More Evidence that the Moon Came from the Earth

Will et al. Indigenous noble gases in the Moon’s interior. Science Advances, Aug 2022.

Humankind has always been fascinated with the Moon and studying it for nearly five centuries since Galileo. A recent discovery now adds new evidence to the currently favored “Giant Impact” theory which hypothesizes that the Moon was formed by a massive collision between Earth and another Mars-sized celestial body around 4.5 billion years ago. A group of researchers examined six samples of lunar meteorites collected in Antarctica using an exceptionally sensitive mass spectrometer and found that the meteorites contained noble gases like Neon and Helium, consistent with those found in the Earth’s mantle. Researchers proposed two possible scenarios for how the noble gases became trapped in the Moon’s interior. In the first scenario, impactors got mixed with the lunar mantle during cooling of the magma oceans to solidify over few million years of the Moon’s formation. In the second scenario, the Moon has been formed from a debris field surrounding the Earth where noble gases were directly mixed into the Moon’s interior mass. Discovery of noble gases on the moon may also inform us about its water content, too. If these gases are still there, then water could also been present in the Moon’s interior. Such water resources could be an invaluable resource for future human missions. More broadly, this study suggests that a wide variety of life-forming material can survive giant impacts early in a planet’s life. We now could make more reliable models of how planets and solar systems form and even how life is originated on the Earth.

Restoring cell functions after death?

Andrijevic et al. Cellular recovery after prolonged warm ischaemia of the whole body. Nature, August 2022.

Organ transplantation is an extremely complicated medical process. There is a massive shortage of donor organs. Waiting lists are long. Even if a patient is lucky to match with a donor organ, getting that organ before it dies through cell damage has been a big challenge. A new technology may offer a solution to extend the time that donor organs survive. A group of researchers has recently developed a technology called OrganEx, which can restore cellular activity even after death. Very shortly after the death of an organism, all cells start to die and organs begin to fail. The researchers worked with one hundred pigs to see whether cellular structures could be saved, or cell damage could be reversed, when OrganEx is applied after death. OrganEx has two major components. First is a device that simulates the heart and lung function by pushing a mix of blood and a drug cocktail to the organs. Second is the drug cocktail made of 13 chemical compounds. One hour after death, the pigs were hooked up to the OrganEx machine which pumped the cocktail to the animal’s organs for six hours. The results were striking; OrganEx could restore critical cell functions after death. While this is a huge step for organ preservation, researchers still have to make more tweaks for the technology to be used in humans. Once fully developed, OrganEx is expected to keep organs outside the body for long-term or transported longer distances.

Sweat-powered wearable electronic devices

Liu et al. Microbial biofilms for electricity generation from water evaporation and power to wearables. Nature Communications, July 2022.

Researchers have developed a biofilm that sticks to the skin like a Band-Aid to harness sweat for electricity that could power wearable devices. The biofilm is made using a type of bacteria called “geobacter sulfurreducens” known for its ability to produce electricity. In this biofilm design, bacteria convert energy from evaporation into electricity by using the moisture on a person’s skin. Most strikingly, researchers found that the biofilm bacteria do not need to be fed because they are dead! They do not need to be alive to produce electricity. The biofilm consists of thin sheets of bacteria colonies (thickness less than 0.1 millimeter) that is sandwiched between two mesh electrodes and sealed with a soft, sticky biopolymer to enable it to grip to the skin. Sticking this biofilm on your skin is like plugging in a battery. This technology has potential to revolutionize wearable electronics by solving the major problem of power supply. Moreover, this is a real green energy-driven device made naturally by the microbes and devoid of any unsustainably produced materials and toxic waste byproducts. The current version of the biofilm can produce enough energy to power small devices such as medical sensors or personal electronics, but the researchers hope to explore larger films that can power even more sophisticated devices.

Cancer is a prevalent disease among humans and animals, affecting millions of lives across the globe. It can be caused in a variety of ways and can affect virtually every part of our bodies, ranging from skin cancer caused by prolonged exposure to the sun’s harmful UV rays to lung cancer that results from carcinogenic substances smokers inhale. However, plants do not die of cancer despite sometimes being exposed to the sun for over a thousand years – and they do not use any sunscreens!

Humans and animals who live to a certain age are very likely to get cancer one day. We see this situation mostly in our pets which have been specially bred and protected from predators and diseases. Cancer has become part of our lives and remains a top world health priority. The probability of prostate cancer is roughly 80% in 80-year-olds, 90% in 90-year-olds, and 100% in 100-year-olds. However, these statistics yet again do not apply to trees.

What is cancer?

Cancer is a disease caused by the uncontrolled growth of cells that have become abnormal in a part of the body. These abnormal cells are not foreign invaders that have entered our bodies from outside but are instead our own cells. However, in time, various factors such as radiation, viruses, and chemical substances that they are exposed to cause the accumulation of errors, or mutations, in the genetic codes of cells. Some of them then acquire very different characteristics and become alien to their own body.

With old age, errors arise in the genetic code in an increased rate when our cells divide by copying their own DNA. External factors, such as “free radicals” and various radiations that affect our DNA, play a role in these errors. For young people, when there are too many errors in a cell’s genome, a process called “apoptosis” takes place after which faulty cells die before they can multiply in a potentially cancerous manner and forming a tumor. However, sometimes these accumulated errors cause the cell’s growth process to become stuck in the “on” position, and the cell begins to grow and divide continuously. Cells that emerge with out-of-control divisions ignore the commands coming from the healthy cells of the body, continue to grow and reproduce according to the erroneous commands from the cell’s disrupted genome. This situation lasts until death.

What is a tumor?

Cell growths that result from defective genome proliferation will eventually form a mass called a tumor. Some cells grow very slowly and stop at a certain size after a while and do not spread anymore and are called benign tumors. Masses formed by fast-growing, defective (cancerous) cells are known as malignant tumors. Cells that detach from malignant tumors and grow rapidly can attach to another organ where they will begin to grow again when they enter the bloodstream. The process by which cancerous cells start from a tumor and spread all over the body to different organs is known as metastasis.

Why does this process not happen in plants?

One of the most destructive features of cancer when it enters metastasis is the mobility of malignant cells to varying degrees according to their type. Blood vessels, i.e. the transportation pathways of the circulatory system, act like a highway for cancer cells. As the blood vessels surround the entire body, a single cancerous cell can travel to and settle almost anywhere in the body, from the toes to the head.

Plant cells have a vital feature that is different from human and animal cells. In plants, cells do not change their locations because their cells are surrounded by a very rigid, strong, and impenetrable wall outside of normal plasma membranes. Cell walls are made of cellulose, which constitutes the main substance of plants, and form the wooden structures that ensure the plants stand upright and harden while at the same time locking each cell in place and preventing it from migrating within the organism.

Another important difference that is unique to plants is that they do not have blood circulation in which cells are carried; they have a circulatory system in which only water and food are carried. This system is often used to pump water from the roots to the leaves and to transport organic products such as sugar, which is a product of photosynthesis, from the leaves down. Therefore, there are no blood cells or immune system cells in these carrier channels, which are known as wood and roe tubes (xylem and phloem), in plants.

In addition, animal cells are specifically employed in tissues and organs such as muscle, bone, liver, and skin during embryonic development. Thus, when they divide only new cells of the same type are created. Tumors that occur in animal tissues can metastasize into different tissues and disrupt different organs. We can think of animal and human biology as a very complex system in which each cell, tissue, and organ has a task and purpose. In such a system, all elements work in cooperation for the continuation of life. This system is of a kind of irreducible complexity. A human being cannot live without organs like brain, heart, or lungs, while plants, on the other hand, have fewer simpler internal structures which are not as vital. When plant cells divide, they retain their ability to form new cells of any type. This is called totipotency.

In plants, every necessary structure can be recreated from the few tissues they have. For this reason, a gardener can grow new plants from the roots, branches, or leaf parts of a plant.

Plants are equipped with very powerful antioxidants to protect them from the sun’s harmful rays and mutations that may be caused by radiation. Therefore, tumors can develop only due to bacteria, viruses, fungi, parasites, and insects. For example, in a situation that we can call “information confusion” that occurs when Agrobacterium Tumefaciens bacteria insert some of its DNA into the plant’s DNA, an anomaly occurs in the plant’s genome. Cells that go through a rapid growth process and form tumors are not normally classified as cancer, since they simply remain in that area and cannot be transported elsewhere. Since the tumors cannot spread to the whole plant, they may cause only minor distress at most in a specific area rather than a fatal disease such as cancer. Just as the plant continues to grow around a rock that it encounters, it grows around the tumor as well. The tumor can continue to grow for years, but does not spread to the rest of the plant, meaning there is no metastasis.

