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Why is the liver so weirdly regenerative?

117 pointsby 4h agodynomight.substack.com
83 comments
3h agoHN ↗

I am in awe about how wonderfully engineered by evolution the body is. E.g., what we are able to do with it and how it heals itself when we have an injury. Sure, many people would not live long without external intervention, but many others would. I still want to see the robot that can survive 80 active years without maintenance.

2h agoHN ↗

The human body can't survive 80 active years without maintainance. They take drugs, they see the doctor, etc.

2h agoHN ↗

But those who did not, got quite old without ever seeing a doctor.

(If we are talking about hunter gatherers, not poor exploited peasants)

1h agoHN ↗

Gurven, Michael & Hillard Kaplan (2007). “Longevity Among Hunter-Gatherers: A Cross-Cultural Examination.” Population and Development Review, 33(2), 321–365

If you made it past age 5 as a hunter-gatherer you’d likely live to 50-60 years of age.

1h agoHN ↗

Humans have assisted each other medically, supported injured and disabled tribe members, and sought out medicinal herbs since long before history was written. I'm not sure how you'd delineate between modern health care and when humans never had some notion of health care and/or support when bodies enter failure modes. We don't survive well without a lot of assistance and care, and living long lives required plenty of bodily maintenance regardless of how fortunate and healthy we were.

13m agoHN ↗

I think, if you add clarity, such as how aspirin alone is a wonder, how iodine to clean wounds is a life saver, how soap is a miracle, and all the parasites we don't have, yet all this we take for granted.

We are certainly much healthier, with the little trinkets we keep in our houses.

2h agoHN ↗

Well, so much for that discussion.

2h agoHN ↗

Well, we do at least have to eat enough food and sleep ~1/3rd of our lives. That's kinda maintenance

2h agoHN ↗

that's absolutely maintenance, without it you have a total system failure in a week

1h agoHN ↗

Compared to most animals that spend their entire day foraging for food, it's not too bad. Adapting to eating dense and very nutritious animal flesh is a great time-saver, and as we didn't evolve long fangs, we had to learn to use tools instead, and the rest is history. (mixing cause and effect here for dramatic purposes)

1h agoHN ↗

I think learning to cook food was likely a greater benefit. It's like we externally expanded our means of digestion.

I watched a Ted talk where the speaker suggested our large brains with their high energy consumption would not have been possible were it not for cooking.

2h agoHN ↗

Humans don't last long without topping up their fluids and consumables.

2h agoHN ↗

When you watch those sci-fi shows and folks have nanobots implanted in them that heal wounds really fast or do other cool things I can't help but think in many ways we already have that technology we just need it to do more, faster as our brains and ability to create things have outpaced the rate of evolutionary change.

43m agoHN ↗

The human machine doesn't just survive without external intervention, it actually gets better at being a machine. Speed, endurance, power, coordination... all improve with usage.

7m agoHN ↗

until you get old and goes the opposite direction

2h agoHN ↗

Other animals do get heart cancer, which is fascinating. It's still very uncommon compared to other cancers, but not virtually absent as it is in people.

3h agoHN ↗

   I greatly resent having to be a biological organism and subject to all the poor engineering and design decisions that entails.

The first word of that sentence implies its absurdity quite beautifully. She resents, therefor she is.

And then this:

  Brains. After you reach adulthood, neurons don’t divide. If some of your neurons die—which happens every day—then they’re gone. If you get a brain injury, the other neurons will try to “learn around” the injury, but the neurons themselves are never replaced.

We need more neuroscience in schools! This summary is technically correct ofc, but to imply that the brain is missing some obviously-better option is absurd. We're meat that thinks, y'all; it's far from crap.

2h agoHN ↗

IIRC the slow loss of neurons is more than balanced by the additional fine-tuning - unless you get dementia, if course.

Loss of neurons isn't disastrous as long as it's not too many. Babies are born with several times more neurons than children have, and spend a few months letting all the useless ones die. Apparently it's better to start with a random tangle and prune it to shape (like cutting a box hedge) than to make a hedge grow in a box shape to begin with.

And IIRC brains can grow more neurons under some circumstances (certain drugs?) - they just normally don't.

2h agoHN ↗

Why is it absurd to say that the human brain could be better? That seems obviously true to me.

2h agoHN ↗

the claim isn't complete, either. Recent research has demonstrated adult neurogenesis (growth of new cells that originate from neural stem cells).

3h agoHN ↗

Evolution decided the good outweighed the bad, and I expect that evolution was right.

We can expect evolution to do the right thing for the genes. Not for us.

2h agoHN ↗

I get its just a framework to understand what is happening, but I always hate the phrasing of describing a 'decision' to a process like evolution. There are no decisions being made in the process, just a series of outcomes that lead in a direction

2h agoHN ↗

Indeed, I’ve heard so many people misunderstand it because of this type of wording. Like there is still some plan and series of steps we’re following - which really misses the whole point and why it’s worth knowing in the first place

2h agoHN ↗

Evolution is literally just the observation that there are lots of things that self-replicate.

That's it. That's the entire thing. Plus some nuance about things that self-replicate faster than other things...

