[Post-mortem DNA changes in heart muscle].
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Finnish forensic experts who had performed investigations of victims of alleged political violence in Kosovo, in the Federal Republic of Yugoslavia, under the mandate of the European Union, carried out experimental shooting in Finland to confirm observations made during the earlier forensic investigation. Experimental shooting can be of benefit for autopsy conclusions, because the wounding potential of military weapons differs from that of non-military weapons. Assault rifle gunshot wounds were inflicted upon anaesthetised swine from various distances and angles and with variable shielding of the skin. The morphology of the skin wounds was studied and post-mortem changes were documented while the wounds were being observed in cool and room temperature conditions for 13 days. Large variation was found in the size, form, and regularity, and in the presence and width of the abrasion zone of entrance and exit wounds, in addition to secondary wounds. The maximum diameter of entrance wounds varied between 4 and 40 mm and that of exit wounds between 10 and 110 mm. The width of the abrasion zone surrounding entrance wounds ranged from 2 to 11 mm. Extreme care and caution are needed when drawing conclusions with regard to cases of multiple gunshot injuries, and especially when post-mortem changes are considerable.
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Mitochondrial defects in gene expression have been implicated in the pathophysiology of bipolar disorder and schizophrenia. We have now contrasted control brains with low pH versus high pH and showed that 28% of genes in mitochondrial-related pathways meet criteria for differential expression. A majority of genes in the mitochondrial, chaperone and proteasome pathways of nuclear DNA-encoded gene expression were decreased with decreased brain pH, whereas a majority of genes in the apoptotic and reactive oxygen stress pathways showed an increased gene expression with a decreased brain pH. There was a significant increase in mitochondrial DNA copy number and mitochondrial DNA gene expression with increased agonal duration. To minimize effects of agonal-pH state on mood disorder comparisons, two classic approaches were used, removing all subjects with low pH and agonal factors from analysis, or grouping low and high pH as a separate variable. Three groups of potential candidate genes emerged that may be mood disorder related: (a) genes that showed no sensitivity to pH but were differentially expressed in bipolar disorder or major depressive disorder; (b) genes that were altered by agonal-pH in one direction but altered in mood disorder in the opposite direction to agonal-pH and (c) genes with agonal-pH sensitivity that displayed the same direction of changes in mood disorder. Genes from these categories such as NR4A1 and HSPA2 were confirmed with Q-PCR. The interpretation of postmortem brain studies involving broad mitochondrial gene expression and related pathway alterations must be monitored against the strong effect of agonal-pH state. Genes with the least sensitivity to agonal-pH could present a starting point for candidate gene search in neuropsychiatric disorders.
The profound physiological disturbances associated with severe intracerebral pathology have long been recognized. These changes have also been described in the brain dead potential organ donor but have only been studied since the early 1980s. Physiological disturbances in the brain dead organ donor result in a diffuse vascular regulatory injury and a diffuse metabolic cellular injury. The net result of these changes is an inexorable deterioration of all organs and eventual "cardiovascular death" of the patient. This paper reviews these physiological changes and the effect they may have on solid transplantable tissues, and discusses the management of brain dead organ donor with regard to these changes. Current concepts of brain death and how they may affect the interpretation of the observed physiological changes are also reviewed.
A qualitative and quantitative electron microscopic study of oligodendroglial cells was performed in autoptic (4-6.5 hours after death) prefrontal area 10 in 16 cases of schizophrenia, 6 cases of bipolar affective disorder and 16 normal controls, as well as in the caudate nucleus in same schizophrenic and control cases. The signs of reactive, regressive, and progressive changes of oligodendroglia were described in endogenous psychoses. ANOVA demonstrated a significant decrease in the area of the nucleus, in the volume density of euchromatin, in the volume density and count of mitochondria in oligodendroglial cells in the caudate nucleus and prefrontal area. In affective psychosis, there was a significant reduction in the area of the nucleus and in the volume density of euchromatin and slight changes in cellular organelles. No correlation between the changes and the postmortem interval, age, and neuroleptic therapy, as well as the most pronounced changes in oligodendroglial cells in subgroups of continuous schizophrenia and those with predominantly negative symptoms suggest the involvement of abnormal oligodendroglial cells in the pathogenesis of endogenous psychoses.
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Investigators currently lack the data necessary to define the state of skeletal muscle properties within cadaveric specimens. The purpose of this study is to define the temporal changes in the postmortem properties of skeletal muscle as a function of mechanical loading and freezer storage. The tibialis anterior of the New Zealand white rabbit was chosen for study. Modulus and no-load strain were found to vary significantly from live after eight hours postmortem. Following the changes that occur during rigor mortis, a stable region of postmortem, post-rigor properties occurred between 36 to 72 hours postmortem. A freeze-thaw process was not found to have a significant effect on the post-rigor response. The first loading cycle response of post-rigor muscle was unrepeatable but stiffer than live passive muscle. After preconditioning, the post-rigor muscle response was repeatable. The preconditioned post-rigor response was less stiff than the live passive response due to a significant increase in no-load strain. Failure properties of postmortem muscle were found to be significantly different from live passive muscle with a significant decrease in failure stress (61 percent) and energy (81 percent), while failure strain was unchanged. These results suggest that the post-rigor response of cadaveric muscle is unaffected by freezing but sensitive to even a few cycles of mechanical loading.