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
the ageing of cells in the living organism is determined by extrinsic
factors in the plasma rather than by any inherent limitation in the
cells. In the ordinary conditions of life senescence of the cells
might be regarded as the result of increasing differentiation and,
possibly from accumulation of material which cannot be utilized for
rejuvenation, of diminished metabolic activity. In the physiological
life of gland cells, for example, the salivary glands and pancreas,
granules are manufactured and discharged, but the hypothetical material
which collects in elderly cells, of which pigment may possibly be an
example or the visible sign, remains in these cells and hampers their
functional activity. As atrophy of the functional cells and increase
of connective tissue are regarded as characteristic of senescence,
and a high proportion of cells as characteristic of embryonic life,
Robertson and Ray[90] suggest that the potential longevity of any
individual is determined by the relative velocities of anabolism in the
cells on the one hand, and in the fibrous tissue on the other hand. A
low rate of cellular anabolism increases the growth of the cells and
delays the increase of fibrous tissue; this they were able to effect
by feeding white mice with tethelin. The relations of the functionally
active cells and the connective tissues have also been investigated
by Nathan[91] and his collaborators, who bring forward experimental
evidence in favour of the modified view that while dense connective
tissue inhibits cellular proliferation, young loose connective tissue
favours the multiplication of cells in proportion as it approaches the
structure of the embryonic mesenchyma. Drew’s[92] observations on the
culture of tissues and tumours show that the stroma acts like embryonic
tissue in favouring growth.
To sum up: the cells of the complex organism depend for their duration
of life not so much on an inborn store of vitality as on metabolic
changes in the colloids which in their turn are modified or controlled
by extrinsic factors of various kinds.
RELATION OF THE ENDOCRINE GLANDS TO SENESCENCE
As the metabolic activities of the cells of the body generally are
markedly influenced by the secretions of the ductless glands, the
relations between these endocrine glands and senescence demand some
discussion.
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