Skip to main content
Log in

Usefulness of a latex agglutination assay for FDP D-dimer to demonstrate the presence of postmortem blood

  • Short Communication
  • Published:
International Journal of Legal Medicine Aims and scope Submit manuscript

Abstract

D-dimer, a specific fragment resulting from degradation of cross-linked fibrin, is an essential marker for the diagnosis of disseminated intravascular coagulation (DIC). Rapid assay for D-dimer using monoclonal antibody coated-latex particles might be useful for discriminating between postmortem and antemortem blood in bloodstains. We tried to detect D-dimer in nine postmortem blood samples by the rapid latex agglutination assay and to quantify them automatically using the latex photometric immunoassay system. The results showed that all samples were positive and that their amounts of D-dimer were 335–2,800 μg/ml (the normal blood level, <1 μg/ml; the pathogenic blood level with DIC, 1–100 μg/ml). Next, nine stains made of postmortem blood were examined by the rapid latex agglutination assay. The result showed that only one case (D-dimer 335 μg/ml blood) showed weak positive while the others (D-dimer 600–2,800 μg/ml blood) were positive. The present study indicates that the latex agglutination assay for D-dimer can be useful to demonstrate the presence of postmortem blood.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

References

  • Akman MN, Cetin N, Bayramoglu M, Isiklar I, Kilinic S (2004) Value of the D-dimer test in diagnosing deep vein thrombosis in rehabilitation inpatients. Arch Phys Med Rehabil 85(7):1091–1094

    Article  Google Scholar 

  • Arai M (1986) Japanese title [D-dimer ni taisuru monokuronarukoutai wo mochiita FDP no bunnkakuteiryouhou no kentou]. Rinsho Byori 34:157–161

    Google Scholar 

  • Baroldi G, Mittleman RE, Parolini M, Silver MD, Fineschi V (2001) Myocardial contraction bands. Definition, quantification and significance in forensic pathology. Int J Leg Med 115:142–151

    Article  Google Scholar 

  • Bates SM, Grand’Maison A, Johuston M, Naguit I, Kavacs MJ, Ginsberg JS (2001) A latex D-dimer reliably excludes venous thromboembolism. Arch Intern Med 161(3):447–453

    Article  Google Scholar 

  • Bonelli A, Bacci S, Vannelli GB, Norelli GA (2003) Immunohistochemical localization of mast cells as a tool for the discrimination of vital and postmortem lesions. Int J Leg Med 117:14–18

    Article  Google Scholar 

  • Elms MJ (1983) Measurement of crosslinked fibrin degradation products—an immunoassay using monoclonal antibodies. Thromb Haemost 50(2):591–594

    Google Scholar 

  • Elms MJ, Bunce IH, Bundesen PG, Rylatt DB, Webber AJ, Masci PP, Whitaker AN (1986) Rapid detection of cross-linked fibrin degradation products in plasma using monoclonal antibody-coated latex particles. J Clin Pathol 85:360–364

    Google Scholar 

  • Francis CW, Marder VJ, Martin SE (1980) Plasmic degradation of crosslinked fibrin. I. Structural of the particulate clot and identification of new macromolecular soluble complexes. Blood 56:456–464

    Google Scholar 

  • Hernandez-Cueto C, Girela E, Sweet DJ (2000) Advances in the diagnosis of wound vitality: a review. Am J Forensic Med Pathol 21:21–31

    Article  Google Scholar 

  • Hunt FA, Rylatt DB, Hart RA, Bundesen PG (1985) Serum crosslinked fibrin (XDP) and fibrinogen/fibrin degradation products (FDP) in disorders associated with activation of the coagulation or fibrinolytic systems. Br J Haematol 60:715–722

    Google Scholar 

  • Ikematsu S, Kuroso K (1989) Comparative evaluation of D-dimer assays. Rinsho Byori 81:189–197

    Google Scholar 

  • Kuroso K (1986) Japanese title [anteika fiburin bunkaisanbutsu DD/E complex no sokuteihou no kaihatsu to senyoukatei ni okeru kougensei no henka ni tsuite]. Tokyo Med Univ Zasshi 44:860–871

    Google Scholar 

  • Mihalyi E (1983) Kinetics and molecular mechanism of the proteolytic fragmentation of fibrinogen. Ann NY Acad Sci 408:60–69

    Google Scholar 

  • Miyashita S (1994) Discrimination between postmortem and antemortem blood by dot-ELISA for human myoglobin. Jpn J Leg Med 48(6):433–438

    Google Scholar 

  • Muraoka S (1980) Studies on the blood stains by scanning electron microscopy. Jpn J Leg Med 34(6):605–617

    Google Scholar 

  • Ortiz-Rey JA, Suárez-Peñaranda JM, Muñoz-Barús JI, Álvarez C, San Miguel P, Rodriguez-Calvo MS, Concheiro-Carro L (2003) Expression of fibronectin and tenascin as a demonstration of vital reaction in rat skin and muscle. Int J Leg Med 117:356–360

    Article  Google Scholar 

  • Ortmann C, Pfeiffer H, Brinkmann B (2000) Demonstration of myocardial necrosis in the presence of advanced putrefaction. Int J Leg Med 114:50–55

    Article  Google Scholar 

  • Rutty GN, Woolley A, Brookfield C, Shepherd F, Kitchen S (2003) The PIVKA II test. The first reliable coagulation test for autopsy investigations. Int J Leg Med 117:143–148

    Google Scholar 

  • Sanaka A (1953) On the process that the blood of the cadavers of those having suddenly died acquires fluidity. Jpn J Leg Med 7(1):27–32

    Google Scholar 

  • Satoh K, Hayakawa S, Nakanishi K (1975) Identification of antemortem and postmortem blood. Jpn J Leg Med 29(4):209–283

    Google Scholar 

  • Shinbo K, Yokozuka H, Yakahashi K, Komiya M, Oikawa S, Ieiri T (1997) A fundamental evaluation of blood coagulation and fibrinolysis markers assay using a fully automated immunoassay system, LPIA-200. Igaku to Yakugaku 37(1):157–162

    Google Scholar 

  • Sugie H, Nihikawa T, Funao T (1995) Quantification of nucleotides, nucleosides and bases in antemortem and postmortem bloodstains by high-performance liquid chromatography. Forensic Sci Int 71:123–130

    Article  Google Scholar 

  • Wada H, Sase T, Matsumoto T, Kushiya F, Sakakura M, Mori Y, Nishikawa M, Ohnishi K, Nakatani K (2003) Increasing soluble fibrin in plasma of patients with disseminated intravascular coagulation. Clin Appl Thromb Hemost 9(3):233–240

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Koichi Sakurada.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sakurada, K., Sakai, I., Sekiguchi, K. et al. Usefulness of a latex agglutination assay for FDP D-dimer to demonstrate the presence of postmortem blood. Int J Legal Med 119, 167–171 (2005). https://doi.org/10.1007/s00414-004-0517-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00414-004-0517-5

Keywords

Navigation