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Elucidation of the pathology and development of differential diagnosis of bath-related death: from investigations using various pathological models to practical applications.

Research Project

Project/Area Number 18K10133
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 58040:Forensics medicine-related
Research InstitutionKagoshima University

Principal Investigator

Hayashi Takahito  鹿児島大学, 医歯学域医学系, 教授 (40512497)

Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2018: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords入浴死 / 鑑別診断 / 死因究明 / 水チャネル / 熱ショック蛋白 / 浴室内突然死 / 温水溺死モデル / DNAマイクロアレイ / アクアポリン / 疫学的解析 / 環境気温 / 入浴死警報 / 網羅的解析 / 法医分子生物学 / 温水溺死の診断 / 法医学的診断法 / 予防医学 / 死因診断 / 法医学的鑑別診断法 / 熱ショックタンパク質 / 心不全モデル
Outline of Final Research Achievements

In order to elucidate the pathology of bath-related deaths and develop a differential diagnosis, genes that fluctuate during drowning by hot water inhalation were comprehensively analyzed using DNA microarrays, and the genes that fluctuated were confirmed using quantitative RT-PCR and also examined using lung samples from forensic autopsy cases. In warm-water drowned mice, 793 genes were found to be altered in 38°C warm-water drowning and 743 genes were altered in 41°C warm-water drowning. Of these, similar results were obtained for water channel aqp5 and heat shock protein hsp90aa/ab in qRT-PCR. Furthermore, similar results were obtained in forensic autopsy samples, suggesting that they may serve as forensic diagnostic markers in cases of drowning in bathtubs.

Translated with www.DeepL.com/Translator (free version)

Academic Significance and Societal Importance of the Research Achievements

本研究で得られた成果によって浴槽内溺死の正確な診断方法の確立につながる可能性がある。これは,死因究明の新たな展開につながる可能性があり法医実務に多大な貢献をするばかりでなく,臨床現場においても浴室内から救急搬送された患者の正確な病態把握,適切な治療(二次予防)にも大きく貢献するものと考える。さらに,これまで嘱望されてきた入浴死の発生予防対策法の確立(一次予防)にもつながる可能性があり,社会への貢献度も極めて大きいといえる。

Report

(5 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (10 results)

All 2021 2019 2018

All Journal Article (2 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (8 results) (of which Int'l Joint Research: 2 results,  Invited: 3 results)

  • [Journal Article] Epidemiological analysis of intramuscular hemorrhage of respiratory and accessory respiratory muscles in fatal drowning cases2021

    • Author(s)
      27.Onitsuka D, Nakamae T, Katsuyama M, Miyamoto M, Higo E, Yatsushiro M, Hayashi T
    • Journal Title

      PLoS One

      Volume: 16 Issue: 12 Pages: 1-12

    • DOI

      10.1371/journal.pone.0261348

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 入浴死の病態に関与するバイオマーカーの網羅的解析:入浴事故を減らすための基礎的研究2019

    • Author(s)
      林 敬人
    • Journal Title

      日本健康開発雑誌

      Volume: -

    • NAID

      130007734330

    • Related Report
      2018 Research-status Report
  • [Presentation] 鹿児島県における入浴死検視例の疫学的検討2021

    • Author(s)
      八代正彦,勝山 碧,肥後恵理,宮本真智子,福元明子, 中前琢磨,林 敬人
    • Organizer
      第105次日本法医学会学術全国集会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 入浴死予防に向けた法医学的戦略-疫学的解析と動物モデルによる解析2021

    • Author(s)
      林 敬人
    • Organizer
      第85回日本温泉気候物理医学会総会・学術集会
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] 入浴死の死因解明(第4報)-温水溺死で変動する遺伝子の網羅的解析.2019

    • Author(s)
      林 敬人,前田一輔,中前琢磨,小片 守
    • Organizer
      第103次日本法医学会学術全国集会
    • Related Report
      2019 Research-status Report
  • [Presentation] Investigation of epidemiology and morphopathophysiology of sudden death in the bathroom (bath-related death)2019

    • Author(s)
      Hayashi T
    • Organizer
      The 2nd Wakayama Medical University International Symposium of Forensic Molecular Pathology
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 入浴死の疫学的検討と病態解明を目指した法医学的アプローチ2018

    • Author(s)
      林 敬人
    • Organizer
      第83回日本温泉気候物理医学会総会・学術集会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 2017年における鹿児島県の入浴死例の疫学的調査と今後の課題2018

    • Author(s)
      林 敬人,小片 守
    • Organizer
      第83回日本温泉気候物理医学会総会・学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] Intrapulmonary gene expression of aquaporins and heat shock proteins in a hot water drowning model: Postmortem diagnosis of bathtub-drowning2018

    • Author(s)
      Hayashi T, Maeda K, Nakamae T, Ogata M
    • Organizer
      24th Congress of the International Academy of Legal Medicine (IALM) / The 102nd Congress of the Japanese Society of Legal Medicine
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 入浴死の死因解明(第3報)-温水溺死肺における複数のheat shock protein(HSP)発現検索2018

    • Author(s)
      林 敬人,前田一輔,中前琢磨,小片 守
    • Organizer
      第68回日本法医学会学術九州地方集会
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2023-01-30  

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