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    Research Progress of Exosomes and Their Forensic Significance
    Yuan-bo KANG, Si-fan WANG, Ting-jun CHEN, Ya-dong GUO, Chang-quan ZHANG
    Journal of Forensic Medicine    2022, 38 (6): 754-762.   DOI: 10.12116/j.issn.1004-5619.2021.410302
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    Exosomes are membranous tiny vesicles secreted by cells, which are widely found in the extracellular matrix and various body fluids and carry a variety of biologically functional molecules such as proteins, lipids, messenger RNA (mRNA) and microRNA (miRNA). Exosomes not only play important biological roles in the field of immunology and oncology, but also have potential application value in the field of forensic medicine. This article reviews the discovery, production and degeneration mechanism, biological functions, isolation and identification methods of exosomes, summarizes the research on exosomes and their significance in the field of forensic science, and discusses their applications in body fluid identification, individual identification, postmortem interval estimation to provide ideas for the application of exosomes in forensic work.

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    Animal DNA Typing and Its Research Progress in Forensic Medicine
    Hong-yan GAO, Guang-fu LIU, Jian WU, Peng-yu CHEN
    Journal of Forensic Medicine    2023, 39 (2): 161-167.   DOI: 10.12116/j.issn.1004-5619.2021.511210
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    With the advance of molecular biology, DNA analysis technology has been widely applied in forensic science. Non-human DNA analysis can be used in some special cases and has unique forensic value to provide investigation clues and trial basis. Animal DNA typing plays a more prominent role in the detection of all kinds of non-human DNA related cases and is the main content of forensic non-human DNA analysis. This paper reviews the development history, present situation, advantages and disadvantages of animal DNA typing according to its technology, characteristic, challenges facing forensic science application scenarios, and also its future development.

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    Age Estimation Based on DNA Methylation and Its Application Prospects in Forensic Medicine
    Zi-wei WANG, Qian-nan XU, Cheng-tao LI, Xi-ling LIU
    Journal of Forensic Medicine    2023, 39 (1): 72-82.   DOI: 10.12116/j.issn.1004-5619.2021.510604
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    With the improvement of DNA methylation detection techniques, studies on age-related methylation sites have found more age-specific ones across tissues, which improves the sensitivity and accuracy of age estimation. In addition, the establishment of various statistical models also provides a new direction for the age estimation of tissues from different sources. This review summarizes the related studies of age estimation based on DNA methylation from the aspects of detection technology, age-related cytosine phosphate guanine site and model selection in recent years.

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    Research Progress on Molecular Changes in Pulmonary Hypoxia and Cause of Death Identification in Mechanical Asphyxia
    Tian-pu WU, Jian-long MA, Xin-biao LIAO, Dong-chuan ZHANG, Kai-jun MA, Yan-geng YU, Long CHEN
    Journal of Forensic Medicine    2023, 39 (1): 57-65.   DOI: 10.12116/j.issn.1004-5619.2022.421005
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    Lung is the largest organ of the respiratory system. During hypoxia, pulmonary cells undergo rapid damage changes and activate the self-rescue pathways, thus leading to complex biomacromolecule modification. Death from mechanical asphyxia refers to death due to acute respiratory disorder caused by mechanical violence. Because of the absence of characteristic signs in corpse, the accurate identification of mechanical asphyxia has always been the difficulty in forensic pathology. This paper reviews the biomacromolecule changes under the pulmonary hypoxia condition and discusses the possibility of application of these changes to accurate identification of death from mechanical asphyxia, aiming to provide new ideas for related research.

