Discovering Insulin - Lecture 15 PDF

Summary

This lecture discusses the discovery of insulin and its impact on diabetes treatment. It covers the history of diabetes, the role of insulin, and the challenges faced in its development. The lecture also touches on modern treatments and their limitations.

Full Transcript

discovering insulin - lecture 15 Created @December 10, 2024 10:09 PM Class drug discovery and disease 1. Introduction to the Topic Lecture Focus: The discovery of insulin and it...

discovering insulin - lecture 15 Created @December 10, 2024 10:09 PM Class drug discovery and disease 1. Introduction to the Topic Lecture Focus: The discovery of insulin and its connection to Aberdeen. Broader significance in drug discovery. Global Importance of Diabetes: Over 400 million people affected worldwide. 10% of NHS budget spent on diabetes in the UK. Types of Diabetes: Type 1: Lack of insulin production. Type 2: Body’s ineffective use of insulin. 2. Historical Context and Early Understanding Definition of Diabetes: Characterized by high blood sugar levels. Historically identified through the sweetness of urine. Role of Insulin: A hormone produced by beta cells in the pancreas. Acts as a "key" to help cells absorb glucose from the blood. Without Insulin: Glucose cannot enter cells, leading to high blood sugar and starvation at the cellular level. discovering insulin - lecture 15 1 3. Early Attempts at Treatment Initial remedies included ineffective methods like: Opiates (for pain management). Digestive enzymes (poorly targeted therapies). 4. The Discovery of Insulin Key Figures: John MacLeod: Aberdeen graduate and Professor of Physiology in Toronto. Frederick Banting: Canadian doctor who proposed the idea. Charles Best: Banting’s assistant. James Collip: Biochemist who refined the insulin extraction process. Timeline: 1920: Banting proposes tying off pancreatic ducts in dogs to isolate insulin-producing tissue. 1921: Early experiments succeed in reducing blood sugar in dogs. 1922: First human trial with Leonard Thompson, a 14-year-old diabetic patient, shows success. 5. Challenges in Development Experimental Hurdles: Inconsistent results in early extracts. Conflicts among researchers about methodology and credit. Breakthrough: James Collip’s biochemical expertise allowed for consistent insulin extraction. 6. Production and Global Impact discovering insulin - lecture 15 2 Commercialization: Eli Lilly and Novo Nordisk began industrial-scale insulin production. Used pig pancreases to extract insulin initially. Effect on Patients: Transformed diabetes from a fatal disease to a manageable condition. Allowed patients to live full lifespans, a significant improvement from the pre-insulin era. 7. Legacy and Recognition Nobel Prize: Awarded in 1923 to Banting and MacLeod. Prize money shared among the team despite personal conflicts. Aberdeen Connection: MacLeod returned to Aberdeen as Regius Professor of Physiology. Memorials to MacLeod exist in Aberdeen, including a bronze bench in Duthie Park. 8. Modern Diabetes Treatments Insulin Administration: Requires injections; oral or inhaled insulin remains ineffective due to side effects. Advancements: Research on stem cell therapy to regenerate insulin-producing beta cells. Islet cell transplants provide temporary relief but are hindered by immune rejection. Ongoing Challenges: Diabetes management still poses a significant financial burden, costing the NHS over £10 billion annually. discovering insulin - lecture 15 3 9. Final Thoughts The discovery of insulin: A remarkable achievement completed within two years. Demonstrates rapid innovation under necessity. Continues to save millions of lives and influence medical science today. discovering insulin - lecture 15 4

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