X-Message-Number: 0019.4 Subject: The Technical Feasibility of Cryonics; part #4 Newsgroups: sci.cryonics From: (Ralph Merkle) Subject: The Technical Feasibility of Cryonics; part #4 Date: 22 Nov 92 21:17:02 GMT The Technical Feasibility of Cryonics PART 4 of 5. by Ralph C. Merkle Xerox PARC 3333 Coyote Hill Road Palo Alto, CA 94304 A shorter version of this article appeared in: Medical Hypotheses (1992) 39, pages 6-16. ---------------------------------------------------------- Determining the Healthy State In the second phase of the analysis, determination of the healthy state, we determine what the repaired (healthy) tissue should look like at the molecular level. That is, the initial structural data base produced by the analysis phase describes unhealthy (frozen) tissue. In determination of the healthy state, we must generate a revised structural data base that describes the corresponding healthy (functional) tissue. The generation of this revised data base requires a computer program that has an intimate understanding of what healthy tissue should look like, and the correspondence between unhealthy (frozen) tissue and the corresponding healthy tissue. As an example, this program would have to understand that healthy tissue does not have fractures in it, and that if any fractures are present in the initial data base (describing the frozen tissue) then the revised data base (describing the resulting healthy tissue) should be altered to remove them. Similarly, if the initial data base describes tissue with swollen or non-functional mitochondria, then the revised data base should be altered so that it describes fully functional mitochondria. If the initial data base describes tissue which is infected (viral or bacterial infestations) then the revised data base should be altered to remove the viral or bacterial components. While the revised data base describes the healthy state of the tissue that we desire to achieve, it does not specify the method(s) to be used in restoring the healthy structure. There is in general no necessary implication that restoration will or will not be done at some specific temperature, or will or will not be done in any particular fashion. Any one of a wide variety of methods could be employed to actually restore the specified structure. Further, the actual restored structure might differ in minor details from the structure described by the revised data base. The complexity of the program that determines the healthy state will vary with the quality of the suspension and the level of damage prior to suspension. Clearly, if cryonic suspension "almost works", then the initial data base and the revised data base will not greatly differ. Cryonic suspension under favorable circumstances preserves the tissue with remarkable fidelity down to the molecular level. If, however, there was significant pre-suspension injury then deducing the correct (healthy) structural description is more complex. However, it should be feasible to deduce the correct structural description even in the face of significant damage. Only if the structure is obliterated beyond recognition will it be infeasible to deduce the undamaged state of the structure. ALTERNATIVES TO REPAIR A brief philosophical aside is in order. Once we have generated an acceptable revised structural data base, we can in fact pursue either of two distinctly different possibilities. The obvious path is to continue with the repair process, eventually producing healthy tissue. An alternative path is to use the description in the revised structural data base to guide the construction of a different but "equivalent" structure (e.g., an "artificial brain"). This possibility has been much discussed[11, 50], and has recently been called "uploading" (or "downloading")[26]. Whether or not such a process preserves what is essentially human is often hotly debated, but it has advantages wholly unrelated to personal survival. As an example, the knowledge and skills of an Einstein or Turing need not be lost: they could be preserved in a computational model. On a more commercial level, the creative skills of a Spielberg (whose movies have produced a combined revenue in the billions) could also be preserved. Whether or not the computational model was viewed as having the same essential character as the biological human after which it was patterned, it would indisputably preserve that person's mental abilities and talents. It seems likely that many people today will want complete physical restoration (despite the philosophical possibilities considered above) and will continue through the repair planning and repair phases. RESTORATION In the third phase of repair we start with an atomically precise description (the revised data base) of the structure that we wish to restore, and a filing cabinet holding the molecules that will be needed during restoration. Optionally, the molecules in the filing cabinet can be from the original structure. This deals with the concerns of those who want restoration with the original atoms. Our objective is to restore the original structure with a precision