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    Special issue—before translational medicine: laboratory clinic relations lost in translation? Cortisone and the treatment of rheumatoid arthritis in Britain, 1950–1960

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    Authors
    Worboys, Michael; orcid: 0000-0001-8583-7931; email: michael.worboys@manchester.ac.uk
    Toon, Elizabeth
    Publication Date
    2019-11-07
    Submitted date
    2019-01-25
    
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    Abstract
    Abstract: Cortisone, initially known as ‘compound E’ was the medical sensation of the late 1940s and early 1950s. As early as April 1949, only a week after Philip Hench and colleagues first described the potential of ‘compound E’ at a Mayo Clinic seminar, the New York Times reported the drug’s promise as a ‘modern miracle’ in the treatment of rheumatoid arthritis (RA). Given its high profile, it is unsurprising that historians of medicine have been attracted to study the innovation of cortisone. It arrived at the end of a decade of ‘therapeutic revolutions’, kicked off by penicillin transforming the treatment of bacterial infections and ending with hopes of a revolution in the treatment of non-infectious, chronic inflammatory diseases. Despite these studies of cortisone’s introduction, few historians have taken the story forward and considered how cortisone was adopted and adapted into clinical practice. This article tells the longer of how the drug and its derivatives were taken from research laboratories and integrated into clinical practice; what has in recent decades become known as translational medicine (TM). In exploring cortisone’s first decade in Britain, we focus specifically on its role in the treatment of RA. Our approach is always to consider cortisone’s use in the context of other treatments available to clinicians, and at local and national institutional settings. We do not discuss the many other therapeutic uses of cortisone, which ranged for topical applications for skin diseases to the management of cancers, especially childhood leukaemia, nor do we discuss its close analogue ACTH—AdenoCorticoTropic Hormone. We think there are lessons in our study for TM policies today.
    Citation
    History and Philosophy of the Life Sciences, volume 41, issue 4, page 54
    Publisher
    Springer International Publishing
    URI
    http://hdl.handle.net/10034/625774
    Type
    article
    Description
    From Springer Nature via Jisc Publications Router
    History: received 2019-01-25, registration 2019-08-01, accepted 2019-08-01, pub-electronic 2019-11-07, online 2019-11-07, pub-print 2019-12
    Publication status: Published
    Funder: Wellcome Trust; doi: http://dx.doi.org/10.13039/100004440; Grant(s): WT 092782
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