Porforis
15 years ago
http://www.cnn.com/2009/HEALTH/10/09/cheating.death.suspended.animation/index.html 

SEATTLE, Washington (CNN) -- A wiry, slightly hunched man presses in a few numbers, the electronic lock gives way with a beep and the group presses into the crowded laboratory, plastered with ominous warnings about toxins and biohazards.

Guiding the visitors at the Fred Hutchinson Cancer Research Center is Mark Roth, a 50-year-old biologist with a tall forehead, thinning red hair and a perpetual wry smile. He asks his assistant, Jennifer Blackwood, if the rat is ready. It is. She turns a dial, and the sealed enclosure starts to fill with poison gas -- hydrogen sulfide. An ounce could kill dozens of people.

The rat sniffs the air a few times, and within a minute, his naturally twitchy movements are almost still. On a monitor that shows his rate of breathing, the lines look like a steep mountain slope, going down.

At first glance, that looks bad. We need oxygen to live. If you don't get it for several minutes -- for example, if you suffer cardiac arrest or a bad gunshot wound -- you die. But something else is going on inside this rat. He isn't dead, isn't dying. The reason why, some people think, is the future of emergency medicine.

You see, Roth thinks he's figured out the puzzle. "While it's true we need oxygen to live, it's also a toxin," he explains. Scientists are starting to understand that death isn't caused by oxygen deprivation itself, but by a chain of damaging chemical reactions that are triggered by sharply dropping oxygen levels.

The thing is, those reactions require the presence of some oxygen. Hydrogen sulfide takes the place of oxygen, preventing those reactions from taking place. No chain reaction, no cell death. The patient lives.

Roth's work was inspired in part by personal tragedy. In 1995, his world was turned upside down when his new daughter, Hannah, died after a year of painful medical problems. After that, he decided to go for broke -- to try to tackle something big. "It focuses the mind, when certain things happen to people, and it certainly focused mine." Read more about ways to cheat death

After that, and after his conceptual breakthrough, Roth was ready to experiment. First up: developing fish embryos. He found a way to drain the oxygen from their cells, and they wouldn't die -- they'd just stop growing. When he put the oxygen back, they'd pick up where they left off. If he suspended them for a day, they took a day longer to develop. No more, no less. Nothing else was different.

Next up were fruit flies. This time, he gassed them. They seemed to die; they stopped moving. Then he returned them to fresh air, and the flies came back to life. New CPR beat back death for a young mom

The air we breathe is 21 percent oxygen. At 5 percent, those fish and flies -- like us -- would be dead in a few minutes. At 0.1 percent, it was another story. "You get a state of suspended animation and the creatures do not pass away, and that's the basis of what we see as an alternative way to think about critical care medicine," Roth says. "What you want to do is to have the patient's time slowed down, while everyone around them [like doctors] move at what we would call real time."

If the patient's time -- the process of your death -- were slowed down, doctors would have more time to fix you. In medicine, time is key. An analogy is the history of open heart surgery. For years, surgeons had the technical tools to make simple repairs on the heart, but they couldn't help patients until the development of the heart-lung machine made it possible to preserve the body for more than a few minutes without a heartbeat.

In rolled-up sleeves and blue Converse sneakers, Roth doesn't look the Army type, but by 2001, he had caught the attention of the U.S. military, through the lens of the Defense Advanced Research Projects Agency. DARPA was looking for a way to protect soldiers on the battlefield from death by catastrophic blood loss.

With more than a quarter-million dollars of DARPA money, Roth tried hydrogen sulfide on mice, and it worked. It wasn't quite the same experiment -- he didn't give the mice enough gas to shut down their metabolism entirely, or to kill them, but enough to drop their breathing rate to less than 10 percent of normal. When he reversed the process six hours later, the mice were fine.

That success landed Roth in the pages of Ripley's Believe it or Not, got him a MacArthur Genius Grant and helped him win more than $600 million worth of venture capital funding for Ikaria, the company he co-founded.

But after that, the ride hit a bump. It's been harder than expected to get large animals, like swine, into anything close to suspended animation. Ikaria had to develop an injectable form; the current drug in development is based on sodium sulfide, which dissolves to become hydrogen sulfide in the blood. Trials to test its safety in humans are under way in Canada and Australia. Tweet about your own medical miracle, and you could win a copy of "Cheating Death"

"[Using hydrogen sulfide] is so simple, it's genius," says David Lefer, a researcher and cardiothoracic surgeon at Emory University, who is now experimenting with hydrogen sulfide in his own lab. "But the failures with larger animals have been a big disappointment. To make this effective for humans may take a combination of sodium sulfide and additional agents. We're just not sure what form it will take."

Animal trials that test sodium sulfide have produced some striking results. Lefer found that it protects mice's hearts during simulated heart attacks. He gave each mouse a dose so small that it was gone from the body 15 minutes later. A full day later, he would induce a heart attack. Subsequent examination found that in the mice that were given sodium sulfide, cells suffered 72 percent less damage than in unprotected mice.

Other researchers are exploring different approaches to tweak metabolism in a critical care setting. A group in Minnesota is developing a drug based on chemicals found in hibernating squirrels. Dr. Philip Bickler, an anesthesiologist at the University of San Francisco Hospital, is also studying animals, including whales and dolphins -- mammals like us, except that they can hold their breath for two hours underwater even during vigorous activity. Bickler says, "There's a lot of potential there. It hasn't been studied in extreme detail, but there may be new ways to protect human tissue from injury.

