The potential translational utility of embalmed cadaveric gastrointestinal tract specimens: a proof-of-concept study

Background: in recent decades, fewer autopsies are performed, often replaced by radiological imaging, resulting in abundant imaging data but few complete anatomical examinations. While most surgical specimens are limited to the disease-affected region. Examining the entire gastrointestinal system of...

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Main Authors: Marcello Trucas, Michela Vincis, Claudio Intini, Daniel Johnston, Andrea Diana, Denis Barry
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Translational Research in Anatomy
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214854X25000238
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author Marcello Trucas
Michela Vincis
Claudio Intini
Daniel Johnston
Andrea Diana
Denis Barry
author_facet Marcello Trucas
Michela Vincis
Claudio Intini
Daniel Johnston
Andrea Diana
Denis Barry
author_sort Marcello Trucas
collection DOAJ
description Background: in recent decades, fewer autopsies are performed, often replaced by radiological imaging, resulting in abundant imaging data but few complete anatomical examinations. While most surgical specimens are limited to the disease-affected region. Examining the entire gastrointestinal system of anatomical donors and histologically analysing them could enhance research and valorise donation programs, extending medical knowledge. One factor limiting the preservation of the digestive tract in cadavers is the post-mortem interval. Embalming is one of the most widely used methods to preserve donors, but the post-mortem interval affects the gastrointestinal tract in a stable and time-dependent manner, making its histological examination a challenge. Material and methods: this proof-of-concept study assesses the histological potential of gastrointestinal tissues from embalmed bodies used for anatomical education. Digestive tissues from four donors (two embalmed after 12 h, two after 72 h postmortem) were histologically processed. A scoring system evaluated histological preservation by assessing seven parameters. Results: analysis showed high-quality preservation of embalmed tissues, including intestinal villi, the aorta, and liver sinusoids, highlighting both normal and pathological architecture, such as atherosclerosis, liver fibrosis, and lymphocyte infiltration. Features were identifiable with excellent histological detail in both the 12-h and 72-h post-mortem interval groups. Although this is a proof-of-concept study, only a slight difference was found between the two groups, with significant differences only in epithelium and vessel characteristics. Conclusions: This study demonstrated that donors’ digestive tissues could be suitable for detailed analyses and insights into chronic diseases and ageing, even in cadavers with a long post-mortem interval.
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spelling doaj-art-e8cdbbd0dee7486ba4384064fe3b11e52025-08-20T03:12:31ZengElsevierTranslational Research in Anatomy2214-854X2025-06-013910040410.1016/j.tria.2025.100404The potential translational utility of embalmed cadaveric gastrointestinal tract specimens: a proof-of-concept studyMarcello Trucas0Michela Vincis1Claudio Intini2Daniel Johnston3Andrea Diana4Denis Barry5Discipline of Anatomy, School of Medicine, Trinity College, 152 - 160 Pearse St, Dublin, D02 R590, Ireland; Department of Biomedical Sciences, University of Cagliari, Cittadella Universitaria, 09042 Monserrato, Italy; Corresponding author. Discipline of Anatomy, School of Medicine, Trinity College, 152 - 160 Pearse St, Dublin, D02 R590, Ireland.Discipline of Anatomy, School of Medicine, Trinity College, 152 - 160 Pearse St, Dublin, D02 R590, Ireland; Department of Medical Sciences and Public Health, University of Cagliari, Cittadella Universitaria, 09042 Monserrato, ItalyDepartment of Biomedical Sciences, University of Cagliari, Cittadella Universitaria, 09042 Monserrato, ItalyDiscipline of Anatomy, School of Medicine, Trinity College, 152 - 160 Pearse St, Dublin, D02 R590, IrelandDepartment of Biomedical Sciences, University of Cagliari, Cittadella Universitaria, 09042 Monserrato, ItalyDiscipline of Anatomy, School of Medicine, Trinity College, 152 - 160 Pearse St, Dublin, D02 R590, IrelandBackground: in recent decades, fewer autopsies are performed, often replaced by radiological imaging, resulting in abundant imaging data but few complete anatomical examinations. While most surgical specimens are limited to the disease-affected region. Examining the entire gastrointestinal system of anatomical donors and histologically analysing them could enhance research and valorise donation programs, extending medical knowledge. One factor limiting the preservation of the digestive tract in cadavers is the post-mortem interval. Embalming is one of the most widely used methods to preserve donors, but the post-mortem interval affects the gastrointestinal tract in a stable and time-dependent manner, making its histological examination a challenge. Material and methods: this proof-of-concept study assesses the histological potential of gastrointestinal tissues from embalmed bodies used for anatomical education. Digestive tissues from four donors (two embalmed after 12 h, two after 72 h postmortem) were histologically processed. A scoring system evaluated histological preservation by assessing seven parameters. Results: analysis showed high-quality preservation of embalmed tissues, including intestinal villi, the aorta, and liver sinusoids, highlighting both normal and pathological architecture, such as atherosclerosis, liver fibrosis, and lymphocyte infiltration. Features were identifiable with excellent histological detail in both the 12-h and 72-h post-mortem interval groups. Although this is a proof-of-concept study, only a slight difference was found between the two groups, with significant differences only in epithelium and vessel characteristics. Conclusions: This study demonstrated that donors’ digestive tissues could be suitable for detailed analyses and insights into chronic diseases and ageing, even in cadavers with a long post-mortem interval.http://www.sciencedirect.com/science/article/pii/S2214854X25000238MorphologyHistologyGastrointestinal tractAnatomical donorsAtherosclerosisLiver fibrosis
spellingShingle Marcello Trucas
Michela Vincis
Claudio Intini
Daniel Johnston
Andrea Diana
Denis Barry
The potential translational utility of embalmed cadaveric gastrointestinal tract specimens: a proof-of-concept study
Translational Research in Anatomy
Morphology
Histology
Gastrointestinal tract
Anatomical donors
Atherosclerosis
Liver fibrosis
title The potential translational utility of embalmed cadaveric gastrointestinal tract specimens: a proof-of-concept study
title_full The potential translational utility of embalmed cadaveric gastrointestinal tract specimens: a proof-of-concept study
title_fullStr The potential translational utility of embalmed cadaveric gastrointestinal tract specimens: a proof-of-concept study
title_full_unstemmed The potential translational utility of embalmed cadaveric gastrointestinal tract specimens: a proof-of-concept study
title_short The potential translational utility of embalmed cadaveric gastrointestinal tract specimens: a proof-of-concept study
title_sort potential translational utility of embalmed cadaveric gastrointestinal tract specimens a proof of concept study
topic Morphology
Histology
Gastrointestinal tract
Anatomical donors
Atherosclerosis
Liver fibrosis
url http://www.sciencedirect.com/science/article/pii/S2214854X25000238
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