[HN Gopher] Cellular recovery after prolonged warm ischaemia of ...
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       Cellular recovery after prolonged warm ischaemia of the whole body
        
       Author : harel
       Score  : 88 points
       Date   : 2022-08-07 17:30 UTC (5 hours ago)
        
 (HTM) web link (www.nature.com)
 (TXT) w3m dump (www.nature.com)
        
       | Andy_G11 wrote:
       | I wonder if we could get AI to code biological outcomes using
       | biomolecular objects (as in object oriented programming), and
       | what level of computing technology / how comprehensive a database
       | of biochemical reactions would be needed to do this. Could this
       | be something that is achievable in 20 yrs, perhaps speeded up
       | with the aid of quantum computing?
        
         | junon wrote:
         | Disclaimer, not a biologist. Ex did a lot of work in this area
         | though.
         | 
         | If I understand your query (it's hard to parse), then no, AI is
         | nothing that would help. This is an insanely hard problem to
         | understand let alone solve. You're asking for a cartesian of
         | every possible interaction of every possible enzyme, protein,
         | molecule, etc. which, if it were possible to do with existing
         | tech, it would have been done already.
         | 
         | ML (AI) is, at least right now, fancy pattern matching. Nothing
         | more.
         | 
         | Further, Quantum computers can only run certain classes of
         | programs, at least for now. Also not an expert there but if
         | these two fields have been married in any way it's certainly
         | not been done with any amount of clarity.
         | 
         | Hopefully that's a somewhat sufficient, serious answer. The
         | question itself is very.... uh, r/futurism, if we're being
         | honest. You can't just throw AI and Quantum at hard problems
         | expecting them to just somehow solve them.
        
           | Andy_G11 wrote:
           | Thanks for your response. I did chemistry and physics and uni
           | (almost 30 years ago now) and I remember how complex some of
           | the computer modelling that was done at the time was (even
           | for very simple things - I think we looked at a model of what
           | happened when a proton and a hydrogen atom came into close
           | proximity).
           | 
           | Since then things have advanced hugely - both in biochem and
           | in computing - and I was curious to see what might have been
           | done. Also, hard science is fundamentally pattern
           | recognition, isn't it: it requires that given the same
           | inputs, the same output is consistently delivered.
        
           | jjcon wrote:
           | > ML (AI) is, at least right now, fancy pattern matching.
           | Nothing more.
           | 
           | I mean, every problem can be boiled down to some sort of
           | 'fancy pattern matching', the question is really how
           | fancy/sophisticated the solver and how large the problem
           | space the problem. I'm not sure why AI couldn't be helpful
           | here even if the convergence of the solver/problem space are
           | still many years off.
        
             | bawolff wrote:
             | That's basically equivalent to saying, by the church-
             | turring thesis computers can solve any solvable problem,
             | therefore it can probably solve the problem at hand.
             | 
             | Which is technically true, but as a pragmatic matter
             | doesn't really tell us much about if, when, or how the
             | problem will be solved.
        
         | [deleted]
        
         | dgowte wrote:
         | What is this nonsensical buzzword soup?
        
           | jjcon wrote:
           | Buzzword soup aside I think we all understand what they are
           | asking and it is an interesting question. Will we be able to
           | model (through any computation via any computing means)
           | biological processes at a deeper level to accurately
           | determine outcomes someday in the future?
        
             | bawolff wrote:
             | I mean, if you divorce it from the buzzwords like that, the
             | question becomes trivial:
             | 
             | * will we at some point in the future be able to model
             | biological processes on a computer better (even if only
             | slightly) than we currently can, at some point in the
             | future? Obviously yes
             | 
             | * will we fully solve biological systems so that we can
             | model them in their entirety with 100% accuracy? Not in
             | this lifetime and probably not in the next generation.
             | 
             | The question when phrased this way is basically asking
             | (depending on interpretation) either: will we make any
             | progress ever? or will we make all the progress?
        
           | Andy_G11 wrote:
           | What don't you understand?
        