It occurs at all levels. Amyloid protein in Alzheimer's patients is self-replicating. So are cells. So are individual parts of cells. Sometimes things replicate by being parts of a larger thing that replicates, sometimes they don't. It's all one big chaotic tangled mess with no particular purpose or design. Human cells evolve, so do humans, so do human societies. So do rocks.

2h agoHN ↗

Rocko can't have kids, because Rocko is just a stupid rock.

1h agoHN ↗

Possibly a reference to A.G. Cairns-Smith, who speculated about evolving clay crystals. (They can sit in a stream and accumulate minerals, and reproduce that way.)

1h agoHN ↗

No, evolution is not an observation that there are things that replicate. Darwin's view, which has survived mostly intact, is that there is replication with variation and that more fit individuals replicate at a higher rate ("survival of the fittest" isn't a correct description; plenty of less fit individuals do replicate, but they contribute very little to the population genetics in the long run)

And amyloid protein doesn't self-replicate. An instance of the misfolded form causes other folded proteins of the same type to transition to the misfolded form. It's a form of catalysis, not self-replication.

1h agoHN ↗

Seems like splitting a hair. In a world abundant with other amyloids, they'd self-replicate. Cells likewise need nutrients and a favorable environment.

1h agoHN ↗

In retrospect I conclude you're right (that it's splitting a hair). I went back and some literature does use the term self-replication although at least within my academic circles, we consider autocatalyzed template matching simpler than self-replication.

1h agoHN ↗

Oh, fair point, I did the pathetic fallacy (too). Beneficial thing, then.

2h agoHN ↗

The punishment for Prometheus stealing fire from the Gods and gifting it to humanity, was to be chained to a rock and having an eagle feed on his liver which would regrow the next day.

2h agoHN ↗

For what it's worth, Prometheus was a Titan, and Titan was immortal, so his liver regrowing the next day wasn't really that special. If eagle fed on his heart, or lungs, they would've regrown too.

The Greeks chose liver because it symbolized the defiance Prometheus had against gods.

1h agoHN ↗

Humors perhaps. Not my area, so I do not recall the correspondence ...

1h agoHN ↗

It was the believed area of emotion, passion and 'soul'. I think western/modern religion has morphed from the liver to the heart essentially.

1h agoHN ↗

This is still the normal in the middle east (and likely elsewhere)! In Turkey you call somebody dear to you "my liver" as a pet name.

1h agoHN ↗

There are a bunch of Japanese words (including a several loanwords from Chinese) that use the liver / gallbladder metaphorically for courage. Both derive from associations between the humours and personality / behavior. I have no idea, however, why both Eastern and Western naive psychology associate gall with, well, gall.

1h agoHN ↗

In Italian, to have 'liver' (fegato) means to be courageous.

1h agoHN ↗

I have no idea, however, why both Eastern and Western naive psychology associate gall with, well, gall.

Possibly because it's filled with strong acid.

1h agoHN ↗

I phrased it awkwardly. Simply put, in Ancient Greece, liver was something like heart in modern society. It was the seat of human emotions.

So by destroying Prometheus' liver, Zeus attempted to destroy his human emotions, including his pride and defiance against gods.

1h agoHN ↗

I don’t think it was phrased awkwardly, I was just curious.

1h agoHN ↗

I'm thinking the Greeks chose liver because it is the first thing that many predators will eat from a kill - large, more nutrient-dense than almost any other tissue, and relatively quick to access.

1h agoHN ↗

There's really no knowing why the Greeks chose liver, or some specific Greek chose liver.

It could have been because the liver was regenerative and they were using the titan with the regenerating liver as another reference to humanity, or it could have been as someone pointed out because predators like to eat the liver first, or it could have been that you can take damage to the liver and live for hours afterwards in agony whereas the same amount of damage to the heart or lungs is apt to cause death to come much quicker.

Perhaps there are undiscovered variants out there were the eagle or a serpent or some other animal attacks his genitals, or his eyes.

But at any rate the Eagle ate his liver, it means nothing in particular, and at the same time it means every particular interpretation we can place on it.

1h agoHN ↗

Whatever the actual reason for choosing the liver was, we can be certain it wasn't its regenerative property, since such proprerty was unknown to the Greeks at the time.

1h agoHN ↗

Probably not, I don't think I ever read Galen mentioning it, but then again people would get injured in the liver and recuperate better than other injuries I suppose, which makes me think it is surprising if he didn't.

Just went and checked, evidently he never said anything about it.

old American translation of Galen and Hippocrates for anyone interested, as it can be difficult to find otherwise

https://oll.libertyfund.org/titles/coxe-the-writings-of-hipp...

1h agoHN ↗

I don't know about the Greeks but I know a lot of ancient cultures thought the liver was the most important organ (probably because it's full of blood).

For example in Persian poetry the word liver is found pretty much everywhere you would expect to see the word heart.

"You are my liver" is a nice/romantic thing to say to this day.

5m agoHN ↗

i mean it's called the liver not the dier

1h agoHN ↗

I thought they chose it because it tastes great with some fava beans and a nice Chianti.

