Chapter 14
Age estimation based on chemical approaches Sara C. Zapico1,2, Cassandra M. DeGaglia2 and Joe Adserias-Garriga3 1
International Forensic Research Institute, Florida International University, Miami, FL, United States, 2Department of Anthropology, Smithsonian Institution, National Museum of Natural History, Washington, DC, United States, 3Forensic Anthropology Center, Texas State University, San Marcos, TX, United States
14.1 Introduction As described in the introductory chapter “The Evolution of Methodology in Biochemical Age Estimation,” chemical approaches for age-at-death estimation are based on chemical modifications during the aging process. This includes a broad range of processes, although all of them lead to produce changes on protein configuration. Racemization converts the natural form of L-aspartic acid on its specular form D-aspartic acid; lead accumulation seems to be more dependent on the environment; collagen cross-links refer to the stabilization of collagenous matrices; chemical composition of teeth is related to its change over time; advanced glycation end products (AGEs) refer to the reaction between reducing sugars and amino groups on proteins, leading to browning, fluorescence, crosslinking of proteins. Among all of these modifications, aspartic acid racemization is not only the most studied one but also it is the most precise and accurate technique, although it is not exempt of drawbacks. Current efforts try to improve this technique and explore the possibility of using other chemical methodologies with the same accuracy and precision.
14.2 Aspartic acid racemization L-Amino acids are commonly found in living systems as a result of the stereochemical specificity of enzymes which utilizes only the L-enantiomers [1]. Racemization is a natural process, which converts L-amino acids into their specular form, D-amino acids, leading to a racemic mixture. This reaction takes places in any metabolically stable protein that is not turned over Age Estimation. DOI: https://doi.org/10.1016/B978-0-12-814491-6.00014-5 Copyright © 2019 Elsevier Inc. All rights reserved.
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during the lifetime of long-lived mammals. As a consequence of this process, these proteins will have alterations in their conformations leading to changes in their biological activities or chemical properties [2]. These alterations may contribute to the progressive changes associated with the aging process [3,4]. Although racemization occurs in all amino acids, it is well known that aspartic acid has one of the fastest racemization rates, making it suitable for forensic studies. The first study that demonstrated the applicability of this technique to forensic science was in 1975 when Helfman and Bada [1] analyzed the aspartic acid racemization in tooth enamel from living humans and found an increase in D/L ratios of aspartic acid with age. They confirmed these results using two techniques, gas chromatography (GC) and an aminoacid analyzer to separate diastereomeric dipeptides. Although they found this correlation in tooth enamel, they did not find it in human hemoglobin due to the rapid turnover of this protein. Since the 1975 study, this technique has been applied in a variety of tissues containing metabolically stable proteins, such as highly bradytrophic tissues, with a low rate of protein turnover [5], like dentin [6 8], cementum [9,10], human lens [2,11,12], human sclera [13], white matter of brain [14], intervertebral discs [5], elastin [15], bone [16 19], skin [20], epiglottis [21], and rib cartilage [22]. These studies found a positive correlation between aspartic acid racemization and age, although they also found variations. The tissue elected for analysis depends on circumstances. Although osteocalcin in cranial bone seems to be the best target for the estimation of age [23,24], the majority of studies point to dentin as the most accurate for age estimation in adults. Dentin methods yield a standard estimation error of 6 1.5 4 years and a correlation coefficient of 0.97 0.99 [13,25]. This was widely confirmed by different groups [26], in fact, Helfman and Bada [6] indicated that dentin is more reliable because it is in greater proportion than enamel and suffers less contamination and alteration such as attrition. In addition, the methodology applied for processing and analyzing racemization in human dentin is simple and it does not require much time since GC is the preferred method for enantiomers