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Erschienen in: Forensic Toxicology 1/2020

13.11.2019 | Original Article

Assessment of the role played by n-propanol in distinction of ethanol source in postmortem blood with the assistance of ethyl glucuronide and ethyl sulfate

verfasst von: Hao Wang, Jiaolun Li, Zhibin Huang, Fanglin Wang, Yunfeng Zhang, Jing Chang, Yulan Rao

Erschienen in: Forensic Toxicology | Ausgabe 1/2020

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Abstract

Purpose

Concentration ratio of ethanol/n-propanol has been employed to distinguish the source of ethanol in postmortem blood, though its reliability remains controversial.

Methods

Forty-two postmortem human blood samples with ethanol levels in the range of 0.07–4.64 mg/mL were investigated. Ethanol and n-propanol were determined by head-space gas chromatography coupled with flame ionization detection, while ethyl glucuronide (EtG) and ethyl sulfate (EtS) were determined by liquid chromatography–tandem mass spectrometry.

Results

EtG and EtS were both negative in 26% of the investigated postmortem blood samples and 11% of n-propanol-negative postmortem samples, indicating that n-propanol was not a reliable marker of putrefaction. It was also found that the ratio of ethanol/n-propanol (supposed to be < 20 without antemortem ethanol consumption) was unreliable by showing great individual differences and was opposite with the result of EtG and EtS in at least 17% of n-propanol-positive postmortem blood samples. Meanwhile, 140 antemortem blood samples were investigated, as an aid to estimate the blood alcohol concentration (BAC) at the time of death for postmortem samples with ethanol both from postmortem formation and antemortem consumption. By comparing with the maximum or minimum value of EtG and EtS concentration under certain BAC in antemortem samples, the BAC range at the moment of death could be estimated in 93% of postmortem samples.

