Arquivo da tag: Anestesiologia

This Doctor Says He Knows How the Brain Creates Consciousness. New Evidence Suggests He’s On to Something (Popular Mechanics)

brain radiates swirling particles

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Original article

Stuart Hameroff has faced three decades of criticism for his quantum consciousness theory, but new studies show the idea may not be as fringe as once believed.

By Darren Orf – Published: Dec 18, 2024 5:13 PM ESTbookmarks

For nearly his entire life, Dr. Stuart Hameroff has been fascinated with the bedeviling question of consciousness. But instead of studying neurology or another field commonly associated with the inner workings of the brain, it was Hameroff’s familiarity with anesthetics, a family of drugs that famously induces the opposite of consciousness, that fueled his curiosity.

“I thought about neurology, psychology, and neurosurgery, but none of those . . . seemed to be dealing with the problem of consciousness,” says Hameroff, a now-retired professor of anesthesiology from the University of Arizona. Hameroff recalls a particularly eye-opening moment when he first arrived at the university and met the chairman of the anesthesia department. “He says ‘hey, if you want to understand consciousness, figure out how anesthesia works because we don’t have a clue.’”

Hameroff’s work in anesthesia showed that unconsciousness occurred due to some effect on microtubules and wondered if perhaps these structures somehow played a role in forming consciousness. So instead of using the neuron, or the brain’s nerve cells, as the “base unit” of consciousness, Hameroff’s ideas delved deeper and looked at the billions of individual tubulins inside microtubules themselves. He quickly became obsessed.

Found in a cell’s cytoskeleton—the structure that helps a cell keep its shape and undergo mitosis—microtubules are made up of tubulin proteins and can be found in cells throughout the body. Hameroff describes the overall shape of microtubules as a “hollow ear of corn” where the kernels represent the alpha- and beta-tubulin proteins. Hameroff first found out about these structures in medical school in the 1970s, learning how microtubules duplicate chromosomes during cell division. If the spindles of the microtubules don’t pull this dance off perfectly (a process known as missegregation), you get cancerous cells or other forms of maldevelopment.

fluorescent microscopy image showing human cells with distinct nuclei and cytoskeletal filaments

Wikimedia/National Institutes of Health. In a eukaryotic cell, the cytoskeleton provides structure and support. In this image, microtubules, which are part of the cytoskeleton, are shown in green. These narrow, tube-like structures help support the shape of the cell. Scientists like Stuart Hameroff also believe these polymers could hold the secrets to consciousness.

While Hameroff knew that anesthetics impacted these structures, he couldn’t explain how microtubules might produce consciousness. “How would all that information processing explain consciousness? How could it explain envy, greed, pain, love, joy, emotion, the color green,” Hameroff says. “I had no idea.”

That is, until he had a chance encounter with an influential book by Nobel Prize laureate Sir Roger Penrose, Ph.D.

Within the pages of 1989’s The Emperor’s New Mind, Penrose argued that consciousness is actually quantum in nature—not computational as many theories of the mind had so far put forth. However, the famous physicist didn’t have any biological mechanism for the possible collapse of the quantum wave function—when a multi-state quantum superposition collapses to a definitive classical state—that induces conscious experiences.

“Damn straight, Roger. It’s freaking microtubules,” Hameroff remembers saying. Soon after, Hameroff struck up a partnership with Penrose, and together they set off to create one of the most fascinating—and controversial—ideas in the field of consciousness study. This idea became known as Orchestrated Objective Reduction theory, or Orch OR, and it states that microtubules in neurons cause the quantum wave function to collapse, a process known as objective reduction, which gives rise to consciousness.

Hameroff readily admits that since its inception in the mid-90s, it’s became a popular pastime in the field to bash his idea. But in recent years, a growing body of research has reported some evidence of quantum processes being possible in the brain. And while this in itself isn’t confirmation of the Orch OR theory Hameroff and Penrose came up with, it’s leading some scientists to reconsider the possibility that consciousness could be quantum in nature. Not only would this be a huge breakthrough in the understanding of human consciousness, it would mean that purely algorithmic—or computer-based—artificial intellligence could never truly be conscious.