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    Pathological Changes and Cause of Death Associated with the Global Novel Coronavirus Disease (COVID-19)
    Bin YANG, Lu-yao XU, Ling-yue LI, Dong-fang QIAO, Si-hao DU, Xia YUE, Hui-jun WANG
    Journal of Forensic Medicine    2023, 39 (6): 586-595.   DOI: 10.12116/j.issn.1004-5619.2023.430703
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    The coronavirus disease 2019 (COVID-19) has been a global epidemic for more than three years, causing more than 6.9 million deaths. COVID-19 has the clinical characteristics of strong infectivity and long incubation period, and can cause multi-system damage, mainly lung damage, clinical symptoms of acute respiratory distress syndrome (ARDS) and systemic multiple organ damage. The SARS-CoV-2 virus is still constantly mutating. At present, there is no global consensus on the pathological changes of COVID-19 associated deaths and even no consensus on the criteria for determining the cause of death. The investigation of the basic pathological changes and progression of the disease is helpful to guide the clinical treatment and the development of therapeutic drugs. This paper reviews the autopsy reports and related literature published worldwide from February 2020 to June 2023, with a clear number of autopsy cases and corresponding pathological changes of vital organs as the inclusion criteria. A total of 1 111 autopsy cases from 65 papers in 18 countries are included. Pathological manifestations and causes of death are classified and statistically analyzed, common pathological changes of COVID-19 are summarized, and analytical conclusions are drawn, suggesting that COVID-19 infection can cause life-threatening pathological changes in vital organs. On the basis of different health levels of infected groups, the direct cause of death is mainly severe lung damage and secondary systemic multiple organ failure.

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    Legal Theories, Disability Models and Principles of Disability Assessment
    Xu WANG
    Journal of Forensic Medicine    2023, 39 (4): 329-336.   DOI: 10.12116/j.issn.1004-5619.2023.230307
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    In the personal injury compensation system, the protection and relief of the injured people’s rights to life, rights to health, and body rights are generally based on the results of disability assessment. Over the years, with the increased number of personal injury compensation cases, the practice of disability assessment have been greatly developed, and the development of disability assessment standards tends to be mature. However, the lack of basic theories for disability assessment has seriously affected the construction and unification of standards. Starting from the tort legal system of personal injury compensation, this article systematically analyzes the legal theories of disability assessment, and holds that the loss of labor ability is the legal basis for disability assessment in China, and the essence of disability assessment should be understood as the quantitative assessment of an individual’s permanent loss of labor ability. This article combines the international disability assessment models and the primary concepts of American Medical Association’s Guides to the Evaluation of Permanent Impairment to refine the basic concepts of disability assessment in China, such as impairment, disability, handicap, disabled people and self-care ability, etc. At the same time, it sorts out the critical issues of identification time, promotion principles and compound calculation of multiple injuries in disability assessment. It is expected to be beneficial to the theory and practice of disability assessment in personal injury compensation.

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    Analysis of 39 Forensic Clinical Sex Identification Cases after Sex Reassignment Surgery
    Yu-jiao WU, Yue-qin ZHOU, Yi-wen SHEN, Jie-qing JIANG
    Journal of Forensic Medicine    2024, 40 (4): 365-371.   DOI: 10.12116/j.issn.1004-5619.2023.230602
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    Objective To analyze the characteristics of forensic clinical sex identification cases after sex reassignment surgery for transsexualism, discuss the main point of forensic clinical sex identification in China based on domestic and foreign sex change policies and related cases, so as to standardize relevant identification. Methods A total of 39 cases of forensic clinical sex identification were collected from Center for Forensic Science, Shanghai Medical College of Fudan University in recent years, and the ratio of sex, identification time, the location of surgery, secondary sex characteristic and other information were statistically analyzed. Results Transgender woman accounted for 97.4% of the cases, and 94.9% of the cases were operated in Thailand. All cases were identified after the sex reassignment surgery, and at least one of the secondary sex characteristics was consistent with the postoperative primary sexual characters. There were only 2 cases in which auxiliary examination was applied. Conclusion Forensic clinical sex identification should be based on the principle that the primary and secondary sex characteristics are consistent with the changed sex.

