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Estimation of postmortem interval using histological and oxidative biomarkers in human bone marrow
Medhat Fathy Sakr1, Amal Mohamad Abd El-Khalek2, Nanies Sameeh Mohammad2
1Forensic Medicine Authority, Ministry of Justice, Cairo, Egypt.
Forensic Science, Medicine, and Pathology
|November 21, 2023
Summary
Estimating the postmortem interval (PMI) is crucial in forensic medicine. This study found that bone marrow antioxidant enzyme levels and histological changes significantly correlate with PMI, aiding accurate death time determination.
Area of Science:
- Forensic Medicine
- Biochemistry
- Histopathology
Background:
- Accurate postmortem interval (PMI) estimation is vital for forensic investigations.
- Bone marrow (BM) offers resistance to degradation, making it a potential biomarker for PMI.
- Antioxidant enzymes in BM may provide insights into postmortem changes.
Purpose of the Study:
- To correlate bone marrow antioxidant enzyme levels with PMI using ELISA.
- To analyze histological changes in human bone marrow over time since death.
- To evaluate the combined utility of biochemical and histological markers for PMI estimation.
Main Methods:
- Bone marrow samples were collected from 20 forensic autopsy cadavers.
- Reduced glutathione (GSH), glutathione peroxidase (GPX), and glutathione reductase (GRX) levels were measured using ELISA.
- Histopathological examination of bone marrow morphology was performed.
Main Results:
- A significant decrease in antioxidant enzyme levels (GSH, GPX, GRX) was observed with increasing PMI.
- Gradual, progressive, and regular histological changes in bone marrow morphology were noted from 6 to over 18 hours postmortem.
- At 18 hours PMI, bone marrow showed loss of cellular details, absence of fat cells, and necrosis.
Conclusions:
- Both ELISA-based estimation of bone marrow antioxidant enzyme levels and histological examination of bone marrow structure are valuable for accurate PMI determination.
- The combined analysis of biochemical and histological markers offers a robust approach to estimating PMI.
- Bone marrow serves as a reliable indicator for postmortem interval assessment in forensic medicine.

