Exploration of Vitreous Biochemical Markers for Postmortem Discrimination of Carbon Monoxide Toxicity: Insights from Animal Model

Authors

  • Ikimi, Charles German Federal University Otuoke, Bayelsa State, Nigeria
  • Umeoguaju, Francis Uchenna University of Medical Sciences, Rivers State, Nigeria
  • Ononamadu, Chimaobi James Nigeria Police Academy, Wudil, Kano, Kano State, Nigeria

Keywords:

Autopsy, Disguise, Discriminate, Carbon monoxide toxicity, Court

Abstract

Communication in Physical Sciences, 2024, 11(4):934-949

Authors: Ikimi, Charles German1*, Umeoguaju, Francis Uchenna2 And Ononamadu, Chimaobi James3

Received: 19 August 2024/Accepted: 20 October 2024

This study investigates the potential of postmortem vitreous biochemical parameters as biomarkers for distinguishing between drowning and deaths disguised as drowning. The purpose of the study is to explore the discriminatory power of selected vitreous biochemical parameters in forensic autopsy to resolve disputed causes of death. The study aims to assess and compare the postmortem levels of sodium, potassium, chloride, calcium, total protein, albumin, globulin, glucose, cholesterol, triglycerides, urea, creatinine, uric acid, creatine kinase, and lactate dehydrogenase in rabbits that died from different causes. Using a completely randomized block design (CRBD), 96 male rabbits were divided into four groups: two treatment groups (one for drowning and one for strangulation followed by drowning) and two control groups. After a 24-hour postmortem interval, vitreous humor samples were analyzed using ion-selective electrode and standard biochemical methods.The results showed significant differences (P≤0.05) in the biochemical parameters between the drowning and strangulation groups. The postmortem levels of sodium in the drowning group were 145 ± 5 mmol/L, compared to 133 ± 4 mmol/L in the strangulation group. Potassium levels were 4.8 ± 0.5 mmol/L in the drowning group, significantly higher than 3.2 ± 0.4 mmol/L in the strangulation group. Chloride levels were 105 ± 7 mmol/L in the drowning group, while the strangulation group had 90 ± 6 mmol/L. Calcium levels were 2.5 ± 0.2 mmol/L in the drowning group, compared to 1.8 ± 0.3 mmol/L in the strangulation group. Total protein concentrations were 72 ± 3 g/L in the drowning group and 55 ± 4 g/L in the strangulation group. Creatinine levels were 72 ± 8 µmol/L in the drowning group, higher than 48 ± 7 µmol/L in the strangulation group. Creatine kinase and lactate dehydrogenase levels in the drowning group were 120 ± 10 U/L and 420 ± 30 U/L, respectively, whereas in the strangulation group, they were 85 ± 8 U/L and 300 ± 25 U/L.These biochemical markers were identified as potential biomarkers for distinguishing between deaths caused by actual drowning and those disguised as drowning. The study recommends the further development and validation of vitreous biochemical analysis as a reliable, non-invasive alternative to blood analysis for forensic investigations, particularly in cases of suspected drowning-related homicides. This approach holds promise for improving the accuracy of postmortem diagnostics and enhancing the justice system’s ability to resolve controversial death cases.

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Author Biographies

Ikimi, Charles German, Federal University Otuoke, Bayelsa State, Nigeria

Department of Medical Biochemistry,

Faculty of Basic Medical Sciences

Umeoguaju, Francis Uchenna, University of Medical Sciences, Rivers State, Nigeria

Department of Biochemistry

References

Adam, N., & Gail, C. (2013). Postmortem toxicology. In Clarke’s Analytical Forensic Toxicology (2nd ed., pp. 189-213). PhP Pharmaceutical Press.

Agoro, E.S. (2018). Urine composition: Clinical importance of urinalysis. Semed Productions, Port Harcourt, pp. 26-27.

Agoro, E.S., Akubugwo, E.I., Chinyere, G.C., & Samuel, R. (2017d). Comparison of vitreous protein profiles of rabbits subjected to acute carbon monoxide poisoning and normal animals after death. J Forensic Sci Res., 1, 1, pp. 040-045.

