Franklin R W van de Goot1, H Ibrahim Korkmaz2, Judith Fronczek3, Birgit I Witte4, Rob Visser5, Magda M W Ulrich6, Mark P V Begieneman7, Lawrence Rozendaal8, Paul A J Krijnen9, Hans W M Niessen10. 1. Netherlands Forensic Institute (NFI), The Hague, The Netherlands; Department of Pathology, VU University Medical Centre, 1007 HV Amsterdam, The Netherlands. 2. Department of Pathology, VU University Medical Centre, 1007 HV Amsterdam, The Netherlands; ICaR-VU, VU University Medical Centre, Amsterdam, The Netherlands. Electronic address: h.korkmaz@vumc.nl. 3. Department of Pathology, VU University Medical Centre, 1007 HV Amsterdam, The Netherlands; Symbiant Pathology Expert Centre, Alkmaar, The Netherlands. 4. Department of Epidemiology and Statistics, VU University Medical Centre, Amsterdam, The Netherlands. 5. Netherlands Forensic Institute (NFI), The Hague, The Netherlands. 6. Department of Molecular Cell Biology and Immunology, VU University Medical Centre, Amsterdam, The Netherlands; MOVE Research Institute Amsterdam, VU University Medical Centre, Amsterdam, The Netherlands; Association of Dutch Burn Centres (ADBC), Beverwijk, The Netherlands. 7. Netherlands Forensic Institute (NFI), The Hague, The Netherlands; Department of Pathology, VU University Medical Centre, 1007 HV Amsterdam, The Netherlands; ICaR-VU, VU University Medical Centre, Amsterdam, The Netherlands. 8. Department of Pathology, VU University Medical Centre, 1007 HV Amsterdam, The Netherlands. 9. Department of Pathology, VU University Medical Centre, 1007 HV Amsterdam, The Netherlands; ICaR-VU, VU University Medical Centre, Amsterdam, The Netherlands. 10. Department of Pathology, VU University Medical Centre, 1007 HV Amsterdam, The Netherlands; Department of Cardiac Surgery, VU University Medical Centre, Amsterdam, The Netherlands; ICaR-VU, VU University Medical Centre, Amsterdam, The Netherlands.
Abstract
PURPOSE OF THE STUDY: In forensic autopsies it is important to determine the age of early vital skin wounds as accurate as possible. In addition to inflammation, coagulation is also induced in vital wounds. Analysis of blood coagulation markers in wound hemorrhage could therefore be an important additional discriminating factor in wound age determination. The aim of this study was to develop a wound age probability scoring system, based on the immunohistochemical expression levels of Fibronectin, CD62p and Factor VIII in wound hemorrhage. METHODS: Tissue samples of (A) non injured control skin (n=383), and samples of mechanically induced skin injuries of known wound age, (B) injuries inflicted shortly before death (up to a few minutes old) (n=382), and (C) injuries inflicted 15-30 min before death (n=42) were obtained at autopsy in order to validate wound age estimation. Tissue slides were stained for Fibronectin, CD62p and Factor VIII and were subsequently scored for staining intensity (IHC score) in wound hemorrhage (1=minor, 2=moderate, 3=strong positive). Finally, probability scores of these markers were calculated. RESULTS: In at most 14% of the non-injured control samples, hemorrhage was found, with mean±standard deviation IHC scores of 0.1±0.4, 0.2±0.4 and 0.2±0.5 for Fibronectin, CD62p, and Factor VIII, respectively. Expression of these markers significantly increased to mean IHC scores 1.4±0.8 (Fibronectin), 1.2±0.6 (CD62p), and 1.6±0.8 (Factor VIII) in wounds inflicted shortly before death (few minutes old) and to 2.6±0.5 (Fibronectin), 2.5±0.6 (CD62p), and 2.8±0.4 (Factor VIII) in 15-30 min old wounds. The probabilities that a wound was non vital in case of an IH score 0 were 87%, 88% and 90% for Fibronectin, CD62p, and Factor VIII, respectively. In case of an IHC score 1 or 2, the probabilities that a wound was a few minutes old were 82/90%, 82/83% and 72/93%. Finally, in case of an IHC score 3, the probabilities that a wound was 15-30 min old were 65%, 76% and 55%. CONCLUSIONS: Based on the expression of Fibronectin, CD62p and Factor VIII in wound hemorrhage, we developed a probability scoring system that can be used in forensic autopsies to improve wound age estimation in early skin injuries.