In summary, plants can also be cancerous, but a cancerous tumor is not a deadly threat to a plant, as its cells are immobile and do not have vital and complex organs like humans and animals. Thanks to the cellulose walls gifted to the them, plants continue their role in the ecosystem by continuing to grow with healthy cells around the tumor as if nothing had happened.

References

• Luis Villazon. “Can a plant die of cancer?” www.sciencefocus.com/nature/can-a-plant-die-of-cancer
• Sam Westreich. “Do Plants Get Cancer?” medium.com/@westwise/do-plants-get-cancer-60eb435c6d1a
• Stuart Thompson. “Plants couldn’t run away from Chernobyl—but that’s what saved them. Why plants don’t get cancer.” www.popsci.com/chernobyl-plants-radiation-cancer

Robots continue to advance and develop every year, and these consistent improvements continue to amaze us with how much they physically resemble humans. Even though these robots lack spiritual qualities and function way below the human brain, we still admire these developments, for they lead to even more discoveries and help us understand the miraculous human body even more.

Notwithstanding our medical knowledge that continues to build upon nearly 3,000 years of shared human experience and research, new discoveries about the human body, the magnificent work of God Almighty, continue to increase our admiration.

The discovery of the “Interstitium” and the “Subcapsular Proliferative Foci” in 2018 allow us to develop an even greater appreciation for the complexity of our bodies. They are called the “macro organ” and “micro organ” according to the amount of space that they occupy in our bodies, along with the nicknames “buffer organ” and “control center organ” according to their function. These newly discovered biological structures did not attract much attention earlier because, in accordance with our current understanding, organs are more easily visible structures such as the hands, arms, eyes, nose, kidneys, and lungs that have a certain shape and a set of clearly-defined functions. It is interesting that although these complex structures are so widespread in our bodies, they were not known until recently; they are now considered as organs [1].

The Macro Organ: Interstitium

According to an article published in Scientific Reports on March 27, 2018, the “interstitium” was discovered rather serendipitously by David Corr-Loce and Petros Benias of Mount Sinai Beth Medical Center along with Neil Theise, a pathologist from New York University. The discovery came when these physicians were analyzing a cancer patient’s bile duct. Although they had been conducting the same routine over the years, it was the first time they had the sight of slots between examined tissues. They realized that the interstitium was unnoticed earlier due to the disappearance of interstitial fluid after they had examined the tissue with their usual histological methods. Subsequently, the researchers found that this structure was found not only in the bile duct but also in many other organs.

Specifically located under our skin, these micro-compartments were also found in almost all organ membranes except the intestines, lungs, veins, and muscles in order to form a network around the organs with malleable but sturdy proteins. The interstitium, the entirety of the intercellular spaces filled with liquid, has been defined as the largest organ in the body. Actually, examining cells and tissues has been the subject of histology and cytology science for the last 150 years, and the fluid that fills the tissues and forms a basis for supporting these cells was not new to the medical world. However, its definition as a new organ was a first.

The researchers froze the biopsy tissues obtained from the bile ducts of 12 patients in order to preserve and examine the anatomy of the discovered structure. One of the reasons that this organ exists is because it protects the surrounding organs by acting as a shock-absorber and has an effect similar to that of a car’s bumper. Damage to tissues and internal organs remains minimal when one falls, hits something or is impacted Using a micro-endoscopic camera, the volume of this whole organ was revealed to be about ten liters in an adult human [2].

It was later discovered that the interstitium is also present in the structure of lymph nodes, the most important part of the body’s immune system, and that cancer cells enter the lymphatic system through the interstitium. In this case, the interstitium play a significant role as a passageway, or conduction interface, for spreading cancer cells across the body. In an analogy, this organ is akin to the water in which fish swim, the air that surrounds us, and the soil that borders the roots of trees. In this liquid that rotates the cells and spans on the base where they are positioned, any exchange of substances of body biochemistry is regulated within the required amount and size to provide a good setting to the cells, and the hard mechanical effects that may impact the cells are alleviated and absorbed by this liquid pad.

Each discovery of the interstitium’s features, including its significant contributions in the fight against cancer, reveals more and more about how this great organ aids in intercellular communication.

The Micro Organ: Subcapsular Proliferative Foci

One of the most important features of the immune system is that it has its own “memory.” The cells of the immune system can remember the infections a person has contracted before, and can fight infections before they spread. How quickly the immune system reacts based on memory may vary, for instance depending on the type of infection, but is usually quite rapid. Considering how many bacteria multiply in a matter of seconds, a quick response must be launched to prevent infections from spreading across the body.

Professor Tri Phan of the Garvan Medical Research Institute led the team of researchers that discovered the subcapsular proliferative foci (SPF), a “micro-organ” that appeared in the lymph nodes during an infection. Lymph nodes and lymphoid organs such as tonsils, thymus, and spleen are surrounded by a protective capsule made of connective tissue. This capsule was considered to serve the purpose of a mechanical support only to enclose and protect the lymph nodes. However, recent research has shown that in some areas under this capsule, cells that had been alerted to previous encounters with harmful invasive organisms are gathered. These main subcapsular cells are memory B cells that carry information on how to counter the invasive organisms. Memory B cells also proliferate into plasma cells, which are highly important for producing antibodies. Therefore, when an infection reoccurs in our body the subcapsular proliferative foci act quickly to form the first defensive front to prevent the possible spread of infection.

The purpose of vaccines is to activate the attenuated form of a harmful organism to be stored in the body’s memory as an immune response. If the body comes back into contact with similar bacteria in the future, the immune system will remember how to fight it. The discovery of the sub-capsule foci also revealed that these centers are the home for the memory B cells. If they can unveil the development and training processes of the memory B cells in these slots, scientists can produce vaccines that enhance the memory of the immune system even more quickly and efficiently.

The reason why these structures have not been noticed earlier is due to their emaciation, brief emergence, and disappearance. The sub-capsule proliferation centers presented in the article “Memory B Cells Are Reactivated in Subcapsular Proliferative Foci of Lymph Nodes” published in Nature Communications on August 22, 2018 are defined by some authoritative scientists as the “micro-organ.” According to the findings about this new organ, if our infection-fighting immune system would have activated longer than it currently does, we would easily die. Every minute is very crucial in this struggle. These excellent centers that produce memory cells under the lymph node [3] capsules fight bacteria which can replicate in multitudes every 20–30 minutes during an infection.

Although the world of science has been working with the microscope for about 400 years, these centers that have been embedded in our body since its creation could only be noticed today when the microscope design has reached its technological peak.

There are trillions of bacteria living in the intestinal cavity, skin, and orifices of our body. Some of these are already protective and beneficial, yet others are pathogenic. But they do not make us sick because of B cell production centers. When our immune system is weakened for any reason (such as stress, insomnia, or malnutrition) these bacteria can cause illnesses and meet little resistance. These sub-capsular micro-organisms surrounding the lymph nodes were placed in the most strategic places across the human body to fight infections in the fastest way, while the lymph nodes were placed at locations that are most vulnerable to microbial attack.

Consequently, these discoveries increase our admiration for the palace and magnificent realm called our body. It is likely in the light of this information that the anatomy and histology books may be rewritten and the definitions of organs and tissues may be redefined.

References

• Claire Maldarelli, “Scientists found a new organ, but it might not be what you’re expecting,” Popular Science, 3 April 2018.
• iflscience.com/health-and-medicine/newly-discovered-microorgan-helps-explain-how-vaccine.
• nature.com/articles/s41598-018-23062-6

Embryonic stem cells are cells in the early stages of embryonic development when a fertilized egg cell is divided first into two cells and then into four, eight, and sixteen. Each grows into a brand new cell type and multiplies as per the codes present in its DNA program as tissues form and organization starts. 

