Year XVII-n.03-2001

 

 

 

 

 

Luisa Miccoli

GETTING TO THE HEART OF LIVE

Jean Claude Ameisen

Published by: Feltrinelli

Jean Claude Ameisen, eminent immunologist and biologist, is among the greatest experts on the fascinating and still mysterious mechanism called apoptosis or “controlled cell death”. He has now written a book that is bound to become a guide in this sector. Even though the book deals with a complex subject, which is not easy to put in plain words, J.C. Ameisen has succeeded in producing a popular work, full of appropriate interdisciplinary cross references and with a schematic and accurate development of arguments. As you proceed along the track he opens, you develop the feeling that you are about to contemplate “La sculture de vivant”, as the original title says, that is man as death sculptures him every day. Death here is no longer viewed as adverse fate but as a necessary access key to new forms of life. The researcher explores the nature of a phenomenon which goes under the name of “cell suicide”, or “controlled death” or “cell altruism” with an attitude which is clear and pragmatic, but not cold or cynical; he does not attempt to reach hasty anthropologic, ethic and least of all philosophical conclusions, but he is fully aware of the fact that there still is a long way to go to get to the heart of life. Apoptosis is a term that became part of the biomedical lexicon in 1972 to describe a mechanism of internal fragmentation of the cell, which leads it to collapse and die. Indeed, in Greek it means collapse, detachment, and Hippocrates already used it in medical terms to describe the decay of gangrening bones. In actual fact the concept which is emerging with ever growing clarity is that “we are cellular societies whose individual components live ‘in suspense’, none of them having the ability to survive on its own. The destiny of our cells permanently depends on the quality of the temporary links it is able to establish with its own environment.” Each cell exists in that its suicide is prevented. And all the relations based on interdependence and on permanent repression of “death before time” mould the communities of living beings, regulating them according to complex but not incomprehensible schemes, and above all provide society with a sole destiny where the death of the individual has a functional role in the life of the whole, so much so that death is self-activated when necessary for the realisation of the whole. This is a fascinating change in perspective on the subject of birth and development, not only of the cellular universe we are composed of, but also of the history of mankind and of civilization, where in fact (as the author provocatively suggests) death penalty is actually one of the extreme expressions of the relation which certain human communities establish between the enforcement of public order and the idea of death as an impending threat to maintain this order. The ultimate power is always held by him who has the authority to stop the execution, to decide life or death; Ameisen states that therefore human communities also have their executors who are “the guardians and symbols of the underlying interdependence on which our societies are based.” However, we enter here a field where controllability is no longer based on scientific parameters: questions become the subject of reflection, investigation for mankind who has always felt about for an answer to the problem of life and death. What we can positively state is that Ameisen’s theory badly upsets our traditional representation of our body, it modifies the concept of disease and aging, it opens new doorways to the treatment of terrible diseases such as cancer, Parkinson’s disease and Alzheimer’s disease. At the end of this journey the reader is left with a sense of astonishment and an inner awareness that nothing will ever be again as it used to appear.