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American Heritage MagazineOctober/November 1984    Volume 35, Issue 6
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THE PRIZEWINNERS


America has won more Nobel Prizes in medicine than any other nation: it’s easy when you have the money, the technology, and people from every other nation
by Robert B. Brown


In 1977 the sociologist Harriet Zuckerman published a comprehensive study of the American Nobel laureates in science called Scientific Elite. She used these words of Simone Weil for an epigraph: “Science today must search for a source of inspiration above itself or it will perish. There are just three reasons for doing science: (1) technical applications; (2) chess game; (3) the way toward God. (The chess game is embellished with competitions, prizes and medals.)”

Of all the prizes awarded to the players of the game of science, the Nobel is the most prestigious. Since the Second World War, Americans have won more of them than any other country—we have fifty-four laureates in the category of physiology or medicine. The Germans won most before the war, and their decline may be attributed to Adolf Hitler himself.

In 1936 the Nobel Peace Prize was given to Carl von Ossietzky, whom the Nazis had thrown into prison three years before. Hitler’s petulant response was to declare that henceforth no German would be permitted to accept a Nobel. The scientific community took the hint, and the first wave of émigrés to America included eight men who had already won the prize, Einstein, Fermi, and Bohr among them. They were followed by three who would win it soon: the physicists Pauli and Stern and the biochemist Henrik Dam. Bohr, Pauli, and Dam returned to Europe after the war, the others remained here. There were two “waves,” as a scientist at Rockefeller University put it: “First they came fleeing from the Nazis, and then, about twenty years later, they were fleeing from the Russians.” Most of those who came were mathematicians and physicists, but their contributions to the accelerated physics of the space program necessarily spilled over into biology and medicine.

When scientists are confronted with the question “Why have the Americans so dominated the awards?” their first response is usually a qualifying smile. They speak of the immigration already mentioned, of the number of laureates who were born somewhere else. Then the obvious truth is brought forward: “We have more money and more people doing science.” There is a degree of sophisticated reservation about what real bearing the glamorous prize can have on intellectual work of the highest order. The justice of the awards is rarely questioned, but examples are given of people who should have won and did not. Oswald T. Avery is a classic case: Avery did his work on DNA—the genetic code—when he was quite old, and he died before Stockholm got around to him. Timing is everything. (According to Nobel’s will, “The prizes for physics and chemistry shall be awarded by the Swedish Academy of Sciences; that for physiological or medical works by the Caroline Institute in Stockholm …”) The institute’s explanation is instructive: “Avery’s discovery in 1944 of DNA as carrier of heredity represents one of the most important achievements in genetics and it is to be regretted that he did not receive the Nobel Prize. By the time the dissident voices were silenced, he had passed away.”

ANOTHER RESERVATION goes to the heart of science itself. The great breakthrough is rarely now the accomplishment of a single man or woman working in isolation. A field—biology, for example—advances the world over; shared knowledge increases until some sort of critical point is reached, the point at which the great discovery is not only possible but virtually inevitable. At the moment that point arrived in biology, America was there with the best technology and the maximum resources. As one scientist put it, “The surf was up and we had the biggest board.” Another metaphor was given by the physicist John Ziman. He compared Crick and Watson, who won the Nobel in 1962 for their work on the structure of DNA, to sergeants who, “after a mighty assault, finally planted the flag upon the summit of the citadel. By the time they ventured into battle, victory was certain; it was largely chance that put the symbol of it into their hands.”

The rare and more dramatic instance of a discovery that directly defied the accepted opinion is exemplified by Gerald M. Edelman, who won the prize in 1972 for his discovery of the molecular structure of antibodies, which rationalized the study of immunology. His ideas were, at first, simply not believed, a not altogether unfortunate circumstance. If they had been, he has stated, “they could have been snapped up by laboratories with much more expert people than myself, and I think it [the structure] would have become clearer much earlier, had they paid attention. But they didn’t, and so I had a chance in a leisurely way to explore this whole business.”

Unable to publish his early findings in the appropriate journals, Edelman sent a one-page letter to the Journal of the American Chemical Society:

Sir: Reaction of gamma-globulin with sulfhydryl compounds, sulfite, or performic acid resulted in a marked diminution in the sedimentation coefficient and molecular weight.… These findings suggest that human gamma-globulin contains subunits linked at least in part by disulfide bonds. The possibility that linkages other than disulfide bonds are involved has not been excluded.

