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一百年前:胰岛素时代的曙光。

One hundred years ago: the dawning of the insulin era.

机构信息

Department of Medical Sciences, University of Turin, Corso AM Dogliotti 14, 10126, Turin, Italy.

出版信息

Acta Diabetol. 2021 Jan;58(1):1-4. doi: 10.1007/s00592-020-01642-1.

DOI:10.1007/s00592-020-01642-1
PMID:33221965
Abstract

The dawn of the insulin era can be placed in 1921, when Banting and Best started their experiments which led, a year later, to the successful treatment of diabetes. They were preceded by the discoveries of the pancreatic cause of diabetes by Minkowski and von Mering in 1889 and of the islets by Paul Langerhans in 1869. The achievement of the first targeted treatment in medical history was a landmark of medical progress. However, it was accompanied by a mixture of human greatness and misery. Genius and recklessness, ambition and deception, camaraderie and rivalry, selflessness and pursuit of glory went along with superficial search of the existing literature, poor planning, faulty interpretation of results, failure to reproduce them, and misquoting of reports from other laboratories. Then as now, such faults surface whenever human nature aims to push forward the boundaries of knowledge and pose a real challenge in today's world, as the scientific method strives to keep healthy in the face of growing anti-scientific feelings.

摘要

胰岛素时代的曙光可以追溯到 1921 年,当时班廷和贝斯特开始了他们的实验,一年后成功治疗了糖尿病。在此之前,明科夫斯基和冯梅林于 1889 年发现了糖尿病的胰腺病因,而朗格汉斯于 1869 年发现了胰岛。在医学史上首次实现有针对性的治疗是医学进步的一个里程碑。然而,它伴随着人性的伟大和悲惨。天才和鲁莽、野心和欺骗、友情和竞争、无私和追求荣耀,与对现有文献的肤浅搜索、糟糕的计划、对结果的错误解读、无法重现结果以及对其他实验室报告的错误引用并存。当时和现在一样,每当人类的本性试图推动知识的边界,并在当今世界构成真正的挑战时,科学方法就会在面对日益增长的反科学情绪时努力保持健康。

相似文献

1
One hundred years ago: the dawning of the insulin era.一百年前:胰岛素时代的曙光。
Acta Diabetol. 2021 Jan;58(1):1-4. doi: 10.1007/s00592-020-01642-1.
2
The discovery of insulin in Toronto: beginning a 100 year journey of research and clinical achievement.多伦多发现胰岛素:开启百年科研与临床成就之旅。
Diabetologia. 2021 May;64(5):947-953. doi: 10.1007/s00125-020-05371-6. Epub 2021 Jan 25.
3
Pancreatic Extracts for the Treatment of Diabetes (1889-1914): Acomatol.治疗糖尿病的胰腺提取物(1889-1914):阿科马托。
Am J Ther. 2020 Jan/Feb;27(1):e1-e12. doi: 10.1097/MJT.0000000000001070.
4
[Insulin precursors--a historical synopsis. First diabetes treatment trials using pancreas extracts].[胰岛素前体——历史概述。首次使用胰腺提取物进行的糖尿病治疗试验]
Arzneimittelforschung. 1975 Mar;25(3):439-42.
5
Insulin: Almost a Century of Lifesaving.胰岛素:近一个世纪的救命良药。
Consult Pharm. 2017 Apr 1;32(4):190-198. doi: 10.4140/TCP.n.2017.190.
6
[The anatomical and histological investigation of the pancreas in the 19th century and till the discovery of insulin (1921) 3. The discovery of the pancreas-diabetes by von Mering and Minkowski (1889) (author's transl)].[19世纪直至胰岛素发现(1921年)期间胰腺的解剖学和组织学研究 3. 冯·梅林和明科夫斯基发现胰腺与糖尿病的关系(1889年)(作者译)]
Anat Anz. 1978;143(5):509-17.
7
Insulin: A pacesetter for the shape of modern biomedical science and the Nobel Prize.胰岛素:现代生物医学科学和诺贝尔奖的引领者。
Mol Metab. 2021 Oct;52:101194. doi: 10.1016/j.molmet.2021.101194. Epub 2021 Feb 18.
8
Historical Background of Pancreatic Islet Isolation.胰岛分离的历史背景
Adv Exp Med Biol. 2016;938:1-9. doi: 10.1007/978-3-319-39824-2_1.
9
The concept of diabetes in historical perspective.从历史角度看糖尿病的概念。
Isr J Med Sci. 1972 Mar;8(3):469-75.
10
Insulin: discovery and controversy.胰岛素:发现与争议
Clin Chem. 2002 Dec;48(12):2270-88.

引用本文的文献

1
New Classification of Periodontal Diseases, the Obstacles Created and Opportunities for Growth.牙周疾病的新分类、所造成的障碍及发展机遇
Pathogens. 2024 Dec 12;13(12):1098. doi: 10.3390/pathogens13121098.
2
Insulin: evolution of insulin formulations and their application in clinical practice over 100 years.胰岛素:100 多年来胰岛素制剂的发展及其在临床实践中的应用。
Acta Diabetol. 2022 Sep;59(9):1129-1144. doi: 10.1007/s00592-022-01938-4. Epub 2022 Jul 19.
3
Felix dies natalis, insulin… ceterum autem censeo "beta is better".费利克斯生日那天,注射了胰岛素……但我认为“β更好”。

本文引用的文献

1
Opinion: Is science really facing a reproducibility crisis, and do we need it to?观点:科学真的面临可重复性危机了吗?我们需要解决它吗?
Proc Natl Acad Sci U S A. 2018 Mar 13;115(11):2628-2631. doi: 10.1073/pnas.1708272114.
Acta Diabetol. 2021 Oct;58(10):1287-1306. doi: 10.1007/s00592-021-01737-3. Epub 2021 May 23.