CHAPTER V

THE ANALYSIS OF THE PROCESS OF EXCITATION

_Contents_: Indicators for the investigation of the process of

excitation. Latent period. The question of the existence of

assimilatory excitations. Dissimilatory excitations. Excitations of

the partial components of functional metabolism. Production of energy

in the chemical splitting up processes. Oxydative and anoxydative

disintegration. Theory of oxydative disintegration. Dependence

of irritability on oxygen. Experiments on unicellular organisms,

nerve centers and nerve fibers. Restitution after disintegration by

metabolic self-regulation. Organic reserve supplies of the cell.

The question of a reserve supply of oxygen of the cell. Metabolic

self-regulation as a form of the law of mass effect, and metabolic

equilibrium as a condition of chemical equilibrium. Functional

hypertrophy.

If it is true that all primary effects of stimulation consist either

in an excitation or depression of the metabolism, and that all other

effects of stimulation secondarily follow this primary alteration of

the metabolism of rest, then every thorough analysis of the mechanics

of reaction must have its beginning in the investigation of these

primary processes. I desire to adopt this method here and will analyze

somewhat further the _primary process of excitation_ and its immediate

and remote sequences. This will be followed later by the analysis of

the process of primary depression and its results.

The investigation of the more obscure processes in the living substance

places us in a difficult position, for their details cannot be

observed by the unaided senses. That which we can perceive is merely

the grosser vital action, consisting of a complex combination of the

individual processes, the total result of a multitude of different

components. For this reason the conception of excitation can only be

established by observations based upon the combined vital actions,

which are produced by the effect of stimulation upon the complex

system. In the beginning, the process of excitation was studied

exclusively on the muscle and nervous system. A physical factor served

as indicator, such as muscle contraction or production of electricity.

These showed, besides the direct and primary effect of stimulation,

the secondary process of conductivity. Even graphic registration is

merely an expression of the phenomena composed of a great mass of

individual elements. The visible course of the phenomena, as shown,

for instance, by the latent period by the ascent and descent of the

curve of contraction, represents as it were a reflected picture of the

actual excitation processes similar to an object seen in a distorting

mirror; the first and the last parts of the process are not even

perceptible. Later, when organ physiology was extended into a cell

physiology the processes of excitation were studied in numerous simple

organisms, such as the plant cell, the rhizopoda, the infusoria, etc.

Later, in this way, by the use of comparative methods many essential

facts were discovered. However, even the single cell, in spite of

its minuteness, is, compared with the size of a molecule, a gigantic

system, and it would be a grave error if we should consider this system

even in its simplest aspect as homogeneous. In order, therefore,

to analyze the vital activities in the cell, cell physiology must

endeavor to penetrate into molecular conditions. For this purpose the

indicators employed must be essentially of a chemical nature, capable

of magnifying the processes of molecular dimension to such a degree

that we are enabled to base conclusions upon these not otherwise

directly perceptible phenomena. To obtain a sufficient magnification we

must necessarily place somewhat larger quantities of living substance

under observation and apply a stimulus of such frequency or length

of duration that the chemical alterations as a result of excitation

are so increased as to be plainly perceptible with the aid of our

chemical indicators. Unfortunately, we do not possess specific chemical

indicators for every individual molecular constituent process of the

cell and so cannot dispose with the help of indicators of the combined

happenings in a greater quantity of living substance. It remains for

us to obtain data concerning the cycle of excitation processes in the

living substances by the aid of the combined employment of the most

varied kinds of physical as well as chemical indicators. If we use the

most varied types of living substance of widely differing properties,

showing us the greatest variety of vital manifestations, we may hope

by the use of comparative physiological methods, even though with

difficulty, to separate more and more the essential details of the

general processes of excitation. At present we are still at the very

beginning of this task and vast fields of unexplored regions are yet

before us. But it is the unknown which has a particular fascination,

especially if we succeed from time to time in making new advances.

If we suppose a living system in a state of metabolism of rest

influenced by an instantaneously excitating stimulus, the entire

course of excitation extends from the first alteration produced by

the stimulation until the complete restitution of the metabolic

equilibrium, and we will, therefore, differentiate individually the

successive stages of this whole process.

The very beginning of the chain of alterations produced by the

excitating stimulus cannot be studied by any indicator. The changes

must first reach a certain dimension by conduction from the point of

stimulation before they influence even the most delicate indicators.

The application of the stimulus is, therefore, followed at first by a

measurable “_latent period_,” in which the living substance remains

apparently at rest. This latent period has been particularly studied in

muscle. After its discovery by _Helmholtz_[55] it was made the object

of innumerable investigations and met with an interest which can only

be explained by the exactness of the methods employed. Among others

_Tigerstedt_[56] has made the most thorough study of the influence of

various factors on the duration of the latent period. These experiments

have established the fact that the duration of the latent period varies

according to the intensity of the stimulus, temperature, loading or

fatigue. This is apparent when it is understood that the amount of

the alterations produced by the stimulus must ascend from the value

zero to a certain height before the changes are perceptible, and that

under various conditions this amount is, on the one hand, attained

in different lengths of time and, on the other, must reach a varying

amount before it is perceptible by means of the indicator.

[55] _Helmholtz_: “Messungen über den zeitlichen Verlauf der

Zuckungen animalischer Muskeln and die Fortpflanzungsgeschwindigkeit

der Reizung in den Nerven.” Archiv für Physiologie Jahrgang 1850.

[56] _Robert Tigerstedt_: “Untersuchungen über die Latenzdauer der

Muskelzuckung in ihrer Abhängigkeit von verschiedenen Variablen.”

Arch. f. Physiologie Jahrgang 1885 Suppl.

The facts concerning the whole latent period and its dependence on

various factors would be incomprehensible if it were assumed that no

alterations whatever take place during the latent period although the

stimulus is already operative. In reality, the alterations following a

stimulus occur with imperceptible rapidity in the form of a molecular

interchange, and the latent period is simply an expression of the

fact that the primary alterations, being limited in nature, are not

registered by our indicators.

