AMERICANS WIN NOBEL IN MEDICINE
Associated Press, Tuesday, October 13, 1998
Three Americans won the
Nobel Prize in medicine Monday for discovering that the body uses nitric
oxide gas to make blood vessels relax and widen – a finding that helped
lead to Viagra and could also pay off in treatments for heart disease.
In addition, it has triggered research that could lead to new
treatments for cancer and septic shock.
The prize announced in Sweden, went to Robert F. Furchgott, Louis J. Ignarro
and Dr. Ferid Murad. Furchgott, 82, is
a pharmacologist at the State University of New York Health Science Center
at Brooklyn; Ignarro, 57, is at the University of
California at Los Angeles; and Murad, 62, is at
the University of Texas Medical School in Houston.
They will split the $978,000 prize.
Cells in the body make nitric oxide, which, paradoxically, is
also an air pollutant in auto exhaust.
It is different from nitrous oxide, better known as laughing
gas. The researchers discovered that
the body’s own nitric oxide acts as a signal, telling blood vessels to
dilate. That, in turn, lowers blood
The work already has inspired a treatment for dangerously high
blood pressure in the lungs of infants.
Babies breathe the gas.
“Now, finally this discovery can be put to use in treatment of
numerous pathologies,” said Ignarro, who was
reached in Naples, Italy. “The
future of pharmacology is in the creation of a superaspirin that will be fundamental in the prevention
of heart attacks, of cardiovascular disease, of arteriosclerosis.”
Scientists were surprised when Furchgott
and Ignarro reported the findings in 1986. Nitric oxide was the first gas to be
identified as a signal in the body.
“It was a sensation that this simple common air
pollutant…could exert important functions” in animals and people, said the Karolinska Institute in Stockholm, which awards the
The gas makes blood vessels dilate by relaxing the vessels’
smooth muscles. It can help trigger
erection of the penis the same way, because the relaxation lets blood flow
in. Viagra was designed to work by
blocking an enzyme that interferes with nitric oxide’s effect.
The prize-winning work contributed “a small piece of
information” to the development of Viagra, said Mariann
Caprino, spokeswoman for Viagra maker Pfizer Inc.
Dr. Valentin Fuster,
president of the American Heart Association, called the nitric oxide
discovery “one of the most important in the history of cardiovascular
By showing the gas played an important role in the body, the
researchers set off a cascade of studies that discovered other key things
the gas does, Fuster said.
The wide-ranging results may pay off in new treatments for:
Atherosclerosis, a thickening of artery walls due to fatty
deposits. Nitric oxide has turned
out to be one of the body’s main weapons against atherosclerosis, said Dr.
Jonathan Stamler of the Duke University Medical
Center and the Howard Hughes Medical Institute.
Septic shock, the dangerous drop in blood pressure caused by
white cells pumping out too much nitric oxide in response to
infections. Drugs that reduce the
levels of active nitric oxide are being studied in people.
Cancer, White cells use nitric oxide to defend against tumors,
and scientists are studying whether they can harness the substance’s anti-cancer
Murad, who worked
independently of the other winners, called the Nobel announcement “a
delightful surprise.” Furchgott, reached at his home on New York’s Long
Island, said: “I’m very pleased. I
truly wasn’t sure I’d ever get an award like this. I wasn’t sure that I deserved it.”
in 1977 that nitroglycerin and related artery-widening compounds act by
releasing nitric oxide. Furchgott later concluded that cells in the inner
lining of blood vessels secrete some unknown substance that makes vessels
working with Furchgott and independently,
concluded this unknown signal is nitric oxide.
Alfred Nobel, a Swedish industrialist and inventor of
dynamite, endowed the Nobel Prizes in his will. In later life, Nobel’s doctor told him to
take nitroglycerin – one of the ingredients in dynamite – for heart
“However, it would take 100 years until it was clarified that
nitroglycerin acts by releasing nitric oxide gas,” the Karolinska