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The Discovery of Insulin

Page 44

by Michael Bliss


  in charge of manufacture, 141

  search for plant extract, 183–86

  and struggle for credit, 194–200

  1922 account, 199–200, 217

  work criticized, 203–11

  assessment of research, 208–211

  neglected, 217–8, 222–23

  shares Nobel Prize, 231

  later career, 234–37

  opinion of FGB, 236.

  Best, Margaret Mahon, 64–67, 73, 75, 199, 234

  Best Institute, 237

  Blackwell, C.S., 141–42

  Blood sugar: testing, 40–42, 57, 61, 93, 100, 211

  limits of tests, 88–89

  Blum, F.L., 169

  Bouchardat, A., 23

  Boyd, Gladys, 161

  Breslau, 30, 169

  British Diabetic Association, 246

  British Drug Houses, Ltd., 167

  British Medical Journal, 13, 166, 168, 203, 206

  Brown-Séquard, 27

  Bulletin of the History of Medicine, 17

  Burgess, Blanche, 155

  Burroughs Wellcome Ltd., 167, 174–75

  Bushman, Lyman, 157

  Calgary Canadian Club, 219

  Cambrai, 46, 146

  Cameron Prize: FGB lecture, 50

  to JJRM, 224

  Cammidge, P.J., 166, 171

  Campbell, Walter R. “Dynamite,” 112–13, 117, 120–28, 130, 143, 153, 157, 186, 193–94, 200, 210–11, 242

  Canada: insulin supply, 171

  Banting stays in, 215

  honours discovery, 216–23

  Canadian Diabetes Association, 246

  Canadian Army Medical Corps, 46

  Canadian Club, Toronto, 212

  Candian Medical Association, 221

  Journal, 124–25

  Canadian National Exhibition, 213

  Cancer, 24, 124, 217, 235, 245

  Cantoni, 24

  Carlson, Anton, 32, 39, 92, 104–5

  Carnegie Corporation, 141, 200

  Caroline Institute, Stockholm, 17, 225–29

  Carrasco-Formiguera, R., 165

  Cats, experiments on, 78, 80

  Chicago, University of, 31, 92

  Choline, 237

  Christian Science, 36, 39

  Christie Street Military Hospital, Toronto, 46, 135, 143, 153, 156–57, 192

  Church, Thomas L., 215, 222

  Clarke, Charlotte, 146, 148, 153, 194, 216

  Clinical tests. See Insulin

  Clowes, George H.A., 104

  hears of Toronto work, 96

  offers to collaborate, 106, 132

  background, 138–39

  collaboration with Toronto, 137–41, 146–47, 149–50, 173–80

  supports FGB, 193–94

  Clutton, Stella, 112, 201

  Collip, James Bertram, 12–14, 63–64, 84, 93

  meets FGB, 57

  interest in work, 85, 97–98

  background, 98

  joins team, 9799; early experiments, 99–103

  assigned to purify extract, 108–110-11

  discovers hypoglycemic reaction, 109, 114n

  reaction to test on Leonard Thompson, 114

  purifies insulin, 116–17

  confronts FGB, 117–20

  loses secret, 129–30

  recovers knack, 133–34

  leaves Toronto, 140

  making insulin, 156

  “discovers” glucokinin, 182–86

  contribution emphasized, 197–98, 207

  neglected, 219–23

  re Nobel Prize, 226, 231–32

  later career, 236–38

  Columbia University, 210

  Coma, diabetic, 22–23, 29, 130, 245

  Connaught Anti-Toxin Laboratories, 85, 110, 129, 132, 135, 137–38, 155, 184–85, 241