The question first arises, In what do these first imperceptible

alterations consist? _Nernst_[57] has evolved the theory for electric

stimulus, that the primary effect produced by the electric current is

an alteration in the ion concentration on the surface of the living

substance. In fact, we know that the surfaces of all protoplasm

possess the property of semi-permeable membranes and that changes

in the concentration of ions invariably occur when an electric

current flows through two electrolytes separated by a semi-permeable

membrane, in which the anions and cations have a different rapidity

of movement. It is apparent, therefore, that such an alteration in

the ion concentration must be followed by further chemical processes

in the living substance. According to the theory of _Nernst_ the

first impetus for all further alterations, which the electrical

stimulus brings about in the metabolism of rest, is the alteration

in the concentration of the ions on both sides of the semi-permeable

membrane, which represents the surface of the protoplasm. In view of

the present findings of physical chemistry, objections can hardly be

made to this theory of _Nernst’s_. It is a question, however, in how

far this theory, especially established for the _electric_ stimuli,

can be applied to other forms of stimuli and their action. It cannot

be denied that the degree of dissociation of an electrolyte can be

altered by very different factors, such as heat, light, chemical

processes, etc., and in that the surfaces of the protoplasm, acting

as semi-permeable membranes, bring about a selective action on the

passage of the ions, there arises the opportunity for the development

of difference of electrical potential on both sides, and for further

chemical alterations in the protoplasm. These observations, however,

require further experimental investigations in many fields, before

we are justified in extending the _Nernst_ theory of the manner of

action of the electric stimuli to a general explanation of the primary

alterations produced by all stimuli in the living substance. For the

present we must confine our observations to _those_ alterations which

are known to be responses to an excitating stimulus; these are the

chemical alterations in the metabolism of rest in the living substance.

[57] _Nernst_: “Zur Theorie der electrischen Reizung.” Nachrichten

der Königl. Gesellsch. d. Wissensch. zu Göttingen. Math. physik.

Klasse 1899.

If it is asked, which members of the entire metabolic chain are

increased primarily by the stimulating excitation of a vital system, we

should not be able to answer this question generally for _all_ living

systems. To begin with, it appears highly probable that the various

forms of vital substances in this respect act quite differently. It is

to be regretted that, up to the present, this question has not been

treated from a comparative standpoint. This inquiry should be extended

to the greatest possible number of organisms. Still there is enough

material at hand, obtained from the muscles, glands, ganglion cells,

nerve fibers and plants, to show that the complexity is by no means so

great as one might at first assume.

In considering the two stages of metabolism, assimilation and

dissimilation, in their entirety, it appears as a very remarkable fact,

that nearly all stimuli produce primarily a _dissimilative_ excitation.

We are only acquainted with a primary _assimilative_ excitation,

that is, an augmentation of the building up processes, in short, the

_formation_ of living substance, occurring as a primary result of

stimulation, following increased introduction of _foodstuffs_ extending

over a prolonged length of time. With this exception it cannot be

proved that _any_ other stimuli, either especially those operative

in the activity of the animal organism or any of the physiological

nerve impulses which regulate the actions of the different organs and

tissues, bring about primarily an assimilative excitation, which leads

to an increase of new formation of living substance. The much-discussed

teaching of the existence of the trophic nerves has not given us a

single case in which there was positive proof that a nerve impulse

brought about a primarily assimilative excitation. I have endeavored

for nearly fifteen years to discover such a case. My efforts have

been, however, without avail. In the most recent critical review by

_Jensen_[58] on the subject of the trophic nerves, the same conclusion

is reached although certain facts, as, for instance, the excitation

of assimilative processes in the green plant cell, produced by light,

seems at the first glance to clearly demonstrate a primary excitation

of the building up processes resulting from a stimulation. Nevertheless

closer observation invariably shows that these conditions are much more

complicated and that primarily assimilative excitating reaction of

the stimulus cannot be conclusively shown. There remains, therefore,

as a primary assimilative excitating stimulus only the increased

introduction of nutrition in a living organism. This excitating effect

on the assimilative portion of metabolism is, as we shall see later, a

simple manifestation of the law of mass action.

[58] _Paul Jensen_: “Das Problem der trophischen Nerven.”

Medicinisch-naturwissen-schaftliches Archiv. Bd. II, 1910.

As a result manifold effects of excitating stimulation, which seemed

possible at a first glance, are already considerably restricted.

The great mass of excitating stimuli produce an acceleration of the

dissimilative processes of the metabolic chain. But here our former

observations have already shown that certain constituent processes

are especially responsive and very readily increase as a result

of the most varied adequate and inadequate stimuli. These are the

“_functional_” members of metabolism. These members are particularly

labile, so that they are always affected by every influence to which

the system is subjected in the form of a stimulus. The functional

portion of metabolism of the muscle, which is particularly labile

and is always primarily affected by stimulation, consists as

demonstrated in increase of formation of carbon dioxide and water, and

in the disintegration of the nitrogen-free groups. The innumerable

observations on metabolism during the stage of the activity of the

muscle, as those of _Hermann_, _v. Frey_, _Fletcher_, _Johannson_,

_Thunberg_, and many others on the individual muscle, and those

by _Voit_, _Fick_ and _Wislicenus_, _Pflüger_, _Rubner_, _Zuntz_,

_Lehmann_ and _Hagemann_, _Bernstein_ and _Löwy_ and others on the

muscle of the entire organisms, have sufficiently proved this fact.

However, we should not apply in detail the conditions existing in

the _muscle_ to _all_ living substance. Comparative methods show us,

rather, that the functional portion of metabolism is very differently

involved in various forms of living substance. The formation of carbon

dioxide and water is constant in nearly all forms of living substance.

We must, however, exclude certain micro-organisms, which have adapted

themselves to unusual vital conditions. Further, there appear in

some forms manifold special constituent processes consisting in a

disintegration of living substance which are in part converted into

very complex combinations. In the gland cells this type is represented

in an especially high degree. Here the functional disintegration leads

to excretion of proteins, glycoproteins, nucleoproteins, cholic acid,

enzymes of various kinds, all of which are complex and at the same time

nitrogenous organic combinations. This fact must not be lost sight

of. The origin of these special members, however, for the present is

completely unknown, while on the other hand, it is self-evident that

the general and constant constituents of the process of excitation

must claim a first place in our interest. It is just at this point,

therefore, that we must endeavor to penetrate somewhat more deeply into

the mechanism of the excitation process and analyze in greater detail

the acceleration of the functional constituent parts of metabolism

produced by the stimulus bringing about the formation of carbon dioxide

and water.

The question arises: _By what means is the particular labile state of

just this constituent part of functional metabolism conditioned?_ The

lability of the functional portion of metabolism, excitated by the

stimulus, resembles the processes in the disintegration of explosive

combinations. Iodide of nitrogen, for instance, in a manner similar

to the living substance in the state of the metabolism of rest,

constantly disintegrates even without the influence of an impact. The

disintegration is suddenly enormously increased by the result of a jar.

