Why is the liver so weirdly regenerative?

(dynomight.substack.com)

109 points | by jbotz 4 hours ago

15 comments

  • cityofdelusion 31 minutes ago
    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.

    • WhiteOwlLion 9 minutes ago
      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.

  • joshmarinacci 12 minutes ago
    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.
  • epcoa 52 minutes ago
    "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.

    • joshmarinacci 16 minutes ago
      Adult onset Type 1 has become a lot more common in recent decades. Ask me how I know.
      • mschuster91 11 minutes ago
        Just like a ton of other autoimmune diseases.
  • vconnor 2 hours ago
    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.
    • bheadmaster 1 hour ago
      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.

      • bryanrasmussen 1 hour ago
        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.

        • bheadmaster 1 hour ago
          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.
          • bryanrasmussen 1 hour ago
            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...

          • rightnutwingjob 10 minutes ago
            And you know because you were there?
      • pazimzadeh 1 hour ago
        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.

      • mwigdahl 49 minutes ago
        I thought they chose it because it tastes great with some fava beans and a nice Chianti.
      • seizethecheese 1 hour ago
        Why would liver signal defiance?
        • Sleaker 1 hour ago
          It was the believed area of emotion, passion and 'soul'. I think western/modern religion has morphed from the liver to the heart essentially.
          • pinkmuffinere 1 hour ago
            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.
        • jephs 1 hour ago
          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.
        • bheadmaster 1 hour ago
          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.

          • seizethecheese 1 hour ago
            I don’t think it was phrased awkwardly, I was just curious.
        • Bluestein 1 hour ago
          Humors perhaps. Not my area, so I do not recall the correspondence ...
      • bell-cot 1 hour ago
        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.
  • schnuri 3 hours ago
    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.
    • onlypassingthru 22 minutes ago
      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.
    • dgunay 2 hours ago
      Well, we do at least have to eat enough food and sleep ~1/3rd of our lives. That's kinda maintenance
      • vconnor 1 hour ago
        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)
        • nerdralph 41 minutes ago
          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.

      • yhjc2692 1 hour ago
        quite the delightful maintenance too
      • micromacrofoot 2 hours ago
        that's absolutely maintenance, without it you have a total system failure in a week
    • ericmay 2 hours ago
      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.
    • RobotToaster 2 hours ago
      Humans don't last long without topping up their fluids and consumables.
    • markyc 2 hours ago
      no you don't
    • chistev 2 hours ago
      The human body can't survive 80 active years without maintainance. They take drugs, they see the doctor, etc.
      • CookieCrisp 2 hours ago
        What did people do 500 years ago?
        • EduardoBautista 2 hours ago
          Die as a child at alarming rates
          • lukan 2 hours ago
            But those who did not, got quite old without ever seeing a doctor.

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

            • steve_adams_86 1 hour ago
              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.
            • 1attice 1 hour ago
              Citation required
              • Fezzik 1 hour ago
                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.

                • 1attice 1 hour ago
                  Interesting. Yet as someone approaching the first of those two last numbers, I would say that that isn't very old at all
                  • Fezzik 1 hour ago
                    It’s also worth noting that, while this is (I think) likely the most cited paper on the topic, all the observed societies are from the 20th century. So we can’t necessarily extrapolate from that that hunter-gatherers 300,000 years ago fared the same.
                  • exe34 1 hour ago
                    Old people are at least 20-30 years older than I am.
  • amluto 3 hours ago
    The lack of heart cancer might be more complex than the OP imagines:

    https://www.science.org/content/blog-post/no-heart-cancer-th...

    • jaggederest 2 hours ago
      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.
  • warumdarum 1 hour ago
    Because alcoholism forces hunter gatherer cultures into settlements, which are the next stage of civilization and reward those doing that choice?
  • Noe2097 32 minutes ago
    > 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.

