Forensic necroptic epidemiology -- a useful method for the evaluation of renal, cardiac and cerebral lesions. Can it represent an addition to the information provided by clinical studies?

Our paper reviews the value of necroptic epidemiology in the evaluation of renal, cardiac and cerebral lesions. The necroptic epidemiology studies performed on American war casualties from Korea and Vietnam had practical implications in the prophylaxis of atherosclerosis in young age groups. The special interest they initially raised has been diminished by the advance of clinical studies that are nowadays dominant in the field of epidemiology. Given the fact that for the evaluation of certain diseases, such as chronic kidney disease, the morphological criterion is useful for the diagnostic, necroptic epidemiology can complete the epidemiological data provided by clinical studies. The use of data offered by forensic necroptic epidemiology can represent a reliable method for evaluating the epidemiology of certain diseases and of their complications.

Blood coagulation and fibrinolysis in hyperthermic rats.

Exposure of rats to an environment of +40 degrees C that increases central (rectal) temperature to about 40 degrees C, importantly decrease the number of thrombocytes, the blood coagulation (the Quick time and Howel time) and euglobulin lysis time (ELT). In order to search for the mechanism responsible for coagulability and fibrinolysis we studied the relations of these changes with the sympatheticoadrenergic system and with the adrenal hormonal secretion. Some parameters were thus explored after adrenalectomy and under the influence of a beta-blocking agent, Eraldin. Adrenalectomy moderately reduced these decreasing effects, excepting the ELT. Eraldin has a contrary effect. Adrenalectomy acts by suppressing the corticoid reaction and by diminishing the catecholamineones. Since Eraldin influences coagulation and fibrinolysis in an opposite sense than adrenalectomy, it may be concluded that catecholamines do moderate the effect of heating, inhibiting and not stimulating circulation, as assumed. On the contrary, corticoids (gluco- or mineralo-) contribute to the effect, influencing coagulation in hyperthermia. Both influences are slight, not determinant. Supplementary explorations revealed that repeated daily exposure for 1-2 or 3 weeks, simply in the cages in which hyperthermia was subsequently produced, decreased also the number of thrombocites, the QT and the ELT, especially the last one. The HT was less influenced. It results that these exposures, produced effects similar with hyperthermia. Heating rats after these daily repeated exposures does not influence these already changed parameters.

Blood coagulation and fibrinolysis in rats after hypokinesia and hyperthermia.

Coagulation and fibrinolysis were studied in rats exposed to hypokinesia (HK) obtained by including rats (for 1, 2 and 3 weeks) in small cages designed to limit their movements, permitting only spontaneous feeding (a method widely used for mimicking space flight conditions). The number of thrombocytes, the Quick time, the Howell time and the euglobulinlysis time (ELT) decreased after 1 and 2 weeks of HK; however, after 3 weeks, the parameters of coagulation approached normal control levels, while ELT was still significantly under the control values. An increased blood level of corticosterone in animals subjected to HK suggested that changes observed in the blood coagulation could be linked with it. After exposing rats to heat, similar changes were noticed, i.e. thrombocytopenia and an increase in the speed of coagulation and fibrinolysis. When hyperthermia was induced in hypokinetic animals (after 1 and 2 weeks of HK), the association of exposure to HLK and heat was not followed by a cumulative response.

Changes in some digestive enzymes after a seven-day orbital flight.

Changes in some digestive enzymes (amylase, lipase, uropepsinogen) were studied in the serum and urine of one of the participants in the Soviet-Romanian seven-day space flight on the Soyuz 40-Saliut 6 complex. On the first day after landing it was found an increased total serum and urinary amylase, resulting from the separate increase of pancreatic and salivary amylase, determined by Skude and Ihse's method [14]. In both serum and urine, pancreatic amylase was found in higher amounts than the salivary one. Lipase was also increased. These modifications are in general in keeping with those recorded after different flights of similar duration and are part of the anabolic response. The pancreatic and salivary amylase were first investigated separately. Under the same conditions uropepsinogen was decreased, an unexpected result. Serum gastrin was increased, in agreement with a generally increased digestive activity.

The influence of magnetic fields on some humoral parameters and on resistance to hyperthermia in rats.

The influence of magnetic fields of moderate intensities (50 and 120 Oe) was studied in rats after single or repeated exposures with or without a rise in environmental temperature. The following parameters were investigated: the number of erythrocytes and leucocytes, the percentage of different varieties of leucocytes, serum Na+ and K+, plasma corticosterone, ascorbic acid in adrenals, blood catecholamines, plasma fibrinolytic activity, plasma antidiuretic hormone. The resistance to hyperthermia was tested after single exposures to magnetic fields and the survival time was measured. The only significant change recorded in the number of blood cells was a leucopenia after single exposures to 50 Oe for 4 hrs. The parameters indicating the activity of the adrenal cortex were not altered significantly. A moderate rise in blood noradrenaline suggested a possible mild stimulation of the adrenergic system. The plasma fibrinolytic activity was significantly stimulated after single exposures, but no change in fibrinolysis could be recorded after repeated exposures to magnetic fields. Changes observed in plasma ADH were not conclusive. The resistance of animals to hyperthermia - as a general test of reactivity - showed minimal changes in the survival time, loss of weight, and rectal temperature in animals exposed to hyperthermia (40 degrees C) under the influence of the magnetic fields.

The action of simulated and true weightlessness on the digestive tract of rats.

Rats on board the Soviet Cosmos 936 satellite for l8 1/2 days showed a decreased glycoprotein secretion from the salivary mucous glands, stomach and intestine, and an increased leucine aminopeptidase and acid phosphatase content from the small intestine. Grimelius positive cells were activated. One group of rats were centrifuged at 1 g during the flight to simulate terrestrial gravity. Some investigations have suggested that under these conditions muscular and cardiac disorders diminished. In the digestive tract the benefits of centrifugation at 1 g are minimal and limited to a few glycoprotein components. The digestive changes are probably the expression of a stress response, unrelated to weightlessness. Similar changes, concomitant with a glycocorticoid hypersecretion, were found in rats after 15 days of hypokinesia on Earth. These digestive changes persisted even in adrenalectomized rats.

The digestive tract after 7 days of restraining conditions in normal and adrenalectomized rats.

Hypokinesia produced specific reactions in tissues related to motion (bones, skeletal muscles and myocardium) and nonspecific in others, as that of the digestive tract after 7 days of hypokinesia. A decreased content of glycoproteins from mucous salivary glands, stomach, small intestine and colon, and an increased intestinal content of leucine-aminopeptidase and acid and alkaline phosphatase were found as a result of histochemical reactions. An important plasmatic corticosterone increase was also found. The same histochemical modifications appeared in adrenalectomized rats in which the plasma corticosterone was substantially diminished. Therefore these glycoproteins and enzymatic secretions are not dependent on the glucocorticoid response.