X-Message-Number: 6793 Date: 23 Aug 96 02:10:08 EDT From: Paul Wakfer <> Subject: Prometheus Science Method (update) Prometheus Project Scientific Plans Here are the latest Prometheus Project scientific plans. In considering these plans one must bear in mind that the goal of the Project is necessarily two-fold. First, to discover how to fully recover both brain and mind from a state in which it could remain for decades without deterioration, and second, to demonstrate that its mental faculties have been fully recovered in a manner which will be convincing to scientists, to the media and to the public. The goals of the Project are a challenge to both cryobiology to reversibly preserve the brain, and to neurobiology to provide us with methods to show convincing evidence of this. The following description is my present understanding of how this will be done. However, it should be clearly understood that this is preliminary and is subject to many possible changes both before and after the Project research has begun. Also it should be noted that while vitrification is clearly the leading cryobiological technique which the research will be utilizing, the Project scientists are well versed in all known cryobiological methods and are totally open to using whichever method will work best to achieve the Project goal (which itself says nothing about the method to be used). Phase I: Isolated Head Reversible Cryopreservation. Phase I consists of isolated head experiments that are pre-requisites to the Phase II head transplantation studies. The following tasks are planned to be accomplished: 1. Determine what cryoprotective agents will and will not penetrate the brain under appropriate conditions. 2. Determine how to load and unload these agents without precluding perfusability and without producing significant damage to ultrastructure and measures such as: EEG during blood perfusion in-vitro. 3. Determine means of cooling and warming isolated heads that do not produce major injury beyond that caused by the delivery and washout of the cryoprotective agents, and determine whether "cooling injury" is a problem and, if it is, how to overcome it. 4. Refine evaluation methods including sophisticated neurobiological tests such as: evoked potentials, voltage-sensitive dye-visualized voltage distributions, LTP, etc. including auto-stimulation of the pleasure center to see if reproduction of previous results is evoked. In vitro perfusion with blood has several advantages over the Phase II transplantation model, including the ability to eliminate white cells and platelets, which could otherwise preclude assessment of cerebral (and even superficial tissue) function, and the ability to lower hematocrit to permit perfusion that otherwise would not occur. Something this modest might be sufficient to convincingly demonstrate complete recovery of mental faculties if the neurobiologists can give us sufficiently convincing tests to perform on the in-vitro perfused brain. Another use of this model will be to quantitate perfusion and other defects and learn how to overcome them. The endpoint of Phase I will be a brain that has been cryopreserved and stored and that survives cryopreservation based on a variety of convincing in-vitro criteria, conceivably (but unlikely) even including signs of consciousness. If the brain *can* be returned to consciousness in-vitro and if superficial structures/sense organs are not destroyed, convincing evidence for complete cryopreservation will have been achieved. Phase II: Isolated Head Transplantation. Phase II will involve the transplantation of isolated heads after cryopreservation, storage and rewarming. Transplantation should allow us to: 1. Show the brain/head can reflow with blood for prolonged periods without deteriorating. 2. Show the brain releases and responds to appropriate hormones. 3. Show the brain retains ultrastructure for prolonged periods. 4. Show that the brain survives based on all previous assays. 5. If superficial structures are not irreversibly damaged, wait for consciousness (and possibly some brain IO) to return, if it is able to within the time available before rejection sets in. Phase III: In-situ Brain Perfusion and Cooling. The purpose of Phase III is a demonstration of successful brain cryopreservation which will be totally convincing to the media and the public. It is not likely that this phase will even begin until year 8 of the Project. Summary: In this stage the results of Phase I and II will be applied to the still-connected brain of a dog. This will be done by: a) perfusing the still-connected brain of a mammal with the already developed and proven reversible vitrification solution, b) cooling the brain to -70xC or as low as the model parameters allow, and c) rewarming the brain and restoring the dog to a healthy state where full recoverability of mental faculties may be convincingly seen. Detail: 1. The experimental animal will first undergo preliminary operations and recovery to modify the body-to-head vasculature to be more suitable for the experimental procedure *without* compromising the viability of the animal. 2. Using clamps, the vasculature of its head will be isolated from that of its body, and the vasculature of its brain from that of its superficial skeletal muscle, eyes, facial nerves, and ears to the extent that this is possible. Vitrification perfusion will be applied to its brain, and head/brain interface, while its body is maintained in mild hypothermia with its blood intact, by either its own beating heart and a ventilator, or with or without its own blood by a heart-lung machine. 3. The vitrification perfusion procedure will be followed by cooling of the brain only, to -70xC by perfusion with cold perfluorochemical, or irrigation of the brain surface with cold fluid by canulae inserted through the skull, or both. A 70xC+ gradient from the superficial tissues to the brain would be maintained in order to allow the sense organs and the means of brain self-expression to be spared to the greatest extent possible. Heat transfer calculations have verified that such a temperature gradient can be maintained. 4. The head will then be rewarmed by perfusion with warm perfluorochemical, together with vitrification solution washout and blood reinfusion at the appropriate rewarming temperatures. 5. The head/brain/body vasculature isolating clamps will be removed, and the whole animal will be rewarmed and revived. 6. Once sufficiently recovered, the dog will be kept alive until full behavioral and intellectual/neurological assessment is possible. 7. Monitoring of the dog will be continued to assure long-term cerebral integrity. A Phase III Possible In-situ Alternative If the above (admittedly ambitious) plans for Phase III are found not to be achievable (a distinct possibility due to anatomical considerations), as an alternative we will attempt to do whole-head perfusion and cooling with the still-connected whole-head vasculature isolated from the body by clamping. Even if recovery were not total this would give the advantage (over Phase II) of a longer period (up to 3 weeks) post warm-up for evaluation of the effects of the procedure. Phase IV: Clean-up and Other Animal models Phase IV is an open-ended continuation of the Project which will attend to any imperfections remaining from Phase III and will move to other animal models to verify species transferability of the results. It will probably extend past the end of the ten year Project plan which quite naturally ends with the achievement of the Project goals by the successful completion of Phase III. Yes, this is a tall order! There is no question that this whole Project is on the leading edge of several branches of science and medicine. But then the only way humanity ever progresses is by constantly and steadfastly "pushing the edge of the envelop". In terms of both science and culture that is just what The Prometheus Project is designed to do. -- Paul -- !!!!! REVERSIBLE BRAIN CRYOPRESERVATION *CAN* BE ACHIEVED IN 10 YEARS !!!!! Paul Wakfer email: Voice/Fax: Pager: US: 1220 E Washington St #24, Colton, CA 92324 909-481-4433 800-805-2870 Canada: 238 Davenport Rd #240, Toronto, ON M5R 1J6 416-968-6291 416-446-9461 (currently in Canada) Rate This Message: http://www.cryonet.org/cgi-bin/rate.cgi?msg=6793