The question was examined whether protracted asphyxiation is associate
d with a distinct macrophage subtype pattern in lung tissue. Immunohis
tochemical preparations of lung specimens were tested with the antibod
ies MRP8, MRP14, 27E10 and 25F9 in cases of protracted asphyxiation (n
= 8) and in ''control'' groups (hanging: n = 6; peracute deaths: n =
9). MRP8 and MRP14 interstitial cell counts showed a doubling in protr
acted asphyxiation. Furthermore, clear increases of 27E10 and 25F9 cel
ls (intravascular and interstitial) were found in protracted asphyxiat
ion, both in the intravascular and interstitial compartments. At prese
nt the results look promising as to an additional diagnostic criterion
for the differential diagnosis between acute and protracted asphyxiat
ion.