Thirteen years later, after he and his group had determined the complex structure of the largest molecule analyzed to that date, he was astonished to find that his citation for the Nobel Prize referred precisely to the original single page: there was now a “firm foundation for truly rational research, something that was previously largely lacking in immunology.”

Laureates find the prize disrupts their lives: “The year I won,” said one, “was horrible.”

It is generally held that the institute has been rather conservative in its selections. One historian complained that an examination of the prizewinning discoveries would yield only “hard little pellets of empirical knowledge … shaken free of any conceptual matrix in which they are unaccountably embedded.” Had the prize existed in his day, Darwin would not have won it: the theory of evolution did not directly produce any facts. Einstein won “for his services of Theoritical Physics,” and specifically “for his discovery of the law of photoelectric effect.” Nobel’s will stipulates that the prizes should go to “those who, during the preceding year, shall have conferred a great benefit on mankind,” a phrase that looks toward a visible therapeutic result. In 1927, for instance, the Austrian Julius Wagner-Jauregg won the prize for producing a temporary abatement of the symptoms of advanced neurosyphilis by inoculating patients with malaria.

Although the conservative bent of the prize committee has been loosening up, the problem is still inherent in the nature of things. A greatly simplified scenario would run like this: X publishes a radical notion; ten years later A, B, C through Z, stimulated in large part by X’s idea, discover the facts that prove X was right. Who gets the prize? The bestowal of joint awards is a partial solution, but the institute has set a limit of three members from any one scientific group.

In her study Zuckerman discovered one experience common to most laureates: the prize had a disruptive effect on their lives and work. “The year I won the prize was horrible. Well, it was wonderful, but I didn’t do any work whatsoever,” said one winner. We are all accustomed now to the bombardment of the media, but it was eighty-one years ago that Marie Curie, after her first Nobel, wrote to her brother: “We are inundated with letters and with visits from photographers and journalists. One would like to dig into the ground somewhere and find a little peace. …”

Most of the money for research in America comes through the National Institutes of Health and the National Science Foundation. The NIH has both an internal and an external body; it carries on its own work and funds research across the country. A peer-review system determines which projects deserve support; qualified scientists are invited to come to the NIH and review the proposals for which funding is asked. The system has worked well but is steadily subject to the intensely competitive nature of all this as well as special pleading, logrolling, and ordinary human frailty.

There is a great deal of research done in the private sector—the drug companies are an example—but this has been goal-oriented and less likely to produce discoveries of Nobel proportions. Private companies, moreover, are careful to restrict publication, for obvious competitive reasons.

America is, for the moment, in the lead in science if the Nobel Prize is allowed to be a measure. In an age obsessed with technology, the bigger and richer a country is, the more people will be doing research. The Russians are a little paranoid about their science; they are wary about publication, and the free flow of information, which is essential to the cumulative effort science has now become, is stunted. America is eclectic in style; we have a great variety of people doing a great variety of things on their own initiative, not at the direction of the state. It is in the American tradition to be hospitable to the eccentric loner working for the love of knowledge only, not worried about specific commercial application.

“The desire for money is leading a lot of the brightest kids into medicine,” one chemist told me. “But not to worry—quite a few of them will get bored and go back into research.”

 
American Laureates in Physiology or Medicine

1912 ALEXIS CARREL
Born in France.

For his work on vascular structure and the transplantation of blood vessels and organs.

1930 KARL LANDSTEINER
Born in Austria.

For his discovery of human blood groups.

1933 THOMAS H. MORGAN

For his discoveries concerning the role played by the chromosome in heredity.

1934 GEORGE R. MINOT
WILLIAM P. MURPHY
GEORGE H. WHIPPLE

For their discoveries concerning liver therapy in cases of anemia.

1943 EDWARD A. DOISY

For his discovery of the chemical nature of vitamin K.

1944 JOSEPH ERLANGER
HERBERT S. GASSER

For their discoveries relating to the highly differentiated functions of single nerve fibers.

1946 HERMANN JOSEPH MULLER

For the discovery of the production of mutations by means of X-ray irradiation.

1947 CARL F. CORI
GERTY T. CORI
Born in Austria.

For their discovery of the course of the catalytic conversion of glycogen.

1950 PHILIP S. HENCH
EDWARD C. KENDALL

For their discoveries relating to the hormones of the adrenal cortex.