Agoro, E.S., Chinyere, G.C., & Akubugwo, E.I. (2020). Emerging concept of vitreous concentrations of proteins and lipids as discriminants of freshwater drowning death. Journal of Forensic and Legal Medicine, 73, 1, pp. 1019-1904.

Agoro, E.S., Ikimi, C.G., & Edidiong, T. (2021). The use of vitreous renal chemistries in the discrimination of postmortem freshwater drowning. Toxicology Research and Application, 5, 1, pp. 1-6.

Agoro, E.S., Okoye, F.B.C., Azuonwu, O., & Ebiere, N.E. (2017a). The effect of age and sex on vitreous humour chemistry and postmortem interval (PMI). Indian Journal of Forensic Medicine and Toxicology, 2, 2, pp. 173-177.

Agoro, E.S., Wankasi, M.M., & Azuonwu, O. (2017b). The forensic application of vitreous humour biochemistry in postmortem disease diagnosis. Indian Journal of Forensic Medicine and Toxicology, 1, 1, pp. 195-199.

Agoro, E.S., Wankasi, M.M., & Ombor, J.O. (2019). Biochemical patterns of cardio-renal biomarkers in serum and vitreous humour of rabbits after chronic CO exposure. Annals of Environmental Science and Toxicology, 3, 1, pp. 001-006.

Agoro, E.S., Okoye, F.B.C., Onyenekwe, C.C., Azuonwu, O., & Ebiere, N.E. (2017c). Extrapolation of three hourly post-mortem interval using some vitreous chemistry parameters. Journal of Forensic Research, 8, 1, pp. 1-5.

Al-Bawab, A.Q., Zihlif, M., Jarrar, Y., & Scharab, A. (2021). Continuous hypoxia and glucose metabolism: The effects on gene expression in MCF7 breast cancer cell line. Endocr Metab Immune Disord Drug Targets, 21, 3, pp. 511-519.

Amith, M. (2005). Role of vitreous humour biochemistry in forensic pathology. A thesis submitted to the University of Saskatchewan. Retrieved from [https://ecommons.usask.ca/handle], accessed 17/02/2021.

Baillie, J.K., Bates, M.G., Thompson, A.A., Waring, W.S., Dartridge, R.W., Schnopp, M.F., Simpson, A., Gulliver-Sloan, F., Maxwell, S.R., & Webb, D.J. (2007). Endogenous urate production augments plasma antioxidant capacity in healthy lowland subjects exposed to high altitude. Chest, 131, 5, pp. 1473-1478.

Bolarin, D.M., & Azinge, E.C. (2010). Chemical pathology laboratory tests in pregnancy. Journal of Medical Laboratory Science, 19, 1, pp. 3-13.

CDC (Center for Disease Control and Prevention). (2015). Top five chemicals resulting in injuries from acute chemical incidents—hazardous substances emergency events surveillance, nine states, 199-2008. MMWR Supple, 64, 2, pp. 39-46.

Chatterjea, M.N., & Shinde, R. (2008). Enzymes and isoenzymes of clinical importance. Textbook of Medical Biochemistry (7th ed., pp. 599-600). Jaypee Brothers Medical Publishers.

Chen, C., Lu, J., & Yao, Q. (2016). Hyperuricemia-related diseases and xanthine oxidoreductase inhibitors: An overview. Medical Science Monitor, 22, 1, pp. 2501-2512.

Coe, J.I. (1993). Postmortem chemistry update: Emphasis on forensic application. American Journal of Forensic Medicine and Pathology, 14, 2, pp. 91-117.

Csongradi, E., Juncos, L.A., Drummond, H.A., Vera, J., & Stec, D.E. (2012). Role of carbon monoxide in kidney function: Is a little carbon monoxide good for the kidney? Current Pharmaceutical Biotechnology, 13, 6, pp. 819-826.

Fein, A., Grossman, R., Jones, J., Hoeffel, J., & McKay, D. (1980). Carbon monoxide effect on alveolar epithelial permeability. Chest, 78, 1, pp. 726-731.