After twenty years of research and accompanying debates on the human embryo, we are finally on the threshold of both reshaping our present concepts in biology and moving on to clinical case studies. The first human embryonic stem cells were produced in 1998. Studies researching the question, “Can we treat diabetes by reprogramming the DNA in these cells at the beginning of life?” switched first to how human genes worked and which genes are responsible for the development of particular tissues and then to the embryonic stem cells for these areas and ultimately to replacing or reprogramming a “faulty or deficient” gene.

The most controversial topics in genetics and embryonic studies are related to bioethics. Many scientists are grappling with questions like whether is it ethically correct to intervene with the genetic programming of a fertilized human egg (zygote)? If so, what should be the limits? Are we trespassing a divine domain?

Embryonic stem cells have been an excellent source of information that we lacked throughout history about how living organisms started to develop. Like astronomers who trace their knowledge to the Big Bang in order to obtain fundamental information about the origin of the universe, biologists have been researching how the molecules in a single cell went through sequential and planned changes, how they transformed and acquired new functions that triggered the mind-blowing developments in diverse, miraculous living organisms. Scientists have found out how primordial embryonic cells transformed into more than 200 cell types that constitute various tissues and organs. The number of studies has skyrocketed about which molecule types can be used to regenerate the damaged tissue, say, after a traffic accident. Embryonic studies that focus on the regeneration or reparation of medulla cells (spinal cord) have been a source of hope for some patients with permanent paralysis because of a broken back injury or severed spine in a traffic accident or those who are still stranded in wheelchairs. Similarly, the preliminary findings of research into Parkinson’s and diabetes are extremely promising, and a new study reports of two blind people with macular degeneration (which causes blindness) who have been treated.

Initial studies

In 1981 researchers successfully obtained stem cells from a rat embryo culture. They soon realized that the cells held a secret potential: they could grow into 200 different types of cells. Later Wisconsin-Madison University biologist James Thomson derived stem cells from primates for the first time. Three years afterwards, Thomson derived the first human embryonic stem cells from donated but unused embryos.

The increasing number of research studies into embryonic stem cells sparked off intense debate both in religious circles and among the science community that care passionately about the sanctity of humans. Allegedly, lab studies were conducted on human embryos without restrictions, which were grown until tissues and organs formed but were then killed. In 2001, the US president George W. Bush slashed federal funds, stating that stem cell research was not strictly ethical. Deriving embryonic cells was banned in many countries including Germany and Italy. In other countries, however, studies went full speed ahead. Indeed, reports flooded in about stem cells grown by researchers in Australia, Singapore, Israel, Canada and the USA into nerve cells, immune system cells, and heart cells.

Before long, a new idea emerged about transferring new cells into the egg cell – like nuclei of body cells used in cloning Dolly the sheep – to produce various tailor-made, fully DNA-compatible tissues and organs, as they had the same genome as the donor’s. It became a topic of everyday conversations that spare organs could be cultivated for the human body just like spare parts of cars or other machinery were produced to replace a faulty or damaged part. In fact, if it were not for claims such as “creating a new human” there would be no objections against producing a kidney, lung, or heart from the DNA of a patient and thus overcome the major problem of tissue rejection in transplantation of organs.

If faulty or defective genes could be removed and replaced by healthy genes in the DNA of stem cells, many incurable genetic diseases could easily be fixed and many prospective parents who avoid having a child because of a defective gene they carry would welcome the development enthusiastically.

We are on the threshold of reshaping our present concepts in biology and moving on to clinical case studies. Embryonic studies have been a source of hope for even patients with diseases like paralysis and blindness.

Just in time and in the right amount

Embryonic stem cells are cells in the early stages of embryonic development when a fertilized egg cell is divided first into two cells and then into four, eight, and sixteen. Each grows into a brand new cell type and multiplies as per the codes present in its DNA program as tissues form and organization starts. It is most mysterious and miraculous that the molecules that lead a stem cell to transform into a new type of cell are synthesized at exactly the right moment and in the precise amount.  Scientists are currently trying to figure out which molecule leads a cell to become a nerve, muscle, or bone cell when attached to it. They are likely to decode the molecules by monitoring the tissues that remain undeveloped because of missing genes resulting from DNA mutations observed in certain genetic diseases.

The new field that has developed in the last two decades called regenerative medicine is predicated on tapping into the potential of stem cells by repairing missing or faulty tissues, or completing a link in the chain necessary for the functioning of a dysfunctional metabolic process. In 2006, stem cell biologist Shinya Yamanaka of Kyoto University in Japan successfully transformed adult rat cells into an embryonic state. The following year, human body cells were transformed into embryonic stem cells. The ensuing research has led to the acknowledgement that it was theoretically possible to transform stem cells into any cell type, a promising cure for diseased embryos that have genetically missing parts.

The major problem, however, is keeping these delicate cells alive in a culture medium. In 2007, Yoshiki Sasai discovered a molecule called rock inhibitor that nourished the cell colonies he grew. The success rate in generating new cell colonies rose to 27%. Parmar from Swedish Lund University heralded “a new golden era” by producing new neurons from embryonic stem cells for the treatment of Parkinson’s.

As new techniques were developed for producing cells fast and reliably, these cells turned out to involve a very low risk of developing cancer. “We don’t yet know how this hidden power and balance that can be transformed into any cell type is controlled,” states Hiromitsu Nakauchi, a stem cell biologist at Tokyo University who researches making blood platelets out of stem cells derived from the embryo or somatic cells.

Experiments are underway that aim to treat disorders by activating stem cells stored in the body that have not yet differentiated through the help of proper stimulating molecules. 

Miraculous differentiation

As the techniques for producing and feeding stem cells got easier, researchers aimed at growing and forming tissues and organs. A connective tissue or an outer covering like the skin that lacks a shape but takes the shape of the underlying muscles and bones can be produced even in a Petri dish and then transplanted to a burned or missing area of the skin. The present aim is the production of organs such as the kidney or the heart that has a particular shape and is made up of a number of different tissues. If the correct signal molecules responsible for cell division and differentiation can be identified and readily used where necessary and at the right amount, then organs including any type of tissue can be produced. Researchers like James Wells at Cincinnati Children’s Hospital in Ohio have tested the damage of drugs on intestines by using the partial intestines they developed from stem cells rather than administer them to normal humans, thereby hailing the imminent age of intestine transplants.

In 2004, the doctors who did tube baby experiments for a patient in Chicago known to have a genetic disorder started to produce a series of stem cells from generated embryos. They made models at the cellular level of the emergence of such genetic disorders as thalassemia, Huntington’s disease, Marfan syndrome, and muscle dystrophy. In 2007, they used embryonic stem cells to suppress molecular changes that trigger mental disorders caused by a genetic disorder called fragile X syndrome.

Research shows that multipotent (mesenchymal) cells stimulated at the outset of tissues are even more promising than embryonic cells with respect to diseases because it is easier to repair damaged or missing tissue by guiding them. However, it is essential in a genetic disorder that cells derived at the beginning of the embryonic stage should be used in order to replace faulty genes with healthy ones and address the disorder at its outset.

Experiments are underway that aim to treat disorders by activating stem cells stored in the body that have not yet differentiated through the help of proper stimulating molecules. In this way, as many as ten illnesses are likely to be treated, some of which include diabetes, macular degeneration in the eye, and neurodegenerative diseases such as Parkinson’s.

Douglas Melton from Harvard Stem Cell Institute in Cambridge has worked for fifteen years to transform embryonic stem cells into insulin-producing β-cells. He has produced pancreatic cells that sense glucose and produce insulin and he hopes to transplant them to end the dependence of patients of diabetes type-1 on insulin shots. The last obstacle remains to be the introduction of these cells to the system so that they are not destroyed by the patient’s immune system.

Clinically, it is believed that stimulated multipotent cells have a greater advantage than embryonic cells because the produced cells and tissues have the same DNA as the patient and thus do not cause any immune reaction when they are transplanted. The problem for many genetic disorders including type-1 diabetes is that the patient has the same mutation in his or her genes, and a method should be devised for cleaning and replacing these cells.

Another problem is the cost. It is reported that preparation of a series of multipotent cells will cost about one million dollars. However, the cost is expected to decrease and cells will be developed for the treatment of Parkinson’s disease, which is caused by a loss of neurotransmitter substance, which enable communication between nerves, and dopamine.

Treatment of macular degeneration is a popular target in this field. Patients gained the ability to read, though slowly, one year after the transplantation of part of stimulated multipotent cells to a damaged retina.