  collaboration with discoverers, 119–20

  production problems, 141–53 passim, 159, 171

  Coolidge, Calvin, 213

  Copenhagen, 226

  University of, 167

  Corbett, Joseph, 191

  Cornell, Beaumont, 241

  Crane, J.W., 51

  Crile, G.W., 225

  Dale, Sir Henry H., 118, 171, 180, 186–87, 234–35

  attack on Roberts, 13, 206

  visits Toronto, 165–67, 175

  opinion of B&B research, 206, 208

  Darwin, Charles, 210, 213

  Davis, Egerton Y., 160n

  Defries, R.D., 147, 149, 179–80, 216

  Denmark, 168, 186

  Dewitt, Lydia, 28, 31, 53

  Diabetes insipidus, 20

  Diabetes mellitus: described, 20–21

  preinsulin therapy for, 23–44 passim

  “starvation” therapy, 35–44

  diet and insulin, 160

  after insulin, 244–47

  Didion, Joan, 236

  Diet, and diabetes: 23–44 passim, 160, 244–47

  Digestive Ferments Company, 175

  Dixon, C.S., 182

  Dixon, Mrs. Thomas, 191

  Dixon, W.B., 182

  DN ratio. See Glucose: Nitrogen ratio

  Dogs, experimental: procurement of, 61

  #385, 59–60

  #386, 60

  #386(2), 65

  #387, 60–62

  #410, 67–70, 79

  #406, 67, 70–71, 79

  #391, 68

  #399, 70n

  #409, 70n, 75

  #408, 71–73, 79

  #92, 75–79, 105

  #5, 80

  #9, 80–81

  “Towser,” 85

  #17, 85

  #21, 89–90

  #26, 90

  #27, 92–93, 96, 105

  #33 (“Marjorie”), 12, 93, 97, 105–6, 108, 111, 121–22, 181, 207

  #23, 97, 100

  #35, 97

  Doisy, E.A., 180

  Drennan, F.M., 92

  Drury, E.G., 215, 218

  Duct ligation, 6, 31, 170

  Banting’s idea, 19–55

  and the experiments, 61–71, 80, 86, 89, 91, 203–7

  Dudley, Harold, 166–67

  Eadie, George, 146–47

  Edinburgh, 224–29 passim; University, 224

  Edmonton, Alberta: insulin used in, 156, 219

  Eli Lilly and Company, 12, 96, 104, 106, 132

  collaboration with Toronto, 137–41

  background, 138

  production of insulin, 146–51, 171–73

  exports to U.K., 167, 173–74, 187–88

  patenting and brand name issue, 174–81

  isoelectric precipitation, 172, 180

  plant “insulin,” 183

  supplies insulin commercially, 186–87

  later history, 240–41, 247

  Emmenin, 237

  Endocrinology, 89, 237

  early history of, 27

  Europe: insulin first used in, 165

  Ezekiel: quoted, 164–65

  Falconer, Sir Robert, 133, 137, 142

  on anti-vivisectionists, 192

  on credit, 220–21

  Farquharson, R.F., 117

  Feasby, W.R., 15, 208

  Federation of American Societies for Experimental Biology, 212

  Ferguson, G. Howard, 215–17

  Fidlar, E., 67, 81

  Fish: and insulin, 29, 141, 170–71, 181, 186, 226

  Fisher, Albert, 240

  Fitzgerald, J.G., 85, 119–20, 133, 137, 195, 222, 230

  Flavelle, Sir Joseph, 220

  Fletcher, A.A., 122–23, 127, 143, 153, 162, 200, 210–11

  Fletcher, Walter, 166–67

  Florey, Howard, 224

  Forschbach, J., 30–31

  France, 169–70

  Fraser, Thomas, 29, 170

  Gaebler, O.H., 109

  Gairns, Sadie, 235

  George V, King, 213

  Germany, 21, 168–69

  Geyelm, H. Rawle, 148–49, 161–62, 191, 193, 232

  Gilchrist, Joseph, 48, 102, 122, 135, 143, 157

&
nbsp; Gley, Eugène, 170

  Glucokinin, 182–86, 237, 239, 247

  Glucose: Nitrogen (G:N) ratio, 62–66, 71, 79, 207

  Glycogen formation, 100, 103, 122, 198, 227

  Glycosuria, 21, 28, 50

  Goldner, Martin, 168–69

  Gonzalez, Pere, 165

  Gooderham, Colonel Albert, 85, 196–97, 200, 220, 230

  Gossett, Elizabeth. See Hughes, Elizabeth

  Gossett, William T., 243–44

  Grafting, 26, 33, 52–54, 62–63, 89, 209

  Graham, Duncan, 110–15, 124, 135, 143, 153, 193–94, 200–1, 236

  background, 111

  Grange, Maynard, 81

  Great War Veterans Associations, 192

  Greenaway, Roy, 114–15, 123, 125, 194–95, 201, 214

  Hadwen, Walter, 192

  Hagedorn, H.C., 168

  Hallam, Lillian, 218

  Harrower Laboratories, 175

  Hart House, 233

  Harvard Medical School, 33, 231

  Havens, James, Jr., 135–37, 143, 145–46, 150, 153, 159, 162, 176, 194, 210, 246

  later life, 243

  Havens, James, Sr., 135–37, 145

  Hédon, È., 26, 32–33, 52, 57, 60, 71

  Hemingway, Ernest, 232

  Henderson, Velyien, 81, 84, 120, 135, 198, 200, 216, 233

  Heparin, 237

  Hepburn, John, 108

  Hill, A.V., 228

  Hipwell, Fred, 74, 223

  Hipwell, Lillian, 74

