Unraveling the mysteries of decomposition: an in-depth look at thanatokymy
Keywords:
TANATOQUIMIA; CAMBIOS POSTMORTEM; TANATOLOGÍA; DIAGNÓSTICO POSTMORTEM. , THANATOKYMY; POSTMORTEM CHANGES; THANATOLOGY; POSTMORTEM DIAGNOSIS.Abstract
Introduction: thanatochemistry is the discipline that studies the biochemical changes and evolution that occur in the cadaver, providing valuable information to support forensic diagnosis and the determination of the cause of death.
Objective: to analyze the different chemical compounds that are generated or modified in the human body after death, and their analysis to estimate the postmortem interval and the circumstances of death.
Methods: a literature review was conducted between January and February 2024 across various databases, which allowed the selection of 30 bibliographic sources after applying selection criteria. These sources were subsequently reviewed for critical analysis.
Development: thanatochemical determinations allow the identification of metabolites and decomposition products after death, providing information on causes and postmortem events. A challenge is the absence of databases to distinguish normal from pathological values. Among the most useful fluids, vitreous humor stands out as the ideal compartment for estimating the postmortem interval, especially through potassium measurement. Other samples include synovial fluid, urine, cerebrospinal fluid, and blood.
Conclusions: chemical changes after death can be identified through thanatochemistry. Vitreous humor is a reliable matrix, providing key information to estimate postmortem intervals and strengthen forensic and judicial investigations.
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References
1. Bonifaz E. Tanatoquimia forense: Aplicación en determinación de causa y data de muerte [Tesis]. Quito; 2021 [citado 27/01/2024]. Disponible en: https://www.dspace.uce.edu.ec/server/api/core/bitstreams/755c6b0b-e57c-4e0c-9f27-e944fc70e637/content
2. Zhu BL, Cao ZP. Application of Postmortem Biochemistry Analysis in Forensic Medicine. Fa Yi Xue Za Zhi [Internet]. 2021 Dec 25 [citado 27/01/2024]; 37(6): 859-866. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35243853/
3. Kutlu E, Avci E, Acar K. Postmortem biochemistry in deaths from ischemic heart disease. J Forensic Leg Med [Internet]. 2023 Nov [citado 27/01/2024]; 100: 102599. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37839363/
4. Arroyo A, Carbone MT, Ordóñez J. Bioquímica postmortem: comparación de tres métodos de análisis. Cuad. med. forense [Internet]. 2004 Abr [citado 15/09/2025]; (36): 35-40. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-76062004000200005&lng=es.
5. Du TS, Mengxi MM, Ye X, Tu CY, Jin KD, Chen SW, et al. Research Progress of Metabolomics in Forensic Pathology. Fa Yi Xue Za Zhi [Internet]. 2020 Jun [citado 15/09/2025]; 36(3): 347-353. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32705848/
6. Martín F, Matamoros M. Bioquímica Postmortem. Revisión Bibliográfica. Rev Cienc Forenses Honduras [Internet]. 30 de junio de 2019 [citado 15/09/2025]; 5(1): 21-9. Disponible en: https://www.bvs.hn/RCFH/pdf/2019/pdf/RCFH5-1-2019-6.pdf
7. Cunha CD. La bioquímica del humor vítreo en la data de la muerte y la práctica forense en Galicia: revisión sistemática y estudio descriptivo [Tesis]. 30 de junio de 2019 [citado 15/09/2025]. Disponible en: https://minerva.usc.gal/entities/publication/4195267b-4af7-4cbb-8cf5-e81d6424b333
8. Girlescu N, Stoica B, Hunea I, Diac M, Damian SI, David S, et al. The Vital Role of Thanatochemistry in the Postmortem Diagnostic of Diabetic Ketoacidosis-Case Report. Diagn Basel Switz [Internet]. 29 de mayo de 2021 [citado 15/09/2025]; 11(6):988. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8228401/
9. Elmsjö A, Vikingsson S, Söderberg C, Kugelberg FC, Green H. Post-Mortem Metabolomics: A Novel Approach in Clinical Biomarker Discovery and a Potential Tool in Death Investigations. Chem Res Toxicol [Internet]. 2021 Jun 21 [citado 15/09/2025]; 34(6): 1496-1502. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33890460/
10. Elmsjö A, Söderberg C, Jakobsson G, Green H, Kronstrand R. Postmortem Metabolomics Reveal Acylcarnitines as Potential Biomarkers for Fatal Oxycodone-Related Intoxication. Metabolites [Internet]. 2022 Jan 25 [citado 15/09/2025]; 12(2):109. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35208184/
11. Donaldson AE, Lamont IL. Biochemistry changes that occur after death: potential markers for determining post-mortem interval. PLoS One [Internet]. 2013 Nov 21 [citado 15/09/2025]; 8(11): e82011. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC3836773/
12. Martínez Jiménez D. Estudio de la determinación postmortem de la adrenomedulina y otros parámetros bioquímicos en líquido pericárdico y suero: su aplicación al diagnóstico de la causa de la muerte [Internet]. Universidad de Murcia; octubre 2020 [citado 20/03/2024]; Disponible en: https://portalinvestigacion.um.es/documentos/615541a81fa5bb340fcbe6ba
13. Chen JH, Inamori-Kawamoto O, Michiue T, Ikeda S, Ishikawa T, Maeda H. Cardiac biomarkers in blood, and pericardial and cerebrospinal fluids of forensic autopsy cases: A reassessment with special regard to postmortem interval. Leg Med (Tokyo) [Internet]. 2015 Sep [citado 15/09/2025]; 17(5): 343-50. Disponible en: https://ouci.dntb.gov.ua/en/works/73agAOXl/