An explosion follows. In a like manner the functional metabolism of

rest is explosively excitated by the stimulus, the transformation of

the energy involved likewise bears a similar relation.

In both instances the transformation of energy, _constant_ in the

resting state, is by the impact of the stimulus suddenly increased.

The dynamic method of investigation of the excitation process with its

physical indicators, forms, therefore, in many respects an excellent

addition to the chemical analysis. A development, that is, exothermic

formation, of energy can only occur in a chemical process when the

chemical affinities which are to be combined are stronger than those

which have been separated. When this process is brought about by a

simple impact, the energy value of which bears no relation to that of

the quantity of energy in the process itself and which occurs with

explosive rapidity, then it can be simply a question of a liberation

process, that is, a process by which the impact brought about a

conversion of latent chemical energy into that of kinetic energy.

The comparison of the functional excitation process with that of an

explosion does not, therefore, consist in a merely superficial analogy,

but is founded on the same dynamic principles.

When we study the chemical process which occurs in the explosive

transformation of potential into kinetic energy we find two types of

chemical processes. The first type includes the synthetic processes.

For this, the synthesis of water from explosive gas may serve as a

simple example. Here the weaker affinities in comparatively simple

molecules (H + H and O + O) are separated and stronger affinities

are combined in the formation of more complicated molecules (H + O +

H). The second type represents the process of cleavage. As example

for the latter, the explosive disintegration of nitroglycerine may

be quoted. Here the atoms, held together in a complex molecule by

weaker affinities, are changed by transposition of nitroglycerine. For

instance, the hydrogen atoms loosely combined with carbon enter into

strong combinations with oxygen and the oxygen loosely combined with

the nitrogen enters into strong combination with carbon, so that water

and carbon dioxide are formed and nitrogen and oxygen set free.

[Illustration]

In the functional disintegration of living substance, the last type is

realized. Living substance contains loose complex combinations, and we

know that functional disintegration is accompanied by the consumption

of these organic combinations. In the functional disintegration of

muscle substance the nitrogen-free groups are concerned, and we must,

consequently, first consider the carbohydrates. However, without

further study we should not generalize from that which is true in

the case of muscle. There are other forms of living substances which

contain different combinations, which disintegrate as a result of the

contact of a stimulus and yield carbon dioxide. A clue as to which

combinations in individual cases undergo disintegration as a result

of excitating stimulation, is furnished by the metabolism of rest

in the particular substance. Plants and micro-organisms have been

investigated more thoroughly in this connection than animals. Plant

physiology has demonstrated that the material employed for the CO_{2}

formation and with it the production of energy is carbohydrate, but

that, on the other hand, various plant organisms and protistæ also use

a quantity of other substances, such as fats and protein, indeed even

such comparatively simple organic combinations as alcohol, formic acid

and methane. It may be accepted that in all these various instances of

excitation of the functional metabolism as a result of stimulation,

the specific respiratory material of the substance concerned is used

in greater amount in the decomposition and likewise invariably yields

carbon dioxide.

The point of most essential interest for the analysis of the excitation

processes is, above all, the _mechanism_ of the organic combustion and

the associated energy production. Here we may base our observations

on the disintegration of carbohydrates, which is most extensive in

the animal as well as in the vegetable kingdom. We may now ask how

dextrose, for instance, disintegrates in the living system into carbon

dioxide, for it is this, or a sugar of similar chemical nature, which

is generally concerned. Plant physiology, which here, as in many other

respects, is in advance of animal physiology, has indicated two ways

by which this can be accomplished in the living substance. One is

oxydative, the other, _an_oxydative disintegration.

In the _oxydative disintegration_ of dextrose, taking place in

aërobic organisms, if sufficient quantities of oxygen are present,

there occurs a splitting up of the carbohydrate molecule, as a result

of the introduction of oxygen, into simpler substances and finally

into carbon dioxide and water, just as the dextrose molecule, when

subjected to oxydative processes, is split up into simpler molecules.

In the living substance the oxydases play the important rôle of oxygen

carriers. It cannot be denied, however, that up to now no carbohydrate

splitting oxydases have been obtained from living substance. This,

of course, does not prove its nonexistence. But this deserves

consideration in connection with an assumption very widely spread

among plant physiologists in regard to the aërobic disintegration of

the carbohydrate molecule, which I shall touch upon presently. If we

suppose that oxydases exist, which bring about primarily the oxydative

disintegration of the dextrose molecule, its first point of attack

must obviously be sought in the aldehyde group. Here would be situated

the activator, as it were, for the whole carbon chain, from which, as

by a spark, the entire series of links would be ignited.

In an _anoxydative disintegration_ of dextrose as observed in

anaërobic as well as in aërobic organisms, provided the latter have

an insufficient supply of oxygen, the dextrose molecule, by enzymic

action as a result of the splitting off of carbon dioxide, is converted

into substances having a comparatively large carbon content. The

best-known example of this anoxydative disintegration is the formation

of alcohol by fermentation in which the dextrose molecule is split

up by the yeast into alcohol and carbon dioxide. (C_{6}H_{12}O_{6} =

2C_{2}H_{5}OH + 2CO_{2}.) Instead of the production of alcohol and

CO_{2} we may have other enzymic actions with the formation of other

carbon-containing disintegration products, such as lactic acid, fatty

acids, hydrogen, etc. Of course in such an anoxydative disintegration,

which does not lead to the formation of such simple combinations as

carbon dioxide and water, the _quantity_ of energy set free is much

less in amount than in complete _oxydative_ decomposition, the energy

production of the alcohol fermentation being only 11 per cent of the

latter. In order to produce the same amount of energy as in the former,

a much greater number of molecules is required. We find, therefore,

that the anoxydative type of disintegration develops either only where

the respiratory substances are present in sufficient amounts, as for

instance, in the case of yeast cells, existing in nutritive solutions

rich in sugar; or where the chemical and energy transformations occur

only to a limited extent, as, for example, in the presence of low

temperature. In this respect _Pütter_[59] has demonstrated in the

leech that at a higher temperature, the oxydative, at a lower, the

anoxydative, decomposition predominates. These are important facts

in that they show us the superiority of oxydative to that of the

anoxydative disintegration in the cell economy. This is of particular

interest when we consider those organisms in which great demands are

made upon the capability of movement, above all, in homothermous

forms, the metabolism of which takes place on a continuously high

level. For this reason, in homothermous animals the respiration of

oxygen is the almost exclusive source of energy production.

