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
Modern biologists such as Driesch, E. Schultz, Child, Steinach, and
Julian S. Huxley, to the last of whom I am personally much in debt,
have indeed shown that experimentally the life cycle and growth,
which are so closely correlated, may be modified dramatically by
various methods. By starvation planarian flat worms become smaller
and their life cycle is reversed by the process variously called
dedifferentiation, reduction, or involution, whereby their structure
becomes simpler; similar retrogressive changes have been produced in
the social ascidians, _Clavellina and Perophora_ (J. S. Huxley[13]),
this process of dedifferentiation or reversible differentiation being
the primitive reaction of organisms to unfavourable circumstances. By
alternate feeding and starvation Child has kept planarian flat worms
at the same size while controls passed through nineteen generations,
thus showing that the life of cells is not a matter of time but of
metabolism. In the higher animals the conditions are of course more
complex on account of the self-regulating mechanisms, especially the
ductless glands. But by disturbing the endocrine balance experimental
biology has produced some remarkable results: by feeding white mice
with tethelin (a phospholipin obtained from the anterior lobe of the
pituitary) Robertson and Ray[14] found that epithelial proliferation
was accelerated, though increase in weight of the animals was retarded,
and that the duration of life was prolonged. Drummond and Cannan,[15]
however, failed to confirm these results, and feeding with the anterior
lobe of the pituitary has given rise to very contradictory reports;
acceleration (Clark, Robertson, Goetsch), retardation (Pearl, Wulzen),
and no effect (Gudernatsch, Lewis and Miller, Hoskins, Sisson and
Broyles[16]) have been described. Steinach’s rejuvenation of senile
rats by ligature of the vas deferens, which is followed by increase
in the interstitial cells of the testis and definite prolongation of
life, will be referred to later (_vide_ p. 76). The retardation of
growth due to a diet deficient in vitamins, first proved by Gowland
Hopkins[17] in 1912, may be maintained for long periods, but when the
diet is appropriately altered growth is resumed and proceeds to the
full standard (Osborne and Mendel[18]); it remains to be proved that
the total duration of life can thus be prolonged. Though every living
species of animal may in normal circumstances have its allotted span
of life, this is so subject to accidents and modifications by external
influences that the average duration of existence, especially in the
long-lived species, does not represent the natural term of years. Thus
the expectation of life at birth in England and Wales is 51·5 years
for males and 55·35 years for females, as contrasted with the ideal
physiological duration of life for 100 years. Violent death in one
form or another--traumatic or infective--is so much the rule that the
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