sufficient to support the original functional capabilities. Clearly, this would be achieved if we were to restore the structure with atomic precision. Before discussing this most technically exacting approach, we will briefly mention the other major approaches that might be employed. We know it is possible to build a human brain, for this has been done by traditional methods for many thousands of years. If we were to adopt a restoration method that was as close as possible to the traditional technique for building a brain, we might use a "guided growth" strategy. That is, in simple organisms the growth of every single cell and of every single synapse is determined genetically. "All the cell divisions, deaths, and migrations that generate the embryonic, then the larval, and finally the adult forms of the roundworm Caenorhabditis Elegans have now been traced."[103]. "The embryonic lineage is highly invariant, as are the fates of the cells to which it gives rise"[102]. The appendix says: "Parts List: Caenorhabditis elegans (Bristol) Newly Hatched Larva. This index was prepared by condensing a list of all cells in the adult animal, then adding comments and references. A complete listing is available on request..." The adult organism has 959 cells in its body, 302 of which are nerve cells[104]. Restoring a specific biological structure using this approach would require that we determine the total number and precise growth patterns of all the cells involved. The human brain has roughly 10^12 nerve cells, plus perhaps ten times as many glial cells and other support cells. While simply encoding this complex a structure into the genome of a single embryo might prove to be overly complex, it would certainly be feasible to control critical cellular activities by the use of on board nanocomputers. That is, each cell would be controlled by an on- board computer, and that computer would in turn have been programmed with a detailed description of the growth pattern and connections of that particular cell. While the cell would function normally in most respects, critical cellular activities, such as replication, motility, and synapse growth, would be under the direct control of the on-board computer. Thus, as in C. Elegans but on a larger scale, the growth of the entire system would be "highly invariant." Once the correct final configuration had been achieved, the on-board nanocomputers would terminate their activities and be flushed from the system as waste. This approach might be criticized on the grounds that the resulting person was a "mere duplicate," and so "self" had not been preserved. Certainly, precise atomic control of the structure would appear to be difficult to achieve using guided growth, for biological systems do not normally control the precise placement of individual molecules. While the same atoms could be used as in the original, it would seem difficult to guarantee that they would be in the same places. Concerns of this sort lead to restoration methods that provide higher precision. In these methods, the desired structure is built directly from molecular components by placing the molecular components in the desired locations. A problem with this approach is the stability of the structure during restoration. Molecules might drift away from their assigned locations, destroying the structure. An approach that we might call "minimal stabilization" would involve synthesis in liquid water, with mechanical stabilization of the various lipid membranes in the system. A three-dimensional grid or scaffolding would provide a framework that would hold membrane anchors in precise locations. The membranes themselves would thus be prevented from drifting too far from their assigned locations. To prevent chemical deterioration during restoration, it would be necessary to remove all reactive compounds (e.g., oxygen). In this scenario, once the initial membrane "framework" was in place and held in place by the scaffolding, further molecules would be brought into the structure and put in the correct locations. In many instances, such molecules could be allowed to diffuse freely within the cellular compartment into which they had been introduced. In some instances, further control would be necessary. For example, a membrane-spanning channel protein might have to be confined to a specific region of a nerve cell membrane, and prevented from diffusing freely to other regions of the membrane. One method of achieving this limited kind of control over further diffusion would be to enclose a region of the membrane by a diffusion barrier (much like the the spread of oil on water can be prevented by placing a floating barrier on the water). While it is likely that some further cases would arise where it was necessary to prevent or control diffusion, the emphasis in this method is in providing the minimal control over molecular position that is needed to restore the structure. While this approach does not achieve atomically precise restoration of the original structure, the kinds of changes that are introduced (diffusion of a molecule within a cellular