PMID- 21595698 OWN - NLM STAT- MEDLINE DCOM- 20120405 LR - 20211020 IS - 1556-4029 (Electronic) IS - 0022-1198 (Print) IS - 0022-1198 (Linking) VI - 56 IP - 5 DP - 2011 Sep TI - Axonal injury in young pediatric head trauma: a comparison study of beta-amyloid precursor protein (beta-APP) immunohistochemical staining in traumatic and nontraumatic deaths. PG - 1198-205 LID - 10.1111/j.1556-4029.2011.01814.x [doi] AB - We tested the independent utility of beta-amyloid precursor protein (beta-APP) immunohistochemical staining as evidence of brain trauma in the deaths of young children. Blinded reviewers retrospectively reviewed immunostained brain tissues from homicidal deaths, age-matched control cases without evidence of trauma, as well as cases of sudden infant death syndrome (SIDS). The reviewers correctly identified five of the seven cases with documented inflicted head trauma. However, one of seven age-matched control cases and one of 10 SIDS/sudden unexplained death in infancy (SUDI) cases demonstrated staining patterns similar to those seen in cases of inflicted trauma. We discuss these cases and the circumstances surrounding them with the intent to explain the difficulties associated with immunohistological interpretation of axonal injury. Although the utility of beta-APP is quite powerful if not confounded by global hypoxic-ischemic injury, ultimately, beta-APP studies should be only one piece of information in the determination of cause and manner of death. CI - (c) 2011 American Academy of Forensic Sciences. FAU - Johnson, Michael W AU - Johnson MW AD - Office of Chief Medical Examiner (OCME), Urban County Government Center, Louisville, KY, USA. FAU - Stoll, Lisa AU - Stoll L FAU - Rubio, Ana AU - Rubio A FAU - Troncoso, Juan AU - Troncoso J FAU - Pletnikova, Olga AU - Pletnikova O FAU - Fowler, David R AU - Fowler DR FAU - Li, Ling AU - Li L LA - eng GR - P01 AG004953/AG/NIA NIH HHS/United States PT - Journal Article DEP - 20110519 PL - United States TA - J Forensic Sci JT - Journal of forensic sciences JID - 0375370 RN - 0 (Amyloid beta-Protein Precursor) SB - IM MH - Amyloid beta-Protein Precursor/*metabolism MH - Axons/*metabolism/pathology MH - Brain/*metabolism/*pathology MH - Cardiopulmonary Resuscitation MH - Case-Control Studies MH - Child, Preschool MH - Coroners and Medical Examiners MH - Craniocerebral Trauma/*metabolism MH - Cytoplasm/metabolism/pathology MH - Female MH - Forensic Pathology MH - Humans MH - Immunohistochemistry MH - Infant MH - Infant, Newborn MH - Male MH - Neurons/metabolism/pathology MH - Retrospective Studies MH - Staining and Labeling MH - Sudden Infant Death/pathology PMC - PMC4033609 MID - NIHMS584202 EDAT- 2011/05/21 06:00 MHDA- 2012/04/06 06:00 PMCR- 2014/05/26 CRDT- 2011/05/21 06:00 PHST- 2011/05/21 06:00 [entrez] PHST- 2011/05/21 06:00 [pubmed] PHST- 2012/04/06 06:00 [medline] PHST- 2014/05/26 00:00 [pmc-release] AID - 10.1111/j.1556-4029.2011.01814.x [doi] PST - ppublish SO - J Forensic Sci. 2011 Sep;56(5):1198-205. doi: 10.1111/j.1556-4029.2011.01814.x. Epub 2011 May 19.