Such research studies normally cause some opposition. Playing with genes and embryos involve certain ethical and health risks. Yet, as reported in a Prophetic tradition, with all our God-given abilities like intelligence, curiosity, and willpower, humans can, and hopefully will, find cures for all diseases. Research into stem cells has the potential to provide many breakthroughs in these efforts to find healing for every human. Scientists and ethicists have to work together to determine our direction not to cause any unintended harm to any single soul while moving forward with this research.

One of the processes that occurs in the body is called “inflammation.” Inflammation occurs when a cut into the skin also punctures a blood vessel. This situation directly exposes the blood to the air. Inflammation occurs in a few steps. First, the blood vessels near the wound are expanded (which causes the swelling that we see near the cut) and special proteins called “fibrins” are brought in. These fibrins bind to each other to form a net-like structure. We are all quite familiar with this net, which we call a blood clot. This net stops the bleeding and cuts the interaction between the air and the blood within a few minutes.

Next, it is time to quickly eliminate any foreign objects that got into the tissue. Special immune cells called “macrophages” are sent to the crime scene to clean up. Macrophages are large white blood cells that “eat” microbes and other foreign objects using a process called “phagocytosis.” After the scene is all cleaned up, these macrophages excrete special molecules that induce tissue repair and return the blood flow to normal. An important note here is the specific order of these events. Like every single process in the body, they occur in the most purposeful way possible. What do I mean? I mean that, first the wound is closed urgently; second, macrophages are sent in; third comes the tissue repair. Any other order would have greatly lowered the effectiveness of inflammation. Imagine that the wound is closed after the macrophages are sent in. Then, by the time the macrophages killed all the microbes, twice as many would have entered the scene. The body seems to know every single event beforehand and plans its defense accordingly.

Our body is perfectly calibrated to keep our blood, the milk of our organ systems, absolutely pristine.

Let’s say a microbe managed to sneak into the blood before inflammation occurred, and is long gone to another region of the body. Does the microbe win? Unfortunately for the microbe, it has to pass another test. This time the tester is the lymphatic system. The lymphatic system is the sewage system of the body. When the blood transfers its nutrients to the tissue, the fluid goes through the “interstitial area” (the empty space between organs). During this process, some of the fluid stays in this area and starts to accumulate. This is where the lymphatic system kicks in. The lymphatic system consists of many tubes running parallel to the blood vessels and recollects any excess fluid and transports them to the subclavian vein near the neck. This way, excess fluids of the body and all of the molecules in them, are reintroduced into the circulation. If there is a problem with this process, an abnormality called “edema” occurs. Of course, the blood is a very sensitive fluid because it travels through the whole body and seeps into almost every single cell. If a microbe were to get into it, it would easily spread and cause disease. So, the lympatics first does a checkup on the body fluid. This checkup occurs at special nodes in the system called lymph nodes found all over the body. Two of the most famous lymph nodes are the spleen and the tonsils. Within these nodes are lymphocytes, special immune cells that “tag” bacteria and other microbes to be later destroyed by macrophages. Thus, the blood is continuously cleaned and kept safe from harmful microbes.

Last but certainly not the least, the final inspection the blood goes through takes place in the kidneys. The aforementioned two checkpoints prevent the entrance of any foreign materials into the blood, and the elimination of any microbes lucky enough to somehow make it through. So, the only task to be completed is the elimination of excess molecules formed in the metabolism. For example, the blood in the veins (the vessels that carry carbon dioxide formed by the respiration of cells) is carried to the lungs where the carbon dioxide is exhaled. But, a much more precise mechanism comes into play in the kidneys. Blood vessels that come from all around the body form a knot-like structure in the kidney called the “glomerulus.” This knot-like shape increases the surface area of filtration. The blood running from the glomerulus is then filtered into the “Bowman capsule,” which surrounds the glomerulus.

But wait! The sanitation system is not satisfied with this first filtration and “thinks” that the filtrate is not ready to be excreted by the urine. So, a more delicate filtration occurs right after the filtrate enters the “proximal tubule.” While passing through this tubule, essential molecules are immediately reabsorbed into the body. The most valuable of all these molecules is glucose, since it is the main source of energy in the body. The proximal tubule reabsorbs around 98 % of all the glucose, while the distal tubule scouts out the rest. After the tubules are done with the filtration, not a single glucose molecule is left in the urine. As a matter of fact, the presence of even a few glucose molecules in the urine leads to a diagnosis of “renal glycosuria.”

After the proximal tubule, the filtrate goes into the “loop of Henle,” where it is dipped into a high-concentration environment. Water travels passively (without the need for energy) from low-concentration to high-concentration areas. In the loop of Henle, the urine is low-concentration, so water runs back into the body. Thus, any excess water in the urine is effectively and economically reabsorbed. The big machine that consists of the glomerulus, the Bowman capsule, the tubules, and the loop of Henle is called a “nephron.” Everything described above occurs in a single nephron. The average number of nephrons in one kidney is around 1,000,000. The human bladder holds around 150 ml of urine on average. So, each nephron is actually responsible for 0.00015 ml of urine production. The kidneys filter over 1,000 liters of blood each day, so our blood is kept just as we want it. Millions of tiny nephrons work in unison to take in huge amounts of blood and they know exactly what to leave and what to keep, 24 hours a day, 7 days a week.

Our blood is our life source. It is the milk of the organs, and our organs would dry up without it. Believe it or not, our organs are quite picky. If they are to receive anything they don’t like, they will start acting up. In order to keep the organs happy, the three mechanisms mentioned above have to work hard and not make a single mistake. These mechanisms are, of course, also made up of cells. These miniscule cells “know” exactly what their clients on the ends of the body like and don’t like, and prepare the blood composition accordingly. Only one word can describe these wondrous mechanisms: Impeccable.

Brian Turk is a medical student from New Jersey. He writes on medicine, health, and biology on a freelance basis.

The oral cavity is one of the many systems that is perfectly designed while a fetus develops in a mother’s womb

The first event that takes place inside the mother’s womb is the union of sperm and egg to form into a single cell which later takes the shape of an embryo by rapid division and development. This embryological development occurs in three stages.

In the first of these stages (2-5 weeks), the fertilized egg (zygote) proliferates by dividing and planting itself to the womb wall (implantation). During the advance of the zygote towards the womb, some biochemical signals are sent in order to make the mother sense this situation. Via these signals, the mother’s body is prepared to supply the necessary nutrients to this cellular mass. When these biochemical signals reach the ovaries, various hormones are secreted and the ovulation that occurs during monthly periods is ceased.

During the second stage (5-6 weeks), major activities are started inside the cellular mass, which is now in the form of an embryo. The developmental process of organ and system generation from cells begins.

And during the third stage (from the 8^th week until birth), the embryo has become a fetus, and its facial and bodily structures have begun to be immaculately shaped (Figure-1).

How do organs develop?

Tissues and organs of the embryo, which morphologically starts to look like a human, develop from three layers, which are called the ectoderm, mesoderm, and endoderm. While the baby continues to come to life inside the mother’s womb, the cranial and facial regions, along with oral cavity, start to form via the development of cells in the area called the neural crest. This development is the result of perfectly corresponding functions in between the epithelium and outer mesenchyme, which results in the facial skeleton and formation of teeth.

Jaw and facial development occur during the 4-12 weeks in the womb. By the end of the 10^th week, the face can be seen with an ultrasonographic examination.

The nose forms at this point. Mid and lateral nose projections develop. A forehead projection called the “frontonasal protrusion” forms in between the two sided mid nose projections. These projections initially develop towards the lower direction because of the volume of the tongue. Later, after the palate has begun to form, and with the growth of the lower jaw and the downward extension of the tongue, like an open-close bridge, the lower and upper jaw join at the midline by rising upward. This union takes place from front to back, like closing a zipper, stage by stage.

This way, the oral cavity and the surrounding structures (tongue, teeth, etc.) that will enable speech and taste are knit, loop by loop, inside the mother’s womb. (Figure 1-2)

Due to the complexity of this process, if there happens to be any failure in the merging, some anomalies can form, such as split lips or palates. These splits are anomalies present at birth. Such lip or palate splits may arise during this phase of the pregnancy because of various negative factors: they can stem from inter-family marriages, diseases that the mother experiences during the first three months of the pregnancy (especially measles or toxoplasmosis), exposure to radiation, alcohol consumption during pregnancy, or various drugs the mother uses. These anomalies need to be corrected by plastic surgeons, upper respiratory tract specialists, and orthodontists.