[59] _A Pütter_: “Der Stoffwechsel des Blutegels (Hirudo medicinalis

L).” I Theil. Zeitschrift für allgemeine Physiologie Bd. VI, 1907. II

Teil. ebenda Bd. VII, 1908.

The previously mentioned facts make it clear that in one and the same

form of living substance both oxydative and anoxydative decomposition

processes are found, depending upon the conditions. This does not

apply merely to the individual organic forms, such as the facultative

anaërobic organisms, but generally to all aërobic living substance.

If oxygen is withdrawn from an aërobic organism the disintegration

does not cease in consequence. In place of the oxydative we have

anoxydative decomposition. The various aërobic organisms are, however,

adapted in very different degrees to the possibility of an anaërobic

existence. While the facultative anaërobic organisms can continue to

exist without oxygen, the homothermous animals become asphyxiated in

a very short time in the absence of oxygen, in that they are poisoned

by the products of the anoxydative decomposition, which are eliminated

with much more difficulty than carbon dioxide and water. The fact,

however, that disintegration also continues in an anoxydative form,

if oxygen is withdrawn, has given rise to the thought, which has been

accepted especially by plant physiologists with great readiness, that

the decomposition of organic respiratory substances of the aërobic

organisms invariably takes place in two stages; in that the dextrose

molecule--to again use this as an example--is split up first by an

enzyme into larger fragments, which then in the second stage of the

process undergo combustion to the formation of carbon dioxide and

water. Such a possibility cannot be repudiated. I wish, however, to

state that one should be very reluctant in generalization of this

assumption for all aërobic organisms. The types of metabolism in

the different organisms are so manifold and of such immense variety

that we should be very careful in our generalizations before being

in possession of material extending over a great number of groups of

organisms. Above all, it does not seem justifiable to also accept

this type for life existing at higher temperatures, and still less

to apply it to those instances in which the production of energy

following stimulation is suddenly increased to great amounts. Let us

suppose that the disintegration process occurs in two phases, the first

of which after the type of the fermentation of dextrose separates

the molecule into larger fragments, while in the second phase these

fragments are split up through oxydation into the formation of carbon

dioxide and water. We can then say with certainty that in the first

stage only a comparatively _small_ amount of energy production occurs,

for energy production by enzymic processes of this kind is never

great; the second phase, on the other hand, must be associated with

a very considerable energy production, for by the addition of oxygen

and the formation of carbon dioxide and water the strongest affinities

possible are combined. With this assumption in certain cases, as, for

instance, in the sudden production of energy in muscle contraction,

which necessarily occurs in the purely oxydative phase of the whole

process, the view is forced upon us, that, in these cases, the entrance

of oxygen into the molecule from the very beginning, even the first

impact, produces oxydative decomposition of the whole molecule. The

view that, in the reactions of warm-blooded animals, which occur with

great rapidity and considerable energy production, the oxygen primarily

explosively breaks up the whole carbon chain, certainly presents no

more difficulties than the supposition that the simpler substances

are attacked secondarily, provided sufficient oxygen be present.

This method would be obviously the simplest. This is, however, mere

speculation and a definite decision between the two possibilities

cannot be made at present. However, whether the process takes place in

two phases, an anoxydative and an oxydative, or simply in an oxydative

phase, in _any case, the sudden discharge of energy in the aërobic

organism set free by the stimulus, is brought about by the addition of

oxygen_.

This is a highly important fact and as such requires the most thorough

confirmation, and is best accomplished by the investigation of the

state of excitation of aërobic substances on the withdrawal of oxygen.

Experience gained by observation in this respect on a great number

of living substances shows that excitability decreases upon the

withdrawal of oxygen. In this connection I should like to cite some

particularly significant instances.

[Illustration: A

B

Fig. 10.

_Rhizoplasma kaiseri._ A--Under normal conditions. B--In an atmosphere

of pure hydrogen.]

During a sojourn at the Red Sea in 1894–95 I was able to establish this

dependence in the single-celled organism, the _Rhizoplasma Kaiseri_,

a large naked orange-colored rhizopod. (Figure 10, A.) Mechanical

stimulation, which under normal vital conditions of these organisms

brings about contraction in the long-branched pseudopods, becomes

ineffective with a cessation of the movement of protoplasm, when

oxygen is removed and is replaced by a stream of hydrogen. (Figure

10, B.) With renewed introduction of oxygen there is a return of the

protoplasmic movement and entire recovery takes place.

This dependence of irritability upon oxygen is most clearly

demonstrated in the _nerve centers_. For this purpose I have employed

the spinal cord of the frog.[60] A canula is introduced and fixed

into the aorta of the animal and the blood is replaced by a current

of oxygen-free saline solution. The centers of the spinal cord are

thereby wholly isolated from the supply of oxygen. The indicator for

the irritability here used is reflex excitation from the skin to the

gastrocnemius, or better, stimulation of the central stump of the

sciatic nerve with single induction shocks, bringing about reflex

response of the triceps. The reflex may be considerably augmented by

increasing the reflex excitability of the spinal cord by poisoning

the animal with strychnine. On testing the reflex excitability at the

beginning of the experiment it will be found that the reaction to

each individual stimulus consists, in consequence of the strychnine

poisoning, of a long-continued maximal tetanus. The longer the

deficiency of oxygen continues, the briefer become the tetanic

reflex contractions following a single stimulus. Soon reflex tetanic

responses are merely short single contractions, which decrease more

and more with the continuance of oxygen deficiency. Finally, the same

stimuli which previously produced strong tetanic contractions of

long duration are altogether without effect. Although by increasing

the intensity of stimulation brief contractions can again be brought

about, irritability decreases more and more, until at last even the

strongest stimuli remain without result. If the oxygen-free saline

solution is now replaced by one saturated with oxygen, or blood of the

ox, rendered arterial, the excitability returns within a few minutes

and soon reaches the maximal height which it possessed under the

influence of the strychnine poison. Even the weakest single stimuli now

again produce tetanus. The same process reoccurs, if the fluid used

for transfusion containing oxygen is again replaced by an oxygen-free

saline solution. In this way, by repeated change of the perfusing

fluid, we can demonstrate in the most positive manner this alteration

in irritability, the result of the alternate presence and removal of

oxygen. This is perhaps the best example of the close dependence of

irritability on oxygen.

[60] _Max Verworn_: “Ermüdung Erschöpfung und Erholung der nervösen

Centren des Rückenmarks. Ein Beitrag zur Kenntniss der Lebensvorgänge

in den Neuronen.” Archiv. f. Anat. u. Physiologie. physiol. Abteil.

1900 Suppl.

The same: “Ermüdung und Erholung.” In Berliner Klin. Wochenschrift

1901.

