BACKGROUND: Nitrous oxide (N2O) is a gas used in medicine for its analgesic, anxiolytic and amnesic properties. It is a drug considered safe if adequately administered. In the literature, accidental N2O-related deaths are rare. They are mostly related to inhalation of this substance for recreational and autoerotic purposes; rarely are reported deaths due to incorrect administration of medical gas in anesthesia. The diagnosis of death from acute N2O intoxication is complex and is generally an exclusion diagnosis: the macroscopic and microscopic post-mortem signs are entirely nonspecific. Furthermore, the circumstantial data are not always supportive and can even be confusing, mainly if the death occurred inside a hospital.
METHODS: We describe a particular case of death from acute nitrous oxide poisoning in a hospital environment, of a Caucasian male of 72-years-old. The intoxication occurred during a minimally invasive vascular surgery due to an incorrect assembly of the supply lines of medical gases (O2 and N2O). The identification of the cause of death resulted from the analysis of circumstantial data, macroscopic and microscopic autoptic findings, and immunohistochemical investigations based on the search for antibodies anti E-selectin, P-selectin, and HIF 1-α.
CONCLUSIONS: Although not pathognomonic of asphyxiation by N2O, the latter molecules are a valid and early marker of hypoxic insult. Therefore, in concert with all other findings, it may constitute valid support for the forensic pathologist to ascertain the cause of death in case of suspected intoxication by N2O.

Cancer is a major health problem worldwide and the second leading cause of death following cardiovascular diseases. Breast cancer is the leading cause of mortality and morbidity among women and one of the most common malignant neoplasms prompt to metastatic disease. In the present review, the mechanisms of the major cell adhesion molecules involved in tumor invasion are discussed, focusing on the case of breast cancer. A non-systematic updated revision of the literature was performed in order to assemble information regarding the expression of the adhesion cell molecules associated with metastasis.

BgSel has been identified in Biomphalaria glabrata as a candidate adhesion molecule exhibiting both an Ig-like domain and a carbohydrate recognition domain showing similarities with the l domain of C-type lectins. As susceptibility or resistance of B. glabrata to the trematode Echinostoma caproni correlates with a differential hemocytic adhesive behavior, we investigated the expression of BgSel in snails selected for their susceptibility or resistance. Semi-quantitative RT-PCR analysis of BgSel expression revealed that (i) BgSel expression level was high in susceptible snails and almost undetectable in resistant snails, and that (ii) exposure to the parasite did not affect the expression level of BgSel in either strain. In order to validate this apparent association between low levels of BgSel expression and resistance, we used Real-Time PCR to characterize the relative expression of BgSel in individual snails segregating for susceptibility/resistance. Results established that differential expression of BgSel represents a functional strain marker, but is not a marker of resistance/susceptibility. It is suggested that this correlative approach may be a rapid and efficient alternative to complete functional analyses, and may facilitate the validation of candidate transcripts potentially identified through the numerous differential analyses of animal transcriptomes.