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n COLLEGELECTURES

Thegreatideasof

SirPaulNurse

ABSTRACT–Fourofthegreatideasofbiologyare .Biology’sisthe,whichisnotonly discussed:thecellasthebasicstructuralandfunc- thebasicstructuralunitofalllivingbutis tionalunitof,theasthemechanismof alsothebasicfunctionalunitoflife.Thecelltheory heredity,bynaturalselection,andlifeas canbesummarisedasfollows:alllifeiscomposed .Afifthideaisexploredwherebybio- ofcells,andthecellisthesimplestunitexhibiting logicalorganisationisexplainedintermsoflogical thecharacteristicsoflife.Giventheimportanceof andinformationalprocessesand. thisideaforunderstandingbiology,itisperhapssur- prisingthatithasnotcaughtthepublicimagination TheHarveian KEYWORDS:biochemistry,cell,evolution, morethanithas.Thismightbebecausetheideawas Orationisgiven fermentation,gene,history,hybridisation, annuallyatthe alongindevelopment,takingnearly200years RoyalCollegeof information,organisation tobecomeproperlyformulated,andalsobecause Physiciansof thetheoryultimatelyrequiredtheeffortsofmany underan WilliamHarveywasnotonlyaneminentphysician, scientistsratherthanafewdominatingpersonalities, indentureof butalsoadistinguishedbiologist.Hewasoneofthe somaylackhumaninterest.Thehistoryofthisidea WilliamHarveyin firstexperimentalscientists,workingsomeyears isexcellentlyreviewedinHarris.1 1656.Thisarticle beforeGalileowhoisthescientistusuallycredited Thestoryofthecellbeginsin1665withRobert isbasedonthe withthisdistinction.SowithHarvey’sexampleas Hooke(1635–1703),experimentalisttothenewly 2003Oration encouragement,IhavedecidedtousethisOrationto formedRoyalSociety.Asisoftenthecaseinscience, givenon16 discussthehistoryandsignificanceoffourofthe itwastechnologythatbegatdiscovery,andforthe October2003by greatideasofbiology,finishingwithdiscussionofa discoveryofcellsitwastheinventionofthemicro- SirPaulNurse fifthideawhichhasyettobeproperlydeveloped. FRSHonFRCP,Nobel scopebasedonimprovementsinlensesduringthe Laureate;Headof Generallybiologyisratherbereftofgreatideasand seventeenthcentury.Hooketurnedhismicroscope theCellCycle grandtheories.Biologistsprefertodealinparticulars onathinsliceofcorkandobservedwalledcavities, Laboratory,Cancer anddetails;theylikecataloguesanddescriptions, illustrationsofwhichcanbefoundinhisbook, ResearchUK suchaslistsofinparticular,the Micrographia (Fig 1).Thesehetermedcellsafterthe numberofhairsonabeetleleg,ordeterminingthe Latincella,meaningsmallroomorcubicle.Withina ClinMedJRCPL sequencesof.Buttherearesomegreatideas, fewyears,NehemiahGrew(1641–1711)andMarcello 2003;3:560–8 andthefourIhavechosenarecoretobiologyandare Malpighi(1628–1694)hadcomprehensivelydes- alsoofrelevanceto,soIhopetheywillbe cribedandbeautifullyillustratedcells,andtheir ofinteresttomembersoftheCollege. observationshadledtotheviewthatarecom- posedofaggregatesofcells(Fig2).Towardstheend Thecell ofthatcenturyMalpighi,AntonvanLeeuwenhoek andJanSwammerdamhadalsodescribedcellsin Scientistsarealwaysinterestedinidentifyingfunda- ,observingcorpusclesinblood.Butthediffi- mentalunitsof,thearchetypalexample cultiesinfixingandmicroscopicallyobservingsolid beingthediscoveryoftheatomasthebasicunitof tissuesmeantthatitwasoveracenturybefore itwasfullyrecognisedthatanimalswerealsoaggre- gatesofcells.Animalcellsalsopresentedamore KeyPoints fibrousappearanceandlackedthewell-defined geometryofplantcellswhichmeantthatinterpreta- Thecellisthebasicstructuralandfunctionalunitoflife tionofthemicroscopicimageswasmoredifficult. Leeuwenhoek(1632–1723)wasalsothefirsttodes- Thegeneisthebasisofheredity cribesingle-celledorganismsor‘animalcules’which Evolutionbynaturalselectionisacharacteristicoflife hefoundgrowingintheextractsofplants.Leeuwen- hoekisanappealingcharacter,notagentleman Lifeisbasedonchemistry scientistlikemostFellowsoftheRoyalSocietyatthat time,butaDelftspectacle-makerwithinsatiable Biologicalorganisationisbasedonlogicalandinformationalprocesses andstructures curiosity.Ashewasthefriendandtrusteeofthe painterJohannesVermeer,Iliketoimaginethatthe

560 ClinicalMedicine Vol3 No6November/December2003 Thegreatideasofbiology

VermeerportraitsofapparentlythesamemaninThe geographer pioneerpathologist,RudolfVirchow(1821–1902),wroteinhis andThe astronomer,bothtobefoundintheLouvre,mightbe 1858book,Cellularpathologie,‘thateveryanimalappearsasa baseduponthespectacle-makerscientist. sumofvitalunits,eachofwhichbearsinitselfthecomplete Duringtheeighteenthcenturyandintothebeginningofthe characteristicsoflife’.Thisdiscoverywasamajorlandmarkin nineteenthcentury,fixationandmicroscopictechniques thehistoryofbiology. improved,allowingtheidentificationofmorecellsinanimaltis- SchleidenandSchwanndidnotunderstandhowcellswere sues.Therewasalsoanincreasinginterestinfundamentalunits formed.Theythoughtcellsarosebyaprocessrelatedtoprecip- ofstructure,particularlyofmatter.Theideathatmattercon- itationofcrystallisationwhichoccurredinpartofapre-existing sistedofindivisibleunitsorhaditsoriginsinAncient cell.Infact,alreadyinthepreviouscenturyAbrahamTrembley Greece,butexperimentalsupportfortheideaemergedfrom haddescribedtheprotozoanSynhedrareproducing,andhis