The white rat on display in Roth's lab isn't being suspended -- by his description, it's more like a slow-forward button, or a dimmer switch on a light. About 50 minutes after giving the animal a dose of hydrogen sulfide, Roth tells Blackwood to turn off the gas. Normal air flows back into the glass case. The zigzag lines on the monitors shoot upward. In a few minutes, the rat is scurrying around as if nothing had happened.

Roth says he'd be happy to simply develop a drug that can be used in a conventional medical setting. But with a hint of mischief, he admits he doesn't really know how far this could go. Would it work on people? "There are almost certainly reasons it would not, but I don't know what they are yet," he said.

In the meantime, he's having fun trying to change the way we look at life itself. "With those fish, I turn off the heartbeat so they are clinically dead. But I can bring them back. So they must not have been dead, after all."



Whether it will work on humans or not in the short term, the implications are huge. Imagine how many lives would be saved if you could prevent cell death for even an hour or two in emergency situations.
TheEngineer
15 years ago
It isn't mentioned in the article so I'd be interested to know if tests with large mammals were conducted in a chamber filled with hydrogen sulfide the same way the mice are controlled in a glass case + H2S injections.

Obviously, pores in the skin can exchange oxygen with the environment, so merely injecting humans isn't going to work unless it's probably a fatal dosage.
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Fan Shout
wpr (19h) : 7 days
Zero2Cool (16-Apr) : sounds like Packers don't get good compensation, Jaire staying
dfosterf (16-Apr) : Nobody coming up with a keep, but at x amount
dfosterf (16-Apr) : Trade, cut or keep
dfosterf (16-Apr) : that from Jaire
dfosterf (16-Apr) : My guess is the Packers floated the concept of a reworked contract via his agent and agent got a f'
Zero2Cool (16-Apr) : Yes, and that is why I think Rob worded it how he did. Rather than say "agent"
dfosterf (16-Apr) : Same laws apply. Agent must present such an offer to Jaire. Cannot accept or reject without presenting it
Zero2Cool (16-Apr) : I'm thinking that is why Rob worded it how he did.
dfosterf (16-Apr) : The Packers can certainly still make the offer to the agent
dfosterf (16-Apr) : Laws of agency and definition of fiduciary responsibility
dfosterf (16-Apr) : Jaire is open to a reduced contract without Jaire's permission
dfosterf (16-Apr) : The agent would arguably violate the law if he were to tell the Packers
Zero2Cool (16-Apr) : That someone ... likely the agent.
Zero2Cool (16-Apr) : So, Jaire has not been offered nor rejected a pay reduction, but someone says he'd decline.
Zero2Cool (16-Apr) : Demovksy says t was direct communication with someone familiar with Jaire’s line of thinking at that moment.
Zero2Cool (16-Apr) : Demovsky just replied to me a bit ago. Jaire hasn't said it.
dfosterf (16-Apr) : Of course, that depends on the definition of "we"
dfosterf (16-Apr) : We have been told that they haven't because he wouldn't accept it. I submit we don't know that
dfosterf (16-Apr) : What is the downside in making a calculated reduced offer to Jaire?
Zero2Cool (15-Apr) : Packers are receiving interest in Jaire Alexander but a trade is not imminent
Zero2Cool (15-Apr) : Jalen Ramsey wants to be traded. He's never happy is he?
Zero2Cool (15-Apr) : two 1sts in 2022 and two 2nd's in 2023 and 2024
Zero2Cool (15-Apr) : Packers had fortunate last three drafts.
dfosterf (15-Apr) : I may have to move
dfosterf (15-Apr) : My wife just told the ancient Japanese sushi dude not enough rice under his fish
Zero2Cool (14-Apr) : I think a dozen is what I need
dfosterf (14-Apr) : Go fund me for this purpose just might work. A dozen nurses show up at 1265 to provide mental health assistance.
dfosterf (14-Apr) : Maybe send a crew of Angels to the Packers draft room on draft day.
Zero2Cool (14-Apr) : I am the Angel that gets visited.
dfosterf (14-Apr) : Visiting Angels has a pretty good reputation
Zero2Cool (14-Apr) : what
Martha Careful (14-Apr) : WINNING IT, not someone else losing it. The best victory though was re-uniting with his wife
Martha Careful (14-Apr) : The manner in which he won it was just amazing and wonderful. First blowing the lead then getting back, then blowing it. But ultimately
Zero2Cool (12-Apr) : I'm guessing since the thumb was broken, he wasn't feeling it.
dfosterf (10-Apr) : Looking for guidance. Not feeling the thumb.
Mucky Tundra (10-Apr) : If they knew about it or not
Mucky Tundra (10-Apr) : I don't recall that he did which is why I asked.
Zero2Cool (10-Apr) : Guessing they probably knew. Did he have cast or something on?
Mucky Tundra (10-Apr) : Did they know that at the time or was that something the realized afterwards?
Zero2Cool (9-Apr) : Van Ness played most of season with broken thumb
wpr (9-Apr) : yay
Zero2Cool (9-Apr) : Mark Murphy says Steelers likely to protect Packers game. Meaning, no Ireland
Zero2Cool (8-Apr) : Struggling to figure out what text editor options are needed and which are 'nice to have'
Mucky Tundra (8-Apr) : *CHOMP CHOMP CHOMP*
Zero2Cool (2-Apr) : WR who said he'd break Xavier Worthy 40 time...and ran slower than you
Mucky Tundra (2-Apr) : Who?
Zero2Cool (2-Apr) : Texas’ WR Isaiah Bond is scheduled to visit the Bills, Browns, Chiefs, Falcons, Packers and Titans starting next week.
Zero2Cool (2-Apr) : Spotting ball isn't changing, only measuring distance is, Which wasn't the issue.
Zero2Cool (2-Apr) : The spotting of the ball IS the issue. Not the chain gang.
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