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    Journal of Forensic Medicine    2024, 40 (1): 86-87.   DOI: 10.12116/j.issn.1004-5619.2023.430102
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    A Bibliometric and Visual Analysis of the Current Status and Trends of Forensic Mixed Stain Research
    Qing-wei FAN, Ling LI, Hui-ling YANG, Ting-ting DENG, Dong-dong XU, Yun WANG, Bing DU, Jiang-wei YAN
    Journal of Forensic Medicine    2024, 40 (1): 20-29.   DOI: 10.12116/j.issn.1004-5619.2022.521010
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    Objective To explore the context and hotspot changes of forensic mixed stain research through bibliometric approach. Methods The literature of forensic mixed stain included in the core collection of Web of Science database from 2011 to 2022 were collected as the study object, and the annual publication number, countrie (region), institution, journal, keywords, etc. were bibliometrically and visually analyzed using the R-based Bibliometrix 1.1.6 package and VOSviewer 1.6.18 software. Results A total of 732 articles on forensic mixed stain were included from 2011 to 2022, with the annual number of articles published and the annual citation frequency showing a steady increase year by year. Among the 59 countries (regions) with the most published articles, the United States ranked first with 246 articles, followed by China with 153 articles. The literature came from 104 journals, and the total number of articles published in the top 10 journals was 633. FORENSIC SCI INT GENET ranked first with 307 articles. Visual analysis using VOSviewer software showed that keywords could be divided into four research clusters, namely the genetic marker development group (blue), the mixed stain typing analysis theory group (red), the sequencing analysis group (yellow), and the case sample research group (green). It can be divided into four development stages in terms of different time periods: early development (2011—2013), middle development (2014—2016), rapid development (2017—2020) and latest development (2021—2022). Conclusion The number of publications by domestic and foreign scholars in the study of mixed stain in forensic science is showing a relatively stable trend. Machine learning, next generation sequencing and other research have been the hottest topics that have attracted the most attention in recent years, which is expected to further develop the theory of mixed stain typing and sequencing analysis in forensic mixed stain research.

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    Process of Forensic Medicine in DNA Identification of Aged Human Remains
    Lu CHEN, Zhe ZHOU, Sheng-qi WANG
    Journal of Forensic Medicine    2023, 39 (5): 478-486.   DOI: 10.12116/j.issn.1004-5619.2021.511209
    Abstract1161)   HTML    PDF(pc) (708KB)(2205)       Save

    Skeleton and teeth are important biological samples. Due to their special structure and strong ability to resist degradation, they are ideal biological materials to retain DNA under natural condition. In many cases, such as historical figure identification, aged skeleton and teeth are usually the only biological samples. However, their DNA is in a state of trace, damage and degradation to different degrees, which requires special experimental treatment to achieve identification. This paper reviews the sample selection, DNA extraction, DNA enrichment and analysis approaches based on relevant research reports in recent years, aiming to promote the further development and improvement of the aged skeleton and teeth identification system.

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    Journal of Forensic Medicine    2024, 40 (2): 205-207.   DOI: 10.12116/j.issn.1004-5619.2023.430318
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    Methods and Research Hotspots of Forensic Kinship Testing
    Ran LI, Hong-yu SUN
    Journal of Forensic Medicine    2023, 39 (3): 231-239.   DOI: 10.12116/j.issn.1004-5619.2023.530208
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    Kinship testing is widely needed in forensic science practice. This paper reviews the definitions of common concepts, and summarizes the basic principles, advantages and disadvantages, and application scope of kinship analysis methods, including identity by state (IBS) method, likelihood ratio (LR) method, method of moment (MoM), and identity by descent (IBD) segment method. This paper also discusses the research hotspots of challenging kinship testing, complex kinship testing, forensic genetic genealogy analysis, and non-human biological samples.

