Posts Tagged ‘Medicine’

Fever dreams – the true tale of Richard Spruce

// March 26th, 2012 // 4 Comments » // Drugs

Richard Spruce had seen some strange villages since arriving in South America in 1849, but this one took the cake. It was a ghost town. Every door was shut tight against the hot, humid jungle, while inside people slumbered away the sunlight.

Being the adventurous sort, he couldn’t comprehend such laziness, not, that is, until he mopped his clammy brow. His hand returned smeared with squashed mosquitoes and his own bright red blood.

He reflected, not for the first time, that life in the jungle wasn’t all it was cracked up to be, all things considered. Charles Darwin had joyfully described the Brazilian rainforest as “a great wild, untidy, luxuriant hothouse.” The tales of Alfred Wallace, a fellow young botanist, absolutely dripped with adventure.

Money truly did grow on trees here – there was a fortune to be made by transporting unusual plant species to England, where new novelties for Victorian gardens fetched a pretty penny.

Plus, the trailblazers in taxonomy whispered, it was delightfully warm, warm being a most thrilling word to Brits.

Had they mentioned the innumerable insects? If so, he still hadn’t expected the particular, primal discomforts of living in a cloud of whining and dining mosquitoes. Likewise, he hadn’t realised that breathing the air’s rich humidity would be as drinking tepid whisky through a straw. Nor how hot the nights were, wrapped tight as a flower bud in his stockings and blanket with a handkerchief over the face to ward away bloodsucking bats.

Nonetheless, Richard Spruce was not one to fret. He was of unfazeable stock, and though inch of his bare skin was soon in welts (not to mention his unmentionables), he followed the river and its plethora of plants to plunder. The cloud of mosquitoes followed too.

It’s not surprising what happened next.

The fever came on suddenly; a shivering, sweating, aching fever that rendered him helpless, striking him down mid-step on the border of Venezuela and Colombia.

His guides carried him shaking to a village. He knew the symptoms, hell he’d seen it before, but he denied his own diagnosis. Though he had the cure in his pocket, quinine from the bark from the Cinchona tree, he was loath to take its bitter rescue. He didn’t want it to be malaria.

Like a pot of swamp water on the boil, was his brain, his temperature climbing like lianas, curling like fern fronds, perching like epiphytic orchids. Images sprung forth from his fertile mind. The first two days he flashed on those damn mosquitoes, a haze of infected blood cells bursting. It didn’t make sense! The mosquitoes had left him three days ago. Certainly it wasn’t malaria, certainly, for it had been weeks since he was around the bad air of stale water, giving the Italian term mal’aria. Still he kept seeing mosquitoes.

As the fever broke into freezing chills, Richard’s guides began to mutter. When those chills turned once more to fever, they sensed his impending demise and sold his scientific equipment for rum. The patient was in no condition to care.

Spruce was stuck on mosquitoes, thriving in stagnant water and stale air, their droning drilled through his brain. He shrunk to the size of a grain of pollen and was sucked up like whisky through a mosquito’s straw. Inside the mosquito gut (it sure was hot and sticky) blood cells burst to release hideous parasites. These sex cells, for he identified them thus as surely as an anther and stigma, combined inside the mosquito. In the gut wall they formed cysts full of eggs. Or were they seeds? Or ferns?

Whatever they were, they grew for over a week, and exploded (much like his mind) yielding youngsters that frolicked freely.

Richard wasn’t frolicking. By the twinges in his aching joints, he knew the pangs of an elderly mosquito carrying young parasites, which had moved to his salivary gland to yield virulent juices. Next time he ate, dipping his mosquito’s double straw through the skin, spitting and sucking simultaneously, he would administer his chemical cocktail – anaesthetics to dull the pain, anti-blood clotting agents and, of course, the parasites.

Through the whisky straw Richard swirled, straight to the liver. His own liver, human and wracked with heat. From the liver, parasites paraded to the blood cells. Inside they ate oxygen-carrying haemoglobin and ran round after round of asexual reproduction, like spores or strawberry runners, each strawberry red and juicy, dripping. Each round took three days to replicate, feast and rupture the blood cells, like clockwork, and his body followed the same ticking cycle, burning fever following freezing chills following fever. Tick. Tick. Tick.

Richard shivered.

From outside he heard the nurse employed for his care, drunkenly yell “die, you English dog, that we may have a merry valorio with your dollars.” Well may she want a valorio, or watch night, but Richard was no a corpse.

