title: Immunohistochemical methods as an aid in estimating the time since death.
abstract: For the estimation of time since death in the early postmortem interval, a large repertoire of valid methods is available. With increasing time since death the estimation of the postmortem interval becomes more imprecise and unreliable because validated methods are missing. Wehner et al. developed a method to estimate the time since death using immunohistochemical staining. Proteins undergo degradation after death and this reduces their stainability. Previous studies have explored the development of a method to estimate the time since death using immunohistochemical staining. A systematic analysis (Wehner et al., 1999-2002) demonstrated that calcitonin can still be stained 4 days, thyreoglobulin 5 days, glucagon 6 days, and insulin 12 days after death. After 12 days, calcitonin and thyroglobulin can no longer be stained, glucagon after 14 days, and insulin after 29 days. The aim of the present study was to test this original data on independent case material. Included in this control study were 105 cases with known time since death (between several hours and 22 days). Pancreatic tissue was stained for insulin and glucagon, and the thyroid gland for thyreoglobulin and calcitonin. The original findings could be generally confirmed, however for calcitonin and thyreoglobulin we observed earlier negative stainings. Altogether immunohistochemistry may still be useful as an additional method for estimating time since death in forensic cases.
authors.affiliation: Institute of Forensic Medicine, University of Bonn, Stiftsplatz 12, 53111 Bonn, Germany.
authors.forename: Jan
authors.initials: J
authors.lastname: Ortmann
authors.affiliation: Institute of Forensic Medicine, University of Bonn, Stiftsplatz 12, 53111 Bonn, Germany.
authors.forename: Elke
authors.initials: E
authors.lastname: Doberentz
authors.affiliation: Institute of Forensic Medicine, University of Bonn, Stiftsplatz 12, 53111 Bonn, Germany. Electronic address: b.madea@uni-bonn.de.
authors.forename: Burkhard
authors.initials: B
authors.lastname: Madea
mesh_terms: D002116:Calcitonin / Q000378:metabolism; D005934:Glucagon / Q000378:metabolism; D006801:Humans; D007150:Immunohistochemistry; D007328:Insulin / Q000378:metabolism; D010179:Pancreas / Q000378:metabolism*; D011180:Postmortem Changes; D013194:Staining and Labeling; D013954:Thyroglobulin / Q000378:metabolism; D013961:Thyroid Gland / Q000378:metabolism*
chemical_list: D007328:Insulin; D002116:Calcitonin; D005934:Glucagon; D013954:Thyroglobulin
keywords: Calcitonin; Glucagon; Immunohistochemistry; Insulin; Thyreoglobulin; Time of death