© Nature Publishing Group 1977
Nature Vol. 269 27 October 1977
With precise and specific measurements for plasma
hormone, it became clear that many of the earlier guesses
were incorrect. For example, the radioimmunoassay proved
that only a minority of diabetics have an absolute deficiency
of insulin. Most diabetics have normal or supernormal
amounts of insulin which is biologically intact but the cells
of these diabetics are subnormally responsive to insulin.
Yalow and Berson not only introduced the radioimmuno-
assay for insulin but applied the method to study the
physiology of many other peptide hormones, including
growth hormone, parathyroid hormone, adrenocortico-
tropin and gastrin. They also used this approach to devise
a very sensitive method for detecting hepatitis virus and
its antibodies in blood, which is widely used in blood banks
in the United States and elsewhere. Other applications to
problems of infectious diseases are now emerging. Although
just beginning, the extension of radioimmunoassay to
measure blood levels of drugs, including cardiac glycosides,
anticonvulsants and antibiotics, has made it much more
feasible for physicians to achieve therapeutic effeots
without sustaining serious untoward effects of these agents.
The principle of competitive binding assays has been
extended beyond antibodies to other binding substances of
appropriate specificity and affinity.
In the light of these extraordinary scientific accomplish-
ments, it is interesting to recall Dr Yalow's own modest
personal and academic background. Born in 1921, she was
raised in the South Bronx, the area that is now recognised
as the most devastated in the urban United States. She was
the first physics major at Hunter College, and although
she graduated magna cum laude and phi beta kappa, her
future was clouded by the fact that she was both Jewish
and female, two traits which were not considered to favour
success in physics in those days. In part because the
military draft was depleting the ranks of eligible males,
Dr Yalow was accepted by the University of lllinois, and
after receiving her Ph.D in physics she returned to New
York, where she worked until the end of the Second
World War. In 1947, when applications of radioactive
isotopes to clinical medicine were in their infancy, Dr
Yalow joined the newly formed radioisotope unit of the
Inadvertent collaboration
George Fink on Roger Guillemin
and Andrew Schally
DR Roger Guillemin of the Salk Institute and Dr
Andrew Victor Schally of the Veterans Administration
Hospital, New Orleans, were awarded the Nobel prize in
physiology and medicine for isolating, characterising and
synthesising three polypeptides whioh mediate the neural
control of the anterior pituitary gland. The discoveries of
Schally and Guillemin have already proved significant for
clinical and basic medical science and are likely to offer
new and safer methods for the control of population size.
The delight of neuroendocrinologists will only be
dampened by the fact that the untimely death in November
1971 of Geoffrey Wingfield Harris, FRS, prevented him
from sharing the fruits of his lrubours. As a medical student
at Cambridge, Harris was the first (1937) to provide experi-
mental proof for the then tentative view that the anterior
pituitary gland was controlled by the central nervous
system. The elegant studies carried out by Harris in the
l 940s and early 1950s, alone and in collaboration with Dora
Jacobsohn and the late John Green, established beyond
doubt that this control was mediated by a neurohumoral
mechanism involving the transport by hypophysial portal
Veterans Administration
Hospital in the Bronx where
she has worked ever since.
Dr Berson, from a similar
background, joined the
radioisotope unit in 1950.
His participation in the re-
search was much less direct
after 1968 when he assumed
the chairmanship of the De-
1pa,rtment of Medicine of the
Mount Sinai School of Medi-
cine. In spite of his sudden
death four years later, there
has continued a flood of ex-
citing new studies from the
lruboratory (renamed the
Solomon A. Berson Research
Laiboratory) at the Bronx Yalow
V e t e r a n s Administration
Hospital under Dr Yalow's
747
solo leadership. It has become clear that each peptide hor-
mone in the blood is not a single substance but is rather a
family of related peptides that include the active hormone,
modifications of the active hormone, precursors and de-
graduation products, as well as ,phylogeneticaHy related
peptides. Dr Yalow has been the major contri:butor
to this area over the last decade and has extended
these observations to numerous biological problems in
vivo.
Her achievements are the subject of editorials in The
Daily News and The New York Post as well as the subject
of hundreds of sermons in churcht:~ and synagogues
throughout the area. Dr Yalow is being viewed as an
example of how talented and determined people of modest
background can become world champions even in today's
America. Women's groups aII over North America have
turned to her as a symbol. The Urban Crisis Task Force,
which has its headquarters in the South Bronx, sees her
as an ideal and has decided to name one of their new
housing projects in her honour. 0
vessel blood of chemical substances from the hypothalamus
to the anterior pituitary.
The three polypeptides and their aminoacid sequences
are: thyrotrophin releasing factor (TRF) pyro Glu-His-Pro-
NH2; gonadotrophin releasing factor (GnRF) pyro Gly-
His-Trp-Ser-Tyr-Gly-Leu-Arg-Pro-Gly-NH2; and somatosta-
tin (or somatotrophin release inhibiting factor, SRIF) H-Ala-
Gly-Cys-Lys-Asn-Phe-Phe-Trp-Lys-Thr-Phe-Thr-Ser-Cys-OH.
Synthetic TRF and GnRF are now widely used in the
investigation of thyroid dysfunction and infertility, re-
spectively. Because TRF releases prolactin as well as
thyrotrophin , the tripeptide is also used for investigating
patients in whom prolactin secretion appears to be
abnormal. Conceivably, antagonists of TRF may prove
useful for controlling hyipe8)rolactinaemia, a condition
frequently associated with infertility in women, and for the
control of hormone dependent tumours of the breast.
Superactive analogues of GnRF, made by substituting a
D-aminoacid (for example D-Trp, D-Ala or D-Leu) for
Gly' and an ethylamide group for Gly
10
, are being investi-
gated mainly by Schally's group with a view to improving
the precision of ovulation in women who prefer to or must
use the rhythm method of fertility control. The parent
decapeptide has already been used successfully for the
treatment of certain types of infertility in men and women.
Because GnRF will only discharge the amount of luteinis-
ing hormone (LH, the hormone which triggers ovulation)
normally available for release, the risk in terms of pro-