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1901 2011
Prize category:
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The Nobel Prize in Physiology or Medicine 1997
Stanley B. Prusiner
Autobiography
My history is not atypical of many
Americans: born in the midwest, educated in the East, and now
living in the West. My early years were shared between Des
Moines, Iowa and Cincinnati, Ohio. Shortly after I was born on
May 28, 1942 in Des Moines, my father, Lawrence, was drafted into
the United States Navy. I was named for my father's younger
brother who died of Hodgkin's disease at the age of 24. We moved
to Boston briefly where my father enrolled in Naval officer
training school before being sent to the south Pacific. He served
as a communications officer for the remainder of World War II on
an island called Eniwetok where the first hydrogen bomb was
detonated a decade later.
During my father's absence, my mother, Miriam, and I lived in
Cincinnati where her mother, Mollie Spigel, also lived. Prior to
moving to Cincinnati, Mollie had lived in Norfolk, Virginia,
where she raised three children after her husband Benjamin was
killed at age 50 in a traffic accident. Besides many special
memories of my maternal grandmother, I have many fond
reminiscences of my paternal grandfather, Ben, who emigrated to
the United States in 1896 as a young boy from Moscow. He grew up
in Sioux City, Iowa, as did my father with many other Russian
Jews. Shortly after the end of World War II, we returned to Des
Moines where I attended primary school and my brother, Paul, was
born. In 1952, we moved back to Cincinnati with the hope that my
father would be able to find a much better job as an architect.
In Cincinnati, he practiced architecture for the next 25 years,
which enabled him to provide a very comfortable home for his
family.
During my time at Walnut Hills High School, I studied Latin for
five years, which was to help me immensely later in the writing
of scientific papers. But I found high school rather
uninteresting and was most fortunate to be accepted by the
University of
Pennsylvania where I majored in Chemistry.
The intellectual environment of the University of Pennsylvania
was extraordinary - there were so many internationally renowned
scholars who were invariably receptive to the intrusions of
undergraduate students even before the days of student
evaluations of the faculty. The small size of the undergraduate
student body undoubtedly contributed to the accessibility of the
faculty. Besides numerous science courses, I had the opportunity
to study philosophy, the history of architecture, economics, and
Russian history in courses taught by extraordinarily
knowledgeable professors. Although I was among the smallest of
the heavyweight crew team members and thus had no chance of
rowing in the varsity boat, I greatly enjoyed the many hours that
I spent at this wonderful sport.
During the summer of 1963 between my junior and senior years, I
began a research project on hypothermia in the Department of
Surgery with Sidney Wolfson. I quickly became fascinated by the
project and continued working on it throughout my senior year. I
decided to remain at Penn for Medical School largely because of
the wonderful experience of doing research with Sidney Wolfson.
During the second year of medical school, I decided to ask
Britton Chance if he would allow me to study the surface
fluorescence of brown adipose tissue in Syrian golden hamsters as
they arose from hibernation. Chance had reported that the surface
fluorescence of other organs reflected the oxidation-reduction
state of those tissues. As anticipated, large changes in the
fluorescence of brown fat were found during non-shivering
thermogenesis.
My research on brown fat allowed me to spend much of the fourth
year of medical school at the Wenner-Gren Institute in Stockholm
working with Olov Lindberg on the metabolism of isolated brown
adipocytes. This was an exciting time and I began to consider
seriously a career in biomedical research. Early in 1968, I
returned to Philadelphia to complete my medical studies and to
contemplate my options. The previous spring, I had been given a
position at the NIH once I completed an internship in medicine. It
was the height of the Vietnam war with 500,000 young Americans
trying to control the spread of Communism in southeast Asia. But
I was facing an internship at the University of California San Francisco (UCSF)
that would require me to work every other night for an entire
year, a prospect about which I was not enthusiastic. The
privilege of serving in the US Public Health Service at the NIH
clearly outweighed the unpleasant prospects of an internship.
Although the workload was awesome, I managed to survive because
San Francisco was such a nice place to live. During that year, I
met my wife, Sandy Turk, who was teaching mathematics to high
school students.