detection. However, this methodology has some drawbacks to overcome. It depends on the type of tooth because the period of dentin synthesis in the first years of life varies from tooth to tooth [8,27 30]. In addition, different values were observed when labial and lingual portions of the same tooth were compared [31]. A recent study from Sakuma et al. [32] compared the accuracy of using whole-tooth versus dentin samples, finding higher racemization rates when using the whole-tooth as well as a lower correlation coefficient and a higher standard deviation. Thus, the analysis of the “entire dentin of central longitudinal sections” and the standardization of sampling are recommended [30,33]. Another important disadvantage is the required use of healthy teeth as studies have noted the influence of caries on aspartic acid racemization
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estimates [34,35]. Also, as a first-order chemical reaction, racemization is influenced by temperature, making this technique unsuitable for corpses that have been exposed to higher temperatures [8,31,36]. Racemization can also be affected by contaminating proteins as is demonstrated in some cases of “pink teeth” [37,38]. One of the most serious drawbacks of this method is that several control teeth of the same type as the specimen to be estimated are required [39]. Ohtani et al. tried to solve this problem using standard specimens and artificial mixtures of D- and L-aspartic acids, which were prepared on the basis of the racemization ratios in central and lateral incisors. They demonstrated the usefulness of these artificial standards toward the applicability of this methodology [40]. Despite the drawbacks described above, this method is extremely consistent in comparison with conventional age estimation methods. These accurate estimates have the potential to be used in bodies with long postmortem intervals [39,41]. Currently, the applicability of aspartic acid racemization to forensic casework is limited, since only few institutes have the expertise to perform these analyses [13]. Aspartic acid racemization has helped identify unknown corpses in various criminal cases in Japan [39,42,43] and is also regularly performed at the Institute of Forensic Medicine in Du¨sseldorf for cases of unidentified corpses in North Rhine-Westphalia [13].
14.3 Lead accumulation Lead is one of the most significant pollutants in the environment [44], and its concentration on blood reflects exposure. In teeth, its concentration is a cumulative function of earlier exposure [45]. Dentin is the main site for lead deposition, providing evidence of early exposure until the tooth is extracted. In many countries, children’s teeth have been used as indicators of lead pollution [46,47], although the age range in these studies was narrow. In adults this range is very large, more than 50 years. If age affects lead accumulation, the relationship between duration of exposure and lead accumulation could be different between age groups [45,48,49]. Studies analyzing lead levels have been developed with health purposes, taking into account age and sex; thus, these studies can potentially be applied to forensic age estimation. Although some authors found a correlation of lead levels with age [45,50,51], others did not find any correlation [52]. Also, there is not an agreement on studies of children, some authors found a linear increase in lead’s concentration with age in deciduous teeth [53], while others only found an increase in one type of tooth [54] or negative correlation [55], and others did not find any correlations [56,57]. In adult teeth some authors found a correlation with age [58]. Other authors analyzed permanent teeth from children and adults finding a positive correlation between
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lead accumulation and age [44,45,48,49,59]. The preferred technique of analyzing lead accumulation in teeth is atomic absorption spectrophotometry. Among these studies, only one has analyzed lead accumulation for forensic purposes [44]. The authors found a significant correlation between age and dentin lead levels in a nonoccupationally exposed Kuwaiti population with higher levels of dentin lead in males compared with females. The difference between estimated and real age using the regression formula was 1.3 1 4.8 years. Based on the scarce studies of lead accumulation and age, further research is needed to ensure the applicability of this technique to forensic age estimation.
