人体组织/体液来源的法医学鉴定

生物检材的组织/体液来源鉴定是法医学检验的重要内容之一。法医学组织/体液鉴定的方法较多,无论是基于酶促反应或免疫学检测的传统鉴定方法,还是光谱法或近年来基于mRNA、microRNA或DNA甲基化差异的分子生物学组织鉴定技术,均各有特点。本文就各种法医学组织/体液鉴定方法的特点及其法医学应用价值作一简要综述。     

猪瘟病毒感染的小型猪体内病毒的复制情况及淋巴细胞变化

用106 TCID50CSFV石门株感染巴马小型猪,通过监测被感染猪的临床体温、观察其病理变化、检测猪瘟病毒在体内的复制情况、检查猪瘟病毒感染后对外周血淋巴细胞增殖的影响,并分析外周血CD3+、CD4+、CD8+T淋巴细胞的动态变化,以确定巴马小型猪对CSFV的敏感性。结果,攻毒后第3天被感染的巴马小型猪出现病毒血症,并在第7天就已达到1×106 copies/μL以上;腹股沟淋巴结中病毒含量最高,颌下淋巴结次之。淋巴细胞增殖试验表明,用固定剂量的刀豆素刺激,被感染的巴马小型猪外周血淋巴细胞增殖出现不同程度降低;其外周血中CD3+、CD4+、CD8+T淋巴细胞的比例降低。结果表明,巴马小型猪可以作为CSFV的感染模型。     

13个STR位点在人消化系统肿瘤组织中的变异分析

目的探讨13个CODIS-STR基因座在人消化系统肿瘤组织中的变异情况。方法收集55个个体的消化系统肿瘤组织及其正常组织和血样,Chelex100法提取DNA,用Profiler试剂盒和Cofiler试剂盒进行复合扩增,310型遗传分析仪检测。结果55例肿瘤组织中均存在细胞分裂异常现象,其中有2例肿瘤组织的STR位点发生了变异,变异的类型包括基因型改变、杂合型丢失和杂合双峰不平衡,而且变异可以是多位点同时发生。结论对肿瘤组织类型的样品进行STR分析时,应多加慎重,因为排除的位点可能来自肿瘤组织中的基因突变。     

Sudden and Unexpected Death in Three Cases of Ehlers‐Danlos Syndrome Type IV*

Abstract: Ehlers–Danlos syndrome (EDS) type IV is a connective tissue disorder characterized by the inability to produce sufficient amounts of collagen or a defect in the structure of collagen. The most serious complications include a rupture of a viscus or vascular rupture with or without mural dissection. Death may result from internal hemorrhage. This report describes three cases of sudden and unexpected death caused by EDS type IV. Two cases involved hemothorax as a result of dissection of the subclavian artery and aorta, respectively. The third case represented spontaneous pulmonary rupture and hemorrhage. A detailed family history should be sought, and additional specimens collected to confirm the diagnosis, including skin fibroblasts for collagen testing and blood for DNA testing. The forensic pathologist should consider the possibility of EDS type IV upon discovery of spontaneous visceral or arterial rupture and should alert the family members of this hereditary and potentially fatal condition.     

The Role of Postmortem Computed Tomography in the Evaluation of Strangulation Deaths

We explored the value of postmortem computed tomography (PMCT) to augment autopsy in evaluating strangulation fatalities. A literature search identified 16 studies describing autopsy findings in 576 deaths and two studies describing autopsy and PMCT findings in six deaths. Similar cases were identified from our institution, yielding 130 deaths with autopsy findings and 14 deaths with both autopsy and PMCT findings. The presence of laryngohyoid fracture and soft tissue hemorrhage was compared from autopsy and autopsy+PMCT cases. The detection rates of fractures in autopsy and autopsy+PMCT cases were not significantly different. PMCT identified all fractures observed at autopsy and five fractures not identified. While PMCT may not detect soft tissue injuries in decomposed remains or subtle internal hemorrhages in neck injury, it is equally able to detect bony injuries as autopsy and might surpass autopsy in detecting subtle fractures. We conclude PMCT is useful to supplement autopsy in strangulation cases.     

