Tu Youyou and the Discovery of Artemisinin
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Questions and Answers

What critical challenge did Tu Youyou and her team face when tasked with finding a new antimalarial drug in 1969?

  • The absence of any documented traditional Chinese medicines with antimalarial properties.
  • A lack of funding for research into traditional Chinese medicines.
  • Political opposition to using traditional remedies instead of synthetic drugs.
  • Resistance of the _Plasmodium_ parasite to existing drugs like chloroquine. (correct)

How did Tu Youyou's personal experience with tuberculosis (TB) influence her career path?

  • It motivated her to study the social determinants of health and disease.
  • It inspired her to research medicines, sparking her interest in pharmacology. (correct)
  • It led her to focus on developing vaccines for infectious diseases.
  • It caused her to advocate for improved sanitation and hygiene practices.

What role did traditional Chinese medicine play in Tu Youyou's discovery of artemisinin?

  • Traditional Chinese medicine confirmed the efficacy of previously known antimalarial drugs.
  • Traditional Chinese medicine was used to validate the safety of artemisinin after its isolation.
  • Traditional Chinese medicine provided the foundation for her research, guiding her to investigate herbal remedies. (correct)
  • Traditional Chinese medicine was dismissed as unscientific, leading her to focus on synthetic compounds.

What was the primary focus of Tu Youyou's research at the Academy of Traditional Chinese Medicine before her work on malaria?

<p>Investigating herbal remedies for schistosomiasis (bilharzia). (C)</p> Signup and view all the answers

What was the significance of "Project 523," which Tu Youyou led in 1969?

<p>It was the Chinese government's initiative to find new antimalarial drugs from traditional Chinese medicines. (C)</p> Signup and view all the answers

Why was Tu Youyou's approach to preparing Artemisia annua different from traditional methods, and what key insight led to this change?

<p>She consulted ancient texts and realized that heat might be destroying the active ingredients, leading her to use a low-temperature extraction method on the leaves and stems. (C)</p> Signup and view all the answers

What was the critical innovation in Tu Youyou's research that led to the successful isolation of artemisinin, and how did this differ from previous attempts to find an effective antimalarial drug?

<p>Extracting active ingredients using a low-temperature method based on ancient texts, which preserved the integrity of the compound, unlike previous heat-based approaches. (A)</p> Signup and view all the answers

How did the discovery of dihydroartemisinin build upon the initial success of artemisinin, and what benefit did it offer in the treatment of malaria?

<p>Dihydroartemisinin was ten times more potent than artemisinin, allowing for smaller doses to achieve the same therapeutic effect. (B)</p> Signup and view all the answers

What crucial step did Tu Youyou and her colleagues take to ensure the safety and efficacy of artemisinin before widespread clinical trials, and what does this reveal about their scientific rigor?

<p>They administered the drug to themselves to evaluate its toxicity before conducting clinical trials in patients. (A)</p> Signup and view all the answers

In what significant way did Satoshi Omura's research align with Tu Youyou's approach to drug discovery, and what common principle underpinned their success in identifying novel antiparasitic medicines?

<p>Both researchers sourced medicines from natural substances, emphasizing the importance of exploring biodiversity for therapeutic potential. (A)</p> Signup and view all the answers

Flashcards

Who is Tu Youyou?

Chinese pharmacologist who discovered artemisinin, a key antimalarial drug.

What is Schistosomiasis?

A parasitic worm infection that was common in China, researched by Tu Youyou.

What is Plasmodium?

Single-cell parasite transmitted by female Anopheles mosquitoes, causing malaria.

What was Project 523?

Secret Chinese government project led by Tu Youyou to find new antimalarial drugs.

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What is Artemisinin?

A natural compound isolated by Tu Youyou from artemisia plants, used to treat malaria.

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Decoction

A standard Chinese medicine preparation method where roots are simmered in water.

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Qinghao Decoction Issue

Tu Youyou discovered that heat from boiling qinghao in decoction might destroy active ingredients.

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Artemisinin's Action

Artemisinin kills malaria parasites by damaging their membranes and interfering with hemoglobin digestion.

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Dihydroartemisinin

A compound developed by Tu Youyou, 10x more potent than artemisinin, requiring a smaller dose for the same effect.

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Satoshi Omura

Japanese microbiologist who discovered ivermectin from the bacterium Streptomyces avermitilis.

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Study Notes

  • Tu Youyou, a Chinese pharmacologist, discovered artemisinin in the late 1960s, which became a primary malaria treatment.
  • She was awarded the Nobel Prize in 2015 for her discovery.

Early Life and Education

  • Tu Youyou was born in Ningbo, China.
  • She studied pharmacology at Peking University after overcoming a two-year bout of tuberculosis.
  • Her tutor introduced her to herbal medicine during her studies.

Early Research

  • In 1955, she began researching schistosomiasis, an infection caused by a parasitic worm, using Lobelia chinensis (Chinese lobelia) as a remedy.

Malaria Research

  • Malaria was on the rise worldwide, including in China, despite eradication efforts.
  • Existing treatments like chloroquine faced increasing resistance from the parasite.
  • In 1969, Tu was appointed to head the secret "Project 523" to find new antimalarial drugs from traditional Chinese medicines.

Project 523

  • Within three months, her team gathered over 2,000 herbal, mineral, and animal substances with medicinal potential.
  • They tested 380 extracts from 200 plants for their ability to kill malaria-causing Plasmodium parasites in mice.
  • An extract of Artemisia annua (qinghao or sweet wormwood) initially showed promise but yielded inconsistent results.

Discovery of Artemisinin

  • Tu consulted ancient texts, including Ge Hong’s "A Handbook for Prescriptions for Emergencies," for insights.
  • She realized that the traditional decoction method of boiling herbs might be destroying active ingredients.
  • She redesigned the experiment to extract active ingredients from the leaves and stems using a low-temperature method with water, ethanol, and ethyl ether in 1971.
  • The method worked, and Tu isolated artemisinin, which successfully treated malaria in mice.
  • Artemisinin kills the malaria parasite by damaging its membranes and disrupting its hemoglobin digestion process.
  • Chemically, artemisinin is a sesquiterpene lactone, distinct from other known antimalarial drugs.

Clinical Trials and Licensing

  • In July 1972, Tu and her colleagues tested artemisinin's toxicity on themselves.
  • A successful clinical trial followed in 1973, and the drug was licensed for use in 1986.

Further Developments

  • Tu developed dihydroartemisinin, a compound 10 times more potent than artemisinin.
  • Dihydroartemisinin was licensed in 1992 by the Chinese Ministry of Health.
  • Fast-acting artemisinin-based drugs are now widely used in combination therapy for malaria.

Awards and Recognition

  • In 2011, Tu received the Lasker Award.
  • IN 2015 she shared the Nobel Prize in Physiology or Medicine with Satoshi Omura and William C. Campbell.
  • She was the first Chinese woman and the first Chinese person to win the Nobel Prize in Medicine.

Current Role

  • Tu Youyou continues to work as chief scientist at the China Academy of Traditional Chinese Medicine.

Satoshi Omura's Research

  • Japanese biochemist Satoshi Omura's research led to the creation of ivermectin.
  • Ivermectin is a key antiparasite medicine for diseases like river blindness and elephantiasis.
  • Omura also won the Nobel Prize in Physiology or Medicine in 2015 for his research.

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Tu Youyou, a Chinese pharmacologist, discovered artemisinin, a key malaria treatment, in the 1960s. Awarded the Nobel Prize in 2015, her research stemmed from traditional Chinese medicine. She headed Project 523 to combat rising malaria cases amidst drug resistance.

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