Conclusions

The present study proved that n-propanol was not a reliable marker for either putrefaction or ethanol source distinction by showing considerable false rate.
Literatur
1.
Zurück zum Zitat Girasek DC, Gielen AC, Smith GS (2002) Alcohol’s contribution to fatal injuries: a report on public perceptions. Ann Emerg Med 39:622–630CrossRef Girasek DC, Gielen AC, Smith GS (2002) Alcohol’s contribution to fatal injuries: a report on public perceptions. Ann Emerg Med 39:622–630CrossRef
2.
Zurück zum Zitat Snijder M, Calabria B, Dobbins T, Knight A, Shakeshaft A (2018) A need for tailored programs and policies to reduce rates of alcohol-related crimes for vulnerable communities and young people: an analysis of routinely collected police data. Alcohol Alcohol 53:578–585CrossRef Snijder M, Calabria B, Dobbins T, Knight A, Shakeshaft A (2018) A need for tailored programs and policies to reduce rates of alcohol-related crimes for vulnerable communities and young people: an analysis of routinely collected police data. Alcohol Alcohol 53:578–585CrossRef
3.
Zurück zum Zitat Tindall J, Groombridge D, Wiggers J, Gillham K, Palmer D, Clinton-McHarg T, Lecathelinais C, Miller P (2016) Alcohol-related crime in city entertainment precincts: public perception and experience of alcohol-related crime and support for strategies to reduce such crime. Drug Alcohol Rev 35:263–272CrossRef Tindall J, Groombridge D, Wiggers J, Gillham K, Palmer D, Clinton-McHarg T, Lecathelinais C, Miller P (2016) Alcohol-related crime in city entertainment precincts: public perception and experience of alcohol-related crime and support for strategies to reduce such crime. Drug Alcohol Rev 35:263–272CrossRef
4.
Zurück zum Zitat Carfora A, Campobasso CP, Cassandro P, Petrella R, Borriello R (2018) Alcohol and drugs use among drivers injured in road accidents in Campania (Italy): a 8-year retrospective analysis. Forensic Sci Int 288:291–296CrossRef Carfora A, Campobasso CP, Cassandro P, Petrella R, Borriello R (2018) Alcohol and drugs use among drivers injured in road accidents in Campania (Italy): a 8-year retrospective analysis. Forensic Sci Int 288:291–296CrossRef
5.
Zurück zum Zitat Gomez-Restrepo C, Gomez-Garcia MJ, Naranjo S, Rondon MA, Acosta-Hernandez AL (2014) Alcohol consumption as an incremental factor in health care costs for traffic accident victims: evidence in a medium sized Colombian city. Accid Anal Prev 73:269–273CrossRef Gomez-Restrepo C, Gomez-Garcia MJ, Naranjo S, Rondon MA, Acosta-Hernandez AL (2014) Alcohol consumption as an incremental factor in health care costs for traffic accident victims: evidence in a medium sized Colombian city. Accid Anal Prev 73:269–273CrossRef
6.
Zurück zum Zitat Kelly AT, Mozayani A (2012) An overview of alcohol testing and interpretation in the 21st century. J Pharm Pract 25:30–36CrossRef Kelly AT, Mozayani A (2012) An overview of alcohol testing and interpretation in the 21st century. J Pharm Pract 25:30–36CrossRef
7.
Zurück zum Zitat Kugelberg FC, Jones AW (2007) Interpreting results of ethanol analysis in postmortem specimens: a review of the literature. Forensic Sci Int 165:10–29CrossRef Kugelberg FC, Jones AW (2007) Interpreting results of ethanol analysis in postmortem specimens: a review of the literature. Forensic Sci Int 165:10–29CrossRef
8.
Zurück zum Zitat Flanagan RJ, Connally G (2005) Interpretation of analytical toxicology results in life and at postmortem. Toxicol Rev 24:51–62CrossRef Flanagan RJ, Connally G (2005) Interpretation of analytical toxicology results in life and at postmortem. Toxicol Rev 24:51–62CrossRef
9.
Zurück zum Zitat Leikin JB, Watson WA (2003) Post-mortem toxicology: what the dead can and cannot tell us. J Toxicol Clin Toxicol 41:47–56CrossRef Leikin JB, Watson WA (2003) Post-mortem toxicology: what the dead can and cannot tell us. J Toxicol Clin Toxicol 41:47–56CrossRef
10.
Zurück zum Zitat Moriya F, Ishizu H (1994) Can microorganisms produce alcohol in body cavities of a living person?: a case report. J Forensic Sci 39:883–888CrossRef Moriya F, Ishizu H (1994) Can microorganisms produce alcohol in body cavities of a living person?: a case report. J Forensic Sci 39:883–888CrossRef
