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Paul Ehrlich's maxim is the first rule of drug design

Paul Ehrlich summed up a basic law of pharmacology in four Latin words, corpora non agunt nisi fixata: a drug acts only when it is bound to its target.

Paul Ehrlich
Paul Ehrlich · 1854–1915
Person
Paul Ehrlich
Lived
1854–1915
Field
Immunology & chemotherapy
From
German

The story

From his student days Paul Ehrlich watched dyes attach themselves to some cells and tissues and ignore others. In his 1885 monograph on the oxygen needs of the body, he injected dyes into laboratory animals and found that organs took them up to very different degrees. The work convinced him that all the processes of life could be traced to physical chemistry taking place inside cells.

His work on dyes, antibodies and drugs came to rest on one unifying principle. Whether a stain was colouring a cell, an antibody neutralising a toxin or a chemical killing a microbe, the substance could only have an effect if it first attached to something specific. He expressed the idea in a Latin maxim, corpora non agunt nisi fixata, which the University of Pittsburgh's Health Sciences Library translates as a drug will only act when bound to its target.

The same idea shaped his side-chain theory of immunity. Borrowing Emil Fischer's 1894 image of an enzyme fitting its substrate like a key in a lock, Ehrlich proposed in 1897, and in full in a 1900 lecture to the Royal Society in London, that cells carry chemical side chains, later called receptors, which bind toxins with precise specificity.

In Frankfurt he applied the principle to drugs. His aim, as his Nobel biography puts it, was to find chemicals with special affinities for disease-causing organisms, so that they would go straight to their targets like magic bullets. He and his assistants tested hundreds of compounds, a search that produced Salvarsan, the first effective treatment for syphilis, in 1909. In 1910 the German artist Karl Goetz made a bronze medal showing Ehrlich at the age of 56; its reverse carries the four Latin words of the maxim.

The Pittsburgh library, which holds one of these medals, describes the phrase as a well-known expression in drug-receptor pharmacology that captures the fundamental concept of the field. Modern drug discovery commonly begins by identifying a target molecule in the body and then searching for compounds that bind to it, and antibody-drug conjugates, which carry a cancer drug to a chosen cell, have partly realised his dream of the magic bullet.

Why it matters

The principle that drugs work by binding to specific targets guides the discovery of nearly every modern medicine, from antibiotics to targeted cancer therapies.

About Paul Ehrlich

Nobel-winning German Jewish physician who imagined the “magic bullet”, founded chemotherapy and, with Salvarsan in 1909, produced the first effective drug against syphilis.

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Paul Ehrlich
1854–1915 · Immunology & chemotherapy
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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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