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作者信息

Chast F

机构信息

Hôpital Necker-Enfants malades, 149, rue de Sèvres, 75015 Paris, France.

出版信息

Ann Pharm Fr. 2022 Nov;80(6):782-802. doi: 10.1016/j.pharma.2022.04.004. Epub 2022 Apr 25.

Abstract

The first therapeutic benefits of insulin were recorded after the injection of pancreatic extract, given on January 23, 1922 in Toronto to a 14-year-old teenager. Until then, type I diabetes was always fatal, within weeks or months; the fatal outcome being delayed only at the cost of a drastic low-calorie diet. In previous decades, the importance of the pancreas in the development of diabetes had been pointed out, but all attempts to use a pancreatic extract had failed. It is with the objective of "neutralizing" the destructive effects of pancreatic juice (proteolytic) that the isolation of insulin was carried out by a research team which was totally improbable since it was headed by an orthopedic surgeon, Frederick Banting and a 22-year-old stagiaire, Charles Best. Their work was carried out in the university physiology laboratory of John Macleod and their outcome was made possible thanks to the skills of James Collip who purified the insulin preparation. Scientific reality invites us to emphasize that, Banting works, based on a wrong hypothesis, drew towards an historical discovery. Very quickly recognized as of major importance for medicine, the discovery was greeted by the attribution of the Nobel Prize in 1923. For a hundred years, insulin has not ceased to be an essential drug for tens of millions of patients in the world, but it has been a motor for scientific research: innovation in galenic pharmacy and biopharmacy, in fundamental chemistry as a subject for the study of the structure, analysis and synthesis of proteins, and finally, as a motor for the development of biotechnologies, since insulin was the first drug prepared by DNA-recombinant technology, and marketed in 1982.

摘要

1922年1月23日,在多伦多给一名14岁青少年注射胰腺提取物后,胰岛素的首批治疗效果得到记录。在此之前,I型糖尿病通常在数周或数月内致命;只有通过极端的低热量饮食才能延缓致命结局。在前几十年里,胰腺在糖尿病发病中的重要性已被指出,但所有使用胰腺提取物的尝试均告失败。一个研究团队进行胰岛素分离的目的是“中和”胰液(蛋白水解)的破坏作用,而这完全出人意料,因为该团队由整形外科医生弗雷德里克·班廷和一名22岁的实习生查尔斯·贝斯特领导。他们的工作在约翰·麦克劳德的大学物理实验室进行,多亏了詹姆斯·科利普纯化胰岛素制剂的技术,他们才取得了成果。科学事实促使我们强调,班廷基于错误假设开展的工作却带来了一项历史性发现。该发现很快被公认为对医学至关重要,并在1923年荣获诺贝尔奖。一百年来,胰岛素一直是全球数千万患者的必备药物,同时它也是科研的动力:促进了盖伦制药和生物制药领域的创新,推动了基础化学领域对蛋白质结构、分析和合成的研究,最后,作为生物技术发展的动力,因为胰岛素是第一种通过DNA重组技术制备并于1982年上市的药物。

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