Skip to main content
Erschienen in: International Journal of Legal Medicine 6/2005

01.11.2005 | Original Article

Usefulness of serum mast cell–specific chymase levels for postmortem diagnosis of anaphylaxis

verfasst von: Hajime Nishio, Shinji Takai, Mizuo Miyazaki, Hidekazu Horiuchi, Motoki Osawa, Koichi Uemura, Ken-ichi Yoshida, Masahiro Mukaida, Yasuhiro Ueno, Koichi Suzuki

Erschienen in: International Journal of Legal Medicine | Ausgabe 6/2005

Einloggen, um Zugang zu erhalten

Abstract

Chymase, a serine protease, is stored mainly in secretory granules of human mast cells. Serum chymase concentration was examined in 8 autopsy cases with anaphylaxis as well as in 104 control cases without anaphylaxis. It was detected in all 8 cases with anaphylaxis (range 3–380 ng/ml, mean 89.8 ng/ml), while it was detected in only 2 of the 104 controls and was below a detectable level (<3 ng/ml) in the other 102. Serum tryptase levels are known to be a diagnostic indicator of anaphylaxis, therefore the relationship between serum chymase and tryptase levels was investigated in the 8 cases of anaphylactic death; a significant positive correlation was found (r=0.826, p=0.011). Furthermore, chymase was shown to be quite stable in serum. These results showed that measurement of serum chymase levels might be an additional tool for postmortem diagnosis of anaphylaxis.
Literatur
1.
Zurück zum Zitat Bochner BS, Lichtenstein LM (1991) Anaphylaxis. N Engl J Med 324:1785–1790 Bochner BS, Lichtenstein LM (1991) Anaphylaxis. N Engl J Med 324:1785–1790
2.
Zurück zum Zitat Wiggins CA (1991) Characteristics and etiology of 30 patients with anaphylaxis. Immunology 13:313–316 Wiggins CA (1991) Characteristics and etiology of 30 patients with anaphylaxis. Immunology 13:313–316
3.
Zurück zum Zitat James LP Jr, Austen KF (1964) Fatal systemic anaphylaxis in man. N Engl J Med 270:597–603 James LP Jr, Austen KF (1964) Fatal systemic anaphylaxis in man. N Engl J Med 270:597–603
4.
Zurück zum Zitat Delage C, Irey NS (1972) Anaphylactic deaths: a clinicopathological study of 43 cases. J Forensic Sci 17:525–540 Delage C, Irey NS (1972) Anaphylactic deaths: a clinicopathological study of 43 cases. J Forensic Sci 17:525–540
5.
Zurück zum Zitat Schwartz LB, Lewis RA, Austen KF (1981) Tryptase from human pulmonary mast cells: purification and characterization. J Biol Chem 256:11939–11943 Schwartz LB, Lewis RA, Austen KF (1981) Tryptase from human pulmonary mast cells: purification and characterization. J Biol Chem 256:11939–11943
6.
Zurück zum Zitat Schwartz LB, Lewis RA, Seldin D, Austen KF (1981) Acid hydrolases and tryptase from secretory granules of dispersed human lung mast cells. J Immunol 126:1290–1294 Schwartz LB, Lewis RA, Seldin D, Austen KF (1981) Acid hydrolases and tryptase from secretory granules of dispersed human lung mast cells. J Immunol 126:1290–1294
7.
Zurück zum Zitat Smith TJ, Hougland MW, Johnson DA (1984) Human lung tryptase, purification and characterization. J Biol Chem 259:11046–11049 Smith TJ, Hougland MW, Johnson DA (1984) Human lung tryptase, purification and characterization. J Biol Chem 259:11046–11049
8.
Zurück zum Zitat Schwartz LB, Metcalfe DD, Miller JS, Earl H, Sullivan T (1987) Tryptase levels as an indicator of mast cell activation in systemic anaphylaxis and mastocytosis. N Engl J Med 316:1622–1626PubMed Schwartz LB, Metcalfe DD, Miller JS, Earl H, Sullivan T (1987) Tryptase levels as an indicator of mast cell activation in systemic anaphylaxis and mastocytosis. N Engl J Med 316:1622–1626PubMed
9.
Zurück zum Zitat Schwartz LB, Yunginger JW, Miller J, Bokhari R, Dull D (1989) Time course of appearance and disappearance of human mast cell tryptase in the circulation. J Clin Invest 83:1551–1555 Schwartz LB, Yunginger JW, Miller J, Bokhari R, Dull D (1989) Time course of appearance and disappearance of human mast cell tryptase in the circulation. J Clin Invest 83:1551–1555
10.
Zurück zum Zitat Edston E, van Hage-Hamsten M (2003) Death in anaphylaxis in a man with house dust mite allergy. Int J Legal Med 117:299–301CrossRefPubMed Edston E, van Hage-Hamsten M (2003) Death in anaphylaxis in a man with house dust mite allergy. Int J Legal Med 117:299–301CrossRefPubMed
11.
Zurück zum Zitat Ansari MQ, Zamora JL, Lipscomb MF (1993) Postmortem diagnosis of acute anaphylaxis by serum tryptase analysis. Am J Clin Pathol 99:101–103 Ansari MQ, Zamora JL, Lipscomb MF (1993) Postmortem diagnosis of acute anaphylaxis by serum tryptase analysis. Am J Clin Pathol 99:101–103
12.
Zurück zum Zitat Nishio H, Matsui K, Miyazaki T, Tamura A, Iwata M, Suzuki K (2002) A fatal case of amniotic fluid embolism with elevation of serum mast cell tryptase. Forensic Sci Int 126:53–56 Nishio H, Matsui K, Miyazaki T, Tamura A, Iwata M, Suzuki K (2002) A fatal case of amniotic fluid embolism with elevation of serum mast cell tryptase. Forensic Sci Int 126:53–56
13.
