Key result
Hypothermia or carbon monoxide death is linked to differential myocardial CIRBP and RBM3 expression.
Observational
Differential expression of cold-inducible proteins in the myocardium versus cerebellum suggests the need for careful myocardial monitoring during therapeutic hypothermia.
May aid forensic differentiation of hypothermic deaths; leaves open validation before any research or clinical translation.
We studied the expression of hypoxia-related antigens (e.g., cold-inducible antigens and apoptotic antigens) in the myocardium and the cerebellumthat were obtained from individuals after death by carbon monoxide or hypothermia. The immunohistochemistry results revealed that expression of cold-inducible RNA binding protein (CIRBP) and RNA-binding protein 3 (RBM3) may be associated with hpyothermic and the hypoxic conditions. The expression of CIRBP and RBM3 in the myocardium was different from their expression in the cerebellum, especially in the Purkinje cells. The results indicate that agonal duration influences antigen expression. In the hypothermic condition, the myocardium uses more ATP since the force of the excitation-contraction coupling of the myocardium increases by more than 400% when the experimental temperature is reduced from 35°C to 25°C. The results obtained in this study indicate that physicians should pay attention to the myocardium when cooling the patient's body to protect the brain. Key W ords: carbon monoxide death, cerebellum, CIRBP, hypothermic death, myocardium, RBM3.
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Morita et al. (2013) conducted an observational in Death by carbon monoxide poisoning or hypothermia. Death by hypothermia vs. Death by carbon monoxide poisoning was evaluated on Expression of hypoxia-related antigens (CIRBP, RBM3) in the myocardium and cerebellum. Death by hypothermia or carbon monoxide poisoning was associated with differential expression of CIRBP and RBM3 in the myocardium compared to the cerebellum, influenced by agonal duration.
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