AI Article Synopsis

  • Wischnewski spots, dark-brown-colored spots in the gastric mucosa, are often seen in hypothermia patients, but their formation mechanisms are unclear.
  • Research indicates that hypothermia may trigger gastric acid and pepsin secretion, as experiments showed that cold temperatures increase the mRNA expression of gastrin and enhance the activity of the H,K-ATPase pump.
  • These changes lead to increased acidity and pepsin levels in the stomach, which may cause small hemorrhages in the gastric mucosa, resulting in the appearance of Wischnewski spots during fatal hypothermia.

Article Abstract

Numerous dark-brown-coloured small spots called "Wischnewski spots" are often observed in the gastric mucosa in the patients dying of hypothermia, but the molecular mechanisms through which they develop remain unclear. We hypothesised that hypothermia may activate the secretion of gastric acid and pepsin, leading to the development of the spots. To investigate this, we performed experiments using organotypic rat gastric tissue slices cultured at 37 °C (control) or 32 °C (cold). Cold loading for 6 h lowered the extracellular pH in the culture medium. The mRNA expression of gastrin, which regulates gastric acid secretion, increased after cold loading for 3 h. Cold loading increased the expression of gastric H,K-ATPase pump protein in the apical canalicular membrane and resulted in dynamic morphological changes in parietal cells. Cold loading resulted in an increased abundance of pepsin C protein and an elevated mRNA expression of its precursor progastricsin. Collectively, our findings clarified that cold stress induces acidification by activating gastric H,K-ATPase pumps and promoting pepsin C release through inducing progastricsin expression on the gastric mucosa, leading to tiny haemorrhages or erosions of the gastric mucosa that manifest as Wischnewski spots in fatal hypothermia.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7002760PMC
http://dx.doi.org/10.1038/s41598-020-58894-8DOI Listing

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