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In Pursuit of Precision - University of Alabama at Birmingham

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Fe<strong>at</strong>ure Stories<br />

LOUIS’S LETTERS<br />

ON DISPLAY:<br />

Pasteur’s Search for an Anthrax Vaccine<br />

By Roger Shuler<br />

Michael Flannery finds it difficult to overst<strong>at</strong>e Louis Pasteur’s contributions<br />

to modern medicine. “Pasteur developed the germ theory <strong>of</strong> medicine,<br />

which led to our modern understanding <strong>of</strong> infectious diseases,” says<br />

Flannery, associ<strong>at</strong>e director for historical collections <strong>at</strong> UAB. “He was a<br />

chemist, not a physician, and he was very adept <strong>at</strong> methodology. Through<br />

his investig<strong>at</strong>ions in ferment<strong>at</strong>ion, he developed the pasteuriz<strong>at</strong>ion process<br />

in milk. And he l<strong>at</strong>er engaged in studies <strong>of</strong> anthrax and swine fever.”<br />

When last fall’s terrorist <strong>at</strong>tacks included anthrax-tainted mail, the<br />

world received another reminder <strong>of</strong> Pasteur’s contributions to science.<br />

Now, 17 letters on display <strong>at</strong> UAB’s Reynolds Historical Library provide<br />

insight into Pasteur’s efforts to develop the vaccine for anthrax.<br />

The letters are part <strong>of</strong> a lengthy correspondence between Pasteur, credited<br />

with developing the first vaccine for anthrax, and his disciple Louis<br />

Thuillier. The microbe responsible for the disease had been isol<strong>at</strong>ed in<br />

1876; Pasteur announced the first successful anthrax vaccin<strong>at</strong>ions in<br />

experimental animals in 1881, and he disp<strong>at</strong>ched Thuillier to Germany<br />

and Austria-Hungary for the next two years to further the research effort.<br />

Meanwhile, anthrax was decim<strong>at</strong>ing livestock herds throughout Europe.<br />

“Anthrax is most common in animals, and Pasteur’s first experiments<br />

began with silkworms,” Flannery says. “Silkworms were a major French<br />

industry <strong>at</strong> the time, and it was thre<strong>at</strong>ened by anthrax infections. Pasteur<br />

used the microscope and his experience with ferment<strong>at</strong>ion to establish procedures<br />

for dealing with these infections. L<strong>at</strong>er he worked with cholera and<br />

rabies. He opened a new window into the workings <strong>of</strong> infectious diseases.”<br />

The Pasteur-Thuillier letters were in the collection <strong>of</strong> Lawrence<br />

Reynolds, M.D., an <strong>Alabama</strong> n<strong>at</strong>ive who don<strong>at</strong>ed his extensive library <strong>of</strong><br />

rare medical writings to the <strong>University</strong> <strong>of</strong> <strong>Alabama</strong> School <strong>of</strong> Medicine in<br />

1958. <strong>In</strong> addition, the library holds a copy <strong>of</strong> Correspondence <strong>of</strong> Pasteur<br />

and Thuillier, Concerning Anthrax and Swine Fever Vaccin<strong>at</strong>ions, published<br />

in 1968 by the <strong>University</strong> <strong>of</strong> <strong>Alabama</strong> Press.<br />

<strong>In</strong> the time period covered by the letters, Thuillier conducted a series<br />

<strong>of</strong> vaccin<strong>at</strong>ions against anthrax in sheep and c<strong>at</strong>tle in Germany and<br />

Austria-Hungary. It is believed th<strong>at</strong> Pasteur intended to conduct the vaccin<strong>at</strong>ions<br />

himself but was constrained by other responsibilities. He relied<br />

on Thuillier as a surrog<strong>at</strong>e, prompting a steady stream <strong>of</strong> letters th<strong>at</strong><br />

detailed the successes, failures, and obstacles encountered in the project.<br />

“The letters are clearly a correspondence between a senior scientist and<br />

a younger, developing colleague,” Flannery says. “Thuillier is <strong>at</strong> a distance,<br />

and he’s asking for advice. Pasteur <strong>of</strong>ten says, ‘If this doesn’t work, try this.’<br />

The letters are pr<strong>of</strong>essional exchanges between a mentor and a protégé.”<br />

Pasteur’s discovery th<strong>at</strong> most infectious diseases are caused by germs is<br />

one <strong>of</strong> the most important in medical history. His work, supported by<br />

the l<strong>at</strong>er studies <strong>of</strong> German Robert Koch, became the found<strong>at</strong>ion for the<br />

science <strong>of</strong> microbiology and a cornerstone <strong>of</strong> modern medicine.<br />

“The general notions <strong>of</strong> disease were very unclear until Pasteur, along<br />

with Koch, began to flesh them out,” Flannery says. “It was believed th<strong>at</strong><br />

diseases were carried by strange vapors or bad air. <strong>In</strong> fact, the term malaria<br />

means, literally, ‘bad air.’ Scientists, <strong>at</strong> the time, did not know th<strong>at</strong> many<br />

<strong>of</strong> these diseases were actually caused by germs. When these microorganisms<br />

became known, it was thought th<strong>at</strong> they grew from spontaneous gener<strong>at</strong>ion.<br />

Pasteur’s work demolished th<strong>at</strong> notion and went on to show th<strong>at</strong><br />

specific microorganisms were responsible for specific diseases.”<br />

David Green and Manisha Sharma (president,<br />

class <strong>of</strong> 2005) join classm<strong>at</strong>es in recognizing<br />

the generosity <strong>of</strong> donors and their families.<br />

11<br />

change their minds after <strong>at</strong>tending the memorial<br />

service. “When they hear the heartfelt<br />

comments <strong>of</strong> the students, it drives home how<br />

vital these donors are for medical students’<br />

educ<strong>at</strong>ion,” says Casey.<br />

Heinz Dueffer, a first-year student who<br />

helped organize this year’s service, says th<strong>at</strong> families<br />

are comforted by the respect the students<br />

express for their loved ones. “The approach is,<br />

these are our first p<strong>at</strong>ients, and we need to take<br />

very good care <strong>of</strong> them,” he says. “The family<br />

members are thankful and impressed with how<br />

gr<strong>at</strong>eful we are for wh<strong>at</strong> their loved ones did.”<br />

Several members <strong>of</strong> the Class <strong>of</strong> 2005 are<br />

musicians, so this year’s service included performances<br />

by a pianist, a singer, and a cello<br />

player in the class. Students lit a candle for each<br />

<strong>of</strong> the donors as their names were read. Some<br />

students read tributes to the donors.<br />

“Knowledge <strong>of</strong> the human body is essential<br />

in the undertaking <strong>of</strong> our lives as physicians,”<br />

said Dave Williams. “However, the other gift<br />

they gave to us—the example <strong>of</strong> unselfish giving<br />

to our fellow mankind—may be even<br />

more important, both in our future practices<br />

and in our everyday lives.”<br />

Another student, Suman Annambhotla,<br />

said, “All my life I have been taught the idea <strong>of</strong><br />

selfless love and giving, but there is no gift<br />

more selfless than this.”

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