11.
Zurück zum Zitat Hoiseth G, Karinen R, Christophersen A, Morland J (2010) Practical use of ethyl glucuronide and ethyl sulfate in postmortem cases as markers of antemortem alcohol ingestion. Int J Legal Med 124:143–148CrossRef Hoiseth G, Karinen R, Christophersen A, Morland J (2010) Practical use of ethyl glucuronide and ethyl sulfate in postmortem cases as markers of antemortem alcohol ingestion. Int J Legal Med 124:143–148CrossRef
12.
Zurück zum Zitat Vezzoli S, Bernini M, De Ferrari F (2015) Ethyl glucuronide in vitreous humor and blood postmortem specimens: analysis by liquid chromatography–electrospray tandem mass spectrometry and interpreting results of neo-formation of ethanol. Ann Ist Super Sanita 51:19–27PubMed Vezzoli S, Bernini M, De Ferrari F (2015) Ethyl glucuronide in vitreous humor and blood postmortem specimens: analysis by liquid chromatography–electrospray tandem mass spectrometry and interpreting results of neo-formation of ethanol. Ann Ist Super Sanita 51:19–27PubMed
13.
Zurück zum Zitat Ziavrou K, Boumba VA, Vougiouklakis TG (2005) Insights into the origin of postmortem ethanol. Int J Toxicol 24:69–77CrossRef Ziavrou K, Boumba VA, Vougiouklakis TG (2005) Insights into the origin of postmortem ethanol. Int J Toxicol 24:69–77CrossRef
14.
Zurück zum Zitat Krabseth H, Morland J, Hoiseth G (2014) Assistance of ethyl glucuronide and ethyl sulfate in the interpretation of postmortem ethanol findings. Int J Legal Med 128:765–770CrossRef Krabseth H, Morland J, Hoiseth G (2014) Assistance of ethyl glucuronide and ethyl sulfate in the interpretation of postmortem ethanol findings. Int J Legal Med 128:765–770CrossRef
15.
Zurück zum Zitat Nanikawa R, Ameno K, Hashimoto Y, Hamada K (1982) Medicolegal studies on alcohol detected in dead bodies—alcohol levels in skeletal muscle. Forensic Sci Int 20:133–140CrossRef Nanikawa R, Ameno K, Hashimoto Y, Hamada K (1982) Medicolegal studies on alcohol detected in dead bodies—alcohol levels in skeletal muscle. Forensic Sci Int 20:133–140CrossRef
16.
Zurück zum Zitat Nanikawa R, Kotoku S (1974) Medicolegal observations on a dead body drawn up from the sea bed, with special reference to ethanol and diatoms. Forensic Sci 3:225–232CrossRef Nanikawa R, Kotoku S (1974) Medicolegal observations on a dead body drawn up from the sea bed, with special reference to ethanol and diatoms. Forensic Sci 3:225–232CrossRef
17.
Zurück zum Zitat Takayasu T, Ohshima T, Tanaka N, Maeda H, Kondo T, Nishigami J, Nagano T (1995) Postmortem degradation of administered ethanol-d6 and production of endogenous ethanol: experimental studies using rats and rabbits. Forensic Sci Int 76:129–140CrossRef Takayasu T, Ohshima T, Tanaka N, Maeda H, Kondo T, Nishigami J, Nagano T (1995) Postmortem degradation of administered ethanol-d6 and production of endogenous ethanol: experimental studies using rats and rabbits. Forensic Sci Int 76:129–140CrossRef
18.
Zurück zum Zitat Boumba VA, Economou V, Kourkoumelis N, Gousia P, Papadopoulou C, Vougiouklakis T (2012) Microbial ethanol production: experimental study and multivariate evaluation. Forensic Sci Int 215:189–198CrossRef Boumba VA, Economou V, Kourkoumelis N, Gousia P, Papadopoulou C, Vougiouklakis T (2012) Microbial ethanol production: experimental study and multivariate evaluation. Forensic Sci Int 215:189–198CrossRef
19.
Zurück zum Zitat Boumba VA, Kourkoumelis N, Gousia P, Economou V, Papadopoulou C, Vougiouklakis T (2013) Modeling microbial ethanol production by E. coli under aerobic/anaerobic conditions: applicability to real postmortem cases and to postmortem blood derived microbial cultures. Forensic Sci Int 232:191–198CrossRef Boumba VA, Kourkoumelis N, Gousia P, Economou V, Papadopoulou C, Vougiouklakis T (2013) Modeling microbial ethanol production by E. coli under aerobic/anaerobic conditions: applicability to real postmortem cases and to postmortem blood derived microbial cultures. Forensic Sci Int 232:191–198CrossRef
20.
Zurück zum Zitat Felby S, Nielsen E (1993) Postmortem blood alcohol concentration. Blutalkohol 30:244–250PubMed Felby S, Nielsen E (1993) Postmortem blood alcohol concentration. Blutalkohol 30:244–250PubMed