Despite these anomalies, most of the time, babies are born with their oral cavities in perfect working order – which is extraordinary given the complexity of the process.

Reference

Oral R. J, Goldman H.M. Thoma’s oral Pathology.The CV Mosby Comp. St. Louis.

Figure-1: Ultrasonographic image of the facial region of a fetus in the mothers womb.

Figure-2: Upper jaw bone

Where am I?

There are 46 chromosomes in your body, carrying 20-25 thousand genes. Chromosomes and the genes they contain shape the genetic memory of a human being. Genes can contain hundreds of features, and these are revealed over time. For instance, you do not have any teeth when you are a newborn, but the time when you will get your teeth is encoded into your genetic memory. Once genes receive the action command, teeth start to emerge.

There are hundreds of genes located on chromosomes, all the way from the chromosome number 1 and 2, to chromosome number 46. For example, there are around three thousand genes found on chromosome number 1. The Y chromosome, in charge of male development, only contains 125 genes. A distinct address (locus) for each gene on the chromosomes is recorded. If you ask about the address of the fibrillin gene that synthesizes me, it is 15q 21.1, i.e., 15th Avenue, Long arm street, 21st pl, Number 1.

In other words my residing address is the 1st subband of the 1st band of the 2nd region located at the long arm of chromosome number 15. We are three siblings, known as fibrillin1, fibrillin2 and fibrillin3.

We stretch and relax like an arch. We can expand and tighten like an inflated balloon and then return to our previous state. If by an error, we happen to fail to restore ourselves after inflation, the tissue’s architecture gets deformed and expanded fibers cannot regain their original shape anymore. When observed in veins, this situation is called an aneurysm. The frequency of this disease is approximately one in ten thousand, which is also called ballooning. That said, my flexing is necessary. Veins flex so that the blood pumping through them doesn’t cause any turbulence, as it would otherwise be during a vacuum occurring inside metal water pipes. Flexible sportsmen who do acrobatic moves do not compare with me. I can bend, curve, flex, relax and constrict, inflate, deflate and transform like elastic, from one shape to another, for your health and overall convenience – all because of the wondrous features granted to my nature.

What kind of a fiber am I?

I provide structural support for the fabrication of elastic fibers in the connective tissue as a protein synthesized according to the code of the fibrillin gene. In case of my failure or absence, weaknesses occur, especially in the connective tissues of organs that are rich in elastic fibers, such as the aorta, lungs, and eye balls. The iris (the colored part of the eye), pupil, and eye lens display changes in accordance with levels of light or distance of objects observed. These changes are controlled perfectly according to my work, and humans often don’t even notice this. We also help the eye lens constrict and relax. It can be understood that we are such a great blessing granted for your service. Of course, if we tried to count all the blessings we’ve been given, and never even consider, it would be impossible!

My weight is 350 kilo daltons. A Dalton is an atomic mass unit approximately equal to one hydrogen atoms’ mass, which is 1.66×10-24. I consist of 2.871 amino acids. I am formed by the sequential arrangement of 20 amino acids that exist in your body as the smallest unit of proteins. We bind each other to become 10-12 nanometers wide microfibers as the result of a process called polymerization that brings loops of a protein chain together. These microfibers are brought together with the elastin protein that provides elasticity in our body. The system that we form with elastic fibrils constantly serves the body’s blood vessels, primarily the vessels located in your eyes, heart, and many of your tissues, such as your skin and nerves.

What do I do? We fulfill commands that are requested from us in many tissues and organs, without any flaws. Scientists call us the wonderful building blocks of the body’s architecture. We can extend twice as much of our length. We are always on task: while you are breathing, when your heart is pumping blood and your stomach is digesting food, or the moment you are gazing at nature with your eyes. We are given the duty to prevent many organs from tearing, including the heart, lungs, stomach, and blood vessels. One of the places I work most frequently is the aorta, the body’s major artery. Your heart beats approximately a hundred thousand times a day. A high level of pressure develops in the arteries during the pumping process. You would suffer greatly without the help of our elastic fibers. Blood vessels would rupture, ending your life. This high pressure is tolerated only through the expansion of the vessel’s diameter without any decrease in length of the artery. This diameter regulation is designed so wondrously that blood flow remains the same; no shaking or waves are observed. This diameter control happens via the fibrillin protein located inside the vessel.

I also play a role in the vitality and tension of your skin. Skin is essentially a dense fibrous connective tissue composed of a protein called collagen. I am also one of the main elements of this connective tissue. As you age, this layer starts to dry and has lesser fibrous proteins; therefore, as fibers decrease, so does my tension, and I start to wrinkle. Elderly people do not like getting wrinkly, but this is your fate. Whatever you do, I will also age and die.

I cannot go without pressing this important issue: Staying under the sun for a long time degrades me. If done properly, sun light is useful for skin. But solar radiation damages the live tissues and organs. This radiation is an effective factor both in degradation of protein structures, and the formation of varicose veins and skin damage. It is reported in various sources that exposure to sun rays leads to alterations in the genetic material of skin. Ultraviolet rays speed up the degradation of skin. In medical language, this is called oxidation via free radicals. Please do not burn us and yourself while sunbathing. Even if you do not care for yourselves, you should still be considerate of us. If you say that sunbathing both helps, with vitamin D synthesis and reducing the risk of osteoporosis, I would like to remind you that for the vitamin D synthesis of skin, it is sufficient to expose your hands, feet and face to the sun.

How is life without me?

Though we were wisely designed, sometimes, you are tested by certain diseases in which we are not present. Absence, as they say, makes the heart grow fonder!

Life without me is unbearable. I could give a couple of examples, should you like. If I was not created, your skin would not be flexible. You wouldn’t be able to control your eye lenses. Your aorta would not be flexible and your heart, which beats thousands of times a day, would be torn under the high pressure in a short amount of time. Major problems would occur with the development of your stomach, lungs, and other organs.

I also have a significant job keeping TGF-Beta (which helps cells grow) function under control. To give you an idea of how important this is, imagine your communication system turned upside down. Now imagine how complicated are the communication systems connecting billions of people around the world, how a mess it would be when they are out of service. These are nothing when compared to the human body. There are 100 trillion cells in the human body, communicating with each other instantaneously. A cellular community that is fifteen thousand times more crowded than the earth’s population communicates via small molecules, like us. Cellular proliferation and tissue differentiation would fail if cells failed to communicate. The full spoon of food in your hand would not end in your mouth but maybe in your ear or your eyes.

If a mutation happens with the Fibrillin-1 gene, Marfan syndrome can occur. This disease, which was defined in the 1800s, is named after its discoverer. The frequency of this disease is one in five thousand. One of the major lethal consequences of Marfan syndrome is an aorta tear. This is in addition to many problems with the eyes, skeleton, and cardio-vascular systems. Many of the patients die in their 30s or 40s because of the flaws in the cardio-vascular system. Of course, death may occur at any age because of an aorta rupture. 14% of the patients with Marfan syndrome display chronic obstructive pulmonary disease (COPD), which is associated with breathing problems, because the integrity of lung tissue is compromised. Another disease I help prevent is called Ektopia lentis, in which the eye lens is displaced from its original position. Normally, I help eye functioning. When my fibers relax or constrict, depending on light, I help the eye to relax, enabling both near and far sightedness. With Ektopia lentis, anomalies on the front vestibule of the eye, a high degree of myopia, and retina damage occur.

If overproduced, I can cause another problem with the eye, called exfoliation syndrome. This is when fibrous connective tissue, like me, accumulates in the eye – it’s commonly called glaucoma, or ocular hypertension. In some people, as they age, a fibrous material like hair dandruff collects on the eye lens. This material, dislocated by movements of the iris, blocks the drainage channels that discharge the intraocular fluid. Eye pressure increases as the result of failed drainage. As you see, I am not a problem when I am synthesized normally, but can be trouble if over produced! My final request from you!

You have seen our amazing works and complicated functions. Therefore, please remember me and my friends. Please do not ignore our efforts and activities. Be grateful for the blessings provided through us, even if you can’t see them. And take care of us, please – don’t get carried away with too much tanning!

