Senescence, the Last Half of LifeHall, G. Stanley (Granville Stanley)
Science
Senescence, the Last Half of Life
Hall, G. Stanley (Granville Stanley)
Geriatrics
H. M. Friedman[146] begins his comprehensive treatise with biological
and embryological considerations, and here perhaps he makes his
most original suggestions. The higher the plane of the animal, the
more marked is cell differentiation or specialization and this
affects most cells. Once a degree of differentiation is observed, no
backward step to a previous state of generalization, regeneration, or
rejuvenation is possible. The higher the ascent of the cell in the
plane of differentiation, the lower is its power of rejuvenation.
Connective tissue, muscle fiber, and cylindrical cells are the least
differentiated and therefore have the greatest power of regeneration.
Nerve cells have the least because their work is of a high order and
they are most specialized. Nerve fibers are mere conductors and they
and epithelial cells have probably the greatest power of regeneration.
Again, the more differentiated the cell, the more rapid is its
development, early decline, and death. Precocity even of the separate
cell purports early maturity. “So senescence is an increased
differentiation of the protoplasm, while rejuvenation is an increase of
the nuclear elements at the expense of the protoplasm.” The increase
of nuclear material allows fission and the formation of new cells.
Thus the degree of differentiation is greatest as fission or mytosis
is least. The power of regeneration is in direct proportion to the
power of cell fission. Thus “the greater the cell differentiation, the
smaller the mytotic index.” With maturity the decrease of the mytotic
index, or the number of tissues into the composition of which the cell
can enter, becomes restricted. The cells in the original germinal layer
have before them the possibility of entering into the structure of any
tissue, but as cells differentiate the germinal layers take on a more
structural character and leave the field to the entrance of cells into
different tissue formations more restricted, since during development
the number of tissues yet unformed or undifferentiated becomes less
and less and once a cell has assumed a personality it must continue to
follow it up and cannot diverge from it. This is the law of genetic
restriction. The younger the cells, the greater their multiplying
power and the greater the tissue possibilities they can choose. Hence
morbid tumors are formed from young cells of higher mytotic index
whose genetic restriction has not progressed far enough to inhibit
range and rapidity of growth. Before genetic restriction young cells
may become one tissue or another. Injuries causing cell degeneration
of the young cells are often, therefore, the seats of morbid growths.
The young or undifferentiated cells forming malignant amorphous tumors
and growing in tissues alien to them develop rapidly, probably because
they are deprived of the “social” restriction to overgrowth that they
would have in their own cell society. Thus the presence of young cells
Public-domain text, read in full here on John Shaqi.
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