compartment, diffusion of a membrane protein within the membrane) would be very similar to the kinds of diffusion that would take place in a normal biological system. Thus, the restored result would have the same molecules with the same atoms, and the molecules would be in similar (though not exactly the same) locations they had been in prior to restoration. To achieve even more precise control over the restored structure, we might adopt a "full stabilization" strategy. In this strategy, each major molecule would be anchored in place, either to the scaffolding or an adjacent molecule. This would require the design of a stabilizing molecule for each specific type of molecule found in the body. The stabilizing molecule would have a specific end attached to the specific molecule, and a general end attached either to the scaffolding or to another stabilizing molecule. Once restoration was complete, the stabilizing molecules would release the molecules that were being stabilized and normal function would resume. This release might be triggered by the simple diffusion of an enzyme that attacked and broke up the stabilizing molecules. This kind of approach was considered by Drexler[1]. Low Temperature Restoration Finally, we might achieve stability of the intermediate structure by using low temperatures. If the structure were restored at a sufficiently low temperature, a molecule put in a certain place would simply not move. We might call this method "low temperature restoration." In this scenario, each new molecule would simply be stacked (at low temperature) in the right location. This can be roughly likened to stacking bricks to build a house. A hemoglobin molecule could simply be thrown into the middle of the half-restored red blood cell. Other molecules whose precise position was not critical could likewise be positioned rather inexactly. Lipids in the lipid bi-layer forming the cellular membrane would have to be placed more precisely (probably with an accuracy of several angstroms). An individual lipid molecule, having once been positioned more or less correctly on a lipid bi-layer under construction, would be held in place (at sufficiently low temperatures) by van der Waals forces. Membrane bound proteins could also be "stacked" in their proper locations. Because biological systems make extensive use of self-assembly, it would not be necessary to achieve perfect accuracy in the restoration process. If a biological macromolecule is positioned with reasonable accuracy, it would automatically assume the correct position upon warming. Large polymers, used either for structural or other purposes, pose special problems. The monomeric units are covalently bonded to each other, and so simple "stacking" is inadequate. If such polymers cannot be added to the structure as entirely pre-formed units, then they could be incrementally restored during assembly from their individual monomers using the techniques discussed earlier involving positional synthesis using highly reactive intermediates. Addition of monomeric units to the polymer could then be done at the most convenient point during the restoration operation. The chemical operations required to make a polymer from its monomeric units at reduced temperatures are unlikely to use the same reaction pathways that are used by living systems. In particular, the activation energies of most reactions that take place at 310 K (98.6 degrees Fahrenheit) can not be met at 77 K: most conventional compounds don't react at that temperature. However, as discussed earlier, assembler based synthesis techniques using highly reactive intermediates in near- perfect vacuum with mechanical force providing activation energy will continue to work quite well, if we assume that thermal activation energy is entirely absent (e.g., that the system is close to 0 kelvins). An obvious problem with this approach is the need to re-warm the structure without incurring further damage. Much "freezing" injury takes place during rewarming, and this would have to be prevented. One solution is discussed in the next two paragraphs. Generally, the revised structural data base can be further altered to make restoration easier. While certain alterations to the structural data base must be banned (anything that might damage memory, for example) many alterations would be quite safe. One set of safe alterations would be those that correspond to real-world changes that are non-damaging. For example, moving sub-cellular organelles within a cell would be safe - such motion occurs spontaneously in living tissue. Likewise, small changes in the precise physical location of cell structures that did not alter cellular topology would also be safe. Indeed, some operations that might at first appear dubious are almost certainly safe. For example, any alteration that produces damage that can be repaired by the tissue itself once it is restored to a functional state is in fact safe - though we might well seek to avoid such alterations (and they do not appear necessary). While the exact range of alterations that can be safely applied to the structural