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    Journal of Forensic Medicine    2023, 39 (3): 308-311.   DOI: 10.12116/j.issn.1004-5619.2021.510905
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    Research Progress on Biological Matrix Reference Materials in Forensic Toxicology
    Hang CHEN, Jing HU, Zheng QIAO, Hong-xiao DENG, Min LÜ, Wei LIU
    Journal of Forensic Medicine    2023, 39 (2): 176-185.   DOI: 10.12116/j.issn.1004-5619.2022.320801
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    Biological matrix reference material is a reference material that combines the target material with the biological matrix. The biological matrix reference material has higher consistency with the authentic specimens in forensic toxicology, and its application has a positive effect on improving the accuracy of test results. This paper reviews the research on the matrix reference materials corresponding to three common biological test materials (blood, urine and hair). In order to provide reference for the development and application of biological matrix reference materials in forensic toxicology, this paper mainly introduces the research progress of preparation technology of biological matrix reference materials and some existing products and their parameters evaluation.

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    Screening of Genes Co-Associated with Sudden Infant Death Syndrome and Infectious Sudden Death in Infancy and Bioinformatics Analysis of Their Regulatory Networks
    Yu-xin SUN, Xiao-juan GONG, Xiu-li HAO, Yu-xin TIAN, Yi-ming CHEN, Bao ZHANG, Chun-xia YAN
    Journal of Forensic Medicine    2023, 39 (5): 433-440.   DOI: 10.12116/j.issn.1004-5619.2022.420803
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    Objective The common differentially expressed mRNAs in brain, heart and liver tissues of deceased sudden infant death syndrome (SIDS) and infectious sudden death in infancy (ISDI) confirmed by autopsy was screened by bioinformatics to explore the common molecular markers and pathogenesis of SIDS and ISDI. Methods The datasets of GSE70422 and GSE136992 were downloaded, the limma of R software was used to screen differentially expressed mRNA in different tissue samples of SIDS and ISDI decedents for overlapping analysis. The clusterProfiler of R software was used to conduct gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis. The protein-protein interaction (PPI) network was constructed by STRING database, while the hub gene was screened by cytoHubba plug-in. Results Compared with the control group, there were 19 significant differentially expressed genes in the tissue samples of SIDS and ISDI decedents, among which 16 in the heart tissue and 3 in the liver tissue, and the astrotactin 1 (ASTN1) gene expression difference in the heart tissue was most significant. The PPI network identified Ras homolog family member A (RHOA), integrin subunit alpha 1 (ITGA1), and H2B clustered histone 5 (H2BC5) were hub genes. The analysis of GO and KEGG showed that differentially expressed genes were enriched in the molecular pathways of actin cytoskeleton regulation, focal adhesion and response to mycophenolic acid. Conclusion ASTN1, RHOA and ITGA1 may participate in the development of SIDS and ISDI. The enrichment of differentially expressed genes in immune and inflammatory pathways suggests a common molecular regulatory mechanism between SIDS and ISDI. These findings are expected to provide new biomarkers for molecular anatomy and forensic identification of SIDS and ISDI.

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    Journal of Forensic Medicine    2023, 39 (4): 337-342.   DOI: 10.12116/j.issn.1004-5619.2023.230310
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    UPLC-MS/MS Method for Detection of Etomidate and Its Metabolite Etomidate Acid Quantity in Blood
    Xing HAN, Xin LIU, Ming-luo DU, Ruo-lun XU, Jia-rong LI, Chao LIU, Wei-guo LIU
    Journal of Forensic Medicine    2023, 39 (6): 564-570.   DOI: 10.12116/j.issn.1004-5619.2023.330901
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    Objective To establish a method for the simultaneous quantitative analysis of etomidate and its metabolite etomidate acid in blood, and to discuss its application value in actual cases. Methods Acetonitrile precipitate protein method was used, and C18 column was selected. Gradient elution was performed with acetonitrile and 5 mmol/L ammonium acetate within 6 min. Electrospray ionization source in positive ion mode was used. The internal standard etomidate acid-d5 was obtained by etomidate-d5 alkaline hydrolysis reaction. Ultra-high performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) was used for quantitative analysis. The methodological verification was conducted. Results Etomidate and etomidate acid in blood showed good linear relationship in the quantitative linear range (r>0.999), with the lower limit of quantification was 2.5 ng/mL and 7.5 ng/mL, respectively. The accuracy, precision, recovery rate, and matrix effect of the method met the professional verification standards. The practical application results showed that etomidate and etomidate acid could be detected in the blood of the abusers, and their mass concentrations ranged from 17.24 to 379.93 ng/mL. Conclusion The method established in this study can simultaneously quantify etomidate and etomidate acid in blood, which is simple and convenient to operate with accuracy. It can meet the detection needs of actual cases and provide technical support for law enforcement to crack down on etomidate abuse.