At the NIH, I worked in Earl Stadtman's laboratory where I
studied glutaminases in E. coli. My three years at the NIH
were critical in my scientific education. I learned an immense
amount about the research process: developing assays, purifying
macromolecules, documenting a discovery by many approaches, and
writing clear manuscripts describing what is known and what
remains to be investigated. As the end of my time at the NIH
began to near, I examined postdoctoral fellowships in
neurobiology but decided a residency in Neurology was a better
route to developing a rewarding career in research. The residency
offered me an opportunity to learn about both the normal and
abnormal nervous system.
In July 1972, I began a residency at the University of California
San Francisco in the Department of Neurology. Two months later, I
admitted a female patient who was exhibiting progressive loss of
memory and difficulty performing some routine tasks. I was
surprised to learn that she was dying of a "slow virus" infection
called Creutzfeldt-Jakob disease (CJD) which evoked no response
from the body's defenses. Next, I learned that scientists were
unsure if a virus was really the cause of CJD since the causative
infectious agent had some unusual properties. The amazing
properties of the presumed causative "slow virus" captivated my
imagination and I began to think that defining the molecular
structure of this elusive agent might be a wonderful research
project. The more that I read about CJD and the seemingly related
diseases - kuru of the Fore people of New Guinea and scrapie of
sheep - the more captivated I became.
Over the next two years I completed an abbreviated residency
while reading every paper that I could find about slow virus
diseases. In time, I developed a passion for working on these
disorders. As I plotted out a course of action, the task became
more and more daunting. The tedious, slow, and very expensive
assays in mice for the scrapie agent had restricted progress and
I had no clever idea about how to circumvent the problem. I did
think that after working with the scrapie agent for some time
that I might eventually be able to develop such an assay.
Since both Sandy and I liked living in San Francisco, I accepted
the offer of an assistant professor position from Robert Fishman,
the Chair of Neurology, and began to set up a laboratory to study
scrapie in July 1974. Although many people cautioned me about the
high risk of studies on scrapie due to the assay problems, such
warnings did not dull my enthusiasm. To gain a base of research
support from the NIH, I initially wrote grant proposals on
glutamate metabolism in the choroid plexus. Such proposals were
dull but were readily funded because I had worked on glutaminases
earlier. Eventually, I managed to gain modest NIH support for my
scrapie studies but this was not without considerable difficulty.
To rebut the disapproval of my first NIH application on scrapie,
I set up a collaboration with William Hadlow and Carl Eklund who
were working at the Rocky Mountain Laboratory in Hamilton,
Montana. They taught me an immense amount about scrapie and
helped me initiate studies on the sedimentation behavior of the
scrapie agent.
I had anticipated that the purified scrapie agent would turn out
to be a small virus and was puzzled when the data kept telling me
that our preparations contained protein but not nucleic acid.
About this time, I was informed by the Howard Hughes Medical
Institute (HHMI) that they would not renew their support and
by UCSF that I would not be promoted to tenure. When everything
seemed to be going wrong, including the conclusions of my
research studies, it was the unwavering, enthusiastic support of
a few of my closest colleagues that carried me through this very
trying and difficult period. Fortunately, the tenure decision was
reversed and I was able to continue my work. Although my work was
never supported by HHMI again, I was extremely fortunate to
receive much larger funding from the R. J. Reynolds Company
through a program administered by Fred Seitz and Macyln McCarty
and shortly thereafter from the Sherman Fairchild Foundation
under the direction of Walter Burke. While the vast majority of
my funding always came from the NIH, these private sources were
crucial in providing funds for the infrastructure which was the
thousands of mice and hamsters that were mandatory.
As the data for a protein and the absence of a nucleic acid in
the scrapie agent accumulated, I grew more confident that my
findings were not artifacts and decided to summarize that work in
an article that was eventually published in the spring of 1982.