data base is unclear, it is evident that the range is fairly wide. An obvious modification which would allow us to re-warm the structure safely would be to add cryoprotectants. Because we are restoring the frozen structure with atomic precision, we could use different concentrations and different types of cryoprotectants in different regions, thus matching the cryoprotectant requirements with exquisite accuracy to the tissue type. This is not feasible with present technology because cryoprotectants are introduced using simple diffusive technniques. Extremely precise control over the heating rate would also be feasible, as well as very rapid heating. Rapid heating would allow less time for damage to take place. Rapid heating, however, might introduce problems of stress and resulting fractures. Two approaches for the elimination of this problem are (1) modify the structure so that the coefficient of thermal expansion is very small and (2) increase the strength of the structure. One simple method of insuring that the volume occupied before and after warming was the same (i.e., of making a material with a very small thermal expansion coefficient) would be to disperse many small regions with the opposite thermal expansion tendency throughout the material. For example, if a volume tended to expand upon warming the initial structure could include "nanovacuoles," or regions of about a nanometer in diameter which were empty. Such regions would be stable at low temperatures but would collapse upon warming. By finely dispersing such nanovacuoles it would be possible to eliminate any tendency of even small regions to expand on heating. Most materials expand upon warming, a tendency which can be countered by the use of nanovacuoles. Of course, ice has a smaller volume after it melts. The introduction of nanovacuoles would only exacerbate its tendency to shrink upon melting. In this case we could use vitrified H20 rather than the usual crystalline variety. H20 in the vitreous state is disordered (as in the liquid state) even at low temperatures, and has a lower volume than crystalline ice. This eliminates and even reverses its tendency to contract on warming. Vitrified water at low temperature is denser than liquid water at room temperature. Increasing the strength of the material can be done in any of a variety of ways. A simple method would be to introduce long polymers in the frozen structure. Proteins are one class of strong polymer that could be incorporated into the structure with minimal tissue compatibility concerns. Proteins of substantially greater length than naturally existing proteins would be particularly effective at increasing strength. Any potential fracture plain would be criss-crossed by the newly added structural protein, and so fractures would be prevented. By also including an enzyme to degrade this artificially introduced structural protein, it would be automatically and spontaneously digested immediately after warming. Very large increases in strength could be achieved by this method. By combining (1) rapid, highly controlled heating with (2) atomically precise introduction of cryoprotectants; (3) the addition of small nanovacuoles and the use of vitrified H20 to reduce or eliminate thermal expansion and contraction; and (4) the addition of structural proteins to protect against any remaining thermally induced stresses; the damage that might otherwise occur during rewarming should be completely avoidable. CONCLUSION Cryonic suspension can transport a terminally ill patient to future medical technology. The damage done by current freezing methods is likely to be reversible at some point in the future. In general, for cryonics to fail, one of the following "failure criteria" must be met: 1.) Pre-suspension and suspension injury would have to be sufficient to cause information theoretic death. In the case of the human brain, the damage would have to obliterate the structures encoding human memory and personality beyond recognition. 2.) Repair technologies that are clearly feasible in principle based on our current understanding of physics and chemistry would have to remain undeveloped in practice, even after several centuries. An examination of potential future technologies[85] supports the argument that unprecedented capabilities are likely to be developed. Restoration of the brain down to the molecular level should eventually prove technically feasible. Off-board repair utilizing divide-and- conquer is a particularly simple and powerful method which illustrates some of the principles that can be used by future technologies to restore tissue. Calculations support the idea that this method, if implemented, would be able to repair the human brain within about three years. For several reasons, better methods are likely to be developed and used in practice. Off-board repair consists of three major steps: (1) Determine the coordinates and orientation of each major molecule. (2) Determine a set of appropriate coordinates in the repaired structure for each major molecule. (3) Move them from the former location to the latter. The