Advertisement
Research Article| Volume 59, 102712, July 2022

Evaluation and simultaneous determination of rectal mucosa markers by multiplex reverse transcription-PCR for biological evidence of sexual assault with anal penetration

      Highlights

      • Sexual assault with anal penetration is closely related to child or male victims.
      • Few procedures use biological samples to identify anal penetration.
      • The identification of rectal mucosa might help to prove such a sexual assault.
      • Rectal mucosa mRNA markers were screened and a multiplex RT-PCR was developed.
      • Precise determination of rectal mucosa could be performed with this procedure.

      Abstract

      Sexual assault with anal penetration is closely related to child sexual abuse or male victims. However, it is difficult to prove such an act by using biological samples collected from the surface of a suspected object because procedures for identifying rectal mucosa have not been developed sufficiently. Therefore, for the specific identification of rectal mucosa, mRNA markers reported to be characteristically expressed in the rectum were screened and a multiplex RT-PCR procedure was developed for the simultaneous determination of those candidate markers. The detectability and specificity of rectal mucosa candidate markers were evaluated using rectal mucosa samples and forensically relevant body fluids. Diluted or mixed samples were also tested to evaluate the applicability of this procedure for forensic casework. As a result, simultaneous amplification and determination of the selected candidates (PHGR1, MUC13, CLCA1, MEP1A, CDX1, and ZG16) and reference gene were successfully performed using a multiplex RT-PCR assay combined with capillary electrophoresis and fragment analysis. Applying the cutoff values, none of the other body fluids cross-reacted with rectal mucosa candidate markers. Because the low sensitivity and detectability of some candidate markers could be compensated for by their simultaneous detection, all six candidate markers were considered to be applicable as rectal mucosa markers. Besides, the developed assay should not be performed on suspicious fecal samples directly because these markers could be positive in the fecal samples themselves. The developed multiplex RT-PCR procedure might not be suitable for minute or diluted samples; however, it might be resistant to contamination with sexual assault-related body fluids. In conclusion, the simultaneous determination of selected rectal mucosa markers with a biological sample collected from the surface of a suspected object could be beneficial for criminal investigation of sexual assault with anal penetration.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Forensic Science International: Genetics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Hobbs C.J.
        • Wright C.M.
        Anal signs of child sexual abuse: a case-control study.
        BMC Pedia. 2014; 14: 128https://doi.org/10.1186/1471-2431-14-128
        • Bruni M.
        Anal findings in sexual abuse of children (a descriptive study).
        J. Forensic Sci. 2003; 48: 1343-1346
        • Hobbs C.J.
        • Wynne J.M.
        Sexual abuse of English boys and girls: the importance of anal examination.
        Child Abus. Negl. 1989; 13: 195-210https://doi.org/10.1016/0145-2134(89)90006-9
        • McLean I.A.
        The male victim of sexual assault.
        Best. Pr. Res Clin. Obstet. Gynaecol. 2013; 27: 39-46https://doi.org/10.1016/j.bpobgyn.2012.08.006
        • Zilkens R.R.
        • Smith D.A.
        • Mukhtar S.A.
        • Semmens J.B.
        • Phillips M.A.
        • Kelly M.C.
        Male sexual assault: Physical injury and vulnerability in 103 presentations.
        J. Forensic Leg. Med. 2018; 58: 145-151https://doi.org/10.1016/j.jflm.2018.05.009
        • Adams J.A.
        Understanding medical findings in child sexual abuse: an update for 2018.
        Acad. Forensic Pathol. 2018; 8: 924-937https://doi.org/10.1177/1925362118821491
        • Lincoln C.A.
        Sexual assault: forensic examination in the living and deceased.
        Acad. Forensic Pathol. 2018; 8: 912-923https://doi.org/10.1177/1925362118821490
        • Hobbs C.J.
        Physical evidence of child sexual abuse.
        Eur. J. Pedia. 2012; 171: 751-755https://doi.org/10.1007/s00431-011-1556-9
        • Li R.
        Identification of saliva.
        in: Li R. Forensic Biology. second ed. CRC Press, Florida2015
      1. Dictionary - Normal: Rectum - The Human Protein Atlas. 〈https://www.proteinatlas.org/learn/dictionary/normal/rectum〉.

