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PMI estimation through 1H NMR metabolomics on human pericardial fluid: a validation study
Alberto Chighine1, Matteo Stocchero2, Fabio De-Giorgio3,4
1Department of Medical Sciences and Public Health, Section of Legal Medicine, University of Cagliari, Cagliari, CA, Italy.
Metabolomics : Official Journal of the Metabolomic Society
|November 15, 2025
Summary
Pericardial fluid metabolomics is reproducible and reliable for estimating the post-mortem interval (PMI). This forensic tool shows potential for determining time since death, especially for intervals exceeding 48 hours.
Area of Science:
- Forensic Science
- Biochemistry
- Analytical Chemistry
Background:
- Post-mortem interval (PMI) estimation is crucial in forensic investigations.
- Previous proof-of-concept studies indicated metabolomic analysis of pericardial fluid's potential for PMI estimation.
- The reproducibility and utility of this method require further validation.
Purpose of the Study:
- To assess the reproducibility of metabolomic analysis of post-mortem pericardial fluid.
- To validate the utility of pericardial fluid metabolomics for estimating the post-mortem interval.
- To identify key metabolites predictive of the post-mortem interval.
Main Methods:
- Collected 65 pericardial fluid samples from medico-legal autopsies with post-mortem intervals ranging from 16 to 199 hours.
- Performed liquid-liquid extraction and 1H NMR analysis to quantify 50 metabolites.
- Utilized multivariate statistical analyses to develop and validate post-mortem interval estimation models, controlling for age.
Main Results:
- Confirmed high reproducibility (92% similarity) of metabolite quantification in re-analyzed samples.
- Developed regression models for PMI estimation with prediction errors of 16.7h (16-100h), 23.2h (16-130h), and 42.1h (16-199h).
- Identified key predictive metabolites including choline, glycine, citrate, and others; a classification model accurately detected intervals >48h.
Conclusions:
- Metabolomic analysis of pericardial fluid is stable and reproducible, demonstrating robust intra-laboratory consistency.
- Pericardial fluid metabolomics is a promising, reliable forensic tool for post-mortem interval estimation.
- The method is particularly valuable for estimating longer post-mortem intervals (>48 hours).

