Restoration of Brain circulation and cellular functions hours post-Mortem

The human brain is a very energy and oxygen demanding organ. Studies in humans and animals have shown that oxygen stores, electrical activity, and consciousness are lost in just seconds of lack of blood flow, while glucose and ATP stores are gone within minutes. Unless the blood flow is rejuvenated, in just 10 - 12 minutes of a lack of oxygen, the brain cells will die and the brain fails due to the lack of nutrients.
On April 17, 2019, a paper published in the journal Nature explained how scientists from Yale University plugged in 32 brains through the carotid artery from pigs slaughtered for food, which were dead for 4 hours, into the BrainEx system for 6 hours. This system pumped in oxygen, nutrients, compounds to prevent oxidation, chemicals to make sure that the brain did not gain consciousness, and stabilizing compounds such as a sodium channel blocker to decrease excitotoxicity, which normally causes cell death in the brain. This helps protect the neurons and provides resources for the brain cells. After 10 hours, MRI, CT and ECGs were performed to determine the brain’s activity. The scientists discovered that the pig brains had been largely intact and that even some brain cells were able to use glucose and oxygen and produce carbon dioxide. The cells also had some inflammatory response and had some neural activity in the synapses. However, these cells were not communicating with each other as shown by the ECG so no consciousness was detected after the experiment. These brains were not functioning but were cellularly active. When compared to the control brains, those brains had no neural activity while the experimental brains still had activity and looked relatively normal.
Even though, consciousness was not restored, this study is still astonishing since this displays the resilience of the brain tissue and that brain cells could be restored. However, this raises a lot of questions in both ethical issues and also what could be in store in the future. One big issue, is what if consciousness could actually be induced in the brain, this would completely redefine death itself. However, this study could also lead to huge advancements in the medical realm if patients could be saved if they were oxygen deprived from a MI or stroke. Future studies could look at if the brain could be preserved longer and this could also lead to new methods to study the postmortem brain.

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