Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, CambridgeRolleston, Humphry Davy, Sir
Science
Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, Cambridge
Rolleston, Humphry Davy, Sir
Geriatrics; Linacre lecture, St. John's college, Cambridge; Longevity
Many of the vital phenomena of cells may, as Martin Fischer,[82]
Lumière,[83] and others point out, be interpreted in terms of the
behaviour of simple hydrophilic colloids. Bechhold[84] has shown that,
like a simple colloidal jelly, the cells of the human body, which are
colloidal masses, lose their affinity for water progressively with age
and become less elastic; the water content of the fetus being 94 per
cent, as compared with 70 per cent at birth and 58 per cent in adult
life, thus recalling the old idea of the dryness of elderly bodies.
According to Marinesco[85] dehydration of the colloids in the cells is
an inherent progressive change in evolution and leads to senescence and
death. It has also been thought that as the result of differentiation
and metabolism the cell protoplasm may become overladen with products
inimical to its vitality, which it cannot, as can the protozoa, utilize
for rejuvenation, and which hinder metabolism. The micellae, or
aggregations of albumin constituting the colloids of the cells, alter
in structure and become more stable until the colloid state disappears
and the cell accordingly dies (Lumière, Danysz). Such changes must
obviously be greatly influenced, as H. Campbell[86] and others have
insisted, by their environment; the individual cells are in some degree
of material continuity by “protoplasmic bridges” which probably serve
not only for nutritional purposes but also for the transmission of
physiological impulses. It also appears that the life cycle of the
cell is determined not so much by time as by the interaction of the
tissues and the plasma. By cultivating connective tissue in the plasma
of chickens of different ages Carrel[87] showed that its growth was
more abundant in the plasma of younger chickens than in that of older
ones. Working on these lines Loeb and Northrop[88] concluded that the
duration of life was determined either by a substance leading to old
age or by the destruction of a substance which normally prevents old
age and natural death. More recently Carrel and Ebeling[89] found that
in these cultures of connective tissue the rate of multiplication of
fibroblasts and the duration of life _in vitro_ varied in inverse ratio
to the age of the animal from which the plasma was taken, and that
this depended on the presence of an inhibitory body in the plasma of
older animals. These experiments recall the practice centuries old of
transfusion of young persons’ blood into the old which, however, led to
disastrous results on account of a technique now known to be dangerous.
Whether with modern methods success will be obtained remains to be
proved, but probably repeated transfusions would be required. But to
return to the subject: Carrel, Champy, and Grandcourt have shown that,
with frequent washings to remove waste products, tissue cells can be
cultivated indefinitely for years _in vitro_, and in themselves have
an unlimited capacity for multiplication; it therefore appears that
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