In
the early 1920s, Frederick Banting and Charles Best demonstrated that a
pancreatic extract was effective in treating diabetes mellitus. In 1923, this
refined extract—obtained from pig and beef, with insulin as the active
constituent—was commercialized by Eli Lilly and crystallized three years later.
In
1943, the English chemist Frederick Sanger at Cambridge University began
research seeking to determine the amino acid sequence of insulin. At that time,
insulin was one of the few proteins that was available in pure form, and it
could be readily obtained from Boots, an English pharmacy chain. After a decade
of effort, in 1951 and 1952, Sanger determined that insulin is composed of two
linked chains of peptides (a string of amino acids): an A chain with twenty-one
amino acids and a B chain with thirty amino acids. Insulin was the first
protein to have its amino acid sequence fully determined, and Sanger concluded
that all human proteins have a unique chemical sequence containing any of
twenty amino acids. For his work on proteins, especially insulin, Sanger was
awarded the Nobel Prize in 1958 (and in 1977 he became the only two-time
recipient of a Nobel Prize in Chemistry).
Once
the chemical structure of insulin was established, it was possible to
synthesize this molecule in the laboratory, which was accomplished in 1963.
Although the animal-derived insulin was highly effective, it was close, but not
identical, to human insulin. Pig insulin differs by one amino acid and beef by
three, but these seemingly subtle differences are responsible for allergic
reactions in diabetic users. In 1978, researchers from the City of Hope
National Medical Center, in collaboration with scientists from a then-recently
founded biotechnology company, Genentech, led by the biochemist Herbert Boyer,
synthesized the first human protein using biotechnology. In this process, a
gene for human insulin was inserted into bacterial DNA; the genetically
modified bacteria multiplied and served as a biological factory, producing
virtually inexhaustible supplies of insulin. This human insulin, marketed as
Humulin by Eli Lilly in 1982, replaced animal insulin.
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