Garg, V., Oberoi, S.S., Gorea, R.K., & Kiranjeet, K. (2004). Changes in the concentrations of vitreous potassium with increasing time since death. Journal of Indian Association of Forensic Medicine, 26, 1, pp. 136-139.

Ghosh, A., Banerjee, S., Mitra, A., Muralidharan, M., Roy, B., Banerjee, R., Mandal, A., & Chatterjee, I. (2016). Interaction of p-benzoquinone with hemoglobin in smoker’s blood causes alteration of structure and loss of oxygen binding capacity. Toxicology Reports, 3, 1, pp. 295-305.

 Golden, M. (2008). Carbon monoxide poisoning. Journal of Emergency Nursing, 34, 6, pp. 538-542.

Gozubuyuk, A. A., Dag, H., Kacar, A., Karakurt, Y., & Arica, V. (2017). Epidemiology, pathophysiology, clinical evaluation, and treatment of carbon monoxide poisoning in child, infant, and fetus. North Clin. Istanbul, 4, 1, pp. 100-107.

Gwon, A. (2008). The rabbit in cataract surgery. In P. A. Tsonis (Ed.), Animal models in eye research (pp. 184-204). Elsevier.

Ikimi, C. G., Ezekwessili-Ofili, J. O., & Igwilo, I. O. (2023). Potentials of selected vitreous biochemical parameters as biomarkers in postmortem determination and discrimination of death by hanging using animal models. International Journal of Basic Science and Technology, 9, 4, pp. 204-211.

Ikimi, C. G., Ezekwessili-Ofili, J. O., & Igwilo, I. O. (2024). Discriminatory potentials of vitreous electrolytes and renal indices in the autopsy of deaths suspected to disguise by hanging in rabbits. International Journal of Basic Science and Technology, 10, 1, pp. 33-34.

Jeremy, E. K. (2010). Serum protein. Medical Board of California, 800, pp. 633-2322.

Khan, A. A., Allemailem, K. S., Alhumaydhi, F. A., Gowder, S. J. T., & Rahmani, A. H. (2020). The biochemical and clinical perspectives of lactate dehydrogenase: An enzyme of active metabolism. Endocr. Metab. Immune Disord. Drug Targets, 20, 6, pp. 855-868.

Kirkwood, J., & Robert, H. (2010). The UFAW Handbook on the Care and Management of Laboratory and Other Research Animals. Wiley-Blackwell, pp. 29.

Lee, G., Bae, M., Yang, J., Son, J., Cho, J., Lee, S., Jang, B., Lee, H., Lim, J., Shin, D., & Lim, Y. (2017). Decreased blood pressure associated with in-vehicle exposure to carbon monoxide in Korean volunteers. Environ. Health Prev. Med., 22, 34.

Leikin, B., & Paloucek, E. (1995). Poisoning and Toxicology Handbook (2nd ed.). Lexi-Comp, Hudson, OH, pp. 880-882.

Leon, D., & Rossitza, I. (2007). Carbon monoxide intoxication: An updated review. J. Neurol. Sci., 262, pp. 122-230.

Oliverio, S. (2023). Current challenges in carbon monoxide poisoning diagnosis from an analytical perspective. Front. Med. (Lausanne), 7, 10, pp. 1304294. https://doi.org/10.3389/fmed.2023.1304294

Oliverio, S., & Varlet, V. (2020). New strategy for carbon monoxide poisoning diagnosis: Carboxyhemoglobin (COHb) vs Total Blood Carbon Monoxide (TBCO). Forensic Science International, 306, pp. 110063. https://doi.org/10.1016/j.forsciint.2019.110063

Omelianchuk, A., Bernat, J., Caplan, A., Greer, D., Lazaridis, C., Lewis, A., Pope, T., Ross, L. F., & Magnus, D. (2022). Revise the uniform determination of death act to align the law with practice through neurorespiratory criteria. Neurology, 98, 13, pp. 532-536.