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In 1989, Roger Penrose was already a superstar in the world of mathematics and physics. By this time, he was already years removed from his groundbreaking work describing black hole formations (which eventually earned him the Nobel Prize in Physics in 2020), as well as his discovery of mathematical tilings, known as Penrose tilings, that are crucial to the study of quasicrystals—structures that are ordered but not periodic. With the publication of The Emperor’s New Mind, Penrose dove headfirst into the theoretical realm of human consciousness.

In the book, Penrose leveraged Kurt Gödel’s incompleteness theorem, which (in very simplified terms) argued that because the human mind can exceed existing systems to make new discoveries, then consciousness must be non-algorithmic. Instead, Penrose argues that human consciousness is fundamentally quantum in nature, and in The Emperor’s New Mind, he lays out his case over hundreds of pages, detailing how the collapse of the wave function creates a moment of consciousness. However, similar to Hameroff’s dilemma, Penrose admits in the closing pages that profound pieces of this quantum consciousness puzzle were still unknown:

I hold also to the hope that it is through science and mathematics that some profound advances in the understanding of mind must eventually come to light. There is an apparent dilemma here, but I have tried to show that there is a genuine way out.

When Hammeroff first read the book in 1991, he believed he knew what Penrose was missing.

Hameroff dashed off a letter that included some of his research and offered to visit Penrose at Oxford during one of his conferences in England. Penrose agreed, and the two soon began probing the non-algorithmic problem of human consciousness. While the duo developed their quantum consciousness theory, Hameroff also brought together minds from across disciplines—including philosophy, neuroscience, cognitive science, math, and physics—to explore ideas surrounding consciousness in the form of a biannual Science of Consciousness Conference.

stuart hameroff and roger penrose seated on an auditorium stage

The University of Arizona Center for Consciousness Studies. Dr. Stuart Hameroff (left) and Sir Roger Penrose (right) giving a lecture on consciousness and the physics of the brain at the Sanford Consortium for Regenerative Medicine in La Jolla, California, January 2020.

And from its very inception, the conference broke new ground. In 1994, philosopher David Chalmers described how neuroscience was well-suited for figuring out how the brain controlled physical processes, but the “hard problem” was figuring out why humans (and all other living things) had subjective experiences.

Roughly two years after Chalmers gave this famous talk in a hospital auditorium in Tucson, Penrose and Hameroff revealed their own possible answer to this famous hard problem.

It wasn’t well-received.

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Penrose and Hameroff revealed their Orchestrated Objective Reduction theory in the April 1996 issue of Mathematics and Computers in Simulation. It detailed how microtubules orchestrate consciousness from “objective reduction,” which describes (with complicated physics) Penrose’s thoughts on quantum gravity interaction and how the collapse of the wave function produces consciousness.

The idea has since faced nearly 30 years of criticism.

Famous theoretical physicist Stephen Hawking once wrote that Penrose fell for a kind of Holmsian fallacy, stating that “his argument seemed to be that consciousness is a mystery and quantum gravity is another mystery so they must be related.” Another main criticism is that the brain’s warm and noisy environment is ill-suited for the existence of any kind of quantum interaction. Read any scientific literature about quantum computers, and lab conditions are always extra pristine and approaching-absolute-zero cold (−273.15 degrees Celsius).

“You know how long I’ve been hearing the brain is warm and noisy?” Hameroff says, dismissing the criticism of the brain as too warm and wet for quantum processes to flourish. “I think our theory is sound from the physics, biology, and anesthesia standpoint.”

In a 2022 interview with New Scientist, Penrose admitted that the original Orch OR theory was “rough around the edges,” but maintains all these decades later that consciousness lies beyond computation and perhaps even beyond our current understanding of quantum mechanics. “People used to say it is completely crazy,” Penrose told New Scientist, “but I think people take it seriously now.”

“I think our theory is sound from the physics, biology, and anesthesia standpoint.”