             | messe wrote:
             | How each word in your paragraph connects to the next. Your
             | question is something that could be described as "not-even-
             | wrong"[1].
             | 
             | [1]: https://en.m.wikipedia.org/wiki/Not_even_wrong
        
               | Andy_G11 wrote:
               | Seems pretty straightforward to me: 1) programming
               | objects have properties and methods; 2) within cells it
               | is probably possible to have analagous entities (perhaps
               | various types such as molecules, organelles, etc) which
               | have defined properties and predictable behaviours; 3)
               | could we soon have a computer and a sufficiently
               | comprehensive database of these objects and their
               | behaviours for an AI to start correlating how they are
               | combined and how they would need to act to produce a
               | cellular effect (e.g. regenerate a damaged cell); 4)
               | could this be speeded up with the advent of quantum
               | computing?
        
               | thaumaturgy wrote:
               | No, because biology's developer didn't use OOP.
               | 
               | Less flippantly: biological processes don't behave
               | similarly to a big network of discrete objects with
               | specific traits (methods and properties in OOP parlance).
               | The domain of biology is composed of lots of molecules
               | that combine to form bigger molecules that in turn get
               | classified into hormones and proteins and amino acids and
               | other organic compounds, and these all interact in super
               | complex ways that are very difficult to model. For
               | example, protein folding is a big area of research that
               | is attempting to model the behaviors of just one set of
               | molecules [1], and it is proving to be a really difficult
               | problem to solve despite throwing enormous amounts of
               | computing power at it [2].
               | 
               | And, we don't even know what we don't know yet in broader
               | biological terms. It's not like we have a pretty good
               | model for biology at macroscopic scales and we're just
               | working out details -- this isn't civil engineering. The
               | details that we're still missing matter a lot in how
               | biological systems behave.
               | 
               | Quantum computing likewise is not a magic pill that will
               | suddenly make all of this easier. Quantum computing is
               | good at solving certain kinds of problems a little bit
               | faster, but expectations for quantum computing have so
               | far greatly outpaced its actual development.
               | 
               | As a side note, "systems thinking" in programmers often
               | leads down dark dead-end alleys full of misunderstandings
               | and wrong questions. Modern science is pretty darn
               | advanced, and today's PhD candidates are introduced to
               | programming as part of their education. It's usually safe
               | to assume that if an advancement in a given field were
               | possible through rudimentary programming, then someone
               | would be working on it; programmers who are curious about
               | specific fields should first start at the basics in those
               | fields and put the time in to become familiar with them.
               | That process will eventually lead to the right questions
               | to ask in those fields.
               | 
               | [1]: "What is protein folding? A brief explanation",
               | https://news.ycombinator.com/item?id=25261591
               | 
               | [2]: "Protein folding: Much more intricate than we
               | though", https://news.ycombinator.com/item?id=25284998
        
               | PaulDavisThe1st wrote:
               | Alas, your reference [2] predates AlphaFold. The protein
               | folding problem is now substantively solved, though there
               | is much left to be determined.
        
               | Andy_G11 wrote:
               | Thanks for your response - I was curious if AI and tech
               | might be able to bridge from a suitably detailed
               | statistical picture to (at least some) cases of
               | underlying deterministic behaviour, perhaps in a way (or
               | ways) that might surprise us.
        
               | thaumaturgy wrote:
               | That's pretty much what AlphaFold has been doing for
               | protein folding. It has been more successful than any
               | other approach so far, but it hasn't yet "solved" protein
               | folding, despite what some marketing materials and naive
               | reporting has suggested. Last I heard, it was around 60%
               | accurate when compared to experiments.
               | 
               | It does now seem like protein folding is within reach of
               | being solvable, and that will be really cool and likely
               | help advance our understanding of this part of biology,
               | and possibly develop some new treatments for some
               | diseases.
               | 
               | There will still be many more biological processes left
               | to solve, however.
        
         | narrator wrote:
         | Biology is not a serial process though. Everything is
         | interacting with everything all at once. Some of those
         | processes take exponential time complexity to simulate in
         | computers, though deep learning is getting us better
         | approximations of those processes in a shorter amount of time.
         | The point being, biological systems don't have the certainty
         | and exactness to program them like a computer. Everything does
         | works out roughly at the macro scale.
        