  Historic Sites Board of Canada, 90

  Hoffman-La Roche, 31

  Hopkins, E.G., 183

  Hospital for Sick Children, Toronto, 46–47, 112, 135, 161, 242

  Hughes, Antoinette, 43–44, 144, 152, 216

  Hughes, Charles Evans, 43–44, 177, 216, 220, 244

  Hughes, Elizabeth Evans, 166–67, 177, 191, 194, 210, 220, 246

  background and diabetes, 43–44, 141

  receives insulin, 151–63 passim; later life, 243–44

  Hunter, Andrew, 120

  Hyperglycemia, 40, 50

  Hypoglycemic reaction, 31, 96n, 126, 155

  discovered, 109, 111

  in clinical tests, 157–58

  Iletin (Insulin, Lilly), 146–17, 156, 159, 173–81 passim, 188

  Indianapolis. See Eli Lilly and Company

  Inge, Paula, 167

  Insulin: traditional account of discovery, 12–15

  clinical tests of, 102, 112–13, 120–22, 137–67, passim; purified, 116–17

  announcement of discovery, 123–28

  naming of, 126–27

  and roma, 130, 161

  price, 173, 88

  overused, 173–74, 244

  influence on endocrinology, 237

  standardization, 122, 157, 172–73, 187

  crystalline, 209

  protaminc-zine, 240, 216

  later history of, 244–47. See also Patents, Royalties

  Insulin Committee. See Toronto, University

  Internal Secrelions. See Endocrinology, Insulin, Pancreas

  International Diabetes Federation, 16

  Islets of Langerhans, 25, 27–29, 53, 126, 171

  “Isletin,” 72–76, 93, 126, 174. See also Iletin, Insulin

  Isoelectric precipitation, 172, 180

  Jacobaeus, J.C., 226–28

  Jeffrey, Edward, 112

  Johns Hopkins, 27, 95, 136, 158

  Joslin, Elliott P., 43, 65, 95–96, 104–6, 127, 136, 140, 149, 154, 177, 191, 194, 220, 231, 243, 245

  background, 39

  first uses insulin, 150, 156, 160–64

  later career, 242

  Joslin Diabetes Foundation, 242

  Journal Club, Physiology, 111

  Nov. 14, 1921 meeting, 90–91, 95, 107

  Journal of Laboratory and Clinical Medicine, 94, 123, 197, 203

  Journal of Metabolic Research, 149, 161

  Journal of the History of Medicine, 15

  Joyce, animal keeper, 109

  Juvenile Diabetes Foundation, 246

  Kahn, Otto, 36

  Kendall, E.C., 132–33

  Ketones, ketonuria, ketosis, 22, 88, 100, 103, 122

  Kienast, Margate, 150

  King, William Lyon Mackenzie; on Banting and Best, 211

  re honours for Banting, 216–23

  Kleiner, Israel, 40–12, 68, 79, 88–89, 104–5, 207, 209–10, 239

  Knowlton, F.P., 33, 210

  Koch, Robert, 189

  Kramer, Benjamin, 33, 145, 238

  Krogh, August, 167–71, 186–87, 203

  nomination of discoverers for Nobel Prize, 225–30, 232

  Laguesse, G.E., 25, 28, 92

  Langerhans, Paul, 25, 27. See also Islets of Langerhans

  Lewis-Benedict blood test, 41, 61

  Lcyton, Otto, 216

  Ligation. See Duct ligation

  Liljestrand, Goran, 226–27

  Lilly company. See Eli Lilly and Company

  Lilly, Eli, 137–38, 147, 174

  Lilly, J.K., 138, 147, 149, 179

  Lister, Joseph, Lord, 189, 213

  Liver, 25, 100, 103, 109, 237

  London, Ontario, 11, 46–58 passim, 74, 78, 231

  Longevity experiments, 91, 93–94, 96–97, 105–6, 108, 121–22

  McCormick, N. A., 186

  MacDonald, J. A., 149

  MacDonald, W.J., 241

  McGill University, 14, 237

  Macleod, John James Rickard: traditional account, 12–17

  manuscript history of discovery, 17, 197–98, 217

  background, 32–33

  early discussions with FGB, 51–58

  involvement in early experiments, 59–60, 62–64, 68

  reported to, 73–74

  reaction and confrontation with FGB, 78–82

  continuing experiments, 84–103

  role in first paper, 94–95

  New Haven presentation, 101–7

  organizes team, 108–10

  sanctions clinical test, 110

  confronted by FGB, 115–16, 129–30

  and breakdown of team, 118–20

  suggests name, 126

  announces discovery, 127–28

  and patenting, 131–33, 137–38

  helps regain knack, 133–34

  work on fish, 170–71, 186

  on Collip’s foolishness, 185

  and struggle for credit, 193–200

  position summarized, 197–98; 201–2

  character, 202

  response to Roberts, 205

  assessment of contribution, 208–11

  address in Edinburgh, 1923, 224

  and Nobel Prize, 225–33

  later career, 234

  bitterness of, 234

  Macleod, Mrs. J.J.R., 202

  Magath, T.B., 109

  Mahon. See Best, Margaret M.