A lot of that slow acceptance comes from a steady tide of research showing that biological systems contain evidence of quantum interactions. Since the publication of Orch OR, scientists have found evidence of quantum mechanics at work during photosynthesis, for example, and just this year, a study from researchers at Howard University detailed quantum effects involving microtubules. This research doesn’t prove Orch OR directly; that’d be like discovering water on an exoplanet and declaring it’s home to intelligent life—not an impossibility, but very far from a certainty. The findings at least have some critics reconsidering the role quantum mechanics plays, if not in consciousness, then at least the inner workings of the brain more broadly.

However, the rise of quantum biology in the past few decades also coincided with the explosion of AI and large language models (LLMs), which has brought new urgency to the question of consciousness—both human and artificial. Hameroff believes that an influx of money for consciousness research involving AI has only biased the field further into the “consciousness is a computation” camp.

“People have thrown in the towel on the ‘hard problem’ in my view and sold out to AI,” Hameroff says. “These LLMs . . . haven’t reached their limit yet but that doesn’t mean they’ll be conscious.”

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As the years—and eventually decades—passed, Hameroff relentlessly defended Orch OR in scientific papers, at consciousness conferences, and perhaps most energetically on his X (formerly Twitter) feed, where he regularly participates in microtubule-related debates. But when asked if he likes the arguments, he answers pretty bluntly.

“Apparently I do because I keep doing it,” Hameroff says. “I’ve always been the contrarian but it’s not on purpose—I just follow my nose.”

And that scientific sense has led Hameroff to explore potentially profound implications when you consider that consciousness doesn’t necessarily rely on the brain or even neurons. Earlier this year, Hameroff, along with colleagues at the University of Arizona and Japan’s National Institute for Materials Science, co-authored an non-peer-reviewed article asking the question of whether consciousness could possibly predate life itself.

“It never made sense to me that life started and evolved for millions of years without genes—why would organisms develop cognitive machinery? What’s their motivation?” Hameroff says, admitting that theory traipses beyond the typical confines of science. “It’s kind of spiritual—my spiritual friends like this alot.”

Hameroff admits that some of his ideas are “out there,” and even stops himself short when describing some ideas involving UFOs, saying “I’m already out on enough limbs.” While most of his ideas may have taken up residence in the fringes of mainstream science, it’s a place where he seems comfortable—at least for now. “I don’t think everybody’s going to agree . . . but I think [Orch OR] is going to be considered seriously,” Hameroff says.

Hameroff retired from his decades-long career as an anesthesiologist at the University of Arizona, and now he has even more time to dedicate to his lifelong fascination.

“I had a great career, and now I have another great career,” he says. “Plus I don’t have to get up so damn early.”

By Darren Orf – Contributing Editor. Darren lives in Portland, has a cat, and writes/edits about sci-fi and how our world works. You can find his previous stuff at Gizmodo and Paste if you look hard enough. 

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Why Anesthesia Is One of the Greatest Medical Mysteries of Our Time (IO9)

19.jun.2014

Why Anesthesia Is One of the Greatest Medical Mysteries of Our Time

Anesthesia was a major medical breakthrough, allowing us to lose consciousness during surgery and other painful procedures. Trouble is, we’re not entirely sure how it works. But now we’re getting closer to solving its mystery — and with it, the mystery of consciousness itself.

When someone goes under, their cognition and brain activity continue, but consciousness gets shut down. For example, it has been shown that rats can ‘remember’ odor experiences while under general anesthesia. This is why anesthesiologists, like the University of Arizona’s Stuart Hameroff, are so fascinated by the whole thing.

“Anesthetics are fairly selective, erasing consciousness while sparing non-conscious brain activity,” Hameroff told io9. “So the precise mechanism of anesthetic action should point to the mechanism for consciousness.”

The Perils of Going Under

The odds of something bad happening while under anesthetic are exceedingly low. But this hasn’t always been the case.

Indeed, anesthesiology has come a long way since that historic moment back in 1846 when a physician at Massachusetts General Hospital held a flask near a patient’s face until he fell unconscious.

