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Box 1.2 Some landmarks in endocrinology over the last century or so

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1905 First use of the term ‘hormone’ by Starling in the Croonian Lecture at the Royal College of Physicians
1909 Cushing removed part of the pituitary and saw improvement in acromegaly
1914 Kendall isolated an iodine‐containing substance from the thyroid
1921 Banting and Best extracted insulin from islet cells of dog pancreas and used it to lower blood glucose
Early 1930s Pitt‐Rivers and Harrington determined the structure of the thyroid hormone, thyroxine
1935–1940 Crystallization of testosterone
1935–1940 Identification of oestrogen and progesterone
1940s Harris recognized the relationship between the hypothalamus and anterior pituitary in the ‘portal‐vessel chemotransmitter hypothesis’
1952 Gross and Pitt‐Rivers identified tri‐iodothyronine in human serum
1955 The Schally and Guillemin laboratories showed that extracts of hypothalamus stimulated adrenocorticotrophic hormone (ACTH) release
1950s Adams and Purves identified thyroid stimulatory auto‐antibodies
Gonadectomy and transplantation experiments by Jost led to the discovery of the role for testosterone in rabbit sexual development
1955 Marcel Janbon and colleagues first recognized the hypoglycaemic effects of sulphonamide antibiotics during a typhoid epidemic in Marseilles in 1942. This led to the introduction of sulphonylureas into clinical practice
1955 Sanger reported the primary structure of insulin
1956 Doniach, Roitt and Campbell associated antithyroid antibodies with some forms of hypothyroidism – the first description of an autoimmune phenomenon
1957 Growth hormone was used to treat children with short stature
1966 First transplant of human pancreas to treat type 1 diabetes by Kelly, Lillehei, Goetz and Merkel at the University of Minnesota
1969 Hodgkin reported the three‐dimensional crystallographic structure of insulin
1969–1971 Discovery of thyrotrophin‐releasing hormone (TRH) and gonadotrophin‐releasing hormone (GnRH) by Schally’s and Guillemin’s groups
1973 Discovery of somatostatin by the group of Guillemin
1981–1982 Discovery of corticotrophin‐releasing hormone (CRH) and growth hormone‐releasing hormone (GHRH) by Vale
1983 Cloning of gene encoding glucagon and two glucagon‐like peptides, including GLP‐1, by Bell and colleagues
1994 Identification of leptin by Friedman and colleagues
1994 First transplantation of pancreatic islets to treat type 1 diabetes by Pipeleers and colleagues in Belgium
1999 Discovery of ghrelin by Kangawa and colleagues
1999 Sequencing of the human genome – publication of the DNA code for chromosome 22
2000 Advanced islet transplantation using modified immunosuppression by Shapiro and colleagues to treat type 1 diabetes
2005 GLP‐1 receptor agonists introduced into clinical practice
2010 SGLT‐2 inhibitors entered clinical practice

Table 1.1 Nobel prizewinners in endocrinology and diabetes or those whose discoveries have profoundly affected the specialty

Year Prizewinner(s) For work on …
1909 Emil Theodor Kocher Physiology, pathology and surgery of the thyroid gland
1923 Frederick Grant Banting and John James Richard Macleod Discovery of insulin
1928 Adolf Otto Reinhold Windaus Constitution of the sterols and their connection with the vitamins
1939 Adolf Friedrich and Johann Butenandt Sex hormones
1943 George de Hevesy Use of isotopes as tracers in the study of chemical processes
1946 James Batcheller Sumner, John Howard Northrop and Wendell Meredith Stanley Discovery that enzymes can be crystallized and prepared in a pure form
1947 Carl Ferdinand Cori, Getty Theresa Cori (neé Radnitz) and Bernardo Alberto Houssay Discovery of the course of the catalytic conversion of glycogen
1950 Edwin Calvin Kendall, Tadeus Reichstein and Philip Showalter Hench Discoveries relating to the hormones of the adrenal cortex, their structure and biological effects
1955 Vincent du Vigneaud Biochemically important sulphur compounds, especially for the first synthesis of a polypeptide hormone
1958 Frederick Sanger Structures of proteins, especially that of insulin
1964 Konrad Bloch and Feodor Lynen Discoveries concerning the mechanism and regulation of cholesterol and fatty acid metabolism
1964 Dorothy Hodgkin X‐ray crystallography, a method used to determine the three‐dimensional structures of molecules, including insulin
1966 Charles Brenton Huggins Discoveries concerning hormonal treatment of prostatic cancer
1969 Derek HR Barton and Odd Hassel Development of the concept of conformation and its application in chemistry
1970 Bernard Katz, Ulf von Euler and Julius Axelrod Discoveries concerning the humoral transmitters in the nerve terminals and the mechanism for their storage, release and inactivation
1971 Earl W Sutherland Jr Discoveries concerning the mechanisms of the action of hormones
1977 Roger Guillemin, Andrew V Schally and Rosalyn Yalow Discoveries concerning peptide hormones in the production in the brain and the development of radioimmunoassay from peptide hormones
1979 Allan M Cormack and Godfrey N Hounsfield Development of computer‐assisted tomography
1982 Sune K Bergström, Bengt I Samuelson and John R Vane Discoveries concerning prostaglandins and related biologically active substances
1985 Michael S Brown and Joseph L Goldstein Discoveries concerning the regulation of cholesterol metabolism
1986 Stanley Cohen and Rita Levi‐Montalcini Discoveries of growth factors
1992 Edmond H Fischer and Edwin G Krebs Discoveries concerning reversible protein phosphorylation as a biological regulatory mechanism
1994 Alfred G Gilman and Martin Rodbell Discovery of G‐proteins and the role of these proteins in signal transduction in cells
2003 Peter Agre and Roderick MacKinnon Discovery of water channels, and the structural and mechanistic studies of ion channels
2003 Paul Lauterbur and Sir Peter Mansfield Discoveries concerning magnetic resonance imaging
2010 Robert G Edwards Development of in vitro fertilisation

Figure 1.2 The sites of the principal endocrine glands. While the stomach, kidneys and duodenum are shown, a multitude of different hormones are secreted right the way along the gastrointestinal tract.

Traditionally, endocrinology has centred on specialized hormone‐secreting organs (Figure 1.2), largely founded on the ‘endocrine postulates’ of Edward Doisy (Box 1.3). While the focus of this textbook remains on these organs, virtually all tissues make hormones of some description or, equally relevant, modulate the action of hormones from other sites. All of these different aspects are important for a complete appreciation of endocrinology and its significance.

Essential Endocrinology and Diabetes

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