Histological paraffin-embedded block: a good alternative specimen to detect the use of opiates at least 20 years ago.

IF 2.8 4区 医学 Q2 TOXICOLOGY Forensic Toxicology Pub Date : 2022-07-01 DOI:10.1007/s11419-022-00614-0
Domenico Di Candia, Michele Boracchi, Guendalina Gentile, Gaia Giordano, Riccardo Zoja
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引用次数: 2

Abstract

Purpose: Since the solely certain remnants of a performed autopsy are formalin-fixed paraffin-embedded (FFPE) samples, stored in the archives of every institute of legal medicine, we managed to extract molecules of toxicological interest from these specimens.

Methods: We assessed the analysis of ten fresh liver samples collected from heroin-related deaths and then histologically processed the same samples. The embedded blocks were then extracted by means of a new extracting method and the eluates were measured. We also selected five toxicological cases of heroin-related fatalities that were examined 20 years ago, collected the toxicological result documents of the analysis that were carried out at the time and then processed the corresponding FFPE liver samples that were stored in the archives.

Results: We managed to isolate heroine-related metabolites from 20-year-old paraffin-embedded blocks and calculated ratios to evaluate the performance of our new extraction.

Conclusions: According to our study, it is feasible to carry out a toxicological examination on old histological samples and, therefore, this matrix can be considered as a new alternative specimen for chemical-analytical evaluations of past cases or when fresh samples are not available anymore. The new extractive method was evaluated as efficient in treating these complex, paraffin-embedded samples. It was surprising that the target compounds could be quantitated from FFPE bocks created as long as 20 years ago.

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组织学石蜡包埋块:一个很好的替代标本检测使用阿片类药物至少20年前。
目的:由于进行尸检的唯一某些残留物是福尔马林固定石蜡包埋(FFPE)样品,存储在每个法律医学研究所的档案中,我们设法从这些标本中提取毒理学兴趣分子。方法:对10例海洛因相关死亡的新鲜肝脏标本进行分析,并对其进行组织学处理。然后用一种新的提取方法提取嵌入的块体,并测量洗脱液。我们还选择了20年前检查的5例海洛因相关死亡毒理学病例,收集了当时进行分析的毒理学结果文件,然后处理了保存在档案中的相应FFPE肝脏样本。结果:我们成功地从20年的石蜡包埋块中分离出了海洛因相关代谢物,并计算了比率来评估我们的新提取方法的性能。结论:根据我们的研究,对旧的组织学样本进行毒理学检查是可行的,因此,该基质可以考虑作为过去病例化学分析评估的新替代样本或新鲜样本不再可用。新的萃取方法被评价为处理这些复杂的石蜡包埋样品的有效方法。令人惊讶的是,目标化合物可以从早在20年前创建的FFPE块中定量测定。
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来源期刊
Forensic Toxicology
Forensic Toxicology TOXICOLOGY-
CiteScore
5.80
自引率
9.10%
发文量
40
审稿时长
3 months
期刊介绍: The journal Forensic Toxicology provides an international forum for publication of studies on toxic substances, drugs of abuse, doping agents, chemical warfare agents, and their metabolisms and analyses, which are related to laws and ethics. It includes original articles, reviews, mini-reviews, short communications, and case reports. Although a major focus of the journal is on the development or improvement of analytical methods for the above-mentioned chemicals in human matrices, appropriate studies with animal experiments are also published. Forensic Toxicology is the official publication of the Japanese Association of Forensic Toxicology (JAFT) and is the continuation of the Japanese Journal of Forensic Toxicology (ISSN 0915-9606).
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