We investigated the hippocampus and parahippocampal cortex of victims
of sudden infant death syndrome and of age-matched infants dying acute
ly of known causes (non-sudden infant death syndrome controls). Tissue
sections were investigated for the presence of neurons expressing sig
ns of elevated levels of free radical using immunohistochemical marker
s for superoxide dismutase and glutathione peroxidase. Brain tissues d
isplayed immunopositive neurons in every infant. In control infants, a
n age-related decline in the number of superoxide dismutase- and gluta
thione peroxidase-immuno-reactive neurons was apparent in the hippocam
pus and parahippocampal cortex. Significantly increased numbers of imm
unoreactive neurons were found in victims of sudden infant death syndr
ome under 6 months of age compared to age-matched controls. This sugge
sts that infants who later become victims of sudden infant death syndr
ome may experience antemortem periods of oxidative stress, elevated le
vels of free radicals, and compensatory up-regulation of the free radi
cal scavenger enzymes superoxide dismutase and glutathione peroxidase.