    • WhiteOwlLion 7 minutes ago
      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.
  • thisisauserid 1 hour ago
    Shouldn't the question be, "Why isn't everything else?"
  • agumonkey 2 hours ago
    Anybody on HN knows platforms to discuss this ?
    • gchamonlive 1 hour ago
      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.

      • agumonkey 58 minutes ago
        Hacker news is dedicated to 'tech' and I'm looking for advances in biology.
  • Aeolun 1 hour ago
    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.
    • nofunsir 15 minutes ago
      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.
    • nomel 1 hour ago
      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!
      • colechristensen 29 minutes ago
        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)

      • cratermoon 1 hour ago
        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
    • kypro 1 hour ago
      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.

      • colechristensen 23 minutes ago
        >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.

  • card_zero 3 hours ago
    > 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.

    • cortesoft 2 hours ago
      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
      • someonebaggy 2 hours ago
        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.

        • cwillu 2 hours ago
          Rocko can't have kids, because Rocko is just a stupid rock.
          • card_zero 1 hour ago
            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.)
        • dekhn 1 hour ago
          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.

          • card_zero 1 hour ago
            Seems like splitting a hair. In a world abundant with other amyloids, they'd self-replicate. Cells likewise need nutrients and a favorable environment.
            • dekhn 1 hour ago
              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.
      • CookieCrisp 2 hours ago
        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
      • card_zero 1 hour ago
        Oh, fair point, I did the pathetic fallacy (too). Beneficial thing, then.
  • bbor 3 hours ago

       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.
    • someonebaggy 2 hours ago
      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.

      • rzzzt 1 hour ago
        "While questions remain regarding the precise extent, rate, and functional relevance of adult neurogenesis in the human brain, as well as important methodological considerations, multiple independent approaches now converge in support of its persistence throughout adulthood."

        https://www.sciencedirect.com/science/article/pii/S193459092...

    • done_lurking 1 hour ago
      Why is it absurd to say that the human brain could be better? That seems obviously true to me.
    • dekhn 1 hour ago
      the claim isn't complete, either. Recent research has demonstrated adult neurogenesis (growth of new cells that originate from neural stem cells).
  • dekhn 3 hours ago
    [flagged]
    • dang 2 hours ago
      "Please don't post shallow dismissals, especially of other people's work. A good critical comment teaches us something."

      https://news.ycombinator.com/newsguidelines.html

    • rwmj 3 hours ago
      I can't judge if you are correct or not. It would be more convincing if you could name some of the problems. Since the article is "garbage", there should be lots of things wrong to choose from.
    • haskellandchill 3 hours ago
      I agree. Very shallow "sources" and no qualifications to be speaking on a medical topic. There is a role for pop science to disseminate knowledge but this is pure speculation.
      • dang 2 hours ago
        There's nothing wrong with speculation on HN. Speculation is intimate with curiosity, and curiosity, not correctness, is the guiding value of this site.

        It may seem odd to demote correctness in that way, but it doesn't mean we value incorrectness. Correctness is good, just not at the top of the hierarchy. Curiosity—specifically, intellectual curiosity—is what we're optimizing for (https://hn.algolia.com/?dateRange=all&page=0&prefix=true&sor...).

        We value the freedom to meander around topics in a curious way. Of course this means following paths that turn out to be wrong [1], but that is how new things are learned, and it's a good way to spend time. People are allowed to be wrong on HN [2]. It's part of figuring out what's true. Truth is crucial, but one ought not to squeeze the throat of speculation so tightly that wrong things aren't allowed to be said, or fun to be had.

        [1] not saying the OP is right or wrong - I have no idea about that - but the article looks like the fun kind of meandering speculation that has a good place here.

        [2] https://hn.algolia.com/?dateRange=all&page=0&prefix=false&qu...

        https://news.ycombinator.com/item?id=11655206

        • clove 24 minutes ago
          Based.
        • warumdarum 1 hour ago
          What is a new hypothesis other than a conspiracy of circumstances making better sense..