In connection with this discussion it may not be unprofitable to recall
that in the regeneration of the lower animals we find simpler conditions
in which proliferation of the cells takes place under circumstances
where many of the factors suggested in the above discussion are absent.
In the first place we find that new growth may occur without any
increase in the nourishment that is brought to the organ. Regeneration
takes place in the entire absence of food, except so far as it may be
stored up in the tissues. Even in a planarian that is starving and
decreasing in size, proliferation of new cells will take place if a part
is removed. In many of the lower forms there may be proportionately even
a much greater proliferation than in the regeneration and hypertrophy in
the mammalian organs. It is true that proliferation may be more active
if the tissues are well fed, but this does not show that the presence of
food is a factor in the proliferation except so far as it keeps the
proliferating cells in their best condition for growth. It is possible
in many animals, more especially in some of the lower forms, to force
them to grow rapidly by supplying them with a large amount of food, and
conversely by decreasing the food to delay the growth. While this shows
that the rate of growth is, within certain limits, a function of the
amount of food, there may be also other factors that enter into the
result, and in all cases there is an upper limit beyond which it is not
possible to make the animal grow any larger.
That the presence of certain substances may bring about the enlargement
of a part must be admitted as probable. It has been shown, for instance,
that after the removal of certain lymphatic glands other glands may
become larger. This appears to be due to the greater activity of the
gland, brought about probably by the presence of an increased amount of
some specific substance. In this instance the result can scarcely be due
to a decrease in the physical resistance to growth or to an increase in
the blood flow, except so far as this is brought about by the increased
activity. It is, of course, possible, even if it cannot be positively
shown in the case of the lymphatic glands, that a substance in the blood
causes the hypertrophy in certain organs, while in others, as in the
kidney, an increase in the blood flow may be also a factor in its
hypertrophy.
The view held by several pathologists, that hypertrophy and regeneration
may be caused by the removal of a physical resistance to growth, cannot
be looked upon as a very probable hypothesis. The experiments in
grafting of hydra and lumbriculus show that regeneration may still take
place when the physical resistance has been reëstablished by grafting
two pieces together. These results, which are more fully described in a
later chapter, demonstrate that the growth is due to other influences.
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