Zurück zum Zitat Urata H, Kinoshita A, Misono KS, Bumpus FM, Husain A (1990) Identification of a highly specific chymase as the major angiotensin II-forming enzyme in the human heart. J Biol Chem 265:22348–22357 Urata H, Kinoshita A, Misono KS, Bumpus FM, Husain A (1990) Identification of a highly specific chymase as the major angiotensin II-forming enzyme in the human heart. J Biol Chem 265:22348–22357
14.
Zurück zum Zitat Miyazaki M, Takai S (2000) Role of chymase of vascular proliferation. J Renin Angiotensin Aldosterone Syst 1:23–26 Miyazaki M, Takai S (2000) Role of chymase of vascular proliferation. J Renin Angiotensin Aldosterone Syst 1:23–26
15.
Zurück zum Zitat Reilly CF, Tewksbury DA, Schechter NM, Travis J (1982) Rapid conversion of the angiotensin I to angiotensin II by neutrophil and mast cell proteases. J Biol Chem 275:8619–8622 Reilly CF, Tewksbury DA, Schechter NM, Travis J (1982) Rapid conversion of the angiotensin I to angiotensin II by neutrophil and mast cell proteases. J Biol Chem 275:8619–8622
16.
Zurück zum Zitat Bonelli A, Bacci S, Norelli GA (2003) Affinity cytochemistry analysis of mast cells in skin lesions: a possible tool to assess the timing of lesions after death. Int J Leg Med 117:331–334 Bonelli A, Bacci S, Norelli GA (2003) Affinity cytochemistry analysis of mast cells in skin lesions: a possible tool to assess the timing of lesions after death. Int J Leg Med 117:331–334
17.
Zurück zum Zitat Satomura K, Shimizu S, Nagato T, Komeichi H, Osuga M, Katsuta Y, Aramaki T, Omoto Y (2002) Establishment of an assay method for human mast cell chymase. Hepatol Res 24:361–367 Satomura K, Shimizu S, Nagato T, Komeichi H, Osuga M, Katsuta Y, Aramaki T, Omoto Y (2002) Establishment of an assay method for human mast cell chymase. Hepatol Res 24:361–367
18.
Zurück zum Zitat Kovanen PT, Kaartinen M, Paavonen T (1995) Infiltrates of activated mast cells at the site of coronary atheromatous erosion or rupture in myocardial infarction. Circulation 92:1084–1088 Kovanen PT, Kaartinen M, Paavonen T (1995) Infiltrates of activated mast cells at the site of coronary atheromatous erosion or rupture in myocardial infarction. Circulation 92:1084–1088
19.
Zurück zum Zitat Jin D, Takai S, Yamada M, Sakaguchi M, Miyazaki M (2002) Beneficial effects of cardiac chymase inhibition during the acute phase of myocardial infarction. Life Sci 71:437–446 Jin D, Takai S, Yamada M, Sakaguchi M, Miyazaki M (2002) Beneficial effects of cardiac chymase inhibition during the acute phase of myocardial infarction. Life Sci 71:437–446
20.
Zurück zum Zitat Jin D, Takai S, Yamada M, Sakaguchi M, Kamoshita K, Ishida K, Sukenaga Y, Miyazaki M (2003) Impact of chymase inhibitor on cardiac function and survival after myocardial infarction. Cardiovasc Res 60:413–420 Jin D, Takai S, Yamada M, Sakaguchi M, Kamoshita K, Ishida K, Sukenaga Y, Miyazaki M (2003) Impact of chymase inhibitor on cardiac function and survival after myocardial infarction. Cardiovasc Res 60:413–420
21.
Zurück zum Zitat Edston E, van Hage-Hamsten M (1998) β-Tryptase measurements post-mortem in anaphylactic deaths and in controls. Forensic Sci Int 93:135–142 Edston E, van Hage-Hamsten M (1998) β-Tryptase measurements post-mortem in anaphylactic deaths and in controls. Forensic Sci Int 93:135–142
22.
Zurück zum Zitat Randall B, Butts J, Halsey JF (1995) Elevated postmortem tryptase in the absence of anaphylaxis. J Forensic Sci 40:208–211 Randall B, Butts J, Halsey JF (1995) Elevated postmortem tryptase in the absence of anaphylaxis. J Forensic Sci 40:208–211
23.
Zurück zum Zitat Fineschi V, Cecchi R, Centini F, Reattelli LP, Turillazzi E (2001) Immunohistochemical quantification of mast-cells and post-mortem blood dosages of tryptase and eosiophil cationic protein in 48 heroin-related deaths. Forensic Sci Int 120:189–194 Fineschi V, Cecchi R, Centini F, Reattelli LP, Turillazzi E (2001) Immunohistochemical quantification of mast-cells and post-mortem blood dosages of tryptase and eosiophil cationic protein in 48 heroin-related deaths. Forensic Sci Int 120:189–194
24.
Zurück zum Zitat Weidner N, Austen KF (1993) Heterogeneity of mast cells at multiple body sites. Fluorescent determination of avidin binding and immunofluorescent determination of chymase, tryptase, and carboxypeptidase content. Pathol Res Pract 189:156–162 Weidner N, Austen KF (1993) Heterogeneity of mast cells at multiple body sites. Fluorescent determination of avidin binding and immunofluorescent determination of chymase, tryptase, and carboxypeptidase content. Pathol Res Pract 189:156–162
25.
Zurück zum Zitat Irani AM, Schwartz LB (1994) Human mast cell heterogeneity. Allergy Proc 15:303–308 Irani AM, Schwartz LB (1994) Human mast cell heterogeneity. Allergy Proc 15:303–308
Metadaten
Titel
Usefulness of serum mast cell–specific chymase levels for postmortem diagnosis of anaphylaxis
verfasst von
Hajime Nishio
Shinji Takai
Mizuo Miyazaki
Hidekazu Horiuchi
Motoki Osawa
Koichi Uemura
Ken-ichi Yoshida
Masahiro Mukaida
Yasuhiro Ueno
Koichi Suzuki
Publikationsdatum
01.11.2005
Erschienen in
International Journal of Legal Medicine / Ausgabe 6/2005
Print ISSN: 0937-9827
Elektronische ISSN: 1437-1596
DOI
https://doi.org/10.1007/s00414-005-0524-1

