Klebs suggested that the accumulation of the leucocytes at the wounded
surface may act as a stimulus to growth, and that the chromatin of their
nuclei might be absorbed by the cells of the tissue, and combining with
the nuclei of these cells bring about the new growth. But Ziegler points
out that we now know that although the leucocytes are dissolved and
absorbed over the wounded surface, no process of absorption, of the sort
postulated by Klebs, takes place. Ziegler thinks that Nothnagel is wrong
in supposing that an increase in the blood supply, bringing with it an
increase in the nourishment, can account for the hypertrophy of the
kidney. On the contrary he believes that the growth is the result of an
increase in the function of the organ due to the increase of the
chemical substance, urea, that is brought to the secreting cells. The
muscles of the body also hypertrophy as a result of their activity and
not as a result of the additional blood supply.
In connection with these problems of hypertrophy it may be pointed out
that, under certain conditions, blood vessels may enlarge and their
walls become thickened. To cite a single example, Nothnagel found that
if the femoral artery of the rabbit is tied, the blood vessels, that
come off immediately above the ligature, and which have already, through
their subdivisions, connections in the muscles with other branches of
the same femoral artery (that come off below the ligature), grow larger
after a time. This he believes to be due, in the first instance, to the
increased speed of the blood in the vessels, and thereby the bringing to
these arteries of an increased food supply. Other writers have given
different interpretations. Ziegler himself believes that several factors
may be capable of bringing about the result. He thinks it improbable
that the increase in the food supply can alone be the cause, and thinks
it much more probable that the increased work that the vessels must
perform while carrying more blood will account for the enlargement.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account