Expression of FcεRIα and tryptase in human lung tissue during drug-induced anaphylactic death

Forensic Sci Med Pathol. 2021 Dec;17(4):547-552. doi: 10.1007/s12024-021-00405-w. Epub 2021 Aug 12.

Abstract

The diagnosis of drug-induced anaphylactic death is an important component of forensic medicine. The purpose of this study was to explore the expression of FcεRIα and tryptase in human lung tissue during drug-induced anaphylactic death and its value for forensic medicine. The expression of FcεRIα and tryptase in lung tissues of the drug-induced anaphylactic death group (n = 30) and control group (who died due to sudden cardiac death, falling from a height, or traffic accidents, n = 30) was detected by immunohistochemistry and immunofluorescence staining. The difference in FcεRIα and tryptase expression in the lung tissue between the drug-induced anaphylactic death group and the control group was statistically significant (p < 0.05). The levels of FcεRIα and tryptase expression greatly increased in the lung tissue of the drug-induced anaphylactic death group, which may provide morphological evidence and a reference for the diagnosis of drug-induced anaphylactic death in forensic medicine.

Keywords: Drug-induced anaphylactic death; FcεRIα; Forensic pathology; Lung; Tryptase.

MeSH terms

  • Anaphylaxis* / chemically induced
  • Forensic Pathology
  • Humans
  • Lung
  • Mast Cells
  • Pharmaceutical Preparations*
  • Tryptases

Substances

  • Pharmaceutical Preparations
  • Tryptases