       | wyldfire wrote:
       | Ok now we have to amend it: "You're not dead until you're warm [,
       | not treated with OrganEx] and dead."
        
       | thriftwy wrote:
       | I imagine how this is important for clinical immortality / human
       | hibernation which would eventually revolutionize life as we know
       | it.
        
       | Pixelbrick wrote:
       | Well this is a pretty big deal if it works. Ischemic injury being
       | the thing that actually kills alot of trauma patients.
        
         | nikkwong wrote:
         | More than just that; ischemic injury is one of the largest
         | contributors to developing chronic kidney disease as well as
         | the general decline of kidney function over time. So this would
         | be relevant for the general populace as well.
        
           | ThePhantom wrote:
           | Ischemia results in significant pathology to all organ
           | systems. A few examples: ischemic infarction of brain tissue
           | is what causes stroke. Ischemia caused by blockage of
           | coronary arteries is what causes myocardial infarction (heart
           | attacks). This type of cellular injury is omnipresent with
           | many different pathways leading to it.
        
       | towaway15463 wrote:
       | Very curious about how much equipment and expertise is necessary
       | for this. If it could be deployed in an ambulance it would be a
       | game changer. Having a pause button on treatment after the heat
       | has stopped would buy precious time for transportation or for the
       | necessary personnel to get there.
        
       | eminence32 wrote:
       | I read the abstract, and I understood only about 2% of it...
        
         | dgowte wrote:
         | Basically, they embalmed a pig.
         | 
         | But in a way that is potentially reversible because there was
         | minimal damage caused by a lack of oxygen.
        
       | frellus wrote:
       | This reminds me of a line from the TV show "Fringe" Pilot
       | episode, which freaks me out to this day:
       | 
       | "How long has he been dead?"
       | 
       | "About five hours."
       | 
       | "...Question him."
        
         | [deleted]
        
       | Simon_O_Rourke wrote:
       | This reads like the plot to Flatliners.
        
       | ape4 wrote:
       | OrganEx and BrainEx sound like something right out of a sci-fi
        
         | [deleted]
        
         | hh3k0 wrote:
         | FedEx is taking service diversification quite seriously.
        
           | EarlKing wrote:
           | BrainEx: When it absolutely, positively has to be
           | BRAAAAAAAAAAAAAAAAAAAAINS
        
           | VectorLock wrote:
           | Given their inability to deliver packages the first try, I'm
           | not sure I'd trust them with transporting vital organs.
        
       | ptsneves wrote:
       | In the short story series "the egg" by Andy Weir there is a
       | similar breakthrough that leads to a zombie apocalypse:)
        
         | dennyabraham wrote:
         | I believe you're thinking of "Antihypoxiant," a very different
         | story by the same author
        
         | tangjurine wrote:
         | http://www.galactanet.com/oneoff/antihypoxiant.html
        
           | sbierwagen wrote:
           | For the purposes of the story it's a "vaccination against
           | death", keeping an unconscious person in cardiac arrest
           | alive. But why are they unconscious in the first place?
           | Because the brain ran out of oxygen! If it worked, you would
           | be awake and mobile through asystole. Cardiac arrest would be
           | a medical emergency-- solved by the patient getting in a car
           | and driving to the ER. (Maybe not a good idea, though: the
           | big locomotor muscles would run out of oxygen first, so you'd
           | probably lose the ability to steer or press the brake pedal
           | halfway there...)
           | 
           | Even more boring of a nitpick: if the molecule provided
           | oxygen without binding to the resulting CO2, then loss of
           | blood flow would result in rapid carbolic acid buildup and
           | ischemic injury from pH imbalance. You'd die from metabolic
           | acidosis before you would die from lack of oxygen. The
           | "respirocyte" artificial blood cell concept from 1998 had two
           | internal tanks for that purpose, one metering out O2 and one
           | collecting CO2: https://www.tandfonline.com/doi/pdf/10.3109/1
           | 073119980911768...
        
             | R0b0t1 wrote:
             | Even more boring of a nitpick: There's no good reason to
             | assume there's extra space in cells. Where does this stuff
             | go in the quantities suggested?
             | 
             | As well, could you simply not notice a malfunction and keep
             | going until you ran out of stored oxygen?
        
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