researchworkersinchemistryonlytowardstheendoftheeigh- illustrationsclearlydemonstratethebinaryfissionofcells. teenthcentury.Giventhisincreasinginterestinfundamental Others,likeBarthelemyDumortierworkingwithplantscells unitsofmatter,itwasnaturalforbiologiststobeginthinking andRobertRemakwithanimalcells,clearlyrecognisedthatcells aboutthefundamentalunitsoflife.Animportantspeculation arosebybinaryfissionofpre-existingcells.Thisviewwas wasmadebyLorenzOkenin1805whoarguedthatplantsand furtherchampionedbyVirchowwhopopularisedthephrase animalsareassemblagesoftheanimalculesor‘infusoria’suchas ‘Omniscellulaecellula’,thatis,allcellscomefromcells. protozoathatgrewinanimalandplantextracts,2 andthisspec- Oncecelldivisionwasunderstood,itcouldbeseentobethe ulationsetthestageforthecelltheorytobeformulated. basisofthegrowthanddevelopmentofalllivingorganisms. Afterthislonggestationthecelltheorywasbornduringthe RudolfKollikerinthe1860sobservedthatcleavageofearly firsthalfofthenineteenthcentury.Itwaspopularisedbytwo embryoswastheconsequenceofcelldivision.4 Itbecameclear Germans,thebotanistMatthiasSchleidenandthezoologist thatembryogenesiswasbasedonrepeatedroundsofcelldivision TheodoreSchwann,whoin1839wrote‘wehaveseenthatall followedbythedifferentiationofcellsintomorespecialised organismsarecomposedofessentiallylikeparts,namelyofcells’. tissuesandorgans(Fig3).Bythe1880sitwasacceptedthatall Overthenexttwodecadesthisideawasfurtherdeveloped,with livingorganisms,regardlessoftheircomplexity,emergedfroma cellsbeingrecognisednotonlyasthebasicstructuralunit singlecell(Fig4).Weshouldallrespectcellsalittlemorewhen butalsoasthebasicfunctionalunitofalllivingorganisms.3 The werecognisethateveryoneofuswasonceasinglecell!

Figl. RobertHooke’smicroscopeandanillustrationofcork Fig2.NehemiahGrew’ssectionofavinestemillustrating cellsfromhisbook,Micrographia.ReproducedfromRef 1. plantcells. ReproducedfromRef1.

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Thegene otheroftheoriginatingparents.Anotherimportantprecursor ofMendelwasCarlFriedrichvonGaertner(1786–1833)who Auniversalcharacteristicofalllivingorganismsistheirability workedwithbothpeasandmaizeduringthefirstpartofthe toreproduce,generatingoffspringwhichresembletheirparents. nineteenthcentury.Hereportedthedominanceofcertainchar- Thesimilaritiesbetweenparentsandoffspringwererecognised actersintheF1hybridsandtheirsubsequentreappearanceor inclassicalandthisledtospeculationsfromthetimeof segregationintheF2hybrids.Bothoftheseobservationswere theGreeksonwardsaboutissueslikehowmuchwascontributed importantforMendel’ssubsequentwork. fromeachsexualpartnerduring,didthedifferent TheseobservationssetthestageforMendel’sfamouspea sexualpartnersdeterminedifferentpartsoftheoffspring,and hybridisationexperimentswhichhestartedinBrnoin1856. howmuchdidcharacteristicsliketheheatofthewomborthe Probablybecauseofhistrainingasaphysicalscientistandhis qualityofthetestesinfluencetheoutcome.Ittookthediscovery meteorologicalstudies,heemployedaquantitativeapproach, andcharacterisationofgenestoprovidethefoundationfor countingthedifferentphenotypesproducedintheF1andF2 understandingheredity,andthisisthesecondgreatideaof hybrids.Thisrevealedthefamoussimpleratioswhichled biologythatIwanttodiscuss. Mendeltoproposeanelegantparticulatetheoryforheredity, Asiswellknown,itwasGregorMendel(1822–1884),Abbot withphenotypicattributesdeterminedbytheactionofpairsof ofBrnoMonasterynowintheCzechRepublic,whofirstpostu- factorspassedonasunchangingdiscreteentitiesor, latedtheexistenceofgenes.Itwashiscarefulcrosseswithplants onefromeachparenttothehybridoffspring.Hisexperiments andincisiveanalysisoftheoutcomescarriedoutinthe wereverycarefulandtheresultsimpressive;infact,toomuchso Monasterygardenduringthe1860sthatledhimtobecomethe forthestatisticalgeneticistRonaldFisherwhothoughtthey fatherof.Itisperhapslesswellknownthatother weretoogoodtobetrue.OfcourseMendel’sgardenerwas researchershadalsoexperimentedwithplanthybridisation blamed,toleavethegreatman’sreputationintact!Mendel’s beforehim,andhadmadeimportantdiscoveriesrelevantto analysisandsubsequentabstractreasoningwerebrilliantand 5 Mendel’ssubsequenttheories. Inparticular,theGermanJoseph awesome.However,hisworkremainedunrecognisedforover30 Kolreuter(1733–1806),workinginthemid-eighteenthcentury, years,untilthebeginningofthetwentiethcenturywhenitwas carriedoutcrosseswithtobacco,pinks,andcarnationvarieties, rediscoveredbythreegeneticists,themostimportantofwhom andconcludedthatthefirsthybrids(F1)fromdifferingparents wastheDutchplanthybridistHugodeVries,whoseownwork oftenexhibitedratheruniformphenotypeswhichwereinterme- alsorevealedMendel’ssimpleratios.6 diateincharacterbetweentheparents.Incontrast,thesecond Thisdelaybetweendiscoveryandrecognitionisinteresting, generation(F2)weremuchmorevariedandmorelikeoneor andIthinkreflectsthegeneralresistanceofbiologiststoabstract thinkingbecauseoftheirgreaterrelianceuponmoreempirical approaches.Duringtheinterveningperiodtherewereextensive cytologicalstudiesofdividingcells,thesimplestexampleof reproductioninbiology.Fromtheirmicroscopicobservationsof celldivision,WalterFlemmingandEduardStrasburger

Fig3.Earlymammalianembryoshowingcells.Reproduced fromRef 15. Fig4.Amammalianeggwithsperm.ReproducedfromRef 15.