We tend to overlook our skin, but it performs many vital functions for our bodies – including coming to our rescue in emergencies.

Since it is designed to function within very precise limits, our body is very susceptible to small temperature changes. Since abnormalities in these changes occur, the body has various mechanisms to keep its temperature constant. One of these mechanisms works by changing the amount of blood in the veins underneath the skin. When talking about body temperature, it is important to distinguish between the internal and external body temperature. The internal temperature is the temperature of the brain and internal organs, while the external body temperature is the temperature of the skin.

Normally, arteries that transport clean blood, and veins that carry dirty blood, are not connected; therefore clean and dirty blood never mix. However, as a consequence of some illnesses or birth defects, an abnormal bridge between arteries and veins may be present. This kind of condition is usually called arteriovenous shunts, or arteriovenous fistula. In these kinds of situations, blood is pumped directly from arteries to veins. In other words, clean blood flows towards dirty blood. Normally, the clean blood has to travel the body, providing oxygen and other supplements to cells, while collecting carbon dioxide and returning to the heart to be cleaned again.

An incredible network for the transportation of substances from the blood in arteries and veins has been created. If this system, known as the “capillary network,” did not exist, none of our organs could be fed, and the circulatory system would not be able to provide its vital function.

The system is necessary for two reasons. The speed of the blood in the arteries and veins is too fast for anything to be transported to the organs, and their walls are too thick to allow transportation of substances. Therefore, the blood travels from the arteries to the capillaries, and after the trading of oxygen and other substances with carbon dioxide is completed, it flows to the veins. If any kind of abnormalities exist, the blood flows directly from the arteries to the veins, therefore skipping the capillaries. As a consequence, the organs aren’t fed and the blood gathers in the veins without fulfilling its purpose. Naturally, the oxygen and nutrition balance of the organs gets messed up. The blood is pumped out of the heart with no purpose and heart failure becomes inevitable.

The capillary network has been assigned the task of communication between arteries and veins. The skins is our only organ where the blood flows directly from arteries to veins; AV shunts accomplish a very important duty in this function.

There is a network of veins underneath the skin. The number of veins in this network is so many that if they were completely filled up, they could hold up to two liters of blood in the skin. Blood is pumped to the skin for two purposes: to provide oxygen and nutrients to the cells, and to collect carbon dioxide and waste products in the cells, as is done with every organ; and to monitor the internal temperature of the body by sending blood to the skin if the temperature gets too high, similar to what radiators in cars do when the engine gets too hot.

There is also the subcutaneous fat tissue underneath the skin which acts as an insulator. The vein network mentioned above is inside this fat tissue. There is a continuous flow of blood from the capillaries that feed the skin towards this network of veins. Moreover, especially in areas where the skin is exposed – such as the hands, feet, face and ears – there is a blood flow from the small arteries towards this network of veins. Contrary to other organs in the body, blood flows directly from the arteries to the veins. If this direct blood flow did not exist, the amount of blood in the skin’s veins would be close to zero, because the amount of blood necessary for skin nutrition is very little. However when the internal temperature rises too much, the amount of blood, which is normally close to zero, can suddenly increase to as much as 30% of the blood pumped by the heart. In this case, the body’s internal temperature is being transported to the skin. This is an incredibly efficient cooling system. However, if the weather is cold, the AV shunt veins are switched off and the skin’s blood flow is decreased until close to zero, therefore maintaining internal temperature. The fat tissue underneath the skin also has a very important function, as it acts as insulation, helping maintain temperature.

Body temperature and the body’s systems work in perfect coordination with each other. We can observe a very simplified version of this system in computer based air conditioners. However, when we reflect upon the incredibly sophisticated cooling system of the human body, we come to the conclusion that no other system is as perfect as that.

The hypothalamus, which has various vital duties for the brain, was also given the very important mission of controlling the body’s temperature. There are hot and cold heat receptors in various parts of the hypothalamus. When body temperature increases, these receptors are activated. As a consequence of this warning, skin veins all over the body expand. Simultaneous with the expansion of the veins, sweat is excreted.

The hypothalamus also has the duty of suppressing the mechanisms that produce heat throughout the body. For example, trembling is stopped and general metabolism is slowed down to decrease body temperature. As metabolism slows down, the production of heat becomes minimal, and cooling takes place. In conditions where the body temperature is too cold, some hormones secreted in the hypothalamus trigger the pituitary, and then the thyroid, hormones. Since thyroid hormones are responsible for increasing metabolism, body temperature increases. However if body temperature increases above normal, the control of the hypothalamus on the thyroid is reversed, and thyroid hormones are decreased, therefore decreasing body temperature.

There is one more reason for placing so many veins in the perfect and miraculous body’s skin: except for extremely cold weather conditions, quite a large amount of blood exists in these veins that are not used for nutritional purposes. Some of our organs act as storage for blood; two of the most important ones are the spleen and liver. Another one is the skin. In the course of losing blood, or an illness that increases the need for blood, the spleen and liver shrink. As a consequence of this shrinkage, the blood inside them is sent to the heart, through veins, and distributed to the areas in need of blood. This increases the heart rate.

A similar scenario occurs in the skin. The veins responsible for cooling shrink, and the blood they contain is sent to the heart with the help of the main veins, therefore helping the heart pump. During heavy loss of blood, the blood in the skin comes to the rescue. Patients who are losing blood have incredibly cold and pale skin. This is because the blood in the skin has reduced to a minimum.

The obverse of this happens in an illness called erythromelalgia, where more blood than normal flows from the arteries to the veins in the skin. This is mostly seen in the hands, feet, nose, and ears, since AV shunts are more prevalent in these areas of the skin. The symptom of this illness is burning pain, which is triggered by heat and soothed by cool temperatures. The nutrition of the skin decreases and some substances produced because of the absence of oxygen increases redness, heat, and pain, since some of the capillaries feeding the skin shut down and all of the blood flows from arteries to veins with the AV shunts.

Our skin protects our muscles and bones, and contributes to the beautiful aesthetic of our body. It provides our sense of touch, and is therefore a means for us to experience the material world, as well as providing temperature control for our bodies. It can clearly be seen that the relationship between the skin and the veins could not have evolved by the consequence of coincidence.

Some medications are effective directly over the area they are applied to. Some however are transported to distant regions via blood flow and that is where they are most effective. Medication is either taken orally or through injection. When medicine passes into the blood stream from the place of administration, it is considered to be absorbed. A good example is the transportation of medicine into the blood stream of capillary vessels between the muscle cells when injected into muscle tissue. A drug taken orally however is absorbed through the blood vessels in the gastro-intestinal system.

For orally-taken medication to be absorbed, it should be able to dissolve in gastro-intestinal fluids. First, it is broken into smaller units due to the corroding effects of stomach acid and various enzymes are secreted, then chemicals in the drug composition pass into the gastro-intestinal fluid in a molecular form. This event resembles the dissolving of a sugar cube inside a glass of hot tea. First, the sugar cube gets broken into pieces and then dissolves. A mix with a tea spoon makes this event happen a little faster. In a similar fashion gastro-intestinal movements help with the absorption of medicine. Liquid drugs like syrups dissolve in the gastro-intestinal fluid faster since they are already in smaller units; therefore they get absorbed faster.

Drugs mostly get absorbed through the small intestine. The most important task of this organ is to enable the absorption of nutrients. It is approximately 10 meters long and 4 centimeters wide. The inner lining of the small intestine has finger-like projections called villus and even smaller projections that are located on these villi are called microvillus. One of the reasons, maybe the most important reason, why the our intestines are created in this way is that as a result, the inner surface area of intestines increases multifold. Such that the inner surface area of a human beings small intestine can increase up to 200 m2 and this greatly facilitates the absorption. These projections are made of intestinal cells.

The molecules carrying the medication reach the capillary vessels by passing through these cells and then join the blood stream by crossing through capillary vessel cells. Furthermore, intestinal cell membranes host a special protein that filters unwanted substances for the cell and returns them back to intestinal lumen. Thus these unwanted substances are excreted out of the body along with other unabsorbed matter. In the same way, some drugs are held by this protein and released back into the lumen thus decreasing absorption rate for drugs experiencing this reaction.

