Histopathological changes in internal organs of white rats after exposure to curare-like drugs

Authors

DOI:

https://doi.org/10.26641/1997-9665.2025.3.117-121

Keywords:

poisoning, Suxamethonium chloride, forensic medicine, histopathology of internal organs, experiment.

Abstract

Background. The relevance of the topic of diagnosing fatal poisoning with muscle relaxants in forensic medicine has emerged relatively recently and is due to an increase in the frequency of such cases in forensic medical practice. Analysis of the literature has shown that Suxamethonium chloride is most often used as a means of causing unlawful actions. Objective. Taking this into account, we set the goal of our study to determine the characteristic histopathological changes in internal organs of white rats after exposure to succinylcholine chloride in experimental conditions. Methods. To achieve the goal of the study, we conducted an experimental study on 32 sexually mature rats. All animals were randomly divided into three groups: group 1 consisted of intact rats (n=6), group 2 consisted of control rats (n=6), and group 3 consisted of experimental animals (n=20) (intramuscular injection of 0.5 ml of an aqueous solution of Suxamethonium chloride). After euthanasia, the rats' brains, lungs, hearts, livers, and kidneys were removed by postmortem autopsy for further pathohistological examination. Results. Histopathological analysis of acute blood supply disorders with multiple small-focal hemorrhages, pulmonary and cerebral edema detected in the internal organs of experimental animals pulmonary and cerebral edema after intramuscular administration of 0.5 ml of an aqueous solution of Suxamethonium chloride indicates sudden asphyxial death. Acute circulatory disorders with pericell and paravasal edema may also indicate the toxic effects of suxamethonium chloride. Conclusion. The problem of diagnosing fatal poisoning with muscle relaxants can be solved using modern morphological research methods. The changes in the internal organs of experimental animals obtained as a result of histopathological analysis indicate the acute toxic-hypoxic effect of Suxamethonium chloride, but cannot be considered specific to this drug alone. The histopathological picture revealed during autopsy in cases of unknown circumstances of death is the basis for further thorough toxicological analysis of the fluids and tissues of the deceased in order to establish the damaging chemical factor.