various technical problems involved are likely to be met by future advances in technology. Because storage times in liquid nitrogen literally extend for several centuries, the development time of these technologies is not critical. A broad range of technical approaches to this problem are feasible. The particular form of off-board repair that uses divide-and-conquer requires only that (1) tissue can be divided by some means (such as fracturing) which does not itself cause significant loss of structural information; (2) the pieces into which the tissue is divided can be moved to appropriate destinations (for further division or for direct analysis); (3) a sufficiently small piece of tissue can be analyzed; (4) a program capable of determining the healthy state of tissue given the unhealthy state is feasible; (5) that sufficient computational resources for execution of this program in a reasonable time frame are available; and (6) that restoration of the original structure given a detailed description of that structure is feasible. It is impossible to conclude based on present evidence that either failure criterion is likely to be met. Further study of cryonics by the technical community is needed. At present, there is a remarkable paucity of technical papers on the subject[ft. 22]. As should be evident from this paper multidisciplinary analyis is essential in evaluating its feasibility, for specialists in any single discipline have a background which is too narrow to encompass the whole. Given the life-saving nature of cryonics, it would be tragic if it were to prove feasible but was little used. APPENDIX Approximate values of interesting numbers. Numbers marked by * are extrapolations based on projected technical capabilities (nanotechnology and molecular computing). Volume of the brain: 1350 cubic centimeters Weight of the brain: 1400 grams Weight of proteins in the brain: 100 grams Weight of a ribosome: 3 x 10^6 amu *Weight of a repair machine: 10^9 to 10^10 amu *Length of a repair machine arm: 100 nanometers Weight of water in brain: 1100 grams Weight of protein in brain: 100 grams Weight of lipids in brain: 175 grams Weight of "other solids": 35 grams Weight of "typical" protein: 50,000 amu Weight of "typical" lipid: 500 amu Weight of water molecule: 18 amu Weight of carbon atom: 12 amu Density of carbon (diamond): 3.51 grams/cubic centimeter Number of proteins in brain: 1.2 x 10^21 Number of lipid molecules in brain: 2 x 10^23 Number of water molecules in brain: 4 x 10^25 Time to synthesize a protein: 10 seconds *Time to repair one protein molecule: 100 seconds *Time to repair one lipid molecule: 1 second *Time to repair all brain macromolecules:3.2 x 10^23 repair-machine seconds *Number of repair machines to repair all brain molecules in three years: 3.2 x 10^15 repair machines *Weight of that many repair devices: 53 to 530 grams Number of bits needed to store the molecular structure of the brain: 10^25 bits *Energy dissipated by a single "rod logic" (gate) operation (including a few percent of irreversible operations): 10^-22 joules *Speed of a single "rod logic" (gate) operation: 100 x 10^-12 seconds Estimated cost of 10^15 joules of energy generated on earth in the future: 10,000 dollars *Number of gate operations 10^15 joules can support: 10^37 gate operations *Size of a single "lock" (gate) plus overhead (power, etc): 100 cubic nanometers *Volume of gates that can deliver 10^37 operations in three years (a larger volume will in fact be required to accomodate cooling requirements): 1 cubic centimeter Power of 10^15 joules dissipated over a three year period: 10 megawatts (10^5 light bulbs for three years) Chemical energy stored in the structure of the brain: 8 x 10^6 joules (2,000 kilocalories) Boltzman's constant k: 1.38 x 10^-23 joules/Kelvin Approximate thermal energy of one atom at room temperature (kT at 300 degrees K): 4.14 x 10^-21 joules One watt: one joule per second One kilowatt hour: 3.6 x 10^6 joules Avogadro's number (the number of atoms in one mole): 6.0221367 x 10^23 One mole of a substance: that quantity of the substance that weighs (in grams) the same as its molecular weight amu (atomic mass units): By definition, one atom of carbon 12 weighs 12 amu Joules per (dietary) Calorie: 4,186 ACKNOWLEDGEMENTS It is the authors pleasant duty to acknowledge the many people who have commented on or encouraged the work on this paper as it evolved. The reviewers were not selected because of their opinions about cryonics: some support it, some don't, and some reserve final judgement. While the quality of the result could not have been achieved without their help, the author must accept responsibility for any errors in the final version. The author would like to thank: Dave Biegelsen, Arthur C. Clarke, Mike Darwin, Thomas Donaldson, Eric Drexler, Greg Fahy, Steve Harris, Leonard Hayflick, Hugh Hixon, Peter Mazur, Mark Miller, David Pegg, Chris Peterson, Ed Regis, Paul Segall, Len Shar, Irwin Sobel, Jim Southard, Jim Stevens and Leonard Zubkoff. Rate This Message: http://www.cryonet.org/cgi-bin/rate.cgi?msg=0019.4