14. Sacco MA, Gualtieri S, Grimaldi G, Monterossi MD, Aquila VR, Tarallo AP, et al. The Role of Cardiac Troponins in Postmortem Diagnosis of Myocardial Ischemia: A Systematic Review. Int J Mol Sci [Internet]. 2024 Dec 26 [citado 15/09/2025]; 26(1):105. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39795962/
15. Ma XY, Wang TQ, Tang KS, Yang YQ, Bai ZX, Zhang X, et al. Study on forensic diagnostic biomarker combination for acute ischemia heart disease based on postmortem biochemistry. J Forensic Leg Med [Internet]. 2025 [citado 15/09/2025]; 110: 102825. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39919669/
16. Kutlu E, Çil N, Avci E, Bir F, Kiliç İD, Dereli AK, et al. Significance of postmortem biomarkers and multimarker strategy in sudden cardiac death. Leg Med (Tokyo) [Internet]. 2023 Mar [citado 15/09/2025]; 61:102212. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36738552/
17. Carreiro da Cunha E. La bioquímica del humor vítreo en la data de la muerte y la práctica forense en Galicia: revisión sistemática y estudio descriptivo [Tesis]. UNIVERSIDADE DE SANTIAGO DE COMPOSTELA; 2021 [citado 20/03/2024]. Disponible en: https://minerva.usc.gal/rest/api/core/bitstreams/80a4aa6e-0f3d-4833-8fd4-c41c9dee9466/content
18. Jashnani KD, Kale SA, Rupani AB. Vitreous humor: biochemical constituents in estimation of postmortem interval. J Forensic Sci [Internet]. 2010 Nov [citado 15/09/2025]; 55(6): 1523-7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20666922/
19. Oblitas Falero YE. Descripción de la actividad de la isoenzima CKMB en humor vítreo en cadáveres con sospecha de infarto agudo de miocardio del instituto de medicina legal [Internet]. Universidad Privada Norbert Wiener; 2020 [citado 20/03/2024]. Disponible en: https://repositorio.uwiener.edu.pe/entities/publication/b9914866-9f87-48bc-99d8-18a7405aad48
20. Ravi Kumar B. Postmortem potassium kinetics in vitreous humor: a biochemical approach to time since death estimation in a forensic cohort. Int J Med Pub Health [Internet]. 2025 [citado 15/09/2025]; 15 (2): 1612-1615. Diaponible en: https://www.ijmedph.org/Uploads/Volume15Issue2/288.%202098._IJMEDPH_Jafar_1612-1615.pdf
21. Mihailovic Z, Atanasijevic T, Popovic V, Milosevic MB, Sperhake JP. Estimation of the postmortem interval by analyzing potassium in the vitreous humor: could repetitive sampling enhance accuracy? Am J Forensic Med Pathol [Internet]. 2012 Dec [citado 15/09/2025]; 33(4):400-3. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22922550/
22. Guerrero-Urbina C, Fors M, del Sol M, Fonseca GM, Guerrero-Urbina C, Fors M, et al. Correlación entre Sodio, Cloro y Potasio del Cuerpo Vítreo y el Intervalo Postmortem sobre los 2.850 msnm. Int J Morphol [Internet]. abril de 2021 [citado 15/09/2025]; 39(2): 554-9. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022021000200554
23. Ave MT, Ordóñez-Mayán L, Camiña M, Febrero-Bande M, Muñoz-Barús JI. Estimation of the post-mortem interval: Effect of storage conditions on the determination of vitreous humour [K+]. Sci Justice [Internet]. abril de 2021 [citado 15/09/2025]; 61(5): 597-602. Disponible en: https://www.sciencedirect.com/science/article/pii/S1355030621001003
24. Mendoza Lanche EF. La tanatoquimia diagnóstico complementario en la examinación de cadáveres para la determinación de su causa y data de muerte [Internet]. Machala: Universidad Técnica de Machala; 2022 [citado 21/03/2024]. Disponible en: https://repositorio.utmachala.edu.ec/bitstream/48000/19616/1/E-12839_MENDOZA%20LANCHE%20EINER%20FABRICIO.pdf
25. Vieira RB, Vicentin-Junior CA, Damascena NP, Silva MC, Araujo APD, da Trindade RQ, et al. Biochemical analysis of vitreous humor and synovial fluid in the estimation of early postmortem interval: A meta-analytical approach. J Forensic Leg Med [Internet]. 2024 Nov [citado 21/03/2024]; 108: 102782. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39454520/
26. Rosato E, Bonelli M, Locatelli M, de Grazia U, Tartaglia A, Savini F, et al. Forensic Biochemical Markers to Evaluate the Agonal Period: A Literature Review. Molecules [Internet]. 2021 May 28 [citado 21/03/2024]; 26(11): 3259. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8198460/
27. Garland J, Philcox W, Kesha K, Morrow P, Lam L, Spark A, et al. Differences in Sampling Site on Postmortem Cerebrospinal Fluid Biochemistry: A Preliminary Study. Am J Forensic Med Pathol [Internet]. 2018 [citado 21/03/2024]; 39(4):304-308. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30028732/
28. Belsey SL, Flanagan RJ. Postmortem biochemistry: Current applications. J Forensic Leg Med [Internet]. 2016 [citado 21/03/2024];41: 49-57. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27131037/
29.Tumram NK, Bardale RV, Dongre AP. Postmortem analysis of synovial fluid and vitreous humour for determination of death interval: A comparative study. Forensic Sci Int [Internet]. 2011 [citado 21/03/2024]; 204(1):186-90. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20638804/
30. Maeda H, Ishikawa T, Michiue T. Forensic biochemistry for functional investigation of death: concept and practical application. Leg Med (Tokyo) [Internet]. 2011 Mar [citado 21/03/2024]; 13(2): 55-67. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21269863/
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