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Otto Loewi identified the first neurotransmitter

Otto Loewi showed that his 'Vagusstoff' is acetylcholine, the first known neurotransmitter, and that an adrenaline-like substance works at sympathetic nerves.

Otto Loewi
Otto Loewi · 1873–1961
Person
Otto Loewi
Lived
1873–1961
Field
Pharmacology
From
German-Austrian-American

The story

By 1914 scientists knew that acetylcholine had powerful effects on the body. That year Arthur Ewins, working at Henry Dale's request, extracted it from ergot, and Dale described its actions at various kinds of nerve endings and its ability to lower blood pressure even in tiny doses. But nobody knew whether the body itself used acetylcholine, and the idea of a neurotransmitter did not yet exist.

That changed in 1921, when Otto Loewi's famous experiment in Graz showed that the vagus nerve releases a chemical that slows the heart. He called it Vagusstoff, noted that it seemed to be a structural relative of choline and suspected that it might be acetylcholine. He and his co-workers then set out to identify it.

In 1926 Loewi and E. Navratil deduced that it was probably acetylcholine, because the Vagusstoff and synthetic acetylcholine both lost their activity in the same way when exposed to tissue extracts containing the enzymes now known as cholinesterases. The conclusion was widely accepted, and later studies confirmed it. Over the following years Loewi's work culminated, as the Nobel Foundation puts it, in his demonstration that the parasympathetic substance is acetylcholine and that a substance closely related to adrenaline plays the corresponding role at the endings of the sympathetic nerves.

Acetylcholine thus became the first known neurotransmitter. In 1936 Loewi and Dale shared the Nobel Prize in Physiology or Medicine for their discoveries relating to the chemical transmission of nerve impulses. The Nobel Foundation noted that this and related discoveries led to a complete renewal of ideas about the sympathetic nervous system, which helps control involuntary functions such as heart rate and digestion.

The discovery has had lasting practical value. Drugs that slow the breakdown of acetylcholine, such as neostigmine and pyridostigmine, treat the muscle weakness of myasthenia gravis, and rivastigmine is used for symptoms of Alzheimer's disease. Similar drugs reverse muscle relaxants after surgery, and acetylcholine eye drops are used during cataract operations. Medicines that act on adrenaline signalling, the other half of Loewi's discovery, are widely used for heart and blood pressure conditions.

Why it matters

Drugs acting on acetylcholine and adrenaline signalling now treat conditions from heart disease to myasthenia gravis and are used in anaesthesia.

About Otto Loewi

Pharmacologist whose 1921 frog-heart experiment, famously conceived in a dream, proved that nerves talk through chemicals, founding the science of neurotransmitters and winning the 1936 Nobel Prize.

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Otto Loewi
1873–1961 · Pharmacology
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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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