References

  1. Skowronek R, Zielińska-Pająk E, Paleń P. Immunohistochemical detection of insulin at the injection site in a case of suspected murder with the suicide of the perpetrator. Arch Med Sadowej Kryminol. 2022;72(3):147-50. doi: 10.4467/ 16891716AMSIK.22.017.17395.
  2. Loiseau M, Guerard P, Paraf F, François-Purssell I, Gilard-Pioc S. "Clandestine" home delivery with mifepristone. Forensic Sci Med Pathol. 2023;19:563-7. doi: 10.1007/s12024-022-00561-7.
  3. Lihua L, Yuning W, Henghui H, Xiang L, Min J, Zehao L, Lianjie L, Qian L. Retrospective analysis of 217 fatal intoxication autopsy cases from 2009 to 2021: temporal trends in fatal intoxication at Tongji center for medicolegal expertise, Hubei, China. Front Public Health. 2023;11:1137649. doi: 10.3389/fpubh.2023.1137649.
  4. Amaro-Hosey K, Castells X, Blanco-Silvente L, Loma-Osorio P, Capellà D. Drug-induced Sudden Death: A Scoping Review. Curr Drug Saf. 2023;18(3):307-17. doi: 10.2174/ 1574886317666220525115232.
  5. Ren G, Huang P, Zhang J, Liu J, Yan Z, Ma X. Drug-induced cardiac arrest: a pharmacovigilance study from 2004-2024 based on FAERS database. Front Cardiovasc Med. 2025;12:1498700. doi: 10.3389/fcvm.2025.1498700.
  6. Ye W, Ding Y, Li M, Tian Z, Wang S, Liu Z. Drug-induced autoimmune-like hepatitis: A disproportionality analysis based on the FAERS database. PLoS One. 2025;20(2):e0317680. doi: 10.1371/ journal.pone.0317680.
  7. Zhang S, Xu HF, Zhang ZX, Wang Y, Zhu SH. Research on Doxorubicin-Induced Cardiotoxicity Mechanism and Its Forensic Application. Fa Yi Xue Za Zhi. 2025;41(2):120-6. doi: 10.12116/ j.issn.1004-5619.2024.440404.
  8. Shaw KP, Chen HT. Murder by Poisons: Cases in Taiwan, 1999-2008. Forensic Sci Rev. 2014;26(2):121-30.
  9. García MG, Pérez-Cárceles MD, Osuna E, Legaz I. Drug-facilitated sexual assault and other crimes: A systematic review by countries. J Forensic Leg Med. 2021;79:102151. doi: 10.1016/ j.jflm.2021.102151.
  10. Love D, Jones NS. Interpol Review of Drug Analysis 2019-2022. Forensic Sci Int Synerg. 2023;6:100299. doi: 10.1016/j.fsisyn.2022.100299.
  11. Wang X, Xiang P, Zhang S, Wang J, Zhang J, Wu H, Wang X. Retrospective analysis of forensic toxicology data from 2021 to identify patterns of various forensic cases. Forensic Sci Int. 2023;347: 111683. doi: 10.1016/j.forsciint.2023.111683.
  12. Volonnino G, La Russa R, Di Fazio N, Ottaviani M, Zamponi MV, Spadazzi F, Umani-Ronchi F. Z-Drugs and their use in Drug-Facilitated Crimes: a review of the literature. Clin Ter. 2023;174(5):451-68. doi: 10.7417/CT.2023.2465.
  13. Hessler MR, Kacinko SL, Logan BK. Drug-facilitated crime: A review of findings between 2019 and 2023. J Forensic Sci. 2025;1:70151. doi: 10.1111/1556-4029.70151.
  14. Kintz P, Blanchot A, Farrugia A, Goullé JP. Aspects toxicologiques de la soumission chimique [Toxicological aspects of chemical submission]. Rev Prat. 2025;75(3):316-20. French.
  15. Kuepper U, Jung G, Westphal F, Weber AA, Parr MK, Opfermann G, et al. Isotope-dilution HPLC–MS/MS for determination of succinylcholine and succinylmonocholine in serum and urine. J Mass Spectrom. 2008;43(10):1344-52. doi: 10.1002/ jms.1444.
  16. Jones AW. Insulin murder and the case of Colin Norris. J Forensic Leg Med. 2023;94:102483. doi: 10.1016/j.jflm.2023.102483.
  17. Hess C, Krämer M, Wagner R, Madea B. Lethal injection with the muscle relaxant rocuronium. Rom J Leg Med. 2018;26:62–6. doi: 10.4323/ rjlm.2018.62.
  18. Xing J, Li W, Tong F, Liang Y, He G. Three homicides with darts tainted with succinylcholine: autopsy and toxicology. Int J Legal Med. 2016; 130(6):1541-5. doi: 10.1007/s00414-016-1374-8.
  19. Maeda H, Fujita MQ, Zhu BL, Ishidam K, Oritani S, Tsuchihashi H, Nishikawa M, Izumi M, Matsumoto F. A case of serial homicide by injection of succinylcholine. Med Sci Law. 2000;40(2):169-74. doi: 10.1177/002580240004000215.
  20. Taggart K. Pharmacology Focus: Neuromuscular Blocking Agents: A Basic Overview. S D Med. 2020;73(12):588-90.
  21. Kała M, Chudzik J, Zielińska-Psuja B, Kała D. Instability of pancuronium in postmortem blood and liver during storage. Forensic Sci Int. 2004;143 (2-3):177-85. doi: 10.1016/j.forsciint.2004.03.025.
  22. Kuepper U, Parr MK, Opfermann G, Westphal F, Jacobsen-Bauer A, Schänzer W, et al. Applicability of succinylmonocholine as a marker metabolite for succinylcholine in forensic cases. Forensic Sci Int. 2011;206(1-3):76-80. doi: 10.1016/j.forsciint.2010.06.011.
  23. Frost J, Gundersen POM, Brede WR, Gjerde S, Pleym H, Slørdal L. Findings of the neuromuscular blocking agent rocuronium in blood from deceased subjects several months after exposure: A report of two cases. Forensic Sci Int. 2023;347:111680. doi: 10.1016/j.forsciint.2023.111680.
  24. Zakon Ukrainy. Pro zakhyst tvaryn vid zhorstokogo povodzhennia [Law of Ukraine. On the protection of animals from cruelty]. Vidomosti Verkhovnoi Rady Ukrainy (VVR). 2006;(27):230. Available from: http://zakon1.rada.gov.ua/laws/ show/3447-15
  25. Bahrii MM, Dibrova VA, Popadynets OH, Hryshchuk MI; Bahrii MM, Dibrova VA, editors. Metodyky morfologichnykh doslidzhen: monohrafiia [Methods of morphological research: monograph]. Vinnytsia: Nova Knyha; 2016. 328 p. Ukrainian.

Published

2025-12-08

How to Cite

Mishalov , V., Maievskyi , O., Kozlov, S., & Moskalenko , V. (2025). Histopathological changes in internal organs of white rats after exposure to curare-like drugs. Морфологія / Morphologia / Morfologìâ, 19(3), 117–121. https://doi.org/10.26641/1997-9665.2025.3.117-121

Issue

Section

Статті