Irritability : $b a physiological analysis of the general effect of stimuli in living substanceVerworn, Max
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Irritability : $b a physiological analysis of the general effect of stimuli in living substance
Verworn, Max
Irritability
The depressing effect of the narcotic would then consist in producing
incapability of the lipoids transmitting oxygen to act as carriers of
the same, and it is, therefore, self-evident that the effect of the
narcotic would be the stronger the more readily it found entrance into
the lipoids. It is perhaps not without interest that in similar manner
_Mansfeld_[229] has attempted to establish a connection between the
facts which _Meyer_ and _Overton_ have found and those ascertained
by my coworkers and myself. He expressed the view that the lipoids
of the cells represent the channels followed by the oxygen on its
entrance, and that in consequence of their accumulation in the lipoids,
the narcotics bring about asphyxiation by physically obstructing the
transmission of the oxygen from the outer medium through the surface
layer of the lipoid into the protoplasm. The divergence in our views
is not essential in their nature, and I attach the less importance to
them as we find ourselves here, as I must again emphasize, on purely
hypothetical ground.
[229] _Mansfeld_: “Narkose und Sauerstoffmangel.” Pflügers Arch. Bd.
129, 1909.
In consideration of these observations we may perhaps establish the
following hypothesis of the effect of the oxydative suppression of
narcotics: The narcotics obstruct, either by absorption or loose
chemical combination the oxygen carriers of the cell and render them
incapable to activate the molecular oxygen. In consequence, oxydation
of the oxydable substances cannot take place and disintegration occurs
of an _an_oxydative form. The cell asphyxiates.
In conclusion I wish to warn against erroneous assumption that _all_
oxydative depressions by chemical substances are _narcosis_ and that
the mechanism is the same. It is true that a number of chemical
substances depress the processes of oxydation. But the latter can be
brought about in very varying ways. I would like to mention the effect
of oxydative depression of aldehydes. To this _Warburg_[230] has added
hydrocyanic acid, arsenic acid, ammonia and substitution compounds
of ammonia. These substances do not follow the _Meyer-Overton_ law of
the coefficient of distribution. We cannot consider them, therefore,
as narcotics. Future investigation will establish the existence of a
large number of substances belonging to this great group of oxydation
suppressing poisons, which are not narcotics. And it is likewise
certain that depressing substances will be found, the depressing
effects of which will not have their point of attack in the oxygen
exchange, but will be shown to exist in other constituents of the
metabolic chain. Our research in these fields, as already said, is
still in the first beginnings and its perspective reaches into infinite
space.
[230] _Warburg_: “Ueber Beeinflussung der Sauerstoffatmung. II
Mitteilung: Eine Beziehung zur Constitution.” Zeitschrift f. physiol.
Chemie Bd. 71, 1911.
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