Overgaard, M., Rasmussem, P., Bohm, A. M., Seifert, T., Brassard, P., Zaar, M., Homann, P., Evans, K. A., Nielsen, H. B., & Secher, N. H. (2012). Hypoxia and exercise provoke both lactate release and lactate oxidation by the human brain. FASEB J., 26, 7, pp. 3012-3020.

Passarella, S., & Schurr, A. (2018). I-lactate transport and metabolism in mitochondria of HepG2 cells: The Cori cycle revisited. Front. Oncol., 8, 120.

Peters, T. (1996). All About Albumin: Biochemistry, Genetics, and Medical Applications. Academic Press Limited.

Petrick, L., Rosenblat, M., & Aviram, M. (2016). In vitro effects of exogenous carbon monoxide on oxidative stress and lipid metabolism in macrophages. Toxicology and Industrial Health, 32, 7, pp. 1318-1323.

Powers, R. H., & Dean, D. E. (2016). Pulmonary toxicology. In Forensic Toxicology Mechanisms and Pathology (pp. 147-164). CRC Press, Boca Raton.

Prockop, L. D., & Chichkova, R. I. (2007). Carbon monoxide intoxication: An updated review. Journal of the Neurological Sciences, 26, 1-2, pp. 122-130.

Rosato, E., Bonelli, M., Locatelli, M., Grazia, U., Tartaglia, A., Savini, F., & D'Ovidio, C. (2021). Forensic biochemical markers to evaluate the agonal period: A literature review. Molecules, 26, 11, pp. 3259.

Simonsen, C., Magnusdotti, S. O., Andreasen, J. J., Wimmer, R., Rasmussen, B. S., Kjaergaard, B., & Maltesen, R. G. (2021). Metabolic changes during carbon monoxide poisoning: An experimental study. Journal of Cellular and Molecular Medicine, 25, 11, pp. 5191-5201.

Sun, H., Wu, Y., Bian, H., Yang, H., Wang, H., Meng, X., & Jin, J. (2021). Function of uric acid transporters and their inhibitors in hyperuricaemia. Front. Pharmacol., 12, pp. 667-753.

Suzuki, Y. (2021). Risk factors for delayed encephalopathy following carbon monoxide poisoning: Importance of the period of inability to walk in the acute stage. PLOS ONE, 16, 3, pp. e0249395.

Tente, W., O’Rourke, P., Sherman, S., Kauper, K., McGovern, C., Matteus, S., Dean, B., Toa, W., & Thanos, C. (2004). Sustained delivery of hCNTF to rabbit vitreous humour by two polymer encapsulated cell lines in the NT-502 device. Investigative Ophthalmology and Visual Science Journal, 45, 13, pp. 303-329.

Thierauf, A., Kempf, J., Perdekamp, M. G., & Auwärter, V. (2011). Ethyl sulphate and ethyl glucuronide in vitreous humour as postmortem evidence marker for ethanol consumption prior to death. Forensic Science International, 210, pp. 63-68.

Vasudevan, D. M., Sreekumari, S., & Kannan, V. (2019). Acid-base balance and pH. In Textbook of Medical Biochemistry (9th ed., pp. 444-448). Jaypee Brothers Medical Publishers Ltd., New Delhi, India.

Wang, P., Huang, J., Li, Y., Chang, R., Wu, H., Lin, J., & Huang, Z. (2015). Exogenous carbon monoxide decreases sepsis-induced acute kidney injury and inhibits NLRP3 inflammasome activation in rats. Int. J. Mol. Sci., 16, 9, pp. 20595-20608.

WHO (1999). Environmental Health Criteria 213, Carbon Monoxide (2nd ed.). World Health Organization, Geneva.

Wu, Z. D., Yang, X. K., He, Y. S., Ni, J., Wang, J., Yin, K. J., Huang, J. X., Chen, Y., Feng, Y. T., Wang, P., & Pan, H. F. (2022). Environmental factors and risk of gout. Environ. Res., 212, Pt C, pp. 113377.

Zilg, B., Alkass, K., Berg, S., & Druid, H. (2009). Postmortem identification of hyperglycemia. Forensic Science International, 185, pp. 89-95.

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Published

2024-10-26