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Paul Ehrlich’s trypan red opened the attack on trypanosomes

Screening over 100 dyes in Frankfurt, Paul Ehrlich’s team found trypan red, which killed trypanosomes in infected animals, an early chemotherapy victory that led to arsenic drugs.

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

The story

Trypanosomes are single-celled parasites that cause serious diseases in people and animals, among them African sleeping sickness in humans and the animal diseases nagana and mal de caderas. At the start of the twentieth century Paul Ehrlich, director of the Royal Prussian Institute of Experimental Therapy in Frankfurt since 1899, made them one of the first targets of his new science of chemotherapy. His aim was to find chemicals with a special affinity for these organisms, which would strike them while sparing their host.

Rather than wait for a lucky discovery, Ehrlich tested compounds systematically. In 1901 his team tried more than 100 synthetic dyes against trypanosome infections in laboratory animals. Only one, a red dye called Nagana red, showed any activity, and it worked poorly, probably because it dissolved badly in water. At Ehrlich's request, the chemist Ludwig Benda of the Cassella dye works made a more soluble version in 1903 by adding an extra sulphonic acid group. The new dye, trypan red, was shown by Ehrlich's Japanese assistant Shiga to be effective against trypanosomes.

Trypan red was not a perfect drug. It was effective against the parasite of mal de caderas but not against other trypanosomes. Yet it proved that Ehrlich's method worked: by changing a molecule step by step and testing each version, a team could improve a drug deliberately.

From 1906 the team turned to arsenic compounds, beginning with atoxyl, which Robert Koch tested against human sleeping sickness during his expedition to Africa in 1906 and 1907. Atoxyl damaged the optic nerve, so Ehrlich and the chemist Alfred Bertheim worked out its structure and made many new derivatives. One of them, compound 606, became Salvarsan in 1909, the first effective drug against syphilis and also a treatment for African trypanosomiasis.

The trypan red project was an early example of the systematic screening of chemical compounds against disease, a method that the pharmaceutical industry would later adopt as standard practice.

Why it matters

The trypan red project established the systematic screening and step-by-step improvement of chemical compounds against disease, the method still at the heart of pharmaceutical research.

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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