2h agoHN ↗

Anybody on HN knows platforms to discuss this ?

2h agoHN ↗

This is a platform and we are discussing this, which means such a platform isn't enough for what you need. Not judging, actually I've felt a degradation in engagement quality as of late, maybe it's personal bias, but the discussions seem more shallow or aggressive.

In any case, what would you expect from such a platform? That would help with recomendations.

1h agoHN ↗

Hacker news is dedicated to 'tech' and I'm looking for advances in biology.

16m agoHN ↗

I was in the same place you are now but looking for places to discuss philosophy and looking at the state of mainstream sites like Reddit I decided the open web isn't a place for such discussions because of the sheer volume of noise.

I think the best place to discuss most things nowadays is the real world, but it takes time to build connections in the real world. HN is still a place of real productive discussions but not without a lot of moderation and even so it's still barely functional.

2h agoHN ↗

I feel like this is obvious. Eventually dying of all the weird body failures doesn’t inhibit your ability to procreate, but if you cannot survive alcohol or other various poisons you’ll never make it to a fertile age.

1h agoHN ↗

Picking the wrong berry from a bush isn't so difficult. Ask me how I know. And, for my second encounter, don't think because you see an animal eating it, it's safe!

1h agoHN ↗

Did you know birds do not have receptors for capsaicin? They can eat any pepper and it doesn't affect them. So if you see a bird snacking on a pepper that's red or greenish-yellow, wrinkly, and has a pointy end, well ... watch out

50m agoHN ↗

And onions are mildly toxic to cats and dogs. There is a lot less shared responses as to what is toxic or edible across species.

Basically every flavor compound in an herb or spice we eat is a poison directed at insects, microbes, or other creatures. (much less every medicinal or psychoactive compound found in nature)

1h agoHN ↗

My guess is that this is half the story. It seems like there would be some advantage to some creatures of not aging, or having individuals who have significant longer life spans.

This is common in evolutionary algorithms anyway so it's notable we don't see it in nature, at least not in the form of extended lifespan perhaps measured by average lifetime heart beats. It's easy to imagine a world where nature might want to keep the alpha lion around longer than the others so it can have more offspring, for example.

45m agoHN ↗

It seems like there would be some advantage to some creatures of not aging, or having individuals who have significant longer life spans.

There is, if there were no advantage a whole lot more species would die immediately after reproduction like the octopus.

Many simpler organisms are vaguely immortal.

It's easy to imagine a world where nature might want to keep the alpha lion around longer than the others so it can have more offspring, for example.

The utility of genetic diversity puts a lot of pressure against this.

36m agoHN ↗

It's more than possible to make it to adulthood without ingesting a drop of alcohol, even if you're talking about fermented fruit. It's easy, in fact.

1h agoHN ↗

Because alcoholism forces hunter gatherer cultures into settlements, which are the next stage of civilization and reward those doing that choice?

1h agoHN ↗

Shouldn't the question be, "Why isn't everything else?"

1h agoHN ↗

"Some day, your immune system may decide to attack your pancreas."

Immune attack of the pancreas is usually a disease of youth. Type 2 diabetes which is overwhelmingly the diabetes associated with aging is not an autoimmune disease.

37m agoHN ↗

Adult onset Type 1 has become a lot more common in recent decades. Ask me how I know.

33m agoHN ↗

Just like a ton of other autoimmune diseases.

54m agoHN ↗

And even after taking [immunosuppressants], there’s a 30% chance the kidney will be rejected within 10 years. This is not helpful.

To the author: thank you, you made my day. It had been a very, very long time since I last read an article on the Internet that felt written by a human being - with humor, some poetry, and science.

28m agoHN ↗

Immunosuppressants like tacrolimus given at too high of a level for many years can wear down your kidneys faster requiring a transplant potentially after ten years.

53m agoHN ↗

The author suggests humans are overturned to repairing skin and blood, but I strongly disagree. People with problems with wound healing can face significant disability and mortality. Wound healing allows us to have surgery and close up with simple sutures. A lot of complications post-surgery in humans and other animals are specifically from impaired wound healing capability. It’s a good trade-off: nearly everyone will eventually get cut open by accident or on purpose. The skins ability to heal is so amazing that many types of wounds require nothing other than some cleaning, the body will fully clot, bridge, build, and scar back to most retained function. Wound healing allows us to heal large burns and even simply leave many wounds open to air.

Complications with healing are pretty brutal. Necrosis, amputation, infection are all common without the built-in cascade we have.

31m agoHN ↗

Your liver makes platelets so if your liver function is not optimal, wound healing is harder.

Some people also have rare diseases where they don’t have clotting factors so require a transfusion of clotting factors before surgery for optimal wound healing.

8m agoHN ↗

Your liver makes platelets

Megakaryocytes are primarily bone marrow cells.

34m agoHN ↗

Many if not most of these oddities about humans come down to either they don’t affect reproduction, or because humans are social animals. Menopause makes sense because a grandmother will have more successful descendants if she stops having babies and helps her daughters with the grandkids. I would guess the few other species that exhibit menopause are also social animals.