodic acid-Schiff (PAS). Erythrocytes were pyknotic with unstained cytoplasm. Pyknotic glomeruli were first observed at 9 hr postmortem in dry chickens and 12 hr in wet chickens. Histologic appearance of dry chickens at 9 hr and wet chickens at 18 hr when held at 29 C was similar to that of dry chickens at 12 hr and wet chickens at 24 hr when held at 18 C, with minor differences in some tubular changes. At 18 C, pyknotic glomeruli appeared by 6 hr in dry chickens and 24 hr in wet chickens. Widespread bacterial invasion was noted at 72 hr in dry chickens and at 96 hr in wet chickens.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