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    Urine Metabolites Changes in Acute Myocardial Infarction Rats via Metabolomic Analysis
    Nian-nian CHEN, Jiao-fang YU, Peng WU, Li LUO, Ya-qin BAI, Li-kai WANG, Xiao-qian LI, Zhan-peng LI, Cai-rong GAO, Xiang-jie GUO
    Journal of Forensic Medicine    2024, 40 (3): 227-236.   DOI: 10.12116/j.issn.1004-5619.2023.431108
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    Objective To screen biomarkers for forensic identification of acute myocardial infarction (AMI) by non-targeted metabolomic studies on changes of urine metabolites in rats with AMI. Methods The rat models of the sham surgery group, AMI group and hyperlipidemia + acute myocardial infarction (HAMI) group were established. Ultra-high performance liquid chromatography-mass spectrometry (UPLC-MS) was used to analyze the changes of urine metabolic spectrometry in AMI rats. Principal component analysis, partial least squares-discriminant analysis, and orthogonal partial least squares-discriminant analysis were used to screen differential metabolites. The MetaboAnalyst database was used to analyze the metabolic pathway enrichment and access the predictive ability of differential metabolites. Results A total of 40 and 61 differential metabolites associated with AMI and HAMI were screened, respectively. Among them, 22 metabolites were common in both rat models. These small metabolites were mainly concentrated in the niacin and nicotinamide metabolic pathways. Within the 95% confidence interval, the area under the curve (AUC) values of receiver operator characteristic curve for N8-acetylspermidine, 3-methylhistamine, and thymine were greater than 0.95. Conclusion N8-acetylspermidine, 3-methylhistamine, and thymine can be used as potential biomarkers for AMI diagnosis, and abnormal metabolism in niacin and nicotinamide may be the main causes of AMI. This study can provide reference for the mechanism and causes of AMI identification.

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    Journal of Forensic Medicine    2024, 40 (6): 525-532.   DOI: 10.12116/j.issn.1004-5619.2024.340605
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    Retrospective Analysis of Death Cases of Oral Diphenidol Hydrochloride Poisoning
    Yu YANG, Fan-zhang LEI, Yu-you DONG, Jian-long MA, Qi-qiang SHI, Xue-song YE
    Journal of Forensic Medicine    2023, 39 (4): 393-398.   DOI: 10.12116/j.issn.1004-5619.2022.420401
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    Objective To explore the characteristics of postmortem examination, chemical examination and scene investigation of deaths caused by oral diphenidol hydrochloride poisoning, and so as to provide a reference for proper settlement and prevention of such deaths. Methods The data of 22 deaths caused by oral diphenidol hydrochloride poisoning in a city from January 2018 to August 2020 were collected, including case details, scene investigations, autopsies, chemical examinations and digital evidence. Thirty-one cases of deaths caused by oral diphenidol hydrochloride poisoning reported in previous literature were also collected. Results In the 53 oral diphenidol hydrochloride poisoning death cases, 50 cases were suicide, 2 cases were accidental, while 1 case was undetermined. Fifty-two cases were found in the medical records or crime scene investigation reports with doses ranging from 775 mg to 12 500 mg, and 23 deceased were detected with postmortem blood concentrations ranging from 2.71 mg/L to 83.1 mg/L. Clinical symptoms were recorded in 6 patients, including conscious disturbance and convulsion. Among the 45 cases which were performed with external examination, 23 cases autopsied. Conclusion Most of the deceased of oral diphenidol hydrochloride poisoning were suicide. No significant correlation was found between dose and blood concentration through the retrospective analysis of cases.

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