14.4 Collagen cross-links The collagenous matrices of cartilage, bone, dentin, and other skeletal connective tissues are stabilized by covalent cross-links between collagen molecules [60,61]. The covalent cross-links are formed through the intermolecular reactions of aldehyde residues made on the protein monomers of lysyl oxidase [62]. Two cross-link pathways can be defined, one based on the precursor lysine aldehydes, the other on precursor hydroxylysine aldehydes [63]. Bailey and Shimokomaki [64] demonstrated a decrease in the reducible cross-links with increased age in samples of skin, tendon, articular cartilage, and bone of rat, bovine, and human. At the same time, they found an increase on two unidentified compounds. They demonstrated that the aldehyde-derived cross-links changed with age and these reducible bonds observed in young tissues are probably intermediate cross-links. The main maturation product in the hydroxylysine aldehyde pathway is pyridinoline. Moriguchi and Fujimoto [65] analyzed this pathway in rat and human costal cartilage and Achilles tendon. They found an increase in pyridinoline content with age until the time of physiological maturity (about 20 years of age in humans). The pyridinoline content began to decrease after about 30 years of age in humans, suggesting its transformation into other compounds. Later, the concentration of borohydride-reducible and mature hydroxypyridinium cross-linking amino acids was measured in collagen samples of bone and cartilage from human subjects aged from 1 month to 80 years [66]. A decrease in the content of the total reducible cross-links from birth until about 25 years of age was found. However, the content of the mature cross-links shows an increasing trend from birth to 25 years. After that, the contents of both types of cross-link level off, with a down tendency still evident for the reducible compounds. Other groups analyzed collagen in dentin. Walters and Eyre [67] found an increase of hydroxypyridinium residues in bovine and human dentin with age, as the content of reducible cross-links fell. However, a significant level of reducible cross-links remains throughout the tooth’s adult life. The
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techniques applied to analyzed cross-links were chromatography and fluorescence detection. There is only one cross-link study developed for forensic purposes [68]. Martin-de las Heras et al. analyzed another component of nonreducible cross-links, deoxypyridinoline (DPD) in permanent molars from patients between 15 and 73 years old. They performed different extractions of dentin proteins and quantified the DPD levels by an enzyme immunoassay. Although they found an increase in the DPD ratio with age, the error of this technique was high ( 1 14.9 years) at 65% level of confidence.
14.5 Chemical composition of teeth With age, teeth become weaker and more prone to fracture. Due to the process of aging, a noncarious transparent dentin is formed, starting at the apex of the root and sometimes extending into the coronal dentin [69 71]. The transparency of teeth is due to the mineralization of the dentin substance around the dentinal tubules (peritubular dentin) and the gradual reduction of the dentinal tubules [72]. Scanning electron microscopic studies were developed by Kosa et al. in order to analyze the finer structure of dentin associated with age. According to these studies, dentinal tubules become thinner with increasing age, although it is not significant. Also associated with aging is the widening of the intertubular area and aggregation of the peritubular matrix. All of these changes are accompanied by changes in chemical composition [73]. In 1989, Kosa et al. studied the composition of the bones using electron probe microanalysis [74], finding a significant decrease in the Ca:P ratio in older individuals. In dentin [73], they found a decrease in the Ca:P ratio with age in peritubular (hypermineralized) dentin. Also, the weight of phosphorus is more closely correlated with age, but not the amount of Ca. Raman spectroscopy is a useful tool to study the chemical composition of teeth. Tramini et al. [75] used Raman microspectrometry to analyze the dentinal part of the tooth. Four different dentinal areas were defined on each tooth, coronal dentin, dentin cementum limit, root dentin, and apical dentin. Finally, stretch bands were identified, generating a multivariate analysis model. The partial correlation coefficient between predictors and age provided mainly a high value with a mean error of 5 years. Also, the authors found slight differences between males and females. Despite these results, some predictors in the model seemed to follow a nonlinear progression with age. Raman spectroscopy coupled with ultraviolet resonance Raman spectroscopy (UVRRS) has been used by Ager et al. [76] to analyze age-induced changes in cortical bone, finding alterations in the amide I band. By applying similar techniques in human teeth [77], they also found an increase in the
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amide I peak height in dehydrated and demineralized dentin, as a result of the increased interaction between collagen fibrils caused by stretching and intrafibrillar movement.