After fifteen days of dreaming fever, he relented. Malaria it was. He took the bark of Cinchona trees, which kept him alive (just) by reducing his extreme body heat and causing the haemoglobin-chomping parasites to choke on their own waste. Such sweet relief from such bitter bark.

Thirty-eight days after his collapse, Richard was alive, but exhausted. His full recovery took many months more though, naturally, he kept collecting plants once he found new equipment.

Trudging onwards, Richard felt naught but respect and gratitude for the fine tree, Cinchona (though he preferred moss as a general rule).

Ten years later, having bushwhacked his way through saucer-sized tarantulas and marching fire ants, Richard found himself in the Andes. Gone were the South American rainforests, here roamed high altitude winds and freezing snows. After so long in the heat, the extreme chilliness didn’t suit him at all. But, onwards and upwards, as they say, and he was here to hunt Cinchona trees.

The trees were in high demand by the British and Dutch, both needing supplies for their malaria-wracked colonies. They had no steady supply, as the species had never been cultivated. There were sincere concerns that people would harvest it into extinction.

Richard spent a cold, windswept year collecting seeds and growing young plants. Almost 700 seedlings, well wrapped in moss, were tended all the way to England by a gardener assigned to their care. From the survivors, more than two hundred thousand precious plants were sent on to grow in Indian plantations.

Richard’s success with the species that saved his life did nothing less than change the world, making the heart of Africa habitable and saving millions of lives – but in the end he paid for it with his own health. Another disease cost him the use of his limbs, and he spent the rest of his days on a small pension in Britain.

Today, malaria kills around two million people each year and infects 200 million more. It has quite possibly killed more people throughout history than all our wars and plagues combined. Quinine, along with other chemicals, is still used for cures and prevention, and is gathered from the decedents of Richard Spruce’s trees.

Drinking notes: Enjoy this true tale with warm whisky or gin and tonic. Small quantities of Quinine are added to some brands of tonic water for flavour. Fluorescent, the chemical glows under black light. Many thanks to highly informative Flower Hunters by Mary and John Gribbin for the biography of Richard Spruce.

Christmas chemistry, the science of holly

// December 21st, 2011 // 5 Comments » // Poisons

pudding with holly

Chocolate orange icecream pudding with side of holly. Image by webmink

Green and red, classic Christmas colours, adorn the spiky holly shrub. A sprig may garnish puddings, but garnish nibblers like me must hold back on holly for it is poisonous in large doses – though some leaves can make a tasty beverage!

Holly includes about 400 species in the genus Ilex. The cultivated species is Ilex aquifolium, and about 20 or 30 of those bright berries can kill an adult. Poisonings are more likely in pets or children, and about five berries will make a kid feel sick.

It’s the usual suspects in symptoms – sleepiness, sore tummy, vomiting, diarrhoea. Larger doses cause paralysis, kidney damage and death.

Chemically, they contain a cocktail of active ingredients. Among them are the triterpenes, precursors to steroids which are cytotoxic (kill cells), steroids and a nitrile called menisdaurin.

Traditional medicines use holly for fever, gout and chronic bronchitis.

Holly, image by 4nitsirk, flickr

A couple of species native to North America, I. vomitoria aka yaupon and I. cassine, make caffeine and were used to make “black drink”, a stimulating brew also used as a vomit-causing emetic.

South American species I. paraguariensis contains as much as 1.6% caffeine (five times more than the above species) and some of the cocoa chemical theobromine in their leaves, and tasty tannins.

Also called yerba mate, I. paraguariensis is brewed to make mate tea, which is delicious. It’s pronounced MAH-tay, but be careful not to put the emphasis on the second syllable. Wikipedia says that makaes mah-TAY, which means “I killed” in Spanish.

So it’s fine to have a sprig of holly in the house for Christmas, just don’t make a holly pie out of it!

Have a nap and let your computer cure cancer

// October 18th, 2010 // 2 Comments » // Drugs, How Things Work, Recent Research, Science Communication

computer doing science

Image by John Watson

While waiting for inspiration to strike a solid introduction into my head, my computer screen went blank. Good ol’ MacBook conserving energy! But letting your computer go idle doesn’t mean you have to waste its processing power. Why not cure cancer with grid computing?

It’s a kind of parallel computing, which breaks up complex problems into smaller calculations and then solves them at the same time. Instead of one processor working on one calculation a time, a group of processors work on different calculations together. Dual-core computers is one way to do it. Grid computing is another.

Grid computing is like a massive virtual computer whose processors are computers linked by a central software.