21.
Zurück zum Zitat Liang H, Kuang S, Guo L, Yu T, Rao Y (2016) Assessment of the role played by n-propanol found in postmortem blood in the discrimination between antemortem consumption and postmortem formation of ethanol using rats. J Forensic Sci 61:122–126CrossRef Liang H, Kuang S, Guo L, Yu T, Rao Y (2016) Assessment of the role played by n-propanol found in postmortem blood in the discrimination between antemortem consumption and postmortem formation of ethanol using rats. J Forensic Sci 61:122–126CrossRef
22.
Zurück zum Zitat Hoiseth G, Karinen R, Christophersen AS, Olsen L, Normann PT, Morland J (2007) A study of ethyl glucuronide in post-mortem blood as a marker of ante-mortem ingestion of alcohol. Forensic Sci Int 165:41–45CrossRef Hoiseth G, Karinen R, Christophersen AS, Olsen L, Normann PT, Morland J (2007) A study of ethyl glucuronide in post-mortem blood as a marker of ante-mortem ingestion of alcohol. Forensic Sci Int 165:41–45CrossRef
23.
Zurück zum Zitat Schloegl H, Rost T, Schmidt W, Wurst FM, Weinmann W (2006) Distribution of ethyl glucuronide in rib bone marrow, other tissues and body liquids as proof of alcohol consumption before death. Forensic Sci Int 156:213–218CrossRef Schloegl H, Rost T, Schmidt W, Wurst FM, Weinmann W (2006) Distribution of ethyl glucuronide in rib bone marrow, other tissues and body liquids as proof of alcohol consumption before death. Forensic Sci Int 156:213–218CrossRef
24.
Zurück zum Zitat Baranowski S, Serr A, Thierauf A, Weinmann W, Grosse PM, Wurst FM, Halter CC (2008) In vitro study of bacterial degradation of ethyl glucuronide and ethyl sulphate. Int J Leg Med 122:389–393CrossRef Baranowski S, Serr A, Thierauf A, Weinmann W, Grosse PM, Wurst FM, Halter CC (2008) In vitro study of bacterial degradation of ethyl glucuronide and ethyl sulphate. Int J Leg Med 122:389–393CrossRef
25.
Zurück zum Zitat Hoiseth G, Karinen R, Johnsen L, Normann PT, Christophersen AS, Morland J (2008) Disappearance of ethyl glucuronide during heavy putrefaction. Forensic Sci Int 176:147–151CrossRef Hoiseth G, Karinen R, Johnsen L, Normann PT, Christophersen AS, Morland J (2008) Disappearance of ethyl glucuronide during heavy putrefaction. Forensic Sci Int 176:147–151CrossRef
26.
Zurück zum Zitat Hoiseth G, Kristoffersen L, Larssen B, Arnestad M, Hermansen NO, Morland J (2008) In vitro formation of ethanol in autopsy samples containing fluoride ions. Int J Leg Med 122:63–66CrossRef Hoiseth G, Kristoffersen L, Larssen B, Arnestad M, Hermansen NO, Morland J (2008) In vitro formation of ethanol in autopsy samples containing fluoride ions. Int J Leg Med 122:63–66CrossRef
27.
Zurück zum Zitat Halter CC, Laengin A, Al-Ahmad A, Wurst FM, Weinmann W, Kuemmerer K (2009) Assessment of the stability of the ethanol metabolite ethyl sulfate in standardised degradation tests. Forensic Sci Int 186:52–55CrossRef Halter CC, Laengin A, Al-Ahmad A, Wurst FM, Weinmann W, Kuemmerer K (2009) Assessment of the stability of the ethanol metabolite ethyl sulfate in standardised degradation tests. Forensic Sci Int 186:52–55CrossRef
28.
Zurück zum Zitat Hegstad S, Kristoffersen L, Liane VH, Spigset O (2017) EtG and EtS in autopsy blood samples with and without putrefaction using UPLC–MS-MS. J Anal Toxicol 41:107–113CrossRef Hegstad S, Kristoffersen L, Liane VH, Spigset O (2017) EtG and EtS in autopsy blood samples with and without putrefaction using UPLC–MS-MS. J Anal Toxicol 41:107–113CrossRef
30.
Zurück zum Zitat Jones AW (2000) Medicolegal alcohol determination—blood- or breath-alcohol concentration? Forensic Sci Rev 12:23–47PubMed Jones AW (2000) Medicolegal alcohol determination—blood- or breath-alcohol concentration? Forensic Sci Rev 12:23–47PubMed
31.
Zurück zum Zitat O’Neal CL, Poklis A (1996) Postmortem production of ethanol and factors that influence interpretation: a critical review. Am J Forensic Med Pathol 17:8–20CrossRef O’Neal CL, Poklis A (1996) Postmortem production of ethanol and factors that influence interpretation: a critical review. Am J Forensic Med Pathol 17:8–20CrossRef
32.
