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Survival-time dependent increase in neuronal IL-6 and astroglial GFAP expression in fatally injured human brain tissue

Identifieur interne : 000819 ( Main/Exploration ); précédent : 000818; suivant : 000820

Survival-time dependent increase in neuronal IL-6 and astroglial GFAP expression in fatally injured human brain tissue

Auteurs : Florian Trautz [Allemagne] ; Heike Franke [Allemagne] ; Simone Bohnert [Allemagne] ; Niels Hammer [Nouvelle-Zélande, Allemagne] ; Wolf Müller [Allemagne] ; Ruth Stassart [Allemagne] ; Rexson Tse [Nouvelle-Zélande] ; Johann Zwirner [Nouvelle-Zélande] ; Jan Dre Ler [Allemagne] ; Benjamin Ondruschka [Allemagne]

Source :

RBID : PMC:6695416

Abstract

Knowledge on trauma survival time prior to death following a lethal traumatic brain injury (TBI) may be essential for legal purposes. Immunohistochemistry studies might allow to narrow down this survival interval. The biomarkers interleukin-6 (IL-6) and glial fibrillary acidic protein (GFAP) are well known in the clinical setting for their usability in TBI prediction. Here, both proteins were chosen in forensics to determine whether neuronal or glial expression in various brain regions may be associated with the cause of death and the survival time prior to death following TBI. IL-6 positive neurons, glial cells and GFAP positive astrocytes all concordantly increase with longer trauma survival time, with statistically significant changes being evident from three days post-TBI (p < 0.05) in the pericontusional zone, irrespective of its definite cortical localization. IL-6 staining in neurons increases significantly in the cerebellum after trauma, whereas increasing GFAP positivity is also detected in the cortex contralateral to the focal lesion. These systematic chronological changes in biomarkers of pericontusional neurons and glial cells allow for an estimation of trauma survival time. Higher numbers of IL-6 and GFAP-stained cells above threshold values in the pericontusional zone substantiate the existence of fatal traumatic changes in the brain with reasonable certainty.


Url:
DOI: 10.1038/s41598-019-48145-w
PubMed: 31417126
PubMed Central: 6695416


Affiliations:


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Le document en format XML

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<p id="Par1">Knowledge on trauma survival time prior to death following a lethal traumatic brain injury (TBI) may be essential for legal purposes. Immunohistochemistry studies might allow to narrow down this survival interval. The biomarkers interleukin-6 (IL-6) and glial fibrillary acidic protein (GFAP) are well known in the clinical setting for their usability in TBI prediction. Here, both proteins were chosen in forensics to determine whether neuronal or glial expression in various brain regions may be associated with the cause of death and the survival time prior to death following TBI. IL-6 positive neurons, glial cells and GFAP positive astrocytes all concordantly increase with longer trauma survival time, with statistically significant changes being evident from three days post-TBI (p < 0.05) in the pericontusional zone, irrespective of its definite cortical localization. IL-6 staining in neurons increases significantly in the cerebellum after trauma, whereas increasing GFAP positivity is also detected in the cortex contralateral to the focal lesion. These systematic chronological changes in biomarkers of pericontusional neurons and glial cells allow for an estimation of trauma survival time. Higher numbers of IL-6 and GFAP-stained cells above threshold values in the pericontusional zone substantiate the existence of fatal traumatic changes in the brain with reasonable certainty.</p>
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<author>
<name sortKey="Liem, Rk" uniqKey="Liem R">RK Liem</name>
</author>
<author>
<name sortKey="Shelanski, Ml" uniqKey="Shelanski M">ML Shelanski</name>
</author>
<author>
<name sortKey="Mason, Ca" uniqKey="Mason C">CA Mason</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Kimmelberg, Hk" uniqKey="Kimmelberg H">HK Kimmelberg</name>
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<biblStruct>
<analytic>
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<name sortKey="Kimmelberg, Hk" uniqKey="Kimmelberg H">HK Kimmelberg</name>
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</analytic>
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<analytic>
<author>
<name sortKey="Hausmann, R" uniqKey="Hausmann R">R Hausmann</name>
</author>
<author>
<name sortKey="Vogel, C" uniqKey="Vogel C">C Vogel</name>
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<author>
<name sortKey="Seidel, S" uniqKey="Seidel S">S Seidel</name>
</author>
<author>
<name sortKey="Betz, P" uniqKey="Betz P">P Betz</name>
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<analytic>
<author>
<name sortKey="Eng, Lf" uniqKey="Eng L">LF Eng</name>
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<author>
<name sortKey="Ghirnikar, Rs" uniqKey="Ghirnikar R">RS Ghirnikar</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Pinchi, E" uniqKey="Pinchi E">E Pinchi</name>
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</analytic>
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<analytic>
<author>
<name sortKey="Crooks, Da" uniqKey="Crooks D">DA Crooks</name>
</author>
<author>
<name sortKey="Scholtz, Cl" uniqKey="Scholtz C">CL Scholtz</name>
</author>
<author>
<name sortKey="Vowles, G" uniqKey="Vowles G">G Vowles</name>
</author>
<author>
<name sortKey="Greenwald, S" uniqKey="Greenwald S">S Greenwald</name>
</author>
<author>
<name sortKey="Evans, S" uniqKey="Evans S">S Evans</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Trautz, F" uniqKey="Trautz F">F Trautz</name>
</author>
<author>
<name sortKey="Dre Ler, J" uniqKey="Dre Ler J">J Dreßler</name>
</author>
<author>
<name sortKey="Stassart, R" uniqKey="Stassart R">R Stassart</name>
</author>
<author>
<name sortKey="Muller, W" uniqKey="Muller W">W Müller</name>
</author>
<author>
<name sortKey="Ondruschka, B" uniqKey="Ondruschka B">B Ondruschka</name>
</author>
</analytic>
</biblStruct>
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<analytic>
<author>
<name sortKey="Remmele, W" uniqKey="Remmele W">W Remmele</name>
</author>
<author>
<name sortKey="Stegner, H" uniqKey="Stegner H">H Stegner</name>
</author>
</analytic>
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<analytic>
<author>
<name sortKey="Ondruschka, B" uniqKey="Ondruschka B">B Ondruschka</name>
</author>
</analytic>
</biblStruct>
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</back>
</TEI>
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<list>
<country>
<li>Allemagne</li>
<li>Nouvelle-Zélande</li>
</country>
</list>
<tree>
<country name="Allemagne">
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<name sortKey="Trautz, Florian" sort="Trautz, Florian" uniqKey="Trautz F" first="Florian" last="Trautz">Florian Trautz</name>
</noRegion>
<name sortKey="Bohnert, Simone" sort="Bohnert, Simone" uniqKey="Bohnert S" first="Simone" last="Bohnert">Simone Bohnert</name>
<name sortKey="Dre Ler, Jan" sort="Dre Ler, Jan" uniqKey="Dre Ler J" first="Jan" last="Dre Ler">Jan Dre Ler</name>
<name sortKey="Franke, Heike" sort="Franke, Heike" uniqKey="Franke H" first="Heike" last="Franke">Heike Franke</name>
<name sortKey="Hammer, Niels" sort="Hammer, Niels" uniqKey="Hammer N" first="Niels" last="Hammer">Niels Hammer</name>
<name sortKey="Hammer, Niels" sort="Hammer, Niels" uniqKey="Hammer N" first="Niels" last="Hammer">Niels Hammer</name>
<name sortKey="Muller, Wolf" sort="Muller, Wolf" uniqKey="Muller W" first="Wolf" last="Müller">Wolf Müller</name>
<name sortKey="Ondruschka, Benjamin" sort="Ondruschka, Benjamin" uniqKey="Ondruschka B" first="Benjamin" last="Ondruschka">Benjamin Ondruschka</name>
<name sortKey="Stassart, Ruth" sort="Stassart, Ruth" uniqKey="Stassart R" first="Ruth" last="Stassart">Ruth Stassart</name>
</country>
<country name="Nouvelle-Zélande">
<noRegion>
<name sortKey="Hammer, Niels" sort="Hammer, Niels" uniqKey="Hammer N" first="Niels" last="Hammer">Niels Hammer</name>
</noRegion>
<name sortKey="Tse, Rexson" sort="Tse, Rexson" uniqKey="Tse R" first="Rexson" last="Tse">Rexson Tse</name>
<name sortKey="Zwirner, Johann" sort="Zwirner, Johann" uniqKey="Zwirner J" first="Johann" last="Zwirner">Johann Zwirner</name>
</country>
</tree>
</affiliations>
</record>

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