14.6 Advanced glycation end products The Maillard reaction is a complex series of reactions between reducing sugars and amino groups of proteins, which leads to browning, fluorescence, and cross-linking of protein [78]. AGEs, formed during the later stages of the Maillard reaction, accumulate in long-lived tissue proteins and may contribute to the development of complications in aging [79]. Human aging is associated with a stiffening of tissues that are rich in extracellular matrix and long-lived proteins, such as skeletal muscle, tendons, joints, bone, heart, arteries, lung, skin, and lens [80]. Glyoxal (GO), methylglyoxal (MGO), and deoxyglucosones belong to a series of dicarbonyl compounds, identified as intermediates in the Maillard reaction. GO and MGO react with lysine and arginine residues in protein to yield well-characterized compounds, such as the N-(carbosyalkyl)lysines, N-(carboxymethyl)lysine (CML) and N-(1-(1-carbooxy)ethyl) lysine (CEL), and imidazolones and dehydroimidazolones [81 83]. The majority of the studies related to AGEs were developed with aging purposes. They found an accumulation of AGEs in permanent and long-lived proteins during an individual’s lifetime, mainly focusing on pentosidine, CML, CEL, and/or furosine in dentin [84], crystalline lens [85], articular cartilage [86,87], and skin collagen [88]. A study conducted by Sato et al. [89] described an increase of AGEs with age in hippocampal pyramidal neurons using an antibody against AGEs to demonstrate an immunohistochemical. Although they did not find an AGE signal in young individuals, the signal increases with age, accumulating higher amounts in older individuals. The authors suggested the possibility of forensic uses of this technique in fire death cases since they found this correlation with age. Pilin et al. [90 92] demonstrated the age-related color changes in intervertebral disc excisions, Achilles tendons, and rib cartilage as a result of accumulation of AGEs. However, the color changes and correlation coefficients were different among tissues, being more conspicuous in the rib cartilage than in the intervertebral discs, and finding almost no relation with age in Achilles tendon. In addition, age estimation was only reliable up to 45 years old, beyond that the method is less accurate. The color changes caused by aging and the utilization of this effect for age estimation were studied on hard dental tissues. Some authors demonstrated that teeth become more yellow with age [93,94]. Using a spectroradiometry technique to measure these color changes, Martin-de las Heras et al. [95] tried to correlate these changes with age. Although they found a correlation, the error averaged 13.7 years. They also found differences in
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dental color depending on the postmortem interval. Thus, this technique is not suitable for samples with extended postmortem intervals. In a recent study, Greis et al. [96] analyzed AGEs in dentin for their applicability in forensic age estimation. They used high performance liquid chromatography (HPLC) to determine the levels of pentosidine and found a high correlation, although there was an error of 1 9.4 years. Unfortunately, this technique cannot be applied in teeth of individuals with diabetes mellitus, because AGEs are accumulated in diabetes. The same study indicated a lack of suitability for use in fire death cases, although they posited the possibility of the use of this technique in combination with aspartic acid racemization.
14.7 Discussion Among the chemical techniques presented here, aspartic acid racemization seems to be the best to apply to determine age in forensic cases. It can be used in different tissues with high accuracy, although the preferable tissue is dentin [32,39]. In addition, the technique GC is available for forensic labs, although currently only two labs apply this technique to forensic casework [13]. Despite the success of aspartic acid racemization, it is not exempt from disadvantages. It cannot be used in bodies exposed to high temperatures because the reaction is affected by temperature [31]. Also, several control teeth are needed [32,33,40], although it is possible to overcome this drawback using an artificial mixture that could be continuously available in forensic laboratories [40]. The majority of lead accumulation studies were developed for health purposes, and these studies are not in agreement with respect to the accumulation of lead with age. The only study developed in a forensic context [44] found a significant correlation between age and dentin lead levels. However, this is only applicable to Kuwaiti populations because lead levels change between geographic regions as these levels depend on industrial activity and environmental conditions. Thus, population-specific references are required to develop a formula for the estimation of age-at-death with this technique. A decrease in the reducible collagen crosslinks associated with increased age was demonstrated in different studies and tissues [67], although these studies were developed for better understanding of the aging phenomena. The only study carried out with a forensic focus [68] did find a correlation with age in dentin. However, the error on age estimation was high and the technique is time consuming. The relationship between changes in the chemical composition of teeth with age using different methodologies is less developed. The latest studies point to Raman spectroscopy as an elected technique [97]. However, it requires a wide knowledge of chemistry to correctly relate the results of dental composition with age.
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AGEs are widely studied with aging and age-related disease purposes [78]. Forensic studies point to a correlation of AGEs with age, such as in hippocampal pyramidal neurons [89]. Other studies are based on color changes due to AGEs [90 92]; however, these studies indicate differences in the correlation between tissues. A correlation based on color was found in dentin, but the error rate was high [95]. A recent study [96] analyzed levels of pentosidine in dentin finding a high correlation with age, although the error between estimated and real age was high. In addition, this technique is not suitable for teeth from individuals with diabetes and/or in fire death cases, although this study pointed out the possibility of using this technique in conjunction with aspartic acid racemization.
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