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Jerome Horwitz made AZT, the first HIV treatment

In 1964 Detroit chemist Jerome Horwitz synthesised AZT as a possible cancer drug; in 1987 it became the first approved treatment for HIV, and he also first made two more HIV drugs.

Person
Jerome Horwitz
Lived
1919–2012
Field
Medicinal chemistry
From
American

The story

Jerome Horwitz was born in Detroit in 1919 into a Jewish family and graduated from the city's Central High School in 1937. He earned bachelor's and master's degrees in chemistry at the University of Detroit and a doctorate at the University of Michigan in 1948, followed by postdoctoral training at Northwestern University and Michigan. In the mid-1950s he joined the Detroit Institute of Cancer Research, later the Michigan Cancer Foundation and today the Barbara Ann Karmanos Cancer Institute, together with Wayne State University.

In 1964, with a grant from the National Institutes of Health, Horwitz synthesised a compound called azidothymidine, or AZT. It was designed to stop cancer cells from copying their DNA, but when it was tested in mice with leukaemia it did nothing. Development was shelved. Horwitz wrote up the disappointing results, never applied for a patent and moved on to other compounds.

Two decades later the AIDS epidemic was spreading and there was no treatment. After HIV was identified in 1983, Samuel Broder, Hiroaki Mitsuya and Robert Yarchoan at the US National Cancer Institute built a laboratory test to screen chemicals against the virus. The drug company Burroughs Wellcome sent AZT among a group of candidates, and in February 1985 the NCI team found that it strongly blocked HIV in cells. A placebo-controlled trial was halted early because patients taking AZT were living longer, and on 20 March 1987 the Food and Drug Administration approved it as the first treatment for HIV, only 25 months after that first laboratory result.

Horwitz heard about the discovery when a colleague showed him the 1985 report. He never earned money from the drug and later said that any bitterness he had once felt was long gone. He was also the first to synthesise stavudine (d4T) and zalcitabine (ddC), two more drugs of the same class used against HIV, and he kept working on cancer treatments until he retired in 2005.

AZT has since been joined by gentler medicines, but it remains on the World Health Organization's List of Essential Medicines and is sold as an inexpensive generic. From 1994 to 1999 it was the main tool for stopping HIV from passing from mother to baby, and it is still used for that purpose and after accidental exposure to the virus.

Why it matters

AZT gave the first hope to people living with HIV, and it is still used to prevent mother-to-child transmission of the virus, protecting countless babies.

About Jerome Horwitz

Detroit chemist who made AZT in 1964 as a cancer drug that failed, two decades later it became the first approved treatment for HIV/AIDS, though he never earned a cent from it.

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Jerome Horwitz
1919–2012 · Medicinal chemistry
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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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