World Community Grid is one group which utilises the personal computers of over half a million volunteers around the globe. Their software switches on when the computer is idle and runs virtual experiments, calculating and number crunching its way through chemical simulations. They provide this public grid to humanitarian research projects.

Childhood cancer
One of the projects they are running is helping to solve childhood cancer by finding potential new drugs for neuroblastoma, one of the most common solid tumors in children. In some people the tumors do not respond well to chemotherapy. This research is hoping to turn this around by targeting three proteins which are important to the cancer’s survival. Knock out those proteins and the cancer will in turn be knocked out by chemo.

Good plan, but how to knock out the proteins? That’s where the grid comes in.

There are three million potential drug candidates who MIGHT bind to one of the proteins and knock them out. Of course, that’s a lot of laboratory time right there. A computer would be better, but to run these nine million virtual experiments would take 8000 years. By working with the public grid they expect the project to be finished in just two years. Possibly less.

That’s a big saving on time and grant money. It’s rational based drug design (which I blogged about here) taken to a crowd sourcing extreme. They are trying a similar thing to discover dengue fever drugs.

Carbon Nanotubes

Image by Mstroeck

Clean Water
Drug design isn’t the only industry using the World Community Grid. Last month universities in Australia and China announced they are running simulations through the grid to find out how to filter water using nanotubes.

Nanotubes are small tubes that only water molecules can fit through. Not bacteria, not even viruses. It’s a great way to get rid of water dwelling nasties and desalinate sea water. But with such small pores you would expect the pressure and energy needed to force water through the filter to be incredible. And incredibly expensive. But in 2005 experiments showed that actually the water flowed pretty fast through the filters.

Why? Possibly the water molecules touching the nanotubes act more like ice and reduce friction. But who knows? To find out exactly what’s happening they’re running realistic simulations using the grid. The outcome could lead to huge improvements in water availability, potentially saving millions of lives a year in the developing world.

Like the idea of grid computing? Sign up to the World Community Grid here, and let your down time make a difference.

Noble Prize in Chemistry – Palladium catalysed reactions

// October 6th, 2010 // 1 Comment » // How Things Work, Science Communication

Image adapted from Jurii

The winners of this years Nobel Prize in Chemistry goes to Richard F. Heck, Ei-ichi Negishi and Akira Suzuki, for their work in palladium catalysed reactions.

Ah, a subject close to my own heart! As a student of Molecular and Drug Design, we studied this shizz in lectures. Hell, I think I even did a Suzuki reaction! That pretty well makes me famous IMHO.

SO – palladium catalysed reactions. What are they, I hear you say? Oh, dear gentle reader, how long do you have for me to BLOW YOUR MIND WITH CHEMISTRY AWESOME? Three minutes? K.

Carbon to carbon bonds are super important in the human body, which is pretty much made of carbon. Nitrogen, hydrogen and oxygen get a look in, but carbon is where it’s at.

There’s a big trend at the moment, has been for years, in designing small molecules as drugs. Some small molecules mimic the molecules naturally inside the body. Basically it’s telling the body what you to do in a language it can understand.

To make a carbon-based small molecule, you need to make some carbon to carbon bonds. The sad part is that carbon is a chiller, and isn’t keen on making friends with other carbons. Put a carbon and another carbon in a test-tube and they just won’t get it on. They don’t care to so much as hold hands.

HOWEVER, chuck some palladium catalyst into the mix and ba-zing! You’ve got yourself a sweet, sweet reaction that’s controllable and would otherwise have taken a zillion years to happen. Now we can create new molecules and drugs to benefit peeps everywhere!

Words cannot describe how nerdy and happy I am right now to write about palladium catalysed reactions. Maybe I’ve missed my calling as a chemist after all.

Day One Nobel Prize Week – Father of IVF wins Nobel for Medicine

// October 5th, 2010 // Comments Off on Day One Nobel Prize Week – Father of IVF wins Nobel for Medicine // Science Communication

This week is vegetarian week, and it’s also the week Nobel Prize winners are announced. Coincidence? I think not.

The 2010 prize for Physiology and Medicine was awarded to Robert G. Edwards for the development of in vitro fertilisation.

His initial success in creating a blastocyst outside the womb happened in Cambridge in 1968. The world’s first IVF baby was born ten years later in 1978. Since then the number of children conceived by IVF are around four million.

I find IVF incredibly interesting. It has not only given children to millions of parents, it’s also responsible for SCIENCE STUFF. Like countless discoveries into how embryo’s grow, and how to improve health during pregnancy.

I’ll keep you updated on the winners for Physics and Chemistry.






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