Publication of this manuscript, in which I introduced the term
"prion", set off a firestorm. Virologists were generally
incredulous and some investigators working on scrapie and CJD
were irate. The term prion derived from protein and infectious
provided a challenge to find the nucleic acid of the putative
"scrapie virus." Should such a nucleic acid be found, then the
word prion would disappear! Despite the strong convictions of
many, no nucleic acid was found; in fact, it is probably fair to
state that Detlev Riesner and I looked more vigorously for the
nucleic acid than anyone else.
While it is quite reasonable for scientists to be skeptical of
new ideas that do not fit within the accepted realm of scientific
knowledge, the best science often emerges from situations where
results carefully obtained do not fit within the accepted
paradigms. At times the press became involved since the media
provided the naysayers with a means to vent their frustration at
not being able to find the cherished nucleic acid that they were
so sure must exist. Since the press was usually unable to
understand the scientific arguments and they are usually keen to
write about any controversy, the personal attacks of the
naysayers at times became very vicious. While such scorn caused
Sandy considerable distress, she and my two daughters, Helen and
Leah, provided a loving and warm respite from the torrent of
criticism that the prion hypothesis engendered. During the winter
of 1983, I herniated a disc in my lumbar spine while skiing and
this slowed the pace of my work for much of the year. After a
laminectomy, I began swimming regularly, which brought relaxation
and a much needed quiet time to my life.
Just prior to my back problem, the protein of the prion was found
in my laboratory and the following year, a portion of the amino
acid sequence was determined by Leroy Hood. With that knowledge,
molecular biological studies of the prions ensued and an
explosion of new information followed. I collaborated with
Charles Weissmann on the molecular cloning of the gene encoding
the prion protein (PrP) and with George Carlson and David
Kingsbury on linking the PrP gene to the control of scrapie
incubation time in mice. About the same time, we succeeded in
producing antibodies that provided an extremely valuable tool
that allowed us to discover the normal form of PrP. In a very
important series of studies, the antibodies were used by Stephen
DeArmond to study the pathogenesis of prion disease in transgenic
mice. Steve brought the much needed talents of an outstanding
neuropathologist to these studies. As more data accumulated, an
expanding edifice in support of the prion concept was
constructed. Ruth Gabizon dispersed prions into liposomes and
purified scrapie infectivity on columns with PrP antibodies.
Karen Hsiao discovered a mutation in the PrP gene that caused
familial disease and reproduced the disease in transgenic mice
while Michael Scott produced transgenic mice abrogating the prion
species barrier and later artificial prions from chimeric PrP
transgenes. Indeed, no experimental findings that might overturn
the prion concept were reported from any laboratory. By the early
1990s, the existence of prions was coming to be accepted in many
quarters of the scientific community, but the mechanism by which
normal PrP was converted into the disease-causing form was still
obscure. When Fred Cohen and I began to collaborate on PrP
structural studies, I was again extremely fortunate. Fred brought
an extraordinary set of skills in protein chemistry and
computational biology to investigations of PrP structures.
As prions gained wider acceptance among scientists, I received
many scientific prizes. The first major recognition of my work
was accorded by neurologists with many other awards coming soon
thereafter. But the most rewarding aspect of my work has been the
numerous wonderful friends that I have made during an extensive
series of collaborative studies. It has been a special privilege
to work with so many talented scientists including numerous
postdoctoral fellows and technical associates who have taught me
so much. Besides the many collaborators who have contributed
their scientific skills to advancing the study of prions, I have
had many colleagues who have contributed indirectly to my work by
being supportive of the special needs that such a project has
demanded.
From Les Prix Nobel. The Nobel Prizes 1997, Editor Tore Frängsmyr, [Nobel Foundation], Stockholm, 1998
This autobiography/biography was written at the time of the award and later published in the book series Les Prix Nobel/Nobel Lectures. The information is sometimes updated with an addendum submitted by the Laureate.
Copyright © The Nobel Foundation 1997
MLA style: "Stanley B. Prusiner - Autobiography". Nobelprize.org. 14 Feb 2012 http://www.nobelprize.virtual.museum/nobel_prizes/medicine/laureates/1997/prusiner-autobio.html
