X-Message-Number: 30473
From: Mark Plus <>
Subject: UK Guardian article on cryonics
Date: Thu, 14 Feb 2008 06:46:38 -0800



http://www.guardian.co.uk/technology/2008/feb/14/research.cryonics?gusrc=rss&feed=networkfront


Patients who are frozen in time

Cryonics - freezing the dead with the hope of reviving them - has always been a 
long shot. But, says Wendy M Grossman, advances mean it could be coming a little
closer

Wendy M Grossman The Guardian, Thursday February 14 2008 


This article appeared in the Guardian on Thursday February 14 2008 on p1 of the 
Technology news & features section. It was last updated at 00:14 on February 14 
2008.  


The conference room window overlooks a line of floor-to-ceiling, gleaming steel 
flasks. The steel feels chilly but not cold; the warehouse-like space they 
inhabit is unheated in the Arizona "winter". But don't lift the inner styrofoam 
lid and stick your hand in: they are filled with liquid nitrogen, which boils at
77 degrees Kelvin (-196C). From a nitrogen storage tank, a pipeline snakes 
along the ceiling sending a runner to each flask - more correctly, "dewar" - to 
top it up.


Most of the dewars are occupied. This is a little eerie. We are at Alcor, the 
cryonics organisation. The dewars' 79 occupants were - possibly will have been -
people with a dream: that given enough time, medical science will advance 
enough to cure them of whatever killed them. To pay for their decades - 
centuries, possibly - at temperatures cold enough to prevent decomposition, they
bought life insurance policies of between $75,000 ( 38,500) and $100,000. 
Legally, they are dead. To Alcor's staff, they are "patients".


Cryonics is a small community. The two largest cryonics organisations, Alcor and
Michigan-based Cryonics Institute, together poll about 1,600 members. Alcor has
79 patients and 33 pets in cryopreservation; CI has 85 patients and 50 pets. 

Grand dream


Science was always going to be slow to fulfill a dream as grand as this. First, 
cryopreservation techniques need to improve so patients' bodies - and especially
their brains, the repositories of memory and personality - suffer minimal 
damage. Second, the medical techniques for revival, such as cures for Aids, 
cancer and heart disease, must be developed. Many cryonicists opt to preserve 
only their heads, hoping for revival technology good enough to give them new, 
younger bodies. However, there are not even animal experiments to bolster the 
idea. Nobody has yet frozen and revived any mammal.


But the dream no longer seems quite as lunatic as it did in 1962, when Robert 
Ettinger's The Prospect of Immortality launched the modern cryonics movement. 
But because cryonics is so small, it has little funding for research.


The area of most immediate concern to cryonicists is improvements in 
preservation techniques: less damage at the beginning means an easier eventual 
repair job. The key technique, which came into use in 2001, is vitrification.


Ice cream that's melted and refrozen develops ice crystals. So do human bodies, 
where crystals can tear through delicate tissues. As one cryonicist puts it: "We
didn't evolve to be frozen." Vitrification avoids this by replacing the blood 
with a mixture of antifreeze-like chemicals known as cryoprotectants via a 
machine like the cardio-pulmonary bypass devices used in hospitals. The right 
mixture at the right temperature, between -90C and -130C, becomes a smooth 
solid, like glass - hence vitrification. 


This process and the cryoprotectants used vary between Alcor and CI; Alcor's 
cryoprotectants were developed and published by 21CM, a media-shy Florida-based 
company whose website stresses vitrification's usefulness to organ banks. 
Published research has shown that vitirication preserves the brain's structure 
remarkably well.


The downside is that cryoprotectants are toxic. In addition, vitrified human 
flesh tends to fracture. These are, respectively, the key areas for ongoing 
research to Ben Best, CI's president, and Alcor. Tanya Jones, director of 
operations at Alcor, says the cause of the fractures isn't clear, but that at 
least a few large fractures are easier to repair than many small ones.


The other problem is that it's illegal to vitrify someone while they're 
medically alive. So the teams have to wait for someone to be declared dead 
before they can go to work with vitrification. 


Meantime, medical research throws up a new and promising headline almost every 
day. Last year, scientists at the J Craig Venter Institute successfully 
transferred an entire genome from one bacterium to another. In Maryland 
recently, scientists built an entire microbial chromosome. 


Or take, for example, the work being done by Lance Becker, director of the Penn 
Center for Resuscitative Medicine. Becker is not directly concerned with 
cryonics, but it's easy to see connections. Becker wants to extend today's 
five-minute window for successful resuscitation after the heart stops.


"Fundamentally," he says, "what we are focused on is bringing people back to 
life from death or near-death, and reinventing or revolutionising the way we 
approach that." Becker's key discovery is that cells don't die during that 
five-minute window. The real damage comes when the heart restarts and oxygen 
floods the tissues, a process known as reperfusion.


"It's pretty well accepted that at the point at which the usual human being gets
pronounced dead, all their cells are alive. It's a very eerie question: if all 
their cells are alive, what is death?" says Becker. Besides, if all the 
patient's cells are alive, why can't the patient recover and walk out of the 
hospital? "With our current therapies we can't do it." 


One option, says Becker, is cooling the patient - by a few degrees, not to 
cryonic extremes - to buy time, an idea he says has been around for thousands of
years. In studies, dogs and mice cooled before reperfusion have recovered 
better. "We believe it prevents reperfusion injury."


Cooling, he adds, is much quicker if you cool the blood directly, either by 
injecting a slurry of micro-ice particles or by using a bypass machine. Imagine,
he says, a soldier in the Iraq war, bleeding to death while you watch. "If you 
could zap, perfuse him, put him on a plane, wing him to a major hospital and fix
him all up - that's not at all crazy."

Mad or prescient?


That idea is in fact close to Jones's vision. "If we succeed in our mission," 
she says, "cryonics will become a process carried out in hospitals by medical 
staff for much shorter times."


That in itself is a change from the early days, when cryonicists more often 
aspired to immortality, not just more life. In addition, the demographics are 
changing. Formerly, most cryonicists were young, male and geeky. Now, Alcor gets
whole families.


The important unknown is: Can a cryosuspended brain, warmed and revived, retain 
the memories and personality of its owner? Until this is proven - in a dog, if 
not a human - cryonicists don't know if they're mad or prescient. How long 
before we know?


Best says: "I think within 30 years we'll see a successful revival, but the 
people revived then would be cryopreserved 30 years from now." Last in, first 
out: the earliest patients to be cryopreserved suffered the worst damage. James 
Bedford, who in 1967 became the first person ever to be cryonically suspended 
and who is now at Alcor, was barely perfused at all. "For the people being 
cryopreserved now, under the best conditions, my guess is 50 to 100 years." 
Given the current rate of medical progress and research into nanotechnology, 
says Jones: "If we haven't done it in 100 years, it's not going to work."


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