Zurück zum Zitat Canfield DV, Kupiec T, Huffine E (1993) Postmortem alcohol production in fatal aircraft accidents. J Forensic Sci 38:914–917CrossRef Canfield DV, Kupiec T, Huffine E (1993) Postmortem alcohol production in fatal aircraft accidents. J Forensic Sci 38:914–917CrossRef
33.
Zurück zum Zitat Winek CL, Winek CL, Wahaba WW (1995) The role of trauma in postmortem blood alcohol determination. Forensic Sci Int 71:1–8CrossRef Winek CL, Winek CL, Wahaba WW (1995) The role of trauma in postmortem blood alcohol determination. Forensic Sci Int 71:1–8CrossRef
34.
Zurück zum Zitat Cabarcos P, Alvarez I, Tabernero MJ, Bermejo AM (2015) Determination of direct alcohol markers: a review. Anal Bioanal Chem 407:4907–4925CrossRef Cabarcos P, Alvarez I, Tabernero MJ, Bermejo AM (2015) Determination of direct alcohol markers: a review. Anal Bioanal Chem 407:4907–4925CrossRef
35.
Zurück zum Zitat Hoiseth G, Morini L, Polettini A, Christophersen A, Morland J (2009) Blood kinetics of ethyl glucuronide and ethyl sulphate in heavy drinkers during alcohol detoxification. Forensic Sci Int 188:52–56CrossRef Hoiseth G, Morini L, Polettini A, Christophersen A, Morland J (2009) Blood kinetics of ethyl glucuronide and ethyl sulphate in heavy drinkers during alcohol detoxification. Forensic Sci Int 188:52–56CrossRef
36.
Zurück zum Zitat Zhang X, Zheng F, Lin Z, Johansen SS, Yu T, Liu Y, Huang Z, Li J, Yan J, Rao Y (2017) Simultaneous determination of ethanol’s four types of non-oxidative metabolites in human whole blood by liquid chromatography tandem mass spectrometry. Anal Chim Acta 963:68–75CrossRef Zhang X, Zheng F, Lin Z, Johansen SS, Yu T, Liu Y, Huang Z, Li J, Yan J, Rao Y (2017) Simultaneous determination of ethanol’s four types of non-oxidative metabolites in human whole blood by liquid chromatography tandem mass spectrometry. Anal Chim Acta 963:68–75CrossRef
37.
Zurück zum Zitat Sharma P, Bharat V, Murthy P (2015) Quantitation of ethyl glucuronide in serum and urine by gas chromatography–mass spectrometry. Indian J Med Res 141:75–80CrossRef Sharma P, Bharat V, Murthy P (2015) Quantitation of ethyl glucuronide in serum and urine by gas chromatography–mass spectrometry. Indian J Med Res 141:75–80CrossRef
38.
Zurück zum Zitat Liu Y, Zhang X, Li J, Huang Z, Lin Z, Wang J, Zhang C, Rao Y (2018) Stability of ethyl glucuronide, ethyl sulfate, phosphatidylethanols and fatty acid ethyl esters in postmortem human blood. J Anal Toxicol 42:346–352CrossRef Liu Y, Zhang X, Li J, Huang Z, Lin Z, Wang J, Zhang C, Rao Y (2018) Stability of ethyl glucuronide, ethyl sulfate, phosphatidylethanols and fatty acid ethyl esters in postmortem human blood. J Anal Toxicol 42:346–352CrossRef
39.
Zurück zum Zitat Helander A, Dahl H (2005) Urinary tract infection: a risk factor for false-negative urinary ethyl glucuronide but not ethyl sulfate in the detection of recent alcohol consumption. Clin Chem 51:1728–1730CrossRef Helander A, Dahl H (2005) Urinary tract infection: a risk factor for false-negative urinary ethyl glucuronide but not ethyl sulfate in the detection of recent alcohol consumption. Clin Chem 51:1728–1730CrossRef
40.
Zurück zum Zitat Bosma PJ, Chowdhury JR, Bakker C, Gantla S, de Boer A, Oostra BA, Lindhout D, Tytgat GN, Jansen PL, Oude Elferink RP (1995) The genetic basis of the reduced expression of bilirubin UDP-glucuronosyltransferase 1 in Gilbert’s syndrome. N Eng J Med 333:1171–1175CrossRef Bosma PJ, Chowdhury JR, Bakker C, Gantla S, de Boer A, Oostra BA, Lindhout D, Tytgat GN, Jansen PL, Oude Elferink RP (1995) The genetic basis of the reduced expression of bilirubin UDP-glucuronosyltransferase 1 in Gilbert’s syndrome. N Eng J Med 333:1171–1175CrossRef
Metadaten
Titel
Assessment of the role played by n-propanol in distinction of ethanol source in postmortem blood with the assistance of ethyl glucuronide and ethyl sulfate
verfasst von
Hao Wang
Jiaolun Li
Zhibin Huang
Fanglin Wang
Yunfeng Zhang
Jing Chang
Yulan Rao
Publikationsdatum
13.11.2019
Verlag
Springer Singapore
Erschienen in
Forensic Toxicology / Ausgabe 1/2020
Print ISSN: 1860-8965
Elektronische ISSN: 1860-8973
DOI
https://doi.org/10.1007/s11419-019-00507-9

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