1951 MAX THEILER
Born in South Africa.

For his discoveries concerning yellow fever and the development of a vaccine.

1952 SELMAN A. WAKSMAN
Born in Russia.

For his discovery of streptomycin, the first antibiotic effective against tuberculosis.

1953 FRITZ ALBERT LIPMANN
Born in Germany.

For his discovery of coenzyme A and its importance for cell metabolism.

1954 JOHN F. ENDERS
THOMAS H. WELLER
FREDERICK C. ROBBINS

For their discovery of the ability of polio viruses to grow in cultures of various types of tissues.

1956 DICKINSON RICHARDS, JR.
ANDRÉ F. COURNAND
Born in France.

For their development of a technique for inserting a catheter through a vein into the heart to diagnose circulatory ailments.

1958 GEORGE W. BEADLE
EDWARD L. TATUM

For their discovery that genes act by regulating definite chemical events.

JOSHUA LEDERBERG

For his discoveries concerning genetic recombination and the organization of the genetic material of bacteria.

1959 SEVERO OCHOA
Born in Spain.
ARTHUR KORNBERG

For their discovery of the mechanisms of synthesis of RNA and DNA, organic compounds that carry hereditary characteristics.

1961 GEORG VON BÉKÉSY
Born in Austria-Hungary.

For his discoveries of the physical mechanism of the inner ear.

1962 JAMES D. WATSON

For discoveries concerning the molecular structure of nucleic acids and its significance for information transfer in living material.

1964 KONRAD E. BLOCH
Born in Germany.

For discoveries concerning the mechanism and control of cholesterol metabolism.

1966 PEYTON ROUS

For his discovery of tumor-inducing viruses.

CHARLES B. HUGGINS
Born in Canada.

For his discoveries concerning hormonal treatment of prostatic cancer.

1967 HALDAN K. HARTLINE
GEORGE WALD

For their discoveries concerning the primary physiological and chemical processes in the eye.

1968 ROBERT W. HOLLEY
MARSHALL NIRENBERG
HAR GOBIND KHORANA
Born in India.

For their interpretation of the genetic code and its function in protein synthesis.

1969 ALFRED D. HERSHEY
MAX DELBRÜCK
Born in Germany.
SALVADOR E. LURIA
Born in Italy.

For their discoveries concerning the replication mechanism and the genetic structure of viruses.

1970 JULIUS AXELROD

For discoveries concerning the humoral transmitters in the nerve terminals.

1971 EARL W. SUTHERLAND, JR.

For his discoveries concerning the mechanisms of the action of hormones.

1972 GERALD M. EDELMAN

For discoveries concerning the chemical structure of antibodies.

1974 ALBERT CLAUDE
Born in Belgium.
GEORGE EMIL PALADE
Born in Romania.
CHRISTIAN DE DUVE
Born in England.

For their discoveries concerning the structural and functional organization of the cell.

1975 DAVID BALTIMORE
HOWARD M. TEMIN
RENATO DULBECCO
Born in Italy.

For discoveries concerning the interaction between tumor viruses and the genetic material of the cell.

1976 BARUCH S. BLUMBERG
D. CARLETON GAJDUSEK

For discoveries concerning new mechanisms for the origin and dissemination of infectious diseases.

1977 ROGER GUILLEMIN
Born in France.
ANDREW SCHALLY
Born in Poland.

For their discoveries concerning the peptide hormone production of the brain.

ROSALYN YALOW

For the development of radioimmunoassay of peptide hormones.

1978 DANIEL NATHANS
HAMILTON O. SMITH

For the discovery of restriction enzymes and their application to the problems of molecular genetics.

1979 ALLAN M. CORMACK
Born in South Africa.

For the development of the CAT scan (computer-assisted tomography), a three-dimensional X-ray technique.

1980 GEORGE D. SNELL
BARUJ BENACERRAF
Born in Venezuela.

For discoveries concerning genetically determined structures on the cell surface that regulate immunological reactions.

1981 ROGER W. SPERRY
DAVID H. HUBEL
Born in Canada.

For work in brain physiology; mapping the functions of the left and right cerebral hemispheres.

TOSTEN N. WIESEL
Born in Sweden.

For the discovery of the process by which visual images are transmitted from the retina to the brain.

1983 BARBARA McCLINTOCK

For the discovery that genes are not fixed on the chromosomes but move unpredictably.


 
 
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