Did you know? · Science & Medicine

Paul Ehrlich's "magic bullet" cured syphilis

Paul Ehrlich imagined a "magic bullet" that would strike disease without harming the patient, and in 1909 his lab found Salvarsan, the first modern antimicrobial drug and first cure for syphilis.

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

The story

Paul Ehrlich was born in 1854 in Strehlen, Silesia, the son of Ismar Ehrlich, an innkeeper and distiller who led the local Jewish community. Trained as a physician, he became fascinated by the way certain dyes stained some cells and tissues but not others.

That observation led him to a bold idea. If a chemical could bind selectively to a germ, it might kill the germ while leaving the patient unharmed. He imagined drugs that would seek out disease-causing organisms the way antitoxins seek out their toxins, and called such an ideal drug a magic bullet. Meanwhile his work on immunity, including a decisive contribution to the diphtheria antiserum and a method for standardising therapeutic serums, earned him the 1908 Nobel Prize in Physiology or Medicine, shared with Élie Metchnikoff.

In Frankfurt, where from 1906 he also directed the Georg Speyer House, a research foundation endowed by Franziska Speyer, Ehrlich and his team built on the arsenic drug atoxyl. With the chemist Alfred Bertheim he worked out its correct structure, opening the way to hundreds of new arsenic compounds. Compound 606, arsphenamine, was first made in Bertheim's hands in 1907 but set aside as ineffective. In 1909 Sahachiro Hata, a Japanese researcher who had learned to infect rabbits with syphilis, tested the discarded compound and found that it worked. In human trials the spirochetes disappeared in seven syphilis patients.

After extensive clinical testing, Hoechst began marketing the drug as Salvarsan towards the end of 1910. It was the first modern antimicrobial drug, the first effective treatment for syphilis and the first agent with a specific therapeutic effect created from theoretical reasoning. It became the most widely prescribed drug in the world and remained the best treatment for syphilis until penicillin arrived in the 1940s. In the process Ehrlich launched and named the concept of chemotherapy.

His methods outlived his drug. The systematic screening of large numbers of compounds became standard practice in the pharmaceutical industry, and modern antibody-drug conjugates, which deliver cancer drugs to chosen cells, have partly realised the magic bullet he imagined.

Why it matters

Ehrlich's search for targeted drugs began modern pharmacology, paving the way for antibiotics and the cancer chemotherapy that saves lives today.

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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