For
three decades, Santorio Sanctorius, the Italian physiologist credited with
inventing the medical thermometer, meticulously monitored his weight before and
after various life activities, such as eating, drinking, fasting, sleeping, and
even engaging in sexual activity. In 1614, he documented his findings in 'Ars
de statica medicina,' marking the inception of quantification in medical
practice. Sanctorius observed that the weight of his excreta was less than the
food he consumed, attributing the disparity to 'insensible perspiration,' a
pivotal moment in the study of metabolism.
THE BALANCE OF
BUILDING AND BREAKDOWN
Metabolism,
derived from the Greek word for 'change' or 'overthrow,' encompasses all
biochemical reactions in living organisms that either produce or consume
energy. These reactions can be categorized into anabolic, which utilize energy
for synthesizing larger organic molecules and supporting cell growth, and
catabolic, which involve the breakdown of molecules to release energy. Enzymes
catalyze these chemical reactions, organizing them into metabolic pathways that
span carbohydrates, fats, proteins, and nucleic acids. Remarkably, the fundamental
nature of these pathways remains remarkably consistent across diverse species,
from microbes to humans.
Hans
Krebs, a German-born physician-biochemist, played a pivotal role in shaping our
understanding of metabolic pathways during the 1930s. His discovery of the urea
cycle elucidated how organisms eliminate toxic ammonia by converting it into
less harmful urea. Fleeing Nazi persecution as a Jew, Krebs found refuge in
England, where he made his most significant breakthrough in 1937—the
identification of the citric acid cycle (Krebs cycle). This cycle delineates a
series of chemical reactions employed by all aerobic organisms to derive energy
from carbohydrates, proteins, and fats. In recognition of his groundbreaking
contributions, he was honored with the Nobel Prize in Physiology or Medicine in
1953.
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