Use of Molecular Autopsy to Identify Cause of Unexpected Deaths
Molecular autopsy could help identify the cause of death in unexpected death in young people.
HealthDay News -- Molecular autopsy is able to uncover a likely or plausible cause of death in 40% of cases of unexpected death in young people, according to a research letter published in the Journal of the American Medical Association.
Ali Torkamani, PhD, from the Scripps Translational Science Institute in La Jolla, California, and colleagues performed exome sequencing on blood or tissue samples collected from 25 deceased persons (aged ≥45 years with sudden unexpected death between October 2014 to November 2015) and parents, if available. Mutations were assessed for possible cause of death.
The researchers found that clinical autopsies revealed the likely cause of death in 5 cases. A likely cause of death was identified by molecular autopsy in 4 cases, a plausible cause in 6 cases, and a speculative cause in 7 cases. No mutations were identified in 8 cases.
Clinical autopsy corroborated the likely genetic cause of death in 2 of 5 cases. Seven of 10 cases of likely and plausible pathogenic mutations were inherited from relatives who did not die suddenly.
"Although molecular autopsies may help identify genetic causes of sudden unexpected death, a comprehensive and systematic effort to collect and share genetic and phenotypic data is needed to more precisely define pathogenic variants and provide quantifiable risks to living relatives," the researchers wrote.
- Torkamani A, Muse ED, Spencer EG. Molecular autopsy for sudden unexpected death. JAMA. 2016;316(14):1492-1494. doi:10.1001/jama.2016.11445.