title: Catecholaminergic neurons in the brain-stem and sleep apnea in SIDS victims.
abstract: BACKGROUND
  Tyrosine hydroxylase (TH) is a specific marker for catecholaminergic neurones. Some reports have demonstrated a decrease of TH in the Sudden Infant Death Syndrome (SIDS) compared with controls. To further investigate this, the correlation between TH and sleep apnea was investigated here.
  
  
  METHODS
  Among 27,000 infants studied prospectively to characterize their sleep-wake behavior, 38 infants died under 6 months of age. They included 26 cases of SIDS. All the infants had been recorded during one night in a pediatric sleep laboratory some 3 to 12 weeks before death. The frequency and the duration of sleep apnea were analyzed. The brain stem material was collected and subjected to immunohistochemical studies for TH. The density of TH-immunoreactive neurons was measured in the nucleus hypoglossus, nervus vagus dorsalis, solitary and ambiguous and the ventrolateral medulla (VLM) in the medulla oblongata. Correlation analyses were carried out between the density of TH-immunoreactive neurons and the data from the sleep apnea studies.
  
  
  RESULTS
  There was no SIDS specific correlation between TH-immunoreactive neurons in the nucleus hypoglossus, nervus vagus dorsalis, solitary and ambiguous and the ventrolateral medulla (VLM) in the medulla oblongata and the frequency and duration of sleep apnea.
  
  
  CONCLUSIONS
  No significant association between the pathological data and the physiological data refers to TH positive neurons in the medulla oblongata in SIDS victims.
authors.affiliation: Department of Legal Medicine, Tokyo Women's Medical University School of Medicine, 8-1 Kawada-cho, Shinjuku, Tokyo 162-8666, Japan. tsawagu@research.twmu.ac.jp
authors.forename: Toshiko
authors.initials: T
authors.lastname: Sawaguchi
authors.forename: Yuri
authors.initials: Y
authors.lastname: Ozawa
authors.forename: Franco
authors.initials: F
authors.lastname: Patricia
authors.forename: Hazim
authors.initials: H
authors.lastname: Kadhim
authors.forename: Jose
authors.initials: J
authors.lastname: Groswasser
authors.forename: Martine
authors.initials: M
authors.lastname: Sottiaux
authors.forename: Sachio
authors.initials: S
authors.lastname: Takashima
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nishida
authors.forename: Andre
authors.initials: A
authors.lastname: Kahn
mesh_terms: D001933:Brain Stem / Q000201:enzymology / Q000378:metabolism / Q000473:pathology*; D002395:Catecholamines / Q000378:metabolism*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009474:Neurons / Q000201:enzymology / Q000378:metabolism* / Q000473:pathology; D017286:Polysomnography; D011446:Prospective Studies; D020181:Sleep Apnea, Obstructive / Q000378:metabolism / Q000473:pathology*; D018709:Statistics, Nonparametric; D013398:Sudden Infant Death / Q000209:etiology* / Q000473:pathology; D016683:Supine Position; D014446:Tyrosine 3-Monooxygenase / Q000378:metabolism
chemical_list: D002395:Catecholamines; D014446:Tyrosine 3-Monooxygenase