X-Message-Number: 15451
From: 
Date: Thu, 25 Jan 2001 14:24:25 EST
Subject: more on toxicity etc.

Some misunderstandings seem to persist about toxicity of CPAs and related 
matters, so I'll try once again to clarify this. If I have made any mistakes, 
I'll welcome correction, as always.

First, from historical perspective, for many years it was believed that 
relatively large tissue masses could not be vitrified except with 
concentrations of CPA so high as to produce unacceptable toxicity. That 
changed in recent years with the use of CPAs (methoxylated compounds) that 
were not new in themselves, but were new in the context of new methods of 
rapid cooling and warming.

With these, toxicity was reported to be lower than with glycerol--meaning, I 
believe, the glycerol concentration that Alcor had for some years been using. 
That, if memory serves, was reported as 7.5 M, which I believe works out to 
about 690 grams of glycerol per liter of solution, or roughly 60% by weight 
or 55% by volume.

A couple of people expressed the opinion that the toxicity must also be much 
lower than that of the current CI solution, which is 75% glycerol by volume 
(i.e., 750 ml glycerol added to 250 ml water at room temperature, later 
refrigerated). However, our one-pass does not result in equilibration. Our 
measurements indicate a final average concentration in the brain tissue of 
around 26% by weight, hence obviously a much lower toxicity than the previous 
Alcor standard. 

How were measurements of toxicity of glycerol made? I don't know; if someone 
can direct me to reports on this, good.

We do know, from recent reports, that estimates of toxicity of solutions 
similar to the current Alcor solution (but less concentrated, according to 
Fred Chamberlain's report in CRYONICS, which would imply that the Alcor 
solution is more toxic) were made from rat brain slices using the K/Na ratio 
criterion, which most recently showed 66% of normal function, probably 
meaning an average over the cells in a sample. 

I also have the impression-and again will welcome correction if I am 
wrong--that the K/Na test requires very fresh specimens, virtually no post 
mortem delay. This means that the relevance to cryonics patients is 
problematic. In the two Alcor cases that were "vitrified," the delay was 
reported as more than a full day, and there is small likelihood of any 
significant number of patients being treated with no delay. 

This does not mean that I personally think the "viability" criterion is the 
most important one. My guess is that histology is more important, and 
neuronal electrical activity the most important of all. As previously noted, 
Pichugin's rabbit brain studies were encouraging in this respect, using 
glycerol and rewarming the specimens from liquid nitrogen temperature.

Finally, yet again, to my knowledge there have been no reports--anywhere, by 
anyone, ever--of results evaluated by any criterion after application of the 
current Alcor procedure to brains, cooling to liquid nitrogen temperature (or 
even the hoped-for intermediate temperature in the range of - 135 C) and then 
rewarmed.

And yet again, we still do not claim that the current CI procedure is better 
than the current Alcor procedure. We can't, because we don't know, and 
neither does anybody else. All we say is that we choose the demonstrated best 
procedure out of those we have tried, as evaluated by independent 
professionals. 

The Alcor people and their consultants, based on indirect evidence, think 
their current procedure is the best available. Maybe they are right, and 
maybe they will soon prove it. But they haven't proven it yet, as far as we 
know, and we can't test their methods, even on small samples, because of the 
secrecy. We will continue our policy of testing all promising methods, 
choosing our priorities carefully, and from time to time will change or 
modify our procedures according to the results. 

Robert Ettinger
Cryonics Institute
Immortalist Society
http://www.cryonics.org

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