This same fact can be observed with equal clearness in the nerve. At my

suggestion _H. v. Baeyer_[61] showed as the result of investigations

made in the Göttingen laboratory the dependence of irritability of the

nerve upon oxygen for the first time. By employing as the method the

ascertainment of the threshold of stimulation I then made a closer

study of the alterations in irritability during asphyxiation. These

observations were soon after continued by _Fröhlich_.[62] The method

is as follows: the nerve of a nerve-muscle preparation of the frog

is drawn through a glass chamber which is made completely air-tight

and containing platinum electrodes. The air in the chamber is then

displaced by a stream of pure nitrogen. (Figure 11.) On testing that

part of the nerve situated within the glass chamber with single break

induction shocks it can be observed that its irritability, measured by

the threshold of stimulation for muscle contraction, decreases more and

more, until after the lapse of some hours, the stimulation required is

so strong as to reach the region of the “Stromschleifengrenze.” If in

place of the stream of nitrogen, air or pure oxygen is now allowed to

flow through the chamber, the nerve recovers almost instantaneously.

Within the space of a minute its irritability has risen again to

its full height and the same experiment, with the same result, can

be repeated. Finally, as _Fillié_[63] has shown, the like result is

obtained when the nerve is asphyxiated in a fluid medium.

[61] _H. v. Baeyer_: “Das Sauerstoffbedürfniss des Nerven.”

Zeitschrift f. allgemeine Physiologie Bd. II, 1903.

[62] _Fr. W. Fröhlich_: “Das Sauerstoffbedürfniss des Nerven.”

Zeitschrift f. allgem. Physiologie Bd. III, 1904.

[63] _H. Fillié_: “Studien über die Erstickung des Nerven in

Flüsigkeiten.” Zeitschrift f. allgemeine Physiologie, Bd. VIII, 1908.

[Illustration: Fig. 11.

Arrangement for asphyxiating the nerve. A--Gasometer containing pure

nitrogen. B and B_{1}--Vessels for washing the gas. C--Ether chamber

for eventual experiments with narcosis. D, D_{1} and E--Glass faucets.

F--Moist chamber. G--Asphyxiation chamber. H and H_{1}--Two pairs of

electrodes over which the nerve is laid. I--Nerve muscle preparation. ]

All these facts, the number of which indeed could be increased greatly

for other aërobic forms, suffice to establish the fundamental

importance of oxygen to the maintenance of irritability of living

substance. _Oxygen is of greatest importance for a high degree of

irritability in all aërobic organisms._ All living systems which are

characterized by a great capability of activity and evince strong

responses under the influence of stimulation, such as the vertebrates

and insects, are necessarily aërobic, whereas the living organisms

of pronounced anaërobic character, as some bacteria, yeast cells,

parasitic organisms, etc., manifest on the average much less capability

of activity.

Finally, to briefly summarize the foregoing, the following picture

presents itself of disintegration produced by a momentarily acting

stimulus. It is immaterial how the stimulus produces an excitating

effect in the given case, whether through changes in the ion

concentration of the living system, by increase of intramolecular

atomic movement or in any other manner, it invariably accelerates

the disintegration of the complex molecules concerned in functional

metabolism, the nature of which varies in the special cases. In the

great majority of instances nitrogen-free organic combinations serve as

material for the functional constituent members of metabolic processes.

In the anaërobic organisms this decomposition takes place anoxydatively

with the coöperation of enzymic processes, and as larger fragments

generally result from the disintegration of the complex molecule,

the production of energy is accordingly smaller. The disintegration

of aërobic organisms, on the other hand, occurs in the form of an

oxydative splitting up of the complex molecules into carbon dioxide

and water so that the production of energy attains a high value.

The details concerning the manner in which the individual stages of

this decomposition take place and the interactions by which its end

products are reached is at present beyond our knowledge. It would be a

mistake to generalize in this connection from the behavior of certain

groups of organisms. The assumption that under certain conditions the

disintegration occurs in two phases, the splitting up resulting from

enzymic action of the complex molecule into larger fragments, followed

by an oxydative splitting up of these into carbon dioxide and water,

can in no case as yet be justifiably applied to all conditions and all

aërobic organisms. This is more or less the impression which we derive

of the functional excitation process as seen today.

Under normal conditions the functional excitation is at once followed

by a succession of secondary processes, the “_self-regulation of

metabolism_.” Self-regulation after a functional excitation is a fact

demonstrated by experience. But in what manner does it take place in

detail?

As the functional constituent members of metabolism involve a

disintegration of the nitrogen-free atom groups, the functional

self-regulation must necessarily furnish in sufficient quantity and

in proper form the carbon, hydrogen and oxygen atoms, which have

been removed in the production of carbon dioxide and water. This is

accomplished, as is well known, by the food and the intake of oxygen.

It is of importance to the maintenance of living substance that after

every functional activity it is as soon as possible again capable of

reaction. Therefore, it is absolutely necessary that this material is

in the proper place, where building up is essential, and is at the same

time constantly in proper form. Indeed, the restitution of the original

state follows under favorable conditions with lightning rapidity,

although varying in different forms of living substance. This occurs in

the nerve in an extremely short time. From this it might be supposed

that the living system by accumulating a store of the necessary

compensation substances in suitable form, had made itself independent

to a certain degree of the frequently varying supply of material

obtained from the medium.

This may be held as the proper view, first with regard to compensation

substances. The fact that living organisms can under some conditions

remain for a lengthened period in a state of starvation, without losing

their capability of activity, can only be explained by the presence

of a great quantity of reserve supplies of compensation substances.

In the course of work in the laboratory every physiologist has become

acquainted with the fact that frogs which have been kept without food

for a year, although much reduced in weight, are still capable of some

muscular activity.

[Illustration: A

B

Fig. 12.

Motor ganglia cells from the spinal cord of the frog. A--In normal

state. B--After an asphyxiation lasting 8 to 9 hours. (After _Gordon

Holmes_.)]

[Illustration: Fig. 13

_Paramecium aurelia._ A--In normal state. B--In a state of starvation.]

