Summary:
The objective of the study was to explain the effect of autolysis on immunohistochemical detection of neurone-specific enolase (NSE), beta-amyloid protein precursor (beta-APP) and ubiquitine
in cerebral tissue. The examination was made in 6 deceased subjects without mechanical injury of
the CNS and 6 subjects with a craniocerebral injury who survived from 6 hours to 3 days. In all
deceased subjects the post-mortem examination was made within 24 hours after death. For immu-
nohistochemical examination tissue excisions were taken from standard sites of the brain. The
first tissue excisions were immersed into 10% formol after a post-mortem interval of 24 hours. The
remaining tissue slices were subjected to autolysis at room temperature and gradually immersed
into formol after 24-hour intervals, the longest post-mortem interval being 168 hours, i.e. 7 days.
For visualization of the linked primary antibody the biotin-streptavidin system labelled with
alkaline phosphatase was selected.
In the group of 6 subjects who died after a craniocerebral injury in 4 instances axonal lesions
were detected, i.e. axonal oedema or formation of retraction spheroids.The damaged axons were
positive on examination with all investigated antibodies, whereby it was possible even after
a 168-hour post-mortem interval to differentiate damaged and not damaged axons.
In the group of 6 subjects without mechanical injury of the CNS in 5 instances axonal oedema was
found, however, it was not positive with anti-NSE antibodies nor with anti-beta-APP .After the
24-hour post-mortem interval in this group in 3 instances ubiquitine positivity was found in axons
but already after a post-mortem interval exceeding 2 days the axons were ubiquitine positive in
all 6 subjects. Lumpy deposits of this substance could be detected in axons also beyond axonal
structures.
Key words:
immnohistochemistry - neurone-specific enolase - b-amyloid protein precursor - ubiqu-
itine - autolysis
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