- - -
Follow-up: Inclusion of key parts of the article
in another link that appeared on the mentioned
website yesterday:
- - -
Excerpts [with inserts, not part of original article,
included in brackets - note that all confusing and
misleading diabetic / diabetes references have been
replaced with the superior updated new accurate clar-
ifying terms and descriptions in the title and in
the following]:
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March 1, 2016
[Insulinitis*] and the story of Insulin
http://www.island.lk/index.php?page_cat=article-details&page=article-details&code_title=141282
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...
In this article I hope to deal with the history of the
disease and the discovery of insulin, which indeed is
a fascinating story.
...
The discovery of Insulin - During the nineteenth century,
observations of patients who died of [any of the High
Glucose Conditions, all of which were referred to as
diabetes at that time, and for close to 1,900 years
since the term was first used, despite the differences
in causality / treatment / risks conveying that differ-
ent diseases are involved - the two primary types first
mentioned in 1936, a third major type discovered in the
mid-1990s, other types discovered in the 20th and 21st
centuries] often showed that the pancreas was damaged.
In 1869, a German medical student, Paul Langerhans, found
that within the pancreatic tissue that produces digestive
juices there were clusters of cells whose function was
unknown. Some of these cells were eventually shown to be
the insulin-producing beta cells.
Later, in honour of the person who discovered them, the
cell clusters were named the islets of Langerhans.
In 1889 in Germany, physiologist Oskar Minkowski and phy-
sician Joseph von Mering, showed that if the pancreas was
removed from a dog, the animal got [Insulinitis*]. But
if the duct through which the pancreatic juices flow to
the intestine was ligated - surgically tied off so the
juices couldn't reach the intestine - the dog developed
minor digestive problems but not [Insulinitis*].
So it seemed that the pancreas must have at least two
functions:
o To produce digestive juices
o To produce a substance that regulates the blood glucose
This hypothetical internal secretion, which helped the
blood to absorb sugar, was the key. ... If this secreted
substance could actually be isolated, the mystery of
[Insulinitis*] would be solved. For the doctor, [Insulin-
itis*] was intensely frustrating for, though he knew what
was wrong, he had no idea how to set it right. Progress,
however, was slow.
In October 1920 in Toronto, Canada, Dr. Frederick Banting,
(1891- 1941), first began actively to study the disease. ...
Previous work had shown that tying the pancreatic duct in
dogs caused the rest of the pancreas to degenerate, remov-
ing the exocrine capacity of the gland, but left the islets
unaffected and did not produce [Insulinitis*].
By doing this, he surmised, cells thought to produce an anti-
[Insulinitis*] secretion could then be extracted from the
pancreas.
Early in 1921, Banting took his idea to Professor John Mac-
leod (1876-1935) at the University of Toronto, who was a
leading figure in the study of [the condition called dia-
betes at the time] in Canada. Macleod didn't think much of
Banting's theories. Despite this, Banting managed to con-
vince him that his idea was worth trying.
Macleod gave Banting a laboratory with a minimum of equip-
ment and ten dogs. Banting also got an assistant, a twenty-
one year old medical student by the name of Charles Best
(1899 -1978). The experiment was set to start in the summer
of 1921.
Banting and Best began their experiments by removing the
pancreas from a dog. It developed all the signs and symp-
toms of [Insulinitis*]. Experimenting on another dog,
Banting and Best surgically ligated the pancreas, so that
the pancreas degenerated.
After a while, they removed the pancreas, sliced it up,
and froze the pieces in a mixture of water and salts. When
the pieces were half frozen, they were ground up and fil-
tered. The isolated substance was named "isletin." The
extract was injected into the ... dog [which had no endo-
genous insulin production].
Its blood glucose level dropped, and it seemed healthier
and stronger. By giving the ... dog a few injections a
day, Banting and Best could keep it healthy and free of
symptoms.
- - - end excerpts - - -
- - -
expanded their testing to other volunteer [individuals who
had Insulinitis*], who reacted just as positively as Leonard
to the insulin extract.
The Nobel Prize and its sequel - The news of the successful
treatment of [Insulinitis*] with insulin rapidly spread out-
side of Toronto, and in 1923 the Nobel Committee decided to
award Banting and Macleod the Nobel Prize in Physiology or
Medicine.
...
The Nobel Prize in Physiology or Medicine for insulin has
been much debated. It has been questioned why Macleod re-
ceived the prize instead of Best and Collip. However, Mac-
leod played a central role in the discovery of insulin. It
was he who supported the project from the beginning. He super-
vised the work and it is also most likely that Macleod's con-
tacts in the scientific world helped the team in getting a
speedy recognition of their discovery.
http://www.nobelprize.org/educational/medicine/insulin/discovery-insulin.html
Paradoxically, the story of the discovery of insulin is both
an example of team work as well as petty jealousies among pro-
fessionals. ...
"Each member of the team brought his unique talents to the
table. Banting provided the passion behind the project; with-
out him there would have been no impetus to search for insulin
in Toronto. Best was the stabilizing force in Banting's scien-
tific life, keeping him focused. Collip's expertise in biochem-
ical technology was the key to formulating a clinically useful
drug. Macleod had the sophistication to guide the research from
spark to clinical trial. It is impossible to isolate the most
important contributions.
...
Conclusion - A careful examination of history makes it clear
that each of the four scientists - Banting, Macleod, Collip,
and Best - had a specific role in the discovery of insulin.
The supportive role of the pharmaceutical companies should
be also appreciated, since they supplied the raw materials
to keep the insulin project afloat.
The work of each scientist alone was not sufficient and would
not have resulted in the discovery of insulin. The key was a
combination of their work ...