Usefulness of liver function tests in postmortem samples.

Details

Serval ID
serval:BIB_A615DE9DCD0B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Usefulness of liver function tests in postmortem samples.
Journal
Journal of forensic and legal medicine
Author(s)
Fumeaux L., Scarpelli M.P., Tettamanti C., Palmiere C.
ISSN
1878-7487 (Electronic)
ISSN-L
1752-928X
Publication state
Published
Issued date
05/2018
Peer-reviewed
Oui
Volume
56
Pages
51-54
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Liver function tests have been investigated in the forensic setting in several biological fluids collected at autopsy. Nevertheless, the results of these investigations have provided diverging information on postmortem stability of liver function markers and postmortem reliability of liver function assessment. The first aim of this study was to determine gamma-glutamyltransferase, alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, total bilirubin, total proteins, and albumin in antemortem and postmortem serum samples in a series of cases that underwent forensic investigations and had both samples available. The second aim was to measure total bilirubin and gamma-glutamyltransferase in cerebrospinal fluid. Preliminary results indicated that femoral (and cardiac) blood postmortem serum concentrations of bilirubin, total proteins, and albumin, as well as femoral blood postmortem serum concentrations of gamma-glutamyltransferase, can be considered to reliably reflect antemortem serum concentrations, thus suggesting that postmortem values could be used as surrogates for antemortem levels. Measurable bilirubin levels were demonstrable in cerebrospinal fluid samples in both preservative-free and sodium fluoride tubes, though with levels varying widely and unpredictably, irrespective of liver disease severity.
Keywords
Alanine Transaminase/blood, Alkaline Phosphatase/blood, Aspartate Aminotransferases/blood, Bilirubin/blood, Bilirubin/cerebrospinal fluid, Biomarkers/analysis, Biomarkers/cerebrospinal fluid, Blood Proteins/analysis, Female, Forensic Medicine, Humans, Liver Diseases/diagnosis, Liver Function Tests, Male, Middle Aged, Serum Albumin/analysis, gamma-Glutamyltransferase/blood, gamma-Glutamyltransferase/cerebrospinal fluid, Autopsy, Cerebrospinal fluid, Liver function tests, Postmortem biochemistry, Postmortem serum
Pubmed
Web of science
Create date
14/03/2018 18:07
Last modification date
20/08/2019 16:11
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