562 ClinicalMedicine Vol3 No6November/December2003 Thegreatideasofbiology describedtheappearanceofelongatedchromosomalthreads inscribedonhiscoachwhichsaid‘Econchisomnia’,thatis‘every- whichwereseentosplitlengthwaysbeforeshorteningandthick- thingisfromshells’,advertisinghisbeliefthatalllifedeveloped eningasproceeds.Strikingly,EdouardvanBeneden frommicroscopicancestors.ErasmuswasamemberoftheLunar (1846–1910)showedinafertilisednematodeeggthatthese SocietyandasuccessfuldoctorinLichfieldandDerbyaround chromosomesarederivedinequalnumbersfromtheeggand 1800.11 Hehadtoremovethemottofromhiscoachafterpressure sperm.Finally,AugustWeismann(1834–1914)focusedatten- fromtheDeanofLichfieldCathedral,otherwisehewouldhave tiononchromosomesbyproposingthattheyformedthebasis beenindangeroflosinghismorerespectable,andtherefore ofheredity.SowhenMendel’sabstractlawswererediscovered morewealthy,patients.Hewasanearlyproponentoffemale theycouldbeimmediatelylinkedwiththeseconcreteobserva- educationandsetuptwoofhisdaughtersasteacherstorunone tionsofchromosomebehaviour.Chromosomeswerediscrete ofthefirstschoolsforgirls.Duringhislifetimehewasalsocon- entitieswhichsplitintwoduringcellreproductionandduring sideredadistinguishedpoet,expoundinghisviewsonevolution theformationofahybrid,pairsofchromosomeswereinherited inversesfromapoem,Thetempleof: onefromeachparent.Mendel’slawscouldbeseentobe Firstformsminute,unseenbysphericglass no longerabstractbutbasedontheobservedbehaviourof Moveonthemud,orpiercethewaterymass; chromosomes. These,assuccessivegenerationsbloom, Arguablythedevelopmentoftheideaofthegenewasthemost NewPowersacquireandlargerlimbsassume; outstandingcontributiontobiologyduringthelastcentury.Itis Whencecountlessgroupsofvegetationspring astorythathasbeenwelltold,particularlybyJudson7 andsoI Andbreathingrealmsoffin,andfeet,andwing. shalldiscussitonlybrieflyhere.Thefirstpartofthecenturysaw thegradualaccumulationofdatafromclassicgeneticcrossesthat HisgrandsonCharleswasmorescientificandsystematicin confirmedtheideaofthegene.Thenin1944thegeneticmate- hisapproachtoevolution.Heamassedhugeamountsofobser- rialwasshowntobedeoxyribonucleicacid(DNA)whenitwas vationaldatafromthefossilrecordwhichstronglysupported demonstratedthatDNAcouldtransferphenotypiccharacteris- theviewthatlivingorganismsevolve.Buthedidmuchmore ticsintoPneumococcus .8 Thiswasthebirthofmolecular thanthatbyproposingnaturalselectionasamechanismfor genetics,althoughitwastheunravellingofthecrystalstructure evolution,10 amechanismalsoproposedindependentlybythe ofDNAwhichtrulyusheredinthenewera.9 naturalistcollectorAlfredWallace.Thisideaisbasedonthefact TheintellectualbeautyoftheDNAdoublehelixstructureis thatinaofbreedinglivingorganismsthereareusu- itsabilitytoexplainboththeabilityofDNAtoencodeinforma- allyarangeofphenotypicvariantstobefound.Thesevariants tionandtobeabletoreplicateitself.Theseexplanationsemerge arefrequentlygeneticallydetermined,andsowillbeinherited fromthefactsthatDNAisalinearsequencecomposedof fromgenerationtogeneration.Someofthesevariantswillbe differentnucleotidebases,andthatpairingrulesforbasepairs moresuccessfulinproducingoffspring,andthisgreatersuccess generatecomplementarysequencesforthetwopairedstrands meansthattheoffspringfromthesevariantswillmakeupa makingupthedoublehelix.Seldomissuchinsightsoimmedi- greaterproportionofthepopulationinthenextgeneration. atelyobtainedfromexperimentalobservationsaswasthecase Thisprocessisknownasnaturalselectionbecauseselection forthestructureofDNA.Almostasimpressiveweretheseries occursasaconsequenceofnaturalfactors.Naturalselection ofsubsequentexperimentsandreasoningswhichlaidthe leadstosurvivalofthefittestandintheeliminationofindivid- foundationsofmolecularbiologyandgenetics.7 Theseinclude ualslesswelladaptedtotheirenvironment.Asaconsequence, thedemonstrationofsemi-conservativereplicationofDNA,the geneticchangesaccumulateinthepopulationwhichbring breakingofthegeneticcode,andthedescriptionofhowinfor- aboutevolutionarychange.Thisisaveryprofoundideawhich mationflowedfromtheDNAsequencetoproteinsequence. hassignificancebeyondbiology,indisciplineslikeeconomics Thislastdiscoveryfinallyconfirmedthatthepropertiesof andcomputing. proteinsplayamajorroleindeterminingphenotypiccharacter- Forevolutionbynaturalselectiontotakeplace,living- istics,andthatthepropertiesoftheproteinsareultimately ismsmusthaveanumberofcharacteristics.Firstly,theymustbe determinedbytheDNAsequenceoftherelevantgene. abletoreproduce.Secondly,theymusthaveahereditary wherebyinformationdefiningthecharacteristicsoftheliving iscopiedandinheritedduringtheirreproduction. Evolutionbynaturalselection Thirdly,thehereditarysystemmustexhibitvariability,andthis EvolutionbynaturalselectionistheideaproposedbyCharles variabilitymustbeinheritedduringthereproductiveprocess.It Darwinwhichheexplainedinhis1859book,Theoriginof isthisvariabilityuponwhichnaturalselectionoperates. species.10 Itisthebestknownideaofbiologyandhasledtothe Interestingly,thesecharacteristicsarelinkedcloselywiththetwo wholepublishingindustryofDarwinia.Thesuggestionthatlife ideasalreadydiscussed,thecellandthegene.Allcellsreproduce evolvedovertimewasnotoriginaltoDarwin.Ashehimself duringcelldivision.Cellshaveahereditarysystemmadeupof notesinTheoriginofspecies,hadarguedthatbodyparts geneswhicharecopiedandinheritedonthechromosomes ofanimalsmightappearordisappearovertime.Charles’own duringcelldivision.Thegenesarecopiedbyreplicatingcom- rathercolourfulgrandfather,ErasmusDarwin(1731–1802),was plementarystrandsofthedoublehelix,andduringthecourseof anenthusiasticsupporterofevolution,andevenhadamotto replicationmistakescanoccurleadingtochangesinthe