Liver: The organ responsible for eliminating the harmful effects of medication

As soon as medication joins the bloodstream after absorption, it is first transported to the liver. This is because pulmonary veins that collect blood from the intestines are connected primarily to the liver. One of the many functions of the liver is the elimination of harmful substances entering the body. For this reason, absorbed substances are directly sent to the liver. The liver is employed with the task of chemical conversion with these substances that are transported to it. One of the wisdoms behind liver metabolism is to reduce the effects of these harmful substances via these events and to convert them into an excretal material. In the same way, drugs are metabolized in the liver, lose their efficacy and prepare for excretion.

Many drugs interfere with each other’s metabolism. If one drug’s metabolism is inhibited, blood concentration of such chemicals increase and adverse effects of drugs become more frequent. Irresponsible drug use must be avoided for this reason. Drug interactions may lead to major damage in addition to the drug’s individual adverse effects. Moreover different nutrients also affect drug metabolism. For instance, grapefruit inhibits metabolism of certain medicines, as a result blood concentration of these medicines increase and adverse effects can be observed. On the other hand, some nutrients like broccoli, cabbage, and charcoal roasted meat speed up the metabolism of certain medicines. In this case, the blood concentration of the affected drug drops and may lead to reduced benefits from intended use. Because of this reason, patients on long-term medicine treatment should not consume these types of food.

The rest of the drug molecules that escape these metabolisms is directed towards blood vessels feeding other organs. Some drug metabolisms in the liver present individual differences as metabolic levels change from person to person. Thus, a drug with the same dosage develops desired blood concentrations for some people, fails to meet this level for others or can even cause high blood concentrations enough to generate adverse effects in other individuals. That is why a medicine that has benefited a patient should never be used by somebody else without consulting a doctor.

The function of bile

Bile secretion originating from the liver and gall bladder has critical importance in the digestion and absorption of fats. Bile breaks apart fats into small pieces so that digestive enzymes can affect them. As a result of this, absorption is provided for fats and vitamins like A, D, E, K that are soluble in fats. In a similar fashion bile improves solubility and absorption of some drugs that does not dissolve in gastro-intestinal fluid. Another task of bile secretion is the removal of certain substances from the body. Waste materials in the bile that is dumped into duodenum are excreted through the digestive track. Some drugs are excreted in this way.

Drug intake before or after meals

It is a well known practice that medications are advised either to be taken after or before meals. When medications are taken after a meal, they cause less of the possible unwanted disturbances such as stomach sickness, aches or indigestion.

On the other hand, nutrients may reduce intake of certain drugs, therefore they need to be taken before meals. However medications taken right before a meal does not apply in this case since the food will still mix with the medication in the stomach. When taking these medicines, it should at least be an hour before meals. Generally consumption of a medicine before or after a meal does not really change its absorption level. But medications taken before meals pass the stomach into the intestines without delay and therefore get absorbed faster. This practice is important in cases where an immediate effect is desired such as pain relief. Plentiful water intake also helps with faster and improved absorption of drugs.

Some medications are packed into capsules made of gelatin-like substances. Medicines with undesirable taste and smell can be offered in this form for consumption. Moreover, if a drug is harmful to the stomach or gets degraded in stomach acid, then this drug can be prepared in capsules that are durable to stomach acid but soluble in the intestines. That is why consumption of medication without its intended capsule should be avoided. In a similar fashion, some medicinal tablets are designed to deliver its molecular contents particularly to the intestines. These types of medication must be taken as a whole unit. Otherwise it can be ineffective or may lead to harmful reactions.

Delivery of drugs to targeted regions

The molecules carrying medication that join the blood via absorption get dispersed by blood circulation throughout the body. These molecules reach various parts of the system via blood vessels, and then diffuse into organs via capillary vessels. However, their entry to the brain is difficult because this vital organ of the body has a special protection to guard itself from possible harmful effects of various substances that enter the body from the outside. Capillary vessels in the brain are different from other capillary structures in the rest of the body as they are created without an intercellular space in between vessel cells. Furthermore, these cells are bound to each other with their tight connective regions.

These capillaries are surrounded by a thicker membrane compared to other capillary vessels. This membrane is also host to various cells that wrap around the vessel. Therefore, because of these factors and other similar ones, some medications can enter the brain in very limited amounts. Drug molecules can display their targeted effects when they bind to target proteins, called receptors, in the organs. These proteins, which are very unique to each drug, exist on the cell membrane or in the cell. In addition, drug molecules also bind to other receptors that are not specific for them, and this causes adverse effects as a result.

Excretion of drugs from the body

Drugs are excreted from the body via the liver and kidneys. One function of these organs is to filter the blood from foreign substances. It was previously mentioned that absorbed substances from intestines are transported to the liver first where some amount gets metabolized and the remaining amount rejoins blood circulation that feeds other organs. Drug molecules that pass through the liver return back to it repeatedly many times because of continual blood circulation. In each of these arrivals, some amount is again metabolized. Molecules of metabolized drugs are excreted out of the body via the kidneys and through the bile at a limited level.

Only some portion of drug molecules get excreted via the kidneys without being metabolized. This ratio is higher with some medications. These types of medications are considered to be removed only by the kidneys, whereas some other drug types cannot be excreted without getting metabolized through the liver. As previously mentioned, the purpose of drug metabolism is to convert drugs into easily removable forms. If these types of drugs are not metabolized, they are rejoined to the blood circulation after filtration by the kidneys without joining the urine. It is impossible for the liver to sense these happening within the kidneys if it was not that the liver and every cell in it were employed by one authority who created them in the first place. Drug molecules concentrate in the liver and kidneys since these organs are employed with drug removal. As a result harmful effects of drugs are often experienced in these organs. Therefore unnecessary drug use should be avoided, otherwise the health of these organs deteriorate and eventually fail to carry out their basic functions.

As noted above, events that are taking place within many of our organs, stomach and elsewhere like kidneys impact on the journey of drugs in our body, therefore changing its effect. The harmonious creation of our organs that are home to many miraculous events is the major component of the entire process in which causations have their due role only as much as they are allowed by their Creator. As a test for humankind, both illness and the cure is provided by God, the All-Healer. Therefore it is the duty of a patient to see a doctor, take the medication properly and never forget that cure is only provided by the Almighty, without obsessing over causational chains.

References

• Guyton, Arthur C., John E. Hall. 1991. Textbook of Medical Physiology, Saunders.
• Patton, Kevin T., Gary A. Thibodeau. 1993. Anatomy & Physiology, Mosby.
• Rang, Humphrey P., Maureen B. Dale, James M. Ritter. 1999. Pharmacology, Churchill Livingstone.
• Brunton, Laurence, John Lazo, Keith Parker. 2006. The Pharmacological Basis of Therapeutics. McGraw-Hill Professional

Until today, almost all of your organs and systems introduced themselves and explained the great artistry in their creation along with their wisdom and precision. Certainly, these were not just for your information. Of course, it is important for you to know about your organs and their duties, and for you to live accordingly with this knowledge. However, its main purpose has been to introduce you to your Lord, who created you and all living and nonliving things perfectly. Just like seeing a work of art and not appreciating the artist is a twisted view, so is seeing the art exhibited on the body of the world’s most dignified entity, the human being, and not appreciating our Lord. It would just be a worthless and pointless heap of knowledge.

Today, we will look at the human body statistically, have our last lesson, and say goodbye.

Before we talk about the systems and organs that make up your body, you should know that it is a blessing that God didn’t leave you in nonexistence, and put you into existence. Then, you should know that it is also a blessing that He didn’t leave you as inorganic molecules, but created you as a living organism. For you to understand better, I would like you to look carefully at the delicate measures of the numbers I will give you in the tables below and to realize how high your value has been lifted.

The weights and percentages of inorganic elements in a 70 kg human body:

Oxygen…….. 44 kg……. 63%
Carbon……. 14 kg……. 20%
Hydrogen……. 7 kg……. 10%
Nitrogen……. 2.1 kg……. 3%
Calcium……. 1 kg……. 1.5%
Phosphorus……. 700 g……. 1%
Potassium……. 170 g……. 0.25%
Sulfur….. 140 g……. 0,2%
Chlorine……. 70 g……. 0.1%
Sodium….. 70 g……. 0.1%
Magnesium.. 30 g……. 0.04%
Iron…… 3 g……. 0.004%
Copper…… 300 mg……. 0.0005%
Manganese….. 100 mg……. 0.0002%
Iodine……. 30 mg……. 0.00004%

The total percentage of trace elements found in the blood serum and in enzymes, such as zinc, cobalt, cadmium, molybdenum, nickel, lead, fluorine, selenium, mercury, and aluminum, is 0.80526%.

