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Gerty Cori proved a missing enzyme can cause disease

In 1952 Gerty Cori showed that children with one form of glycogen storage disease lack a single liver enzyme, the first proof that an enzyme defect can cause a human disease.

Gerty Cori
Gerty Cori · 1896–1957
Person
Gerty Cori
Lived
1896–1957
Field
Biochemistry
From
Czech-American

The story

In 1947, around the time she shared the Nobel Prize with her husband Carl for discovering how the body breaks down glycogen, Gerty Cori learned that she had myelosclerosis, an incurable disease of the bone marrow. She continued working for another ten years, and in that last decade she turned her knowledge of glycogen to a group of sick children.

Doctors had described children whose livers and other organs were swollen with glycogen, the body’s stored form of sugar, which they could not break down when they needed it. The condition had been treated as a single disease. Gerty Cori had already discovered, in her laboratory at Washington University in St. Louis, the branching and debranching enzymes that build and dismantle the branch points of glycogen. She reasoned that the children must be missing one of the enzymes that handle it.

Analysing liver samples from patients, she and her colleagues found in 1952 that in one form of the disease, now known as von Gierke disease, the liver lacks the enzyme glucose-6-phosphatase, which releases free glucose into the blood. In a Harvey Lecture that year she described four forms of glycogen storage disease, each linked to a different enzyme or to a separate pattern of illness, and showed by staining that the stored glycogen itself differed in structure from patient to patient. Her graduate student Joseph Larner had bet on a different missing enzyme; in fact each of them was right about a different form of the disease.

According to the Jewish Women’s Archive, this last research project established for the first time that the lack or impairment of a single enzyme could cause a disease. Her final paper, a review of glycogen storage disease, was published in 1957, the year she died.

Her approach, tracing an inherited disease to one faulty enzyme, became the model for understanding the many inborn errors of metabolism identified since.

Why it matters

Linking inherited diseases to specific missing enzymes made precise diagnosis possible and became the model for understanding many inherited metabolic disorders.

About Gerty Cori

Prague-born biochemist who mapped how the body stores and burns sugar, the Cori cycle, and first proved a missing enzyme can cause disease. First woman to win the Nobel Prize in medicine.

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Gerty Cori
1896–1957 · Biochemistry
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Sources

Another act of tikkun olam. This is part of tikkun olam, the Jewish idea of repairing the world, and every one of us can add to it.

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