Evidence map›Paper›PMID 23716025›Full record

ArticleInternational journal of legal medicine2014

Markers of mechanical asphyxia: immunohistochemical study on autoptic lung tissues.

R Cecchi, C Sestili, G Prosperini, G Cecchetto, E Vicini, G Viel, B Muciaccia

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In one paragraph

Article in International journal of legal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. State-of-the-Art on Wound Vitality Evaluation: A Systematic Review.International journal of molecular sciences · 2022
    Pooled it
  2. Article
  3. Death by hanging: possibilities and limits of medico-legal evidence.International journal of legal medicine · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Post Mortem Molecular Biomarkers of Asphyxia: A Literature Review.International journal of molecular sciences · 2024
    Review
  8. Review
  9. Article
  10. Lethal nitrous oxide (NJournal of medical case reports · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

R CecchiDepartment of Anatomical, Histological, Legal Medical and Orthopaedic Sciences, Faculty of Medicine and Pharmacology, Sapienza University of Rome, Viale Regina Elena 336, 00161, Rome, Italy, rossana.cecchi@uniroma1.it.
C Sestili
G Prosperini
G Cecchetto
E Vicini
G Viel
B Muciaccia
Sapienza University of Rome · ITUniversity of Padua · ITNational Center for Supercomputing Applications · BG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Forensic pathologists are often asked to provide evidence of asphyxia death in the trial and a histological marker of asphyxiation would be of great help. Data from the literature indicate that the reaction of lung tissue cells to asphyxia may be of more interest for forensic purposes than migrating cells. The lungs of 62 medico-legal autopsy cases, 34 acute mechanical asphyxia (AMA), and 28 control cases (CC), were immunostained with anti-P-selectin, anti-E-selectin, anti-SP-A, and anti-HIF1-α antibodies, in order to verify if some of them may be used as markers of asphyxia death. Results show that P- and E-selectins expression in lung vessels, being activated by several types of trigger stimuli not specific to hypoxia, cannot be used as indicator of asphyxia. Intra-alveolar granular deposits of SP-A seem to be related to an intense hypoxic stimulus, and when massively present, they can suggest, together with other elements, a severe hypoxia as the mechanism of death. HIF1-α was expressed in small-, medium-, and large-caliber lung vessels of the vast majority of mechanical asphyxia deaths and CO intoxications, with the number and intensity of positive-stained vessels increasing with the duration of the hypoxia. Although further confirmation studies are required, these preliminary data indicate an interesting potential utility of HIF1-α as a screening test for asphyxia deaths.

Indexed as

AsphyxiaAutopsyCause of DeathDrowningExpert TestimonyHumansHypoxiaHypoxia-Inducible Factor 1, alpha SubunitImmunoenzyme TechniquesLungPulmonary AlveoliPulmonary ArteryPulmonary Surfactant-Associated Protein AReference ValuesSelectinsHypoxia-Inducible Factor 1, alpha SubunitPulmonary Surfactant-Associated Protein ASelectins

Identifiers

PMID23716025
OpenAlexW2071363999

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.