Organs and tissue, which are cut off from all food supply through the

blood and lymph, may remain active for many hours. _H. v. Baeyer_[64]

has shown that the ganglion cells in the frog, in which saline

solution was transfused at room temperature and containing no trace of

organic substances and where irritability has been increased to the

maximal by means of strychnine, were capable of strenuous work for

nine or ten hours before losing responsivity. The nerves and muscles

of the animal retain their excitability for even a longer period

under the same conditions. Indeed, we have histological evidence of

the existence of organic reserve material in the various cells in

the form of embedded bodies in the protoplasm. As for instance the

disappearance of the _Nissl_ granules in the ganglion cells following

great activity,[65] (Figure 12), or that of the granules in infusoria

cells during starvation.[66] (Figure 13.) We assume that a certain

amount of organic foodstuffs in a state properly prepared is present in

the cell. As the amount of these prepared substances is consumed, new

quantities of stores, having undergone various preparatory processes,

among which the enzymic actions may be considered to play a chief rôle,

are brought into that form in which they appear suited to fill the gap

produced by disintegration. Plant physiologists in particular have here

again furnished us with some essential data for the assumption of

the existence of such processes which regulate the transformation of

reserve substances as well as its extent. _Pfeffer_[67] has found in

several fungi and bacteria that there exists a compensation between the

diastatic breaking down of the carbohydrates stored as reserve material

and the quantity of dextrose introduced. He further found that the more

the reserve substance is split up into dextrose the less of the latter

is introduced from without and _vice versa_. _De Bary_[68] some time

ago also observed in the _bacillus amylobacter_ an analogous relation

between the enzymatic cellular digestion and the quantity of dextrose

introduced with the food. An equilibrium, therefore, exists between

the required amount of dextrose and the extent of enzymic splitting up

processes of the reserve material. A great number of similar processes

have been observed. Even though the details of the whole preparatory

assimilative processes are beyond our knowledge we can still say with

certainty that, on the one hand, everywhere great quantities of organic

reserve substances are always present in the cell, and on the other,

that these substances are subjected to a transformation into suitable

material for building-up processes, the extent of which is controlled

according to need, by the processes of self-regulation.

[64] _H. v. Baeyer_: “Zur Kenntniss des Stoffwechsels in den nervösen

Centren.” Zeitschr. f. allgem. Physiol. Bd. I, 1902.

[65] _Gustav Mann_: “Histological changes induced in sympathetic

motor and sensory nerve cells by functional activity.” In Journ. of

Anat. and Physiol. 1894. Further: _Gordon Holmes_: “On morphological

changes in exhausted ganglion cells.” Zeitschrift f. allgem. Physiol.

Bd. II, 1903.

[66] _Wallengren_: “Inanitionserscheinungen der Zelle.” Zeitschrift

f. allgem. Physiol. Bd. I, 1902.

[67] _W. Pfeffer_: “Ueber die regulatorische Bildung von Diastase.”

In der math. phys. Klasse d. Königl. Sächs Ges. d. Wiss. zu Leipzig

1896.

[68] _De Bary_: “Sur la fermentation de la cellulose.” In Bull. de la

Soc. bot. de France 1879.

Entirely different is the question if the cell also possesses a

reserve store of oxygen. In this respect views have widely differed,

and even today no conformity of opinions has been arrived at. The

fact that many purely aërobic organisms and tissues can exist under

complete exclusion of oxygen for a longer or shorter period, retaining

their excitability and producing carbon dioxide, has for a long time

led a great number of investigators, such as _Liebig_, _Matteucci_,

_Engelmann_, _Pettenkofer_ and _Voit_, _Claude Bernard_, _Verworn_,

_H. v. Baeyer_ and others, to the supposition that a reserve store

of oxygen must exist in the living substance which maintains its

excitability for a time. More recent information, however, of the

transition of the oxydative to the anoxydative disintegration under

a deficiency of oxygen, as can be observed in plants and certain

invertebrate animals, indicates that here also there is the possibility

of another explanation of these facts. Various attempts have been made

to solve the problem if reserve oxygen is present in the cell or not.

The experiments of _Rosenthal_,[69] carried out with his respiration

calorimeter, seemed to point directly to an oxygen reserve in the

organism of the mammal. He observed that during respiration in an

atmosphere rich in oxygen the respiratory quotient (CO_{2} : O_{2})

became lower than in ordinary air, that is, that oxygen, and that

indeed in considerable quantity, must be retained in the organism.

Nevertheless _Falloise_[70] found that when rabbits, which had

been kept in an atmosphere containing 80 per cent of oxygen, were

asphyxiated, the time necessary to produce death was no longer than in

animals which had been kept previously in ordinary air. The correctness

of the observations of _Rosenthal_ have been disputed by _Durig_.[71]

_Winterstein_[72] also, employing the microrespiration methods of

_Thunberg_ upon the spinal cord of the frog, believed that he had found

proof that an oxygen reserve cannot take place. He reasoned thus: If

the cells of the spinal cord contain reserve oxygen, which is used up

when pure nitrogen only is breathed, then it necessarily follows that

after reintroduction of oxygen, following asphyxiation, a definite

quantity must be stored up again as reserve. In consequence, the

respiratory quotient following the intake of oxygen after asphyxiation

should be smaller than when the animal is in air. He found, however,

that the respiratory quotient does not essentially change and concluded

from this that storage of oxygen does not take place. In these

experiments, however, there exists no certain indicator as to the state

of the spinal cord during asphyxiation and recovery in the given case.

The spinal cord may be severely injured and even undergo degeneration

during asphyxiation, and the recovery following the reintroduction of

oxygen may be either incomplete or nil, without there being a method

for its determination. Apart from this, _Lesser_[73] has already

emphasized, in opposition to these experiments, that the respiratory

quotient in recovery is no criterion to guide us. It is immaterial

whether during asphyxiation oxygen respiration occurs following a

reserve supply, or that an anoxydative formation of carbon dioxide has

taken place, for in both instances the respiratory quotient would be

less _after_ asphyxiation when there is again an oxygen supply. It is,

therefore, quite impossible to decide the question by the employment

of this method. For this reason _Lesser_ has attempted to solve the

problem by means of quite another method, and was convinced that he

had refuted finally the belief in the existence of reserve oxygen. His

method consists in the employment of the _Bunsen_ ice calorimeter, by

which he determines the heat production of frogs, kept first in air,

then in nitrogen, and at the end of each experiment ascertaining the

amount of output of carbon dioxide, respectively in air and nitrogen.