  Mann, E.G., 109

  Marconi, Guglielmo, 217

  Marine Biological Laboratories, Woods Hole, 139

  Marine Biological Station, St. Andrew’s, 111, 170

  “Marjorie”. See Dogs

  Mayo Clinic, 82, 132, 162, 183, 237

  Meakins, Jonathan, 165

  Medical Research Council, U.K., 18, 139, 165–67, 173, 178, 183, 186–87

  Meltzer, S.J., 40

  Mering, Joseph von, 25–27, 210

  Methodist Hospital, Indianapolis, 150

  Meyer, J. de, 127

  Meyerhoff, Otto, 228

  Miller, F.R., 48, 51, 55

  Minkowski, Mrs. Oskar, 240

  Minkowski, Oskar, 25–28, 30, 210

  uses insulin, 168–69

  squelches Zuelzer, 238

  Minnesota, University of, 132

  Minot, George, 237

  Moloney, Peter, 134, 146

  Morristown, N.J. See Physiatric Institute

  Mudge, Miss, 150

  Mulock, Sir William, 216–22, 241

  Murlin, John R., 33, 41, 145, 176–77, 209–10, 238

  Murphy, Emily, 225r />
  Murray, Ian, 15

  Myers-Bailey blood test, 41, 61

  Myrtillin, 239, 247

  National Fish Company, 186

  National Institute for Medical Research, U.K., 165–66, 234

  Nature, 184–85, 201

  Naunyn, Bernard, 24, 26, 39, 168

  Needham, Elsie, 161

  New Haven conference. See American Physiology Society

  Nobel, Alfred, 225

  Nobel Committee. See Nobel Prize

  Nobel Prize, 12–13, 16–17, 149, 167, 215, 220

  award for insulin, 225–33, 237–38

  Banting’s reaction to, 229–30

  1958 Prize, 246

  Noble, E. Clark, 57–58, 64, 66, 108–9, 118, 127, 186, 195, 210–11

  Noble, Robert L., 113

  Noorden, Carl von, 24, 39, 168

  Novo-Nordisk, 168, 241, 247

  Oatmeal “cure,” 24, 34

  Obesity, epidemic, 246, 247

  Ontario government, 189, 242

  honours Banting and Best, 215–20

  Opie, Eugene, 27, 28

  Opium, and diabetes, 23, 38

  Orr, jean, 81

  Osier, Sir William, 23, 160, 189

  Ottawa, 212, 214

  Pablu,. 242

  Pacific Northwest Medical Association, 219

  Palmer, L.C., 146, 148

  Pancreas: described, 25

  and diabetes, 26–28

  foetal, 28–29, 91–93, 97

  use of whole, 76–77, 97, 101, 204

  fish, 29

  “artificial,” 247; See also: Duct ligation, Grafting, Pancreatectomy

  Pancreatectomy, 6, 34, 59–60 et seq., 105

  Paneréine. See Paulesco

  Parathyroid hormone, 237

  Parke Davis and Company, 174

  Pasteur, Louis, 189, 202, 213

  Patents: Zuelzer, 31, 176–77

  Paulesco, 126

  and quarrels in Toronto, 118–20

  decision to patent, 131–33, 137–39

  British view of, 166

  struggles re, 174–80

  and discovery issue, 209–10

  later history, 240

  Paulesco, Nicolas C, 15, 145, 239

  Banting and Best error re, 16–17, 87–89

  research of, 42

  clinical tests, 125–26

  writes Banting, 170

  relation to Toronto work, 209–10

  and Nobel Prize, 233

  Pavy, 24

  Penicillin, 130, 133, 245

  Pernicious anemia, 237

  Petterson, Alfred, 228–29

  Pfeiffer, R., 229 PH. See Acid

  Philadelphia Capsule Company, 175

  Physiatric Institute, 38–39, 43–44, 136, 149–51, 239, 242

  Physiology Congress, Eleventh International (1923), 224–29 passim.

  Piorry, 23

  Plewes, Burns, 243

  Pondville State Hospital, Mass., 239

  Pons, Francesc, 165

  Potter Metabolic Clinic, 140, 190

  Pratt, Joseph H., 238

  reappraisal of insulin research, 14–15; 207–8

  Premarin, 237

  Presbyterian Hospital, Chicago, 159

  Press coverage, 114–15, 123, 125, 190–92, 212–14

  Rabbits: testing on, 29, 99–100, 122, 171, 186–87

 

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