ClinicalMedicine Vol3 No6November/December2003 563 SirPaulNurse nucleotidesequence.Thisvariabilitypersistsduringsubsequent ethanol-producingindustrytoinvestigatewhyfermentations reproductionandgeneratesthephenotypicvariabilityupon sometimeswentwrong,heshowedthatcertainfermentation whichnaturalselectioncanoperate.Inshort,theideasbehind batchesproducedlacticacidinsteadofethanol.Microscopic cellsandgenesprovidetheconditionswhichallownaturalselec- examinationofsedimentsinthefermentationvatsrevealedthat tionandevolutiontotakeplace. thealcohol-generatingvatscontainedyeastcells,someofwhich HermannMullertooktheseideasonestepfurtherandpro- hadbudssuggestingthattheywereactivelygrowing.Incontrast, posedthatevolutionbynaturalselectioncouldprovideagood theseyeastcellswereabsentinthevatsproducinglacticacid.From definitionoflife.12 Hearguedthatalllivingorganismshave thesesimpleobservations,Pasteurproposedthatthemicrobiallife propertieswhichallowthemtoundergonaturalselectionandso formyeastwasresponsibleforgeneratingethanolwhilstanother toevolve,theimportantpropertiesbeingthethreecharacteris- microbegeneratedthelacticacid.Theimportantpointherewas ticsdiscussedabove.Thestrengthofthisdefinitionisthatitcan thatthegrowthofalivingcellresultedintheaccumulationofa beusedtodefinelifeformsthatarenotbaseduponcarbon, specificchemicalsubstance.ThisledPasteurtoconcludethat whichmightbeencounteredonotherplanetsorsolar. chemicalreactionswereanexpressionofthelifeofthecell.To ThelimitationofMuller’sdefinitionisthatitisessentiallyhis- confirmthisview,Pasteurinoculatedthesedimentsfromthetwo torical,thatisitdescribeshowdifferentlifeformscancome vatsintofreshflaskscontainingsugars,andshowedthattheyeast aboutbutdoesnotgivemuchinsightintounderstandinghow producedalcoholandtheothermicrobe,abacterium,produced livingorganismsactuallywork.Forthatwehavetomovetothe lacticacid.Theseexperimentsandstudyoffurtherfermentations fourthidea,lifeaschemistry. producingdifferentchemicalproductsledhimtoarguethatthe chemicalreactionswere‘physiologicalactsgivingrisetomultiple Lifeaschemistry products,allofwhicharenecessaryforthecell’. Thenextadvanceinestablishingthatthephenomenaexhib- Untilthemiddleofthenineteenthcenturymanybiologists itedbylivingorganismswereduetochemicalactivitieswasthe believedthatthevitalphenomenaexhibitedbylivingorganisms demonstrationthatlivingcellscontainedsubstanceswhich wereduetospecialforcesdistinctfromthoseofphysicsand couldpromotechemicalreactionssimilartotheoneswhich chemistry.Theseweretermedvitalforcesandwerethoughtto occurredduringfermentation.MarcelinBerthelot(1827–1907) befoundonlyinlivingorganisms.Thebeliefsofthevitalists brokeupyeastcellsandobtainedasolubleactivitywhichcould seemstrangetoustoday,buttheearlybiologistswouldhave bepurifiedawayfromthecellsbutwasstillabletobreakdown founditverydifficulttoexplaintherichandextraordinary thesugar,sucrose,intoitsconstituentcomponents,glucoseand activitieswhichlivingorganismsexhibitpurelyintermsof fructose.Thesubstanceresponsibleforthisactivityhecalled physicalandchemicalforces. invertase,andheconcludedthatlivingcellsthemselveswerenot Theideathatmanyoflife’sactivitiescanbeunderstoodin necessaryforthechemicalreactionstotakeplace,butratherthe termsofchemistryhasitsoriginsinstudiesoffermentationand cellsgaverisetosubstanceswhichwerestillactivewhenthe iswellreviewedinDresslerandPotter.13 AntoineLavoisier (1743–1794)wasoneofthefoundersofmodernchemistry whosepart-time,andprobablydubious,activitiesasatax collectormeanthelosthisheadduringtheFrenchRevolution. Hebecameinterestedinfermentation,thepracticeusedsince ancienttimeswherebycrushedfruitswerefermentedtoproduce alcohol.Notingthatamajorcomponentofgrapejuicewas sugarandthattheprimaryproductoffermentationwas ethanol,heproposedthat‘fermentationwasachemicalreaction inwhichthesugarofthestartinggrapejuicewasconvertedinto theethanolofthefinishedwine’.Investigatingthisfurther,he showedthatitwasthe‘ferment’(nowknowntobeyeast)pre- sentduringfermentationthatplayedakeyroleinthechemical reaction.Ifhereplacedthegrapejuicebypureglucoseandthen addedasmall amountofferment,ethanolwasproducedjust likeduringanormalfermentation.Exactlywhattheferment was,however,wasnotclearatthetime,althoughalittlelater TheodorSchwannofcellfameandotherworkersspeculated thatthefermentwasyeast.14 Thisspeculation,thatthechemical reactionwasdependentuponalivingorganism,wasunpopular withthechemistsofthetimewhoperhapsresentedthis intrusionofbiologistsintotheirareasofinterest. Fig5.LouisPasteur(1822–1895),whosestudiesof Clarityemergedaquarterofacenturylaterwiththeworkofthe fermentationprovidedearlyevidenceoflifeaschemistry. greatFrenchpolymath,LouisPasteur(Fig5).Askedbythe ReproducedfromRef 13.