He found that the quantity of heat, calculated in terms of 100 grms.

body weight per hour, produced in nitrogen was considerably less than

that under corresponding conditions in air, but that the production

of carbon dioxide, on the other hand, during the first hours in

nitrogen was doubled in amount, as compared to that in air. From this

he concludes that the carbon dioxide formation in nitrogen must be

different from that in air, as it is associated with a reduced heat

production. In other words, carbon dioxide formation, while the animal

is in a nitrogen atmosphere, does not have its origin in oxydative

processes at the cost of stored up oxygen. I regret that I am unable to

accept these arguments as conclusive evidence against the assumption

of an oxygen reserve, as this question cannot be decided by the use of

such methods. _Lesser_ does not measure the amount of carbon dioxide

until the end of his experiments, that is, he learns merely the

entire carbon dioxide production during a period of many hours. No

conclusions can be drawn from this as to the conditions existing in the

first period of time, directly after the animals have been subjected

to an atmosphere of nitrogen. It is quite possible that subsequent to

the change to nitrogen an oxydative carbon dioxide formation may have

continued in decreasing degree, without this being shown in the final

result. The problem of the existence of a reserve supply of oxygen is

in no way solved by these experiments.

[69] _Rosenthal_: “Untersuchungen über den respiratorischen

Stoffwechsel.” Arch. f. Anat. u. Physiologie physiolog. Abt. 1902 und

Suppl. 1902.

[70] _Falloise_: “Influence de la réspiration d’une atmosphère

suroxygéné sur l’absorption d’oxygène.” Traveaux du laborat. de

physiol. de L. Fredéric Liège, T. VI.

[71] _Durig_: “Ueber Aufnahme und Verbrauch von Sauerstoff bei

Aenderung seines Partialdruckes in der Alveolarluft.” Arch. f. Anat.

u. Physiol. physiol. Abt. 1903 Suppl.

[72] _Winterstein_: “Ueber den Mechanismus der Gewebeatmung.”

Zeitschr. f. allgem. Physiol. Bd. VI, 1907.

[73] _Lesser_: “Die Wärmeabgabe der Frösche in Luft and

sauerstofffreien Medien. Ein experimenteller Beweis dass die CO_{2}

Production der Frösche im sauerstofffreien Raum nicht auf Kosten

gespeicherten Sauerstoffs geschieht.” Zeitschr. f. Biologie Bd. 51,

1908.

In assuming the presence of a reserve supply of oxygen in the cell we

must above all entertain no false conception as to its amount. This

must be, as I have often had occasion to emphasize, exceedingly small

and in no way comparable with the great masses of organic reserve

substances contained in the cell. The assumption, especially for the

_nerve centers_ of the frog, that the excitability remains after

complete exclusion of oxygen must be looked upon as demonstrating a

reserve supply of oxygen, would oblige one to suppose the presence of

such a small store of oxygen that it would be completely exhausted

by continued activity in room temperature within ten to twenty-five

minutes. Strychninized frogs, in which the blood has been replaced

by an oxygen-free saline solution, lose, as I have shown,[74] their

excitability completely within ten to twenty-five minutes after the

blood has been displaced. Nevertheless the assumption of the existence

of a small oxygen supply in the cell can hardly be evaded. It must not

be imagined that the moment the blood of the frog has been replaced

with an oxygen-free solution, there is not a trace of oxygen left in

the organism. Were such the case, the irritability, if measured by the

extent of the response, would sink _momentarily_ to a very low level,

for the anoxydative disintegration processes are associated with an

incomparably smaller production of energy than those of oxydative

disintegration. We see, however, that the irritability in the muscles,

nerves and nerve centers of the frog even after the complete withdrawal

of oxygen at first remains practically at the former height and only

very gradually decreases. Above all it would seem to me to be in the

interest of the preservation of the organism and especially of those

parts in which there is a high energy production and particularly those

substances in which energy production predominates, that the material

necessary for its formation is always at its disposal in sufficient

quantity. Otherwise the capability of action of the organism would be

impaired at every moment or at least suffer great fluctuations.

[74] _Max Verworn_: “Ermüdung, Erschöpfung and Erholung der nervösen

Centra des Rückenmarks.” Arch. f. Anat. u. Physiol. physiol. Abt.

Suppl. 1900.

In accordance with this we must suppose that under physiological

conditions all those substances required to replace the disintegrated

molecules are always present in the cell in sufficient quantity and

suitable form to replace at once those lost by excitation. Further,

without doubt, in the organism which is always aërobic, oxygen must

be present in certain quantities to assure at any moment oxygen

replacement following oxydative disintegration, to guarantee sufficient

amount for succeeding stimulation.

A further question arises: How is it that the material lost in

disintegration is always replaced in just sufficient quantity to

establish the metabolic equilibrium? In short, how are we to understand

in a mechanical sense the self-regulation of metabolism?

In the preservation of metabolic equilibrium, we have a process before

us, the principle of which is nowadays restricted to living substance.

In my “Biogen hypothesis,”[75] I have associated the self-regulation

of metabolism with the chemical equilibrium in interreacting masses.

I have considered the metabolic self-regulation as the expression of

the formation of a mass equilibrium between the quantity of foodstuffs

and the quantity of a hypothetical combination of living substance,

the _biogen_, which continuously disintegrates and builds up again of

its own accord. In fact, however, we have in the chemical equilibrium

of reacting mixtures in the non-living world, a principle which is

completely analogous to the self-regulation in living substance. The

chemical facts are, indeed, well known. If we take the classical

example of the formation of ethylacetat from acetic acid and alcohol,

we have a case of an inanimate system, in which the amounts of the

reacting substances are in constant equilibrium. The reaction following

the mixture of equal amounts of alcohol and acetic acid is as follows:

[75] _Max Verworn_: “Die Biogenhypothese.” Jena 1903. Compare also

_Max Verworn_: “Allgemeine Physiologie.” V. Aufl. Jena 1909.

1/3 Mol. C_{2}H_{5}OH + 1/3 Mol. CH_{3}COOH

= 2/3 Mol. CH_{3}COOC_{2}H_{5} + 2/3 Mol. H_{2}O.

In this reaction there is an alteration only in the absolute quantity

of the individual constituents but never in the relative amount. In the

living system we have a completely analogous instance, which apart from

its course differs from the inanimate example merely in the following

points: In the first place, certain quantities of substances reacting

on each other are continually introduced into and certain reaction

products continually removed from the living system. Secondly, the

reacting mixture of the living substance is not homogeneous, and at

the same time is more complicated than that of the inanimate example.

Thirdly, the sum total of the reaction is not reversible in its

entirety. The question arises, should any essential difference between

metabolic self-regulation and the maintenance of chemical equilibrium

be assumed upon this statement? I must confess that this does not

appear to me to be the case. The fact that organisms exist in a stream

of substances by which their nutrition is introduced and the metabolic

products removed, cannot have any influence on the state of equilibrium

so long as the conditions are again and again replaced in the same

manner. The equilibrium can only be influenced when the introduction

of foodstuffs or the output of metabolic products is changed in value.

