98 questions · 64 almanac · 0 findings

Drug Discovery and Pharmacology

The science of finding and developing therapeutic drugs.

Almanac A Bullet Built to Find One Target
  • What did Paul Ehrlich mean by a 'magic bullet' and where did the concept come from?
  • Why was compound 606 set aside and forgotten before Sahachiro Hata retested it?
Almanac The Body's Own Emergency Signal
  • How did Henry Dale first extract histamine from ergot fungus rather than from animal tissue?
  • How did Dale's identification of histamine eventually lead to the antihistamines developed in the 1940s?
Almanac The Magic Bullet Turns Out to Work
  • What did Paul Ehrlich mean by a 'magic bullet' (Zauberkugel) and how did Salvarsan fulfill that idea?
  • How did Ehrlich's targeted-molecule approach shape the drug development that followed, from sulphonamides to penicillin?
Almanac Compound Twenty-Five, Shelved and Forgotten
  • Why was LSD-25 originally synthesised as part of a search for circulation and respiration medicines?
  • What is ergot, and why was it already notorious before Hofmann used it in his research?
  • How did Albert Hofmann discover LSD's psychoactive effects five years after first synthesising it?
Almanac Nurses Cycling the Mould Back Through
  • Why did Oxford nurses recycle patients' urine during early penicillin trials?
  • What logistical problem stood between penicillin's proven clinical effect and treating soldiers at scale?
  • How did the urgency of wartime casualties drive the industrialization of penicillin production in the United States?
Almanac From Bedpans to a Ton at a Time
  • Why did doctors recover penicillin from a patient's own urine to reuse it?
  • What manufacturing technique let American pharmaceutical companies scale penicillin from teaspoons to tons?
Almanac A Bicycle Ride Through an Unmeasured Dose
  • Why did Hofmann first set LSD aside in 1938 after synthesizing it while researching ergot alkaloid derivatives?
  • How did Hofmann accidentally absorb LSD through his skin on 16 April 1943, and what did he record about the experience?
  • What made Hofmann's laboratory notes from Bicycle Day notable as a scientific document?
  • What longer-term research and cultural effects followed from Hofmann's 1943 resynthesis of LSD?
Almanac A Spoiled Dish, A Saved World
  • Why couldn't Fleming's original discovery become a usable drug without Chain and Florey's later work?
  • How did Chain and Florey prove in 1941 that penicillin could save a dying patient?
Almanac Church Bells for a Vaccine
  • How large was the 1954 field trial that tested the Salk vaccine, and why did its scale matter for the results announced in 1955?
Almanac A Poison, Made Precise
  • Why was curare, an arrow poison, useful for muscle relaxation during surgery?
  • What problem did Daniel Bovet solve by synthesizing artificial analogues of curare's active principle?
  • How did Bovet's earlier work on antihistamines connect to his approach to muscle relaxants?
  • What does it mean for pharmacology to become 'rational' rather than based on grinding up plants?
Almanac Conception Made Optional, Daily
  • What were the ethical problems with the clinical trials Gregory Pincus ran in Puerto Rico and Haiti?
  • Why was Enovid initially approved for menstrual disorders rather than contraception?
Almanac Willow Bark's Molecular Target, Named
  • How did John Vane discover that aspirin works by inhibiting the enzyme cyclo-oxygenase?
  • Why had willow bark been used as a folk remedy for thousands of years before anyone understood its molecular mechanism?
Almanac Watching One Collision at a Time
  • Why did establishing reaction dynamics as geometry and energy transfer make it possible to design drug molecules rather than stumble on them?
Almanac A Shelved Cancer Drug Bought Time
  • Why was AZT originally synthesized in 1964, and why was it shelved before its use against HIV was discovered?
  • How fast was the FDA's review of AZT in 1987, and why was that speed unusual?
  • How did AZT's launch price shape the patient advocacy movement around pharmaceutical pricing?
Almanac Drug Design Traded Its Lottery Tickets for Blueprints
  • How did James Black's rational, receptor-first approach differ from the mass-screening drug discovery of his era?
  • What metabolic differences between cancer cells and normal cells did Elion and Hitchings exploit to design their drugs?
  • How did this trio's work push the pharmaceutical industry toward structure-based drug design?
Almanac Working Backward From the Molecule
  • How many total syntheses of natural products did Corey complete using his method, and why does that matter for the pharmaceutical industry?
Almanac A Hundred Times More Authors Than Pages
  • What clinical trial produced a paper with roughly a hundred times as many authors as pages?
  • Why does a large international heart-attack trial require so many contributing investigators?
Almanac Prozac Makes Clams Spawn, Apparently Happily
  • How did fluoxetine (Prozac) trigger spawning behaviour in freshwater clams?
  • Why did Peter Fong's description of the clams as 'happy' become contested among researchers?
Almanac Teaching Molecules Left From Right
  • How did William Knowles use a chiral catalyst to make a purer version of the Parkinson's drug L-DOPA?
  • What problem in drug manufacturing did asymmetric catalysis solve for the pharmaceutical industry?
Almanac Two Pairs of Dancers Swap Partners
  • Why were the original metathesis catalysts unsuitable for pharmaceutical chemistry, and how did Grubbs and Schrock fix that?
  • Which drugs are now manufactured using metathesis reactions?
Almanac Six Thousand Moulds Screened for One
  • What hypothesis led Akira Endo to search fungal cultures for a cholesterol-lowering compound?
  • How many fungal cultures did Endo screen before finding mevastatin, the first statin, in a Penicillium mould?
  • What did clinical trials in the late 1970s show about statins' effect on LDL cholesterol and heart attacks?
Almanac One Cure From a Garden, One From a Library
  • How was ivermectin isolated from soil bacteria collected across Japan?
  • Why did earlier high-temperature extraction methods fail to find artemisinin?
  • What historical text pointed Tu Youyou toward sweet wormwood as a fever remedy?
  • How much has ivermectin reduced the worm burden in affected regions?
Almanac Testing Poverty the Way Medicine Tests Drugs
  • Why did earlier development economics prescriptions like structural adjustment and microfinance have an uneven track record?
  • How did Banerjee, Duflo, and Kremer adapt the randomised controlled trial from medicine to test anti-poverty programs?
  • What kinds of interventions, like school meals and deworming tablets, did the researchers test in Kenya and India?
Almanac A Gut Hormone's Thirty-Year Journey to the Clinic
  • Why was GLP-1's rapid destruction by plasma enzymes an obstacle to turning it into a drug?
  • How did Lotte Bjerre Knudsen's fatty acid modification extend GLP-1's half-life into a once-weekly drug?
Almanac The Side Effects Were the Point
  • How did Schenk's trial compare a placebo with a side-effect label against one without any side-effect information?
  • What does this finding suggest about how pharmaceutical labeling itself can act as part of a drug's effect?