But as late as the 1940s, anesthesia still remained a dicey proposition. Back then, one in every 1,500 perioperative deaths were attributed to anesthesia. That number has improved dramatically since that time, mostly on account of improved techniques and chemicals, modern safety standards, and an influx of accredited anesthesiologists. Today, the chances of a healthy patient suffering an intraoperative death owing to anesthesia is less than 1 in 200,000. That’s a 0.0005% chance of a fatality — which are pretty good odds if you ask me (especially if you consider the alternative, which is to be awake during a procedure).

It should be pointed out, however, that “healthy patient” is the operative term (so to speak). In actuality, anesthesia-related deaths are on the rise, and the aging population has a lot to do with it. After decades of decline, the worldwide death rate during anesthesia has risen to about 1.4 deaths per 200,000. Alarmingly, the number of deaths within a year after general anesthesia is disturbingly high — about one in every 20. For people above the age of 65, it’s one in 10. The reason, says anesthesiologist André Gottschalk, is that there are more older patients being operated on. Anesthesia can be stressful for older patients with heart problems or high blood pressure.

Why Anesthesia Is One of the Greatest Medical Mysteries of Our Time

(Tyler Olson/Shutterstock)

But there are other dangers associated with anesthesia. It can induce a condition known as postoperative delirium, a state of serious confusion and memory loss. Following surgery, some patients complain about hallucinations, have trouble responding to questions, speak gibberish, and forget why they’re in the hospital. Studies have shown that roughly half of all patients age 60 and over suffer from this sort of delirium. This condition usually resolves after a day or two. But for some people, typically those over the age of 70 and who have a history of mental deficits, a high enough dose of anesthesia can result in lingering problems for months and even years afterward, including attention and memory problems.

Researchers speculate that it’s not the quality of the anesthetics, but rather the quantity; the greater the amount, the greater the delerium. This is not an easy problem to resolve; not enough anesthesia can leave a patient awake, but too much can kill. It’s a challenging balance to achieve because, as science writer Maggie Koerth-Baker has pointed out, “Consciousness is not something we can measure.”

Rots the Brain

Deep anesthesia has also been linked to other cognitive problems. New Scientist reports:

Patients received either propofol or one of several anesthetic gases. The morning after surgery, 16 percent of patients who had received light anesthesia displayed confusion, compared with 24 percent of the routine care group. Likewise, 15 percent of patients who received typical anesthesia had postoperative mental setbacks that lingered for at least three months—they performed poorly on word-recall tests, for example—but only 10 percent of those in the light anesthesia group had such difficulties.

To help alleviate these effects, doctors are encouraged to talk to their patients during regional anesthesia, and to make sure their patients are well hydrated and nourished before surgery to improve blood flow to the brain.

But just to be clear, the risks are slight. According to the Mayo Clinic:

Most healthy people don’t have any problems with general anesthesia. Although many people may have mild, temporary symptoms, general anesthesia itself is exceptionally safe, even for the sickest patients. The risk of long-term complications, much less death, is very small. In general, the risk of complications is more closely related to the type of procedure you’re undergoing, and your general physical health, than to the anesthesia itself.

The Neural Correlates of Consciousness

Typically, anesthesia is initiated with the injection of a drug called propofol, which gives a quick and smooth transition into unconsciousness. For longer operations, an inhaled anesthetic, like isoflurane, is added to give better control of the depth of anesthesia.

Here’s a chart showing the most common applications for anesthesia (via University of Toronto):

Why Anesthesia Is One of the Greatest Medical Mysteries of Our Time

It should really come as no surprise that neuroscientists aren’t entirely sure how chemicals like propofol work. We won’t truly understand anesthesia until we fully understand consciousness itself — a so-called hard problem in science. But the neuroscience of anesthesia may shed light on this mystery.

Researchers need to chart the neural correlates of consciousness (NCCs) — changes in brain function that can be observed when a person transitions from being conscious to unconscious. These NCCs can be certain brain waves, physical responses, sensitivity to pain — whatever. They just need to be correlated directly to conscious awareness.

As an aside, we’ll eventually need to identify NCCs in an artificial intelligence to prove that it’s sentient. And in fact, this could serve as a viable substitute to the now-outdated Turing Test.

