_Metchnikoff’s Theory of Senescence. Objections._—Metchnikoff has
proposed a theory of the mechanism of this general senescence. The
elements of the conjunctive tissue, phagocytes, macrophages, which
exist everywhere around the specialized and higher anatomical elements
would destroy and devour them as soon as their vitality diminishes,
and would take their place. In the brain, for example, it would be the
phagocytes which, attacking the nervous cellules, would disorganize the
higher elements, incapable of defending themselves. This substitution
of the conjunctive tissue, which only possesses vegetative properties
of a low order, for the nervous tissues, which possesses very high
vegetative properties, results in an evident breaking-up. The gross
element of violent and energetic vitality stifles the refined and
higher element.
This expulsion is a very real fact. It constitutes what is called
senile sclerosis. But the active _rôle_ attributed to it by Metchnikoff
in the process of degeneration is not so certain. An expert observer
in the microscopic study of the nervous system, M. Marinesco, does not
accept this interpretation as far as the senescence of the elements of
the brain is concerned. Diminution of the cell, the decrease in the
number of its stainable granulations, chromatolysis, the formation of
inert, pigmented substances—all these phenomena which characterize the
breaking-up of the cerebral cells would be accomplished, according to
this observer, without the intervention of the conjunctive elements,
the phagocytes.
The characteristic of extensive and progressive process presented
by death necessitates in a complex organism, which is a prey to it,
the existence side by side of living and dead cells. Similarly, in
the organism which is growing old, there are young elements and
elements of every age side by side with senile elements. As long as
the disorganization of the last has not gone too far, they may be
rejuvenated. All we have to do is to restore to them an appropriate
ambient medium. The whole question is one of knowing and being able
to realize, for this or that part which we wish to reanimate and to
rejuvenate, the very special or very delicate conditions that this
medium must fulfil. As we have said, success is attained in this
respect as far as the heart is concerned, and this is why we are able
to reanimate and to revive the heart of a dead man. It is hoped that
ideas along these lines will extend with the progress of physiology.
After this sketch of the conditions and of the varieties of cellular
death we must return to the essential problem which is engaging the
curiosity of biologists and philosophers. Is death unavoidable,
inevitable? Is it the necessary consequence of life itself, the
inevitable issue, the inevitable end?
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