        • Juusola J.
        • Ballantyne J.
        Multiplex mRNA profiling for the identification of body fluids.
        Forensic Sci. Int. 2005; 152: 1-12https://doi.org/10.1016/j.forsciint.2005.02.020
        • Sakurada K.
        • Ikegaya H.
        • Fukushima H.
        • Akutsu T.
        • Watanabe K.
        • Yoshino M.
        Evaluation of mRNA-based approach for identification of saliva and semen.
        Leg. Med. 2009; 11: 125-128https://doi.org/10.1016/j.legalmed.2008.10.002
        • Haas C.
        • Klesser B.
        • Maake C.
        • Bar W.
        • Kratzer A.
        mRNA profiling for body fluid identification by reverse transcription endpoint PCR and realtime PCR.
        Forensic Sci. Int Genet. 2009; 3: 80-88https://doi.org/10.1016/j.fsigen.2008.11.003
        • Roeder A.D.
        • Haas C.
        Body fluid identification using mRNA profiling.
        Methods Mol. Biol. 2016; 1420: 13-31https://doi.org/10.1007/978-1-4939-3597-0_2
        • Akutsu T.
        • Yokota I.
        • Watanabe K.
        • Sakurada K.
        Development of a multiplex RT-PCR assay and statistical evaluation of its use in forensic identification of vaginal fluid.
        Leg. Med. 2020; 45101715https://doi.org/10.1016/j.legalmed.2020.101715
        • Bamberg M.
        • Dierig L.
        • Kulstein G.
        • Kunz S.N.
        • Schmidt M.
        • Hadrys T.
        • Wiegand P.
        Development and validation of an mRNA-based multiplex body fluid identification workflow and a rectal mucosa marker pilot study.
        Forensic Sci. Int. Genet. 2021; 54102542https://doi.org/10.1016/j.fsigen.2021.102542
        • Akutsu T.
        • Ikegaya H.
        • Watanabe K.
        • Fukushima H.
        • Motani H.
        • Iwase H.
        • Sakurada K.
        Evaluation of Tamm-Horsfall protein and uroplakin III for forensic identification of urine.
        J. Forensic Sci. 2010; 55: 742-746https://doi.org/10.1111/j.1556-4029.2010.01325.x
        • Oltedal S.
        • Skaland I.
        • Maple-Grødem J.
        • Tjensvoll K.
        • Janssen E.A.M.
        • Gilje B.
        • Smaaland R.
        • Heikkilä R.
        • Nordgård O.
        Expression profiling and intracellular localization studies of the novel Proline-, Histidine-, and Glycine-rich protein 1 suggest an essential role in gastro-intestinal epithelium and a potential clinical application in colorectal cancer diagnostics.
        BMC Gastroenterol. 2018; 18: 26https://doi.org/10.1186/s12876-018-0752-8
        • Maher D.M.
        • Gupta B.K.
        • Nagata S.
        • Jaggi M.
        • Chauhan S.C.
        Mucin 13: structure, function, and potential roles in cancer pathogenesis.
        Mol. Cancer Res. 2011; 9: 531-537https://doi.org/10.1158/1541-7786.MCR-10-0443
        • Nyström E.E.L.
        • Birchenough G.M.H.
        • van der Post S.
        • Arike L.
        • Gruber A.D.
        • Hansson G.C.
        • Johansson M.E.V.
        Calcium-activated chloride channel regulator 1 (CLCA1) controls mucus expansion in colon by proteolytic activity.
        EBioMedicine. 2018; 33: 134-143https://doi.org/10.1016/j.ebiom.2018.05.031
        • Nyström E.E.L.
        • Arike L.
        • Ehrencrona E.
        • Hansson G.C.
        • Johansson M.E.V.
        Calcium-activated chloride channel regulator 1 (CLCA1) forms non-covalent oligomers in colonic mucus and has mucin 2-processing properties.
        J. Biol. Chem. 2019; 294: 17075-17089https://doi.org/10.1074/jbc.RA119.009940
        • Broder C.
        • Becker-Pauly C.
        The metalloproteases meprin α and meprin β: unique enzymes in inflammation, neurodegeneration, cancer and fibrosis.
        Biochem. J. 2013; 450: 253-264https://doi.org/10.1042/BJ20121751
        • Banerjee S.
        • Oneda B.
        • Yap L.M.
        • Jewell D.P.
        • Matters G.L.
        • Fitzpatrick L.R.
        • Seibold F.
        • Sterchi E.E.
        • Ahmad T.
        • Lottaz D.
        • Bond J.S.
        MEP1A allele for meprin A metalloprotease is a susceptibility gene for inflammatory bowel disease.
        Mucosal Immunol. 2009; 2: 220-231https://doi.org/10.1038/mi.2009.3
        • Guo R.J.
        • Suh E.R.
        • Lynch J.P.
        The role of Cdx proteins in intestinal development and cancer.
        Cancer Biol. Ther. 2004; 3: 593-601https://doi.org/10.4161/cbt.3.7.913
        • Tateno H.
        • Yabe R.
        • Sato T.
        • Shibazaki A.
        • Shikanai T.
        • Gonoi T.
        • Narimatsu H.
        • Hirabayashi J.
        Human ZG16p recognizes pathogenic fungi through non-self polyvalent mannose in the digestive system.
        Glycobiology. 2012; 22: 210-220https://doi.org/10.1093/glycob/cwr130
        • Bergström J.H.
        • Birchenough G.M.
        • Katona G.
        • Schroeder B.O.
        • Schütte A.
        • Ermund A.
        • Johansson M.E.
        • Hansson G.C.
        Gram-positive bacteria are held at a distance in the colon mucus by the lectin-like protein ZG16.
        Proc. Natl. Acad. Sci. USA. 2016; 113: 13833-13838https://doi.org/10.1073/pnas.1611400113
      2. Tissue expression of MUC12 – Summary – in The Human Protein Atlas. 〈https://www.proteinatlas.org/ENSG00000205277-MUC12/tissue〉.

        • Sakurada K.
        • Akutsu T.
        • Watanabe K.
        • Fujinami Y.
        • Yoshino M.
        Expression of statherin mRNA and protein in nasal and vaginal secretions.
        Leg. Med. 2011; 13: 309-313https://doi.org/10.1016/j.legalmed.2011.07.002
        • Young S.T.
        • Moore J.R.
        • Bishop C.P.
        A rapid, confirmatory test for body fluid identification.
        J. Forensic Sci. 2018; 63: 511-516https://doi.org/10.1111/1556-4029.13544
        • Brownstein M.J.
        • Carpten J.D.
        • Smith J.R.
        Modulation of non-templated nucleotide addition by Taq DNA polymerase: primer modifications that facilitate genotyping.
        Biotechniques. 1996; 20https://doi.org/10.2144/96206st01
      3. Tissue expression of PHGR1 – Summary – The Human Protein Atlas. 〈https://www.proteinatlas.org/ENSG00000233041-PHGR1/tissue〉.

      4. Tissue expression of MUC13 – Summary – The Human Protein Atlas. 〈https://www.proteinatlas.org/ENSG00000173702-MUC13/tissue〉.