英国执行欧盟细胞指令的经验和启示简

英国为执行欧盟人体组织和细胞三个指令在立法和执法上所作的努力及其获得的成功,对于我国建立人体组织细胞法律制度,发展监管科学,有效治理“干细胞治疗”乱象,具有重要借鉴价值.在实证的基础上,分析、介绍英国人体组织法的基础、基本制度和运作方式,设想中国干细胞疗法监管科学的框架,应当包括监管的目标和长远战略、科学立法、制度文化、监管体制与执法机制、行业治理、患者维权的伦理—法律问题等.     

GC/MS研究海洛因代谢物在吸毒者体内的分布

应用GC／MS－SIM测定了海洛因代谢物吗啡在两例海洛因延缓死亡者的体内分布,并分析了收集到的7例案子的毛发（头发、腋毛和阴毛）中6-单乙酰吗啡和吗啡含量。生物检材和毛发经酸水解、提取、醋酸酐或双（三甲基硅基）三氟乙酰胺（BSTFA）衍生化,然后进行GC／MS-SIM分析。结果表明尿、胆汁和肝脏是判定死者是否曾使用海洛因的最佳检材;毛发分析与生物检材相比有其独特的优点,可提供数月甚至数年的用药情况。为公安司法机关打击吸毒、惩治犯罪提供更可靠、有效的证据。     

改良醋酸铵盐析法提取福尔马林固定石蜡包埋组织DNA

目的采用改良醋酸铵盐析法提取福尔马林固定石蜡包埋组织DNA,并评价其应用价值。方法取死后24h内人体肾组织用10%中性福尔马林溶液固定7d,石蜡包埋。采用酚/氯仿法、Chelex-100法及改良醋酸铵盐析法提取DNA。经用紫外分光光度计法、AGE及PCR-PAGE检测比较不同方法提取DNA的质量。结果改良醋酸铵盐析法、酚/氯仿法、Chelex-100法OD260/OD280比值分别为1.962±0.195、2.110±0.470、1.018±0.124,两两比较均有显著性差异(P<0.05);3种方法提取DNA含量(μg)分别为0.515±0.447、0.328±0.345、5.346±1.994;AGE电泳图谱可印证上述结果;PCR-PAGE检测显示改良醋酸铵盐析法提取DNA的谱带清晰度好于其它两种方法。结论改良醋酸铵盐析法更适合微量福尔马林固定石蜡包埋组织样本DNA的提取。     

蜂花粉对肉鸡小肠发育的影响

将144只1日龄AA肉鸡随机分为2组,每组72只,日粮中分别添加0(对照组)和15g/kg(试验组)的蜂花粉,每周每组随机抽取试验鸡6只,剖取十二指肠、空肠、回肠,测量肠管长度及肠绒毛、肠腺长度,并制作石蜡切片,进行组织学观察,研究了日粮中添加蜂花粉对肉鸡小肠发育的影响。结果显示,试验组1～3周龄鸡的小肠绒毛和肠腺的长度显著或极显著高于对照组,肠道淋巴组织较发达,证实蜂花粉能够促进肉鸡小肠的早期发育,增强组织免疫功能。     

Concentration of carbon monoxide (CO) in postmortem human tissues: effect of environmental CO exposure

We studied how carbon monoxide (CO) is distributed within the human body through quantitation of CO concentrations in postmortem tissue samples from fatalities including possible CO exposure. Stored, frozen tissues were diced, sonicated in water, and 0.01-8.0 mg wet weight (ww) tissues were incubated with sulfosalicylic acid in CO-purged, septum-sealed vials. CO released into the headspace was quantitated by reduction gas chromatography. Mean tissue CO concentrations (pmol/mg ww) from subjects diagnosed to have no known CO exposure (control, N=14), died from fire (N=13), and CO asphyxiation (N=7), respectively, were: adipose (2;13;9), brain (3;13;65), muscle (15;97;297), heart (30;99;371), kidney (22;432;709, lung (54;690;2638), spleen (73;1366;3548), and blood (162;2238;5070). Carboxyhemoglobin concentrations were 1.4%, 25.2%, and 69.1% of total hemoglobin, respectively. We conclude that measurements of CO concentration in a variety of tissues can be used as markers for the degree of exogenous CO exposure and the identification of possible causes of death.