Weitere Artikel der Ausgabe 6/2005

International Journal of Legal Medicine 6/2005 Zur Ausgabe

Neu im Fachgebiet Rechtsmedizin

Molekularpathologische Untersuchungen im Wandel der Zeit

Open Access Biomarker Leitthema

Um auch an kleinen Gewebeproben zuverlässige und reproduzierbare Ergebnisse zu gewährleisten ist eine strenge Qualitätskontrolle in jedem Schritt des Arbeitsablaufs erforderlich. Eine nicht ordnungsgemäße Prüfung oder Behandlung des …

Vergleichende Pathologie in der onkologischen Forschung

Pathologie Leitthema

Die vergleichende experimentelle Pathologie („comparative experimental pathology“) ist ein Fachbereich an der Schnittstelle von Human- und Veterinärmedizin. Sie widmet sich der vergleichenden Erforschung von Gemeinsamkeiten und Unterschieden von …

Gastrointestinale Stromatumoren

Open Access GIST CME-Artikel

Gastrointestinale Stromatumoren (GIST) stellen seit über 20 Jahren ein Paradigma für die zielgerichtete Therapie mit Tyrosinkinaseinhibitoren dar. Eine elementare Voraussetzung für eine mögliche neoadjuvante oder adjuvante Behandlung bei …

Personalisierte Medizin in der Onkologie

Aufgrund des erheblichen technologischen Fortschritts in der molekularen und genetischen Diagnostik sowie zunehmender Erkenntnisse über die molekulare Pathogenese von Krankheiten hat in den letzten zwei Jahrzehnten ein grundlegender …