As you can see, 76% of you (53.1 kg of oxygen, hydrogen, and nitrogen) are gases that dissolve into the air. These aren’t worth anything because there are plenty of them in the air. From 14 cents per kilogram, 14 kilograms of carbon (coal) is worth around 2 dollars. One kilogram calcium (lime) is worth around 12 cents. 140 grams of chlorine and sodium together (salt) is worth around 3 cents. All of the other elements (such as iron, copper, and magnesium) are worth a handful of soil, because they are found easily in soil, and there is only very little of them in the human body. So in total, your elements are worth $2.15.

Let’s increase your value a little bit! Our Lord didn’t leave you as elements; He turned you into organic material with very large molecules, such as protein, fat, carbohydrates, and vitamins. That gives us the table below:
Organ…. Water (%) …. Fat (%)…… Protein (%)…. Ash (%)
Skin…… 64.68…… 13.00…… 22.10…… 0.68
Skeleton…… 31.81…… 17.18…… 18.93…… 28.91
Teeth…… 5.00…… 0.00…… 23.00…… 70.90
Skeletal muscle…… 79.52…… 3.35…… 16.50…… 0.93
Brain-Spinal cord…… 73.33…… 12.68…… 12.06…… 1.37
Liver…… 71.46…… 10.35…… 16.19…… 0.88
Heart…… 73.69…… 9.26…… 15.88…… 0.80
Lungs…… 83.74…… 1.54…… 13.38…… 0.95
Spleen…… 78.69…… 1.19…… 17.81…… 1.13
Kidneys…… 79.47…… 4.01…… 14.69…… 0.96
Pancreas…… 73.08…… 13.08…… 12.69…… 0.93
Intestines…… 79.07…… 6.24…… 13.19…… 0.86
Adipose tissue…… 50.09….. 42.44…… 7.06…… 0.51
Other tissues…… 70.40…… 12.39…… 16.06…… 1.01
Blood and lymph…… 93.33…… 0.17…… 5.68…… 0.94
Total…… 67.85…… 12.51…… 14.39…… 4.84

If you wonder about your value as water, protein, fat, and ash, you can calculate it according to a 70 kg person. If you do this, you can see that you are made up of 47.495 kilograms of water, 8.757 kg fat, 10.073 kg protein and 3.388 kg ash (mineral salts). Since the water in you is dirty and not clear, it isn’t worth anything. Your minerals and ash aren’t worth anything because there are plenty of them in soil. For $1.42 per kilogram, your fat is worth around $12.86. Your protein is worth around 16 kilograms of lamb, which costs around $36.57. So when you are elevated from elemental material to organic material, your value rises up to around $50.

Of course, our Lord didn’t leave you like this. He created you in the form of organs and tissues, which carry out miraculous tasks so that you can stay alive. Now, let’s see the groups of trillions of differentiated cells:

Total number of cells in the human body………… around 100 trillion
Number of cells that die in one second…………around 50 million
Number of cells created in one second…………around 50 million
Number of cell types…………more than 200
Number of red blood cells in 5 liters of blood…………25 trillion
Height reached by putting all of our red blood cells on top of each other…………around 60.000 km
Length reached by putting all of our red blood cells side by side…………192.500 km
Red blood cells’ surface area………..more than 1000 m2
Number of white blood cells (leucocytes) in our blood…………40 billion
Number of nerve cells…………30 billion
Length of a sperm…………35 micrometers
Diameter of an egg cell…………100-120 micrometers
Average length of a liver cell…………30-50 micrometers
Lifespan of small intestine mucous cells…………1.4 days
Lifespan of stomach entrance area (cardia) mucous cells…………9.1 days
Lifespan of stomach exit area (pylorus) mucous cells…………1.8 days
Lifespan of epithelial cells in lung alveoli…………8.1 days
Lifespan of large intestine (colon) mucous cells…………10 days
Lifespan of upper skin (epidermis) cells…………19.2 days
Lifespan of covering epithelial cells in the bladder…………66.5 days
Lifespan of neutrophile leucocytes…………45 days
Lifespan of eosinophile leucocytes…………10 days
Lifespan of lymphocytes…………5 days to 1 year
Lifespan of monocytes…………months
Lifespan of red blood cells…………120 days
Number of times a red blood cell travels the body during its life…………300.000
Number of red blood cells generated in a second…………2.4 million
Number of red blood cells generated in a day…………208 billion
Lifespan of a liver cell…………222 days
Lifespan of a kidney cell…………286 days
Number of mitochondria (power plant) in a nerve cell…………up to 10.000
Number of ribosomes created in a liver cell in one second…………180
Total length of the DNA in one cell…………2 m
Number of muscles in the body…………around 600
Number of muscles that work when smiling…………15
Number of muscles that work when frowning…………43
Total amount of work done by our muscles in one day
(Equal to lifting a 6 ton truck 50 meters into the air with a crane)…………around 3.106 Newtons
Total number of capillaries…………30 billion
Number of alveoli in the lungs…………400 million
Total amount of air taken in by the lungs in one day……………around 10.000 liters
Total amount of air we use in 75 years…………around 285 million liters
Total length of the nephrons in the kidney…………around 50 km
Total length of the glomerulus capillaries in the kidney…………around 25 km
Total inner surface area of the kidney channels…………20 m2
Total filtration area of the Bowman capsules in the kidney…………1 m2
Total skin weight…………11.15 kg
Total surface area of the skin…………1.5-1.8 m2
Total length of capillaries in 1 cm2 of skin…………around 1 m
Weight of dead keratin cells that fall off the skin in one day…………10 gr
Length of the nerve fibers in the skin…………80 km
Number of sweat glands…………around 2 million
Number of sebaceous glands in the skin on the head…………around 120.000
Total number of cells in the skin…………around 100 billion
Number of sensory receptors in the skin…………around 60 million
Daily sweat amount…………800 ml
Maximum daily sweat amount…………18 liters
Number of cells in the retina…………127 million
Number of values of the same color our eye can distinguish…………around 200
Number of shades of light that we can perceive…………around 500

The reason I gave all these numbers was not just to show the multitude of cells, organs, and tissues, but to emphasize that our Lord can create these with the precision that He creates a single cell. Mammals also have the organs and tissues that I have mentioned. Besides, some mammals have different organs with superior aspects. From this point of view, we are not much different from a cow or a horse. However, our Lord says that He created us in the best form possible, equipped us with superior qualities, and granted us the authority over all creation. Dear Peter! It’s time that you shed out of being an animal and rise to the degree of humanity. You cannot do this with your cells, organs, or tissues, but by gaining knowledge of divinity via spiritual virtues (such as the mind, conscience, and free will) that our Lord gave you.

If we see our body as a palace, could the stones, glass, porcelain, and wood come together and say, “Come on let’s make a palace, which will be the greatest palace in the world.” Could elements first turn into organic matter with macromolecules, then into cell organelles, then into cells, and finally into cells with different special duties, all on their own?

Finally, I believe it will be useful to give a table that shows every organ’s share in your body. My advice is not to evaluate anything materially. You cannot live without your pancreas, which only takes up a very small part of your body. Your heart, which is only 0.7% of your body, pumps the water of life (blood) to all of your organs; and your brain, which is 3.5%, manages your whole body. You can never give up on your kidneys, which take up only 0.5%.

Percentages of organ weights to the total body weight
Skeletal muscle (red meat)…………31.56 %
Skeleton and teeth…………14.90 %
Adipose tissue…………13.63 %
Skin…………7.81 %
Blood and lymph…………3.77 %
Lungs…………4.15 %
Brain and spinal cord…………3.52 %
Liver…………3.41 %
Intestines and stomach…………2.07 %
Kidneys…………0.51 %
Heart…………0.69 %
Spleen…………0.19 %
Pancreas…………0.16 %
Cartilage, ligaments, blood vessels and peripheral nerves…………13.63 %

All in all, we can say that the human body has holistic perfection with its functional parts, from hair to nail, to intestines and kidneys, as well as its aesthetic beauty.

Dear Peter! We have talked with you for a long time. I hope it was useful. I did everything I could. I am sorry that I couldn’t portray your true value!