S100B and NSE as useful postmortem biochemical markers of traumatic brain injury in autopsy cases

Postmortem analysis of relevant biomarkers might aid in characterizing causes of death and survival times in legal medicine. However, there are still no sufficiently established results of practical postmortem biochemical investigations in cases of traumatic brain injury (TBI). The two biomarkers--S...

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Veröffentlicht in:Journal of neurotrauma 2013-11, Vol.30 (22), p.1862-1871
Hauptverfasser: Ondruschka, Benjamin, Pohlers, Dirk, Sommer, Gerald, Schober, Kristin, Teupser, Daniel, Franke, Heike, Dressler, Jan
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container_end_page 1871
container_issue 22
container_start_page 1862
container_title Journal of neurotrauma
container_volume 30
creator Ondruschka, Benjamin
Pohlers, Dirk
Sommer, Gerald
Schober, Kristin
Teupser, Daniel
Franke, Heike
Dressler, Jan
description Postmortem analysis of relevant biomarkers might aid in characterizing causes of death and survival times in legal medicine. However, there are still no sufficiently established results of practical postmortem biochemical investigations in cases of traumatic brain injury (TBI). The two biomarkers--S100 protein subunit B (S100B) and neuronal specific enolase (NSE)--could be of special interest. Therefore, the aim of the present study was to investigate changes in their postmortem levels for further determination of brain damage in TBI. In 17 cases of TBI (average age, 58 years) and in 23 controls with different causes of death (average age, 59 years), serum and cerebrospinal fluid (CSF) samples were analyzed with a chemiluminescence immunoassay for marker expression. An increase in serum S100B, as well as a subsequent decrease after survival times>4 days, were detected in TBI cases (p6,000 ng/mL and CSF S100B levels >10,000 ng/mL seem to indicate a TBI survival time of at least 15 min (p
doi_str_mv 10.1089/neu.2013.2895
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However, there are still no sufficiently established results of practical postmortem biochemical investigations in cases of traumatic brain injury (TBI). The two biomarkers--S100 protein subunit B (S100B) and neuronal specific enolase (NSE)--could be of special interest. Therefore, the aim of the present study was to investigate changes in their postmortem levels for further determination of brain damage in TBI. In 17 cases of TBI (average age, 58 years) and in 23 controls with different causes of death (average age, 59 years), serum and cerebrospinal fluid (CSF) samples were analyzed with a chemiluminescence immunoassay for marker expression. An increase in serum S100B, as well as a subsequent decrease after survival times&gt;4 days, were detected in TBI cases (p&lt;0.01). CSF NSE values &gt;6,000 ng/mL and CSF S100B levels &gt;10,000 ng/mL seem to indicate a TBI survival time of at least 15 min (p&lt;0.01). It is of particular interest that CSF S100B levels (p&lt;0.01) and serum S100B levels (p&lt;0.05) as well as CSF NSE values (p&lt;0.01) were significantly higher in TBI cases in comparison to the controls, especially when compared with fatal non-head injuries. In conclusion, the present findings emphasize that S100B and NSE are useful markers in postmortem biochemistry in cases of suspected TBI. 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subjects Adult
Aged
Aged, 80 and over
Autopsies
Autopsy
Biochemistry
Biomarkers
Brain damage
Brain Injuries - blood
Brain Injuries - cerebrospinal fluid
Brain Injuries - pathology
Cause of Death
Female
Humans
Male
Middle Aged
Phosphopyruvate Hydratase - blood
Phosphopyruvate Hydratase - cerebrospinal fluid
S100 Calcium Binding Protein beta Subunit - blood
S100 Calcium Binding Protein beta Subunit - cerebrospinal fluid
Survival Analysis
Time Factors
Trauma
Young Adult
title S100B and NSE as useful postmortem biochemical markers of traumatic brain injury in autopsy cases
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