PURPOSE OF THE STUDY: In forensic autopsies it is important to determine the age of early vital skin wounds as accurate as possible. In addition to inflammation, coagulation is also induced in vital wounds. Analysis of blood coagulation markers in wound hemorrhage could therefore be an important additional discriminating factor in wound age determination. The aim of this study was to develop a wound age probability scoring system, based on the immunohistochemical expression levels of Fibronectin, CD62p and Factor VIII in wound hemorrhage. METHODS: Tissue samples of (A) non injured control skin (n=383), and samples of mechanically induced skin injuries of known wound age, (B) injuries inflicted shortly before death (up to a few minutes old) (n=382), and (C) injuries inflicted 15-30 min before death (n=42) were obtained at autopsy in order to validate wound age estimation. Tissue slides were stained for Fibronectin, CD62p and Factor VIII and were subsequently scored for staining intensity (IHC score) in wound hemorrhage (1=minor, 2=moderate, 3=strong positive). Finally, probability scores of these markers were calculated. RESULTS: In at most 14% of the non-injured control samples, hemorrhage was found, with mean±standard deviation IHC scores of 0.1±0.4, 0.2±0.4 and 0.2±0.5 for Fibronectin, CD62p, and Factor VIII, respectively. Expression of these markers significantly increased to mean IHC scores 1.4±0.8 (Fibronectin), 1.2±0.6 (CD62p), and 1.6±0.8 (Factor VIII) in wounds inflicted shortly before death (few minutes old) and to 2.6±0.5 (Fibronectin), 2.5±0.6 (CD62p), and 2.8±0.4 (Factor VIII) in 15-30 min old wounds. The probabilities that a wound was non vital in case of an IH score 0 were 87%, 88% and 90% for Fibronectin, CD62p, and Factor VIII, respectively. In case of an IHC score 1 or 2, the probabilities that a wound was a few minutes old were 82/90%, 82/83% and 72/93%. Finally, in case of an IHC score 3, the probabilities that a wound was 15-30 min old were 65%, 76% and 55%. CONCLUSIONS: Based on the expression of Fibronectin, CD62p and Factor VIII in wound hemorrhage, we developed a probability scoring system that can be used in forensic autopsies to improve wound age estimation in early skin injuries.
Authors: Qiu-Xiang Du; Na Li; Li-Hong Dang; Ta-Na Dong; Han-Lin Lu; Fu-Xia Shi; Qian-Qian Jin; Cao Jie; Jun-Hong Sun Journal: Int J Legal Med Date: 2019-01-11 Impact factor: 2.686
Authors: Stefania De Simone; Elena Giacani; Maria Antonella Bosco; Simona Vittorio; Michela Ferrara; Giuseppe Bertozzi; Luigi Cipolloni; Raffaele La Russa Journal: Front Med (Lausanne) Date: 2022-01-14
Authors: Ana Rita Azevedo; Ana Sofia Pais; Teresa Almeida-Santos; Virgínia M R Pires; Pedro Pessa; Carla C Marques; Sofia Nolasco; Pedro Castelo-Branco; José A M Prates; Luís Lopes-da-Costa; Mafalda Laranjo; Maria Filomena Botelho; Rosa M L N Pereira; Jorge M B G A Pimenta Journal: Bioengineering (Basel) Date: 2022-07-30