title: HSP70 and c-Fos expression of brain stem hypoglossal nucleus in drowning.
abstract: The brain stem hypoglossal nucleus (HN) is the center of nerves innervating the upper respiratory tract and is related to control of mastication, deglutition, speech and respiration. To elucidate the relationship between asphyxia and the HN, we investigated the change of hypoglossal neurons in cases of hanging, strangulation, smothering, choking, drowning and respiratory failure. Using immunohistochemical techniques, we observed the brain stem HN with antibodies against microtubule-associated protein 2 (MAP2), muscarinic acetylcholine receptor (mAChR), c-fos gene product (c-Fos) and 72 kD heat-shock protein (HSP70). MAP2, a cytoskeletal protein of the neuron, is a marker of neuronal damage. Muscarinic AChR was used as a marker of neuronal membrane and ACh signaling. We employed both HSP70 and c-Fos as markers of stress- or damage-related events. We measured the percentage of immunopositive neurons in total neurons of HN. Drowning produced higher expression of HSP70 and c-Fos than other causes of asphyxia, suggesting that drowning induces more severe damage in HN neurons. Furthermore, it was suspected that neuronal changes in drowning might relate to functions of the HN. These observations indicate that immunohistochemical examination of the brain stem HN could provide useful information for determining the cause of asphyxia.
authors.affiliation: Department of Legal Medicine, University of Tokushima School of Medicine, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Gotohda
authors.forename: S
authors.initials: S
authors.lastname: Kubo
authors.forename: O
authors.initials: O
authors.lastname: Kitamura
authors.forename: I
authors.initials: I
authors.lastname: Tokunaga
authors.forename: A
authors.initials: A
authors.lastname: Eguchi
authors.forename: Y
authors.initials: Y
authors.lastname: Orihara
authors.forename: R
authors.initials: R
authors.lastname: Tsuda
authors.forename: K
authors.initials: K
authors.lastname: Ikematsu
authors.forename: I
authors.initials: I
authors.lastname: Nakasono
mesh_terms: D001933:Brain Stem / Q000378:metabolism* / Q000473:pathology; D004332:Drowning / Q000378:metabolism* / Q000473:pathology; D050884:HSP72 Heat-Shock Proteins; D006360:Heat-Shock Proteins / Q000096:biosynthesis*; D006801:Humans; D007002:Hypoglossal Nerve / Q000378:metabolism* / Q000473:pathology; D008869:Microtubule-Associated Proteins / Q000096:biosynthesis; D011180:Postmortem Changes; D016760:Proto-Oncogene Proteins c-fos / Q000096:biosynthesis*; D011976:Receptors, Muscarinic / Q000096:biosynthesis
chemical_list: D050884:HSP72 Heat-Shock Proteins; D006360:Heat-Shock Proteins; D008869:Microtubule-Associated Proteins; D016760:Proto-Oncogene Proteins c-fos; D011976:Receptors, Muscarinic