Scientists have known for quite some time that anesthetic potency correlates with solubility in an olive-oil like environment. The going theory is that they make it difficult for certain neurons to fire; they bind to and incapacitate several different proteins on the surface of neurons that are essential for regulating sleep, attention, learning, and memory. But more than that, by interrupting the normal activity of neurons, anesthetics disrupt communications between the various regions of the brain which, together, triggers unconsciousness.

Cognitive Dissonance

But neuroscientists haven’t been able to figure out which region or regions of the brain are responsible for this effect. And indeed, there may be no single switch, particularly if the “global workspace” theory of consciousness continues to hold sway. This school of thought holds that consciousness is a widely distributed phenomenon where initial incoming sensory information gets processed in separate regions of the brain without us being aware of it. Subjectivity only happens when these signals are broadcast to a network of neurons disbursed throughout the brain, which then start firing in synchrony.

Why Anesthesia Is One of the Greatest Medical Mysteries of Our Time

(New Scientist)

But the degree of synchrony is a very carefully calibrated thing — and anesthetics disrupt this finely tuned harmony.

Indeed, anesthetics may be eliciting unconsciousness by blocking the brain’s ability to properly integrate information. Synchrony between different areas of the cortex (the part of the brain responsible for attention, awareness, thought, and memory), gets scrambled as consciousness fades. According to researcher Andres Engels, long-distance communication gets blocked, so the brain can’t build the global workspace. He says “It’s like the message is reaching the mailbox, but no one is picking it up.” Propofol in particular appears to cause abnormally strong synchrony between the primary cortex and other brain regions — and when too many neurons fire in a strongly synchronized rhythm, there’s no room for exchange of specific messages.

Rebooting the Global Workspace

There’s also the science of coming out of unconsciousness to consider. A new study shows it’s not simply a matter of the anesthetic “wearing off.”

Researchers from UCLA say the return of conscious brain activity occurs in discrete clumps, or clusters — and that the brain does not jump between all of the clusters uniformly. In fact, some of these activity patterns serve as “hubs” on the way back to consciousness.

“Recovery from anesthesia, is not simply the result of the anesthetic ‘wearing off’ but also of the brain finding its way back through a maze of possible activity states to those that allow conscious experience,” noted researcher Andrew Hudson in a statement. “Put simply, the brain reboots itself.”

Relatedly, a separate study from 2012 suggested that post-surgery confusion is the brain reverting to a more primitive evolutionary state as it goes through the “boot-up” process.

Quantum Vibrations in Microtubules?

There’s also the work of Stuart Hameroff to consider, though his approach to consciousness is still considered speculative at this point.

He pointed me to the work of the University of Pennsylvania’s Rod Eckenhoff, who has shown that anesthetics act on microtubules — extremely tiny cylindrically shaped protein polymers that are part of the cellular cytoskeleton.

Why Anesthesia Is One of the Greatest Medical Mysteries of Our Time

Jeffrey81/Wikimedia Commons

“That suggests consciousness derives from microtubules,” Hameroff told io9.

Along with Travis Craddock, he also thinks that anesthetics bind to and affect cytoskeletal microtubules — and that anesthesia-related cognitive dysfunction is linked to microtubule instability. Craddock has found ‘quantum channels’ of aromatic amino acids in a microtubule subunit protein which regulates large scale quantum states and bind anesthetics.

I asked Hameroff where neuroscientists should focus their efforts as they work to understand the nature of consciousness.

“More studies like those of Anirban Bandyopadhyay at NIMS in Tsukuba, Japan (and now at MIT) showing megahertz and kilohertz vibrations in microtubules inside neurons,” he replied. “EEG may be the tip of an iceberg of deeper level, faster, smaller scale activities in microtubules. But they’re quantum, so though smaller, are non-local, and entangled through large regions of brain or more.”

Indeed, brain scans of various sorts are definitely the way to go, and not just for this particular line of inquiry. It will be through the ongoing discovery of NCCs that we may eventually get to the bottom of this thing called consciousness.

More:

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