Sunday, April 12, 2015

Types of Zombies Part 1 - The dead rising from their grave

We've all heard of the classic movie scenario where the dead corpses infected with a parasite or virus of some sort rise from their graves and shamble into the city in their funeral garb to attack the civilians because of their apparent jealousy for the living's functioning flesh and braaaaains. And there actually are instances in which people proclaimed dead suddenly "came back to life"; however they didn't come back as man-eating "zombies".
In 1999, a Swedish medical student named Anna Bagenholm lost control while skiing and landed head first on a thin patch of ice covering a mountain stream. The surface gave way and she was pulled into the freezing current below; when her friends caught up with her minutes later, only her skis and ankles were visible above an 8-inch layer of ice.
Bagenholm found an air pocket and struggled beneath the ice for 40 minutes as her friends tried to dislodge her. Then her heart stopped beating and she was still. Forty minutes after that, a rescue team arrived, cut her out of the ice and administered CPR as they helicoptered her to a hospital. At 10:15 p.m., three hours and 55 minutes after her fall, her first heartbeat was recorded. Since then, she has made a nearly full recovery.
Bagenholm was the very definition of clinically dead: Her circulatory and respiratory systems had gone quiet for just over three hours before she was brought back to life.
But what was happening in her body on a cellular level during the hours she went without a heartbeat? Weren't her tissues dying along with her consciousness? If that is so, how could she have recovered? Wouldn't that mean that corpses could also do this?
The answers to these questions start in the cellular level. According to Dr. Honglin Zhou (an assistant professor of emergency medicine at the University of Pennsylvania), as well as many other scientists, that unlike the larger organisms they form, there are clear ways to tell whether an individual human cell is dead.
Every cell has a tight outer membrane that serves to separate its own contents from its surroundings and filter out the molecules that are nonessential to its function or survival. As a cell nears the end of its life, this protective barrier will begin to weaken and, depending on the circumstances of a cell's death, one of three things will happen: It will send an "eat me" signal to a specialized maintenance cell that will then devour and recycle the ailing cell's contents; it will quarantine and consume itself in a kind of programmed altruistic suicide; or it will rupture abruptly and spill its contents into the surrounding tissue, causing severe inflammation and further tissue damage.
In all cases, when the integrity of the outer membrane is compromised, a cell's fate is sealed. "When the permeability of the membrane has increased to the point that the cellular contents are leaking out, you have reached a point of no return," Zhou said.
The cells necessary for performing tasks (such as attacking a city) in long-dead corpses would be inoperable. Because of this, a long-dead corpse reanimating itself as well as a real-life Frankenstein's monster is not possible.
Sorry, Frankie.

Then how did this Bagenholm gal survive? Well, as it turns out, it can take some cells quite a long time to die. When human cells are abruptly cut off from the steady supply of oxygen, nutrients and cleaning services that blood flow provides them, they can hold out in their membranes for a surprisingly long time. In fact, the true survivalists in your body may not die for many days after you've lost circulation, consciousness and most of the other things most people consider integral parts of living. If doctors can get to the patient before these cells have crashed, re-animation is still a possibility.
Unfortunately, the cells that are most sensitive to nutrient and oxygen deprivation are brain cells. Within five to 10 minutes of cardiac arrest, neuronal membranes will begin to rupture and irreparable brain damage will ensue (remember this information for part 2). To make revival efforts even more difficult, a surefire way to kill a cell that has been cut off from oxygen and nutrients for an extended period of time, is to give it oxygen and nutrients. In a phenomenon called reperfusion injury, blood-starved cells that are abruptly reintroduced to a nutrient supply will quickly self-destruct.
The exact mechanisms of this process are still not well-understood, but Zhou speculates that when cells lose blood supply they may go into a kind of metabolic hibernation, with the goal of self-preservation. When the cells are roused from this state by an onslaught of oxygen and panicking white blood cells in an environment where toxins have accumulated, they are overwhelmed with inflammatory signals and they respond with self-immolation.
Though scientists don't fully understand the causes of reperfusion injury, they know from experience that one thing that stifles its onset is to lower a patient's body temperature. This is why Bagenholm, who arrived at the hospital with an internal body temperature of 56 degrees Fahrenheit (about 13 degrees Celsius), was able to recover and why one of the primary areas of research for the CRS is the application of so-called "therapeutic hypothermia."


4 comments:

  1. This is really cool and I can't wait to see your genius hour presentation :)

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  2. I love your topic ! Can't wait for your presentation

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  3. This has a lot to do with organ transplants. Once someone (who is a registered donor) is pronounced brain dead, their still functioning organs are removed and given to the patients who need them. I know a lot about this because of my dad. I hope you're having fun with this topic! It's so interesting!

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