PMID- 25287799 OWN - NLM STAT- MEDLINE DCOM- 20150615 LR - 20141007 IS - 1878-7487 (Electronic) IS - 1752-928X (Linking) VI - 27 DP - 2014 Oct TI - Does beta-APP staining of the brain in infant bed-sharing deaths differentiate these cases from sudden infant death syndrome? PG - 46-9 LID - S1752-928X(14)00144-9 [pii] LID - 10.1016/j.jflm.2014.07.006 [doi] AB - Archival cerebral tissue from infants whose deaths were attributed to sudden infant death syndrome (SIDS) from South Australia and Western Denmark were stained for beta-amyloid precursor protein (beta-APP) and graded according to a simple scoring chart. The resulting APP scores were correlated with sleeping situation (shared vs. alone) showing a significantly higher amount of beta-APP staining in the non-bed-sharing, than in the bed-sharing infants (Mann-Whitney, Australia: p = 0.0128, Denmark: p = 0.0014, Combined: p = 0.0031). There was also a marked but non-significant difference in sex distribution between bed-sharers and non-bed-sharers with a male to female ratio of 1:1 in the first group and 2:1 in the latter. Of 48 Australian and 76 Danish SIDS infants, beta-APP staining was present in 116 (94%) cases. The eight negative cases were all from the Danish cohort. This study has shown that the amount of beta-APP staining was significantly higher in infants who were sleeping alone compared to those who were bed-sharing with one or more adults, in both an Australian and Danish cohort of SIDS infants. Whether this results from differences in the speed with which these infants die, differences in lethal mechanisms involving possible accidental asphyxiation in shared sleepers, or differences in the number of previous hypoxic-ischemic events, remains to be clarified. CI - Copyright (c) 2014. Published by Elsevier Ltd. FAU - Jensen, Lisbeth Lund AU - Jensen LL AD - Discipline of Anatomy and Pathology, The University of Adelaide, Frome Road, SA 5005, Australia; Department of Forensic Medicine, Aarhus University, Brendstrupgaardsvej 100, 8200 Aarhus N, Denmark; The Department of Pathology, Aarhus University Hospital, Norrebrogade, 8000 Aarhus C, Denmark. Electronic address: lislunjn@rm.dk. FAU - Banner, Jytte AU - Banner J AD - Department of Forensic Medicine, Aarhus University, Brendstrupgaardsvej 100, 8200 Aarhus N, Denmark; Department of Forensic Medicine, University of Copenhagen, Frederik V's Vej 11, 2100 Copenhagen East, Denmark. FAU - Byard, Roger W AU - Byard RW AD - Discipline of Anatomy and Pathology, The University of Adelaide, Frome Road, SA 5005, Australia. LA - eng PT - Journal Article DEP - 20140731 PL - England TA - J Forensic Leg Med JT - Journal of forensic and legal medicine JID - 101300022 RN - 0 (Amyloid beta-Protein Precursor) SB - IM MH - Amyloid beta-Protein Precursor/*metabolism MH - Australia MH - *Beds MH - Brain/*metabolism MH - Denmark MH - Female MH - Forensic Pathology MH - Humans MH - Infant MH - Male MH - Sex Distribution MH - *Sleep MH - Staining and Labeling MH - *Sudden Infant Death OTO - NOTNLM OT - Asphyxia OT - Bed sharing OT - Cosleeping OT - Hypoxic-ischemia OT - SIDS OT - beta-APP EDAT- 2014/10/08 06:00 MHDA- 2015/06/16 06:00 CRDT- 2014/10/08 06:00 PHST- 2014/04/08 00:00 [received] PHST- 2014/07/03 00:00 [revised] PHST- 2014/07/22 00:00 [accepted] PHST- 2014/10/08 06:00 [entrez] PHST- 2014/10/08 06:00 [pubmed] PHST- 2015/06/16 06:00 [medline] AID - S1752-928X(14)00144-9 [pii] AID - 10.1016/j.jflm.2014.07.006 [doi] PST - ppublish SO - J Forensic Leg Med. 2014 Oct;27:46-9. doi: 10.1016/j.jflm.2014.07.006. Epub 2014 Jul 31.