Then they occur as the inanimate example, when various amounts of

material are brought together. A new equilibrium takes place, having

a higher or a lower mass level. This is also true in the living

substance, in growth and in atrophy. The equilibrium is disturbed as

happens in the inanimate reacting mixture, where different quantities

of reacting substances are brought together. In both instances we

have in principle a conformity of behavior of the inanimate and

the living system. Secondly, as far as the greater complexity and

inhomogeneity of the living reacting mixture is concerned, it is

self-evident that this likewise does not constitute an essential

difference, for we are acquainted with conditions of equilibrium in

chemical reactions possessing a number of members and in inhomogeneous

mixtures. Finally, the fact that the reaction in the living system

is not totally reversible, forms no barrier to the assumption in

principle of metabolic self-regulation as a chemical equilibrium. It

is quite possible to conceive of a chemical equilibrium in a reacting

mixture, of which only certain constituent processes are reversible,

without the totality of the reactions as a whole being necessarily so.

Let us assume, by way of example, that the assimilative processes of

the metabolic chain are reversible, then under constant quantitative

relations of foodstuffs, following every disintegration of assimilative

products with removal of the decomposition products, the same amount

of assimilatory processes is required for building up. And this is

just that which we observe in metabolic equilibrium. Accordingly,

we may look upon the metabolic equilibrium as a special, although a

very highly complicated, instance of chemical equilibrium, and we

may explain the metabolic self-regulation following a dissimilative

excitation of the same, by those principles on which the rebuilding of

chemical equilibrium is founded. It is true that the special details

of this process can be differentiated in only that degree in which it

is possible to penetrate at all into the details of metabolism of the

given cell form. In this, as is well known, the advance is extremely

slow.

The rebuilding process following decomposition of living substance

in response to an excitating stimulus consists not merely in

compensation for the decomposed atom groups but also in the removal

of disintegration products. This removal can be accomplished, in

so far as simple chemical substances such as carbon dioxide and

water are concerned, by diffusion. Observations have shown that the

semi-permeable protoplasm surface is pervious to water and carbon

dioxide. The latter can, therefore, depending upon the amount of

concentration, be eliminated from the living substance. Output of water

likewise takes place in so far as the specific water content of the

living substance is exceeded and which is osmotically regulated by its

amount of salt content. When, finally, osmotic pressure within the

living cell and in the surrounding medium is equal, the interchange

of water ceases. All these processes are explained by diffusion.

Self-regulation takes place in this regard simply by osmotic means.

The conditions in respect to those decomposition products consisting

in more complicated organic combinations, such as lactic acid, fatty

acids and nitrogen derivatives of protein disintegration, are somewhat

different in that the protoplasm surface possesses the property of

hindering the passage of these substances into the medium. These are,

as is well known, first transformed by secondary chemical processes

into transfusable substances. In this transference the oxydative

decomposition with the formation of simpler substances plays the most

important rôle, so that the substances thereby formed, namely, carbon

dioxide, water and ammonia, are osmotically eliminated as the result of

the selective permeability of the surface of the protoplasm. In this

way the living cell rids itself of the useless products of metabolism.

Finally, the question remains, is the original state, as it existed

before the influence of the stimulus, really completely recovered by

metabolic self-regulation, or does even individual excitation of brief

duration produce a continued change in the protoplasm? It is quite

impossible to prove that such an effect follows the momentarily acting

single stimulus, if stimulation has not exceeded the physiological

limits of intensity. Should it exist, it must be imperceptible.

Nevertheless, it ought to be possible by frequently repeated

application of the stimulus to increase this which is imperceptible to

an extent in which it is perceptible. This is, indeed, the case and

is manifested as we have already seen in the increase of the volume

of living substance by frequently recurring functional excitation. We

can, therefore, assume with great probability that even the momentarily

acting individual stimulus produces, although not perceptible _per se_,

lasting effect in the cell. The functional excitation must be followed

secondarily by an increase of the assimilative phase of the entire

cytoplastic metabolism. Otherwise the taking place of the increase

of volume of the living system following frequent excitation of the

functional constituent members of metabolism, is unintelligible.

But how are we to interpret these secondary results from a physical

standpoint? First of all, it must be stated that we do not know of

such hypertrophy following activity in unicellular organisms, but only

in the tissues and organs of multi-cellular forms, in muscles, nerve

cells, glands, etc. In the cell community of the vertebrates, however,

the studies on the relations between activity and the blood supply of

the particular tissue or organ furnish a physical interpretation for

the existence of the functional hypertrophy. The active portions show a

dilation of the blood vessels, therefore an increased supply of blood

and consequently an increase in the circulation of lymph. In other

words: the supply of nourishment to the individual cell and the removal

of the metabolic products in a unit of time is increased. The preceding

discussion of the dependence of the conditions of equilibrium upon the

quantitative relations of the reacting substances makes it clear that

under these conditions a metabolic equilibrium on a higher quantitative

level must occur; that is, the living substance must increase in amount

just as in the inanimate example the absolute amount of the æthylacetat

increases if more alcohol and acetic acid are introduced to an equal

degree. Some time ago[76] I expressed the opinion that the increase

of the blood supply in a functionally active organ must be based on a

physical self-regulation, which takes place as a result of the fact

that metabolic products of the tissue cells influence the cells of

the vessel walls in that part, so that the vessels dilate and more

lymph is formed. In the meantime this has been proved to be indeed

the case. _Schwarz und Lemberger_[77] and _Ishikawa_[78] have shown

that especially the weak acids, which are produced in larger amount

as a result of strong activity of the cells, bring about vessels’

dilation. By the demonstration of this highly important process

of self-regulation the last link has been added for the physical

understanding of the hypertrophy of activity of the tissue cells by

continued functional excitation. Whether or not the same applies to

the single living cell, if the unicellular organism likewise undergoes

a quantitative increase by a continuous functional excitation, and

if the single cell possesses in itself a corresponding mechanism of

self-regulation similar to the cell community in the vertebrates,

cannot be answered, for concerning all these problems information is

lacking for the present.

[76] _Max Verworn_: “Die cellularphysiologische Grundlage des

Gedächtnisses.” Zeitschr. f. allgem. Physiol. Bd. VI, 1907.

[77] _Schwarz und Lemberger_: “Über die Wirkung Kleinster Säuremengen

auf die Blutgefässe.” Pflügers Arch. Bd. 141, 1911.

[78] These investigations have not yet been published.

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