564 ClinicalMedicine Vol3 No6November/December2003 Thegreatideasofbiology livingcellswerenolongerpresent.About30yearslater,atthe Somodernbiologistsareverycomfortablewiththeideathat turnofthetwentiethcentury,theseobservationswereextended thephenomenaoflifecanbeexplainedintermsofchemistry. bytwoGermanbrothers,HansandEduardBuchner.They Butitisimportanttounderstandthatthisisaratherspecial extractedanenzymefromyeastcellsandshoweditwasrespon- formofhighlyorganisedchemistry.AsJacquesLoebarguedin sibleforthechemicalreactions.TheBuchnerbrothersbroke 1912,thelivingcellshouldbeconsideredasachemicalmachine. openyeastcellsbygrindingthemupwithsand,andthenfiltered Twocharacteristicsofmachineswhichareveryimportantfor outthecelldebristogenerateacellextract.Thisextractcould organisingthechemistryofcells,arehowthechemicalreactions fermentsugarsandproducealcohol,demonstratingthatthis areregulatedandhowtheycommunicatewitheachother.The chemicalreactioncouldoccurinvitro.Theyconcludedthat manythousandsofdifferentintracellularchemicalreactions yeastcellscontainedasubstance,zymase,nowknowntobean havetobeproperlyorderedandregulatedtobringaboutthe enzyme,andthatthisintracellularsubstancewasresponsiblefor purposefulbehavioursthatmakeupthehigherorderfunc- thechemicalreactionconvertingsugartoalcohol. tioningofacell.Amachineanalogywhichisoftenusedto Thisbodyofresultsformedthecornerstoneofbiochemistry.6 explainthistypeofregulationisthe‘governor’foundonasteam Theyshowedthatfermentation,aphenomenonassociatedwith engine.Comprisedoftwoballsspinningonanaxis,asthe life,couldbereducedtochemicalreactionscatalysedbyintra- enginegoesfastertheballsareforcedoutbycentrifugalforces cellularsubstancescalledenzymes.Generalisingfromthese andautomaticallyreducetheflowofsteamintotheengine,thus results,itcouldbearguedthatmostactivitiesoflivingcellswere reducingitsspeed.Suchfeedbackregulationiscentraltoregu- basedonchemicalreactionscatalysedbyenzymes.Modernbio- latingfluxthroughmetabolicpathways.Productsofanenzyme chemistryhasfrequentlyconfirmedthisview.Wearenowaware sequencecanfeedbackonearlierstepsinthepathway,down- thatthousandsofchemicalreactionsaretakingplacesimultane- regulatingenzymeactivitiesandsoreducingoverallfluxthough ouslywithincellsallthetime,andthattheseareresponsible thepathway.Anothermorecomplexexampleofregulationis forthevitalphenomenaexhibitedbylivingorganisms.These seenwiththeproof-readingcontrolsoperativeduringboth multitudesofreactionsarecarriedoutbyanextensiverangeof proteintranslation16 andDNAreplication.Inthesecases,con- enzymeseachofwhichrequireaspecificchemicalmicro- trolmechanismsexistwhichmeasurethestrengthofchemical environmentinordertoeffectively.Thedifferent interactions.Forexample,duringtranslationthestabilityofthe micro-environmentsarecharacterisedbyaparticularpHlevel, interactionbetweenthemRNAcodonsiteandthetRNAanti- ionicconditions,substrateavailabilitiesandsoon.Therefore,to codonsiteismonitoredandiftheinteractionisweakbecause workproperly,thesemicro-environmentsneedtobeseparated thewrongtRNAisinplace,thenthattRNAisrejected.Such fromeachother.Cellsexploitarangeofmechanismstoachieve regulationmakesthechemistryofthecellworktogetherasa this.Atthesimplestlevel,thesurfacesoftheenzymesthemselves whole,helpingittogeneratepurposefulbehaviours. providewhichareisolatedfromthelocalenvironment.If Theexamplesofregulationdiscussedsofaractlocallywithin enzymesarecombinedtogether,complexesaregeneratedwhich theimmediatevicinityofthechemicalreactionstakingplace. havegreateropportunitiesforisolationofappropriatechemical However,inadditiontolocalregulationthereneedstobelonger micro-environments,leadingtothechannellingofsubstrates rangecommunicationbetweenthedifferentspatiallyisolated andproductsfromoneenzymetothenextthroughanordered chemicalmicro-environments.Thedifferent,oftenincompatible, seriesofchemicalreactionswhichmakeupmetabolicpathways. chemicalmicro-environmentshavetobekeptdistinct,and Complexescanalsoformmolecularmachinesisolatedfromthe localenvironmentlikeribosomesresponsibleforprotein synthesis.Atahigherlevel,membrane-boundprovide amoreextendedlevelofcompartmentation.Finally,thewhole cellhasaplasmamembraneseparatingtheentirecellularcon- tentsfromtheoutsideworld.Thisspatiallyorganisedvarietyof chemicalmicro-environmentsgivesrisetothehighlycomplex structureofthecell(Fig6).15 Anotherlessobviousmechanismthatcanbeusedbythecell toseparatechemicalmicro-environmentsistoexploitchangesof thecellintime.Differentmicro-environmentscanbeestablished inthesamespatialregionofthecelliftheyareseparatedintime. Onesituationwhenthisoccursisseenduringthecellcyclewhen changesoccurinthelocalenvironmentofthechromosomes. Chromosomesarecondensedandfreeinthecytoplasmduring mitosistoallowtheirpropersegregationtotakeplace,andare decondensedandconfinedtothenucleusduringS-phaseto allowtheenzymesofDNAsynthesistooperate.Asaconse- quence,duringS-phaseandmitosis,DNAcanbeassociatedwith Fig6.Schematicrepresentationofcellstructure.Reproduced differentchemicalmicro-environments. fromRef5.

ClinicalMedicine Vol3 No6November/December2003 565 SirPaulNurse specialsignallingmechanismsneedtobeinplacetoensurecom- fied,butitwasthesubsequentboominmoleculargenetics municationbetweenthemicro-environmentswhilstmaintaining whichledtotherecentgreatadvancesinhumanand theirseparationfromeachother.Signallingoccursbetweendif- relatedgenetics.Althoughsometimesover-stated,andnearly ferentpartsofthecellandtherearealsospecialisedtransport alwaysover-reportedinthepress,thisapproachwillultimately mechanismswhichmovechemicalsandcomponentsfromone beveryimportantforunderstandinghumandisease.Manyof placetotheother.Weareveryfamiliarwiththesignaltransduc- themajorsinglegeneeffecthavenowbeenassociated tionpathwayswhicharepartoftheinter-cellularcommunication withtherelevantgenes,alreadyallowingusefulgeneticcoun- processes,butgenerallylessattentionispaidtotheintra-cellular sellinganddiagnosis,withthepromiseofnewtreatmentsbeing signallingwhichisnecessaryforactivitiesofthecelltobeprop- developedbasedonthisknowledge.Geneticistsarebeginningto erlyregulatedandcoordinated.Aswellasaneedforsignalling turntheirattentiontomorecomplexgeneticsituationswherea throughforproperfunctioningofacell,thereisarequire- numberofgenesinfluencediseasepredisposition.Thejuryis mentforsignallingbetweendifferenttimeperiodsinthelifehis- stilloutonmanyofthesestudies,butinthecomingyearsitwill toryofacell.Thisisobviousduringthecellcyclewhenthestatus bepossibletojudgebettertherelativecontributionsofboth ofeventsthatoccurearlyinthecyclehavetobe‘remembered’ inheritedgenesandtheeffectsoftheenvironmentonparticular andsignalledforwardtolatereventsinthecycle.Forexample,if diseases,whichwillhelpinworkingoutthecomplexeffectsof DNAreplicationisincompletethisneedstoberegisteredand environment.Withbothgenesandenvironmentinfluencing relayedtothemechanismswhichbringaboutmitosissothecell finaldiseaseoutcome,analysisisverycomplex,butiftheeffects doesnotattempttodivideuntilDNAreplicationiscompleted. ofgenescanbesimplifiedbyunderstandingthegenetics,then Similarexamplesarefoundonalongertime-scaleduringthe theeffectsoftheenvironmentcanbemorereadilyunravelled. differentiationofcellsorthedevelopmentofanorganism. Thisleavesthefinalideaofevolutionbynaturalselection. Becausethisisessentiallyahistoricaltheory,atfirstsightitlooks Relevancetomedicine asifitcontributeslessthantheotherthreeideas.Itcanhelp explainwhycertaindiseasetraitsmaybepresent,sicklecell Thesefourideashavebeencrucialforbiology,buthowrelevant anaemiaandmalariabeingtheobviousexample,butdoesnot aretheyformedicine?Ishallstartwiththecelltheorybecause generallyhelpmuchinunderstandingandmanagingdisease. thisideafinallycametofruitionaboutthesametimeasmedi- However,thereisonemajorexceptiontothisgeneralisation, cinewasbecomingmorescientificinitspractice.Asalready andthisiswiththediseaseofcancer.Cancercomesaboutwhen discussed,Virchowplayedacrucialroleindevelopingthecell genesimportantforcontrollingthegrowthanddivisionofcells theory.Butbecausehewasalsooneofthefirstpathologists, becomedamagedorrearrangedleadingtouncontrolledcell healsothoughtabouttherelevanceofthecelltotheoriginof proliferation.Thisisanexampleofevolutionbynatural disease.Hearguedthatdiseasedtissuesaregeneratedfrom selectionhappeningatthelevelofthecellwithinthehuman normaltissuesbecausetheformercontainmalfunctioningcells, body.Thegenesandchromosomesinacellcanbecome sowhennormalcellsstartbehavingaberrantlythetissue damagedorre-arrangedduringthecellcycleorasaconse- canbecomediseased.Thiswasanimportantproposalbecause quenceofexternaldamage,andifgenesimportantforcell itfocusedtheattentionofphysiciansonchangesincellular proliferationaredamagedthencellscontainingthesegeneswill behaviourascriticalfactorsforunderstandingdisease.Thisshift proliferate,whilstthesurroundingnormalcellsinthetissue inthinkingwasfurtherenhancedbythethirdidea,lifeas donot.Justlikeevolutionwithinapopulationoforganisms, chemistry.Ifthebehavioursofcellsaredeterminedbythechem- thesepre-cancerousorcancerouscellswillgraduallyovertake icalreactionsgoingonwithinthem,thentheexplanationsfor thepopulationofcellsmakingupthetissue.Becausethesub- themalfunctioningcellsfoundindiseasedtissuesarelikelytobe populationofdamagedcellsincreases,thereisagreaterchance foundbylookingforalterationsinthechemicalreactionstaking offurtherchangestakingplacewithinthecellshavingthis placewithinandbetweenthosecells.Thisisreallytheimpetus alteredgenotype,leadingtoanaccumulationofgeneticdamage formolecularmedicine,whichconsidersdiseaseintermsof andthegenerationofmoreaggressivecancerouscells.This alterationsofinthediseasedcellsandtissues,an systemhasthethreecharacteristicsnecessaryforevolutionby approachwhichhasbecomethedominantwaymedicineis naturalselectiontotakeplace:reproduction,ahereditary viewedtoday. system,andtheabilityofthehereditarysystemtoexhibit Theideaofthegeneisalsorelevanttothiswayofthinking variability.Itisparadoxicalthattheverycircumstanceswhich becausethetransferofinformationfromDNAthroughRNAto allowedhumanlifetoevolvearealsoresponsibleforoneofthe proteinprovidestheconceptualbaseforunderstandingmolec- mostdeadlyhumandiseases.Morepractically,italsomeansthat ularbehaviourwithindiseasedcells.Manymedicallyoriented populationandevolutionarybiologistsshouldbeableto laboratoriestodayfocusontheanalysisofDNA,RNAandpro- contributesignificantlytoourunderstandingofcancer. teinmoleculesintheirresearch.Aswellasthis,thegenetheory helpsunderstandingoftheinheritanceofdisease,whichpriorto Biologicalorganisation Mendeliananalysiscouldbarelybeinvestigatedatall.Following therediscoveryofMendelduringthefirsthalfofthetwentieth Thefifthideaisanemergingviewoftheresearch century,majorgenespredisposingtodiseasebegantobeidenti- concernedwithunderstandingbiologicalorganisationandhow

566 ClinicalMedicine Vol3 No6November/December2003 Thegreatideasofbiology itisbroughtabout.Biologicalorganisationoperatesatarange leadstogeneregulationcanbebestunderstoodintermsofthe oflevels,fromcellsthroughorganismstoand logicalandinformationalprocessesgeneratedbythemolecular .HereIwillfocusdiscussionatthelevelofthecell andbiochemicalmechanismsinvolved. whichisthesimplestunittoexhibitthecharacteristicsoflife.1 A Suchanapproachplayedanimportantroleduringtheearly cellishighlyorganised,actingasacoordinatedwholetobring stagesofmolecularbiology,whengreatemphasiswasplacedon abouthigherlevelsofcellularstructureandfunction.Thisleads understandinghowinformationflowedfromgenetoprotein, tocellsbeingbothspatiallyorganised,containingdefinedyet andhowthatflowwasregulated.7 Theargumentbeingmade oftendynamicstructures,andalsotemporallyorganised,per- hereisthatasimilarapproachwillbeveryusefulforunder- sistingandyetchangingwithtime,forexampleduringthecell standingallaspectsofbiologicalorganisationthatunderliethe cycleanddifferentiation.Cellsalsoexhibitawiderangeofpur- structureandfunctionofacell.Withthisviewthecellshouldbe posefulbehaviours,acharacteristicoflifewhichJacquesMonod consideredasalogicalandcomputationalmachine,processing hastermed‘teleonomy’.17 Thesefunctionsincludetheabilityto andmanaginginformation.Ourobjectiveshouldbetoidentify communicate,tobringabout,toadapttoexternal whatlogicalandcomputationalmodulesoperateincellsand stimuli,toundergoreproduction,andsoon.Soausefulwayto howtheyarederivedfromtheunderlyingmolecular,biochem- viewbiologicalorganisationistoconsideritasorganisation icalandbiophysicalmechanisms.Ishallbrieflydiscusstwo withpurposefulbehaviour. examplesofhigherlevelcellularfunctionwhichshouldprofit Thisapproachlooksforexplanationsofbiologicalorganisa- fromthisapproach:signallingnetworksandspatialorganisation. tionintermsofthelogicalandinformationalprocessesthat Thepotentialcomplexityofsignallingnetworksisverycon- operateinlivingcells.18 Twogoodexamplesarethesignificance siderable.Theconnectionsbetweendifferentpartsofanetwork ofDNAstructureforheredity,andofgeneregulationforcellular canincludebothpositiveandnegativeloopsfeedingbothfor- homeostasis.Thedoublehelixismadeupoftwolinearcomple- wardsandbackwardswithinthesignallingsequence.Certain mentarystrandsofnucleotidesequencewiththeassociationof stepscanalsohavedifferentthresholdsforinputsignalsleading thestrandsbeingdependentuponthepairingrulesbetween todifferentoutputsignalsandoutcomes.Thedynamicsofthe bases.Thisdoublehelicalstructureisinterestingbecauseofits signallingpathwaymayalsobeexploitedtoconveyinformation, significanceforthecodingandreplicativecapacitiesofDNA. forexampleifdifferentperiodsofanoscillatingsignalareused. KnowingthatgenesaremadeofDNAandthatgenesencode Agoodanalogyforthinkingaboutsuchdynamicaleffectson information,focusesourattentionontheabilityofthe signallingistheMorsecode,whereinformationisconveyedin nucleotidesequencetostoreinformation.Thisisencodedinthe thedurationandorderofsignalpulses.Thesebehavioursare orderandtypeofnucleotidesthatmakeupthelinearsequence, muchricherthanasignallingsequenceconveyingasimpleonor muchlikethelettersmakingupwordsandsentences.TheDNA offmessage.Itisalsoimportanttoappreciatethatbiological sequenceofageneisthentranscribedintoanRNAwhichissub- systemsincludingsignallingnetworkshaveevolvedbygradual sequentlytranslatedintotheaminoacidsequenceofthegene ‘add-ons’assimilatedduringnaturalselection.Thismeansthat encodedprotein.Attemptstoexplainthereplicativecapacityof thenetworksarelikelytoexhibitredundancyandwillbeless DNAhavefocusedontheabilityofthecomplementary nucleotidesequencestobecomepreciselycopied.Replication occursbyseparatingthestrandsandusingthebasepairingrules tobuildnewcomplementarystrands.Thusthebiologicalsignif- icanceofthebiochemistryunderlyingboththecodingand replicativecapacitiesofDNAcanbebestunderstoodintermsof informationencodedintheDNAstructure,andtheflowofthat informationfromthegenesequencetoproteinfunction.The pointisthatunderstandingthebiologicalorganisationthat resultsinhereditycomesaboutbytransformingthemolecular andbiochemicaldescriptionsoftheseprocessesintologicalrep- resentationsexplaininghowinformationiscommunicatedand processed.Thesecondexampleisgeneregulation.Biochemical descriptionsofgeneregulationhaveledtotheidentificationand characterisationofrepressorandactivatorproteinswhichbind specificDNAregionsupstreamofthegenebeingregulated,and leadtochangesinthelevelofgeneexpression.However,togen- eratebiologicalunderstandingoftheprocess,thesedescriptions needtobetransformedintothelogicalstructuresunderlying howgenesareregulated.Oncethislogicisunderstood,infor- mationprocessingconceptsemerge,suchastheexistenceof negativeandpositivefeedbackloopswhichregulategenetran- Fig7.Areactiondiffusionchemicalreactiongenerating scription.AswithDNAstructure,biologicalorganisationthat spatialorder.

ClinicalMedicine Vol3 No6November/December2003 567 SirPaulNurse economicinfunctionthanhuman-designedcontrolcircuits. Acknowledgements Suchrichnessandredundancymakestheanalysisofbiological signallingnetworksdifficult,andtheiranalysismayrequirenew IamverygratefultoRafaelCarazo-SalasandJackyHaylesfor methodsandwaysofthinking.Itisalsopossiblethattheout- theirdiscussionsofthispaper. comesandsolutionsobtainedmaynotalwaysbeobviousand mayevenbeveryunexpected. References Asecondhigherlevelcellularfunctionishowspatialorganisa- 1 HarrisH.Thebirthofthecell.NewHaven:YaleUniversityPress,1999. tionwithinacellisachieved.Spatialorganisationisimportant 2 Coleman,W.Biologyinthenineteenthcentury.Problemsofform,func- forseparatingthedifferentchemicalmicro-environmentswithin tion,andtransformation.Cambridge:CambridgeUniversityPress, acellandformakingcellularstructures.Thegenerationofstruc- 1977. tureisonlywellunderstoodforsmallbiologicalobjectswhich 3 FlemmingW.Contributionstotheknowledgeofthecellanditsvital aredirectassembliesofmolecules,examplesbeingphageheads processes.PartII. JCellBiol 1965;25:3–69. 4 WilsonE.Thecellindevelopmentandheredity. NewYork:Macmillan, andribosomes.Theshapesofthesesmallscaleobjectsaredeter- 1925. minedbythechemicalbondsresponsibleforthedirectinterac- 5 OlbyRC.OriginsofMendelism.London:TheTrinityPress,1966. tionsbetweentheirmolecularconstituents.Moreinteresting,but 6 AllenG.Lifescienceinthetwentiethcentury.Cambridge:Cambridge moredifficulttounderstand,isthegenerationofformatamore UniversityPress,1978. extendedlevelbeyondthescaleofdirectmolecularinteraction. 7 JudsonHF.Theeighthdayofcreation.Makersoftherevolution.New York:ColdSpringHarborLaboratoryPress,1996. Thislevelincludesobjectssuchasvesicles,organelles,cellsand 8 AveryOT,MacLeodCM,McCartyM.Inductionoftransformationby wholeorganisms.Acommoncharacteristicofspatialorganisa- adesoxyribonucleicacidfractionisolatedfrompneumococcusTypeIII. tionatthesehigherlevelsistheirabilitytoregulate,thatisto JExpMed 1944;79:137–59. generatethecorrectformdespitevariationsinthesizeofthe 9 WatsonJD,CrickFH.Molecularstructureofnucleicacids:astructure beingorganised.Thiscannotbeachievedbymecha- fordeoxyribosenucleicacid.Nature 1953;171:737–8. 10 DarwinC.Theoriginofspecies.London:JohnMurray,1859. nismsbasedondirectmolecularinteractionwhichcannotadjust 11 King-HeleD.ErasmusDarwin–Alifeofunequalledachievement. todifferencesindomainsize.Themoleculesinvolvedinthese London:GilesdelaMare,1999. mechanismsmustbeabletogeneratespatialmapsofcellswhich 12 MullerHJ.Thegenematerialastheinitiatorandorganizingbasisoflife. canstillbemadeifthesizeofthecellchanges.Reactiondiffusion AmNat 1966;100:493–517. typemodelsareoftendiscussedinthiscontext(Fig7),although 13 DresslerD,PotterH.Discoveringenzymes.NewYork:Scientific AmericanLibrary,1991. intheirsimplestformthesemodelscannotregulateinresponse 14 SchwannT.Microscopicalresearchesintotheaccordanceinthestructure tochangesinthesizeofthedomainbeingorganised.Aswith andgrowthofanimalsandplants.London:SydenhamSociety,1857. signallingnetworks,theobjectiveshouldbetoseeksatisfactory 15 AlbertsB,BrayD,LewisJ,RaffMetal.Molecularbiologyofthecell.New explanationsintermsofthelogicalstructuresandinformation York:Garland,2002. processingwhichemergefromthemolecularmechanismsthat 16 BourneHR,SandersDA,McCormickF.TheGTPasesuperfamily:a conservedswitchfordiversecellfunction.Nature 1990;348:125-32. areresponsibleforbringingaboutcellform. 17 MonodJ.Chanceandnecessity.London:Collins,1972. Sothebasisofthisemergingideaistolookforwaysthatcan 18 JacobF.Thelogicoflivingsystems.Ahistoryofheredity.London: transformmolecularinteractions,biochemicalactivitiesand Penguin,1974. biophysicalmechanismsintologicalandinformationalstruc- 19 NurseP.Understandingcells.Nature 2003;424:883. turesandprocesses.19 Thiswillleadtoanunderstandingofbio- 20 KauffmanSA.Theoriginsoforder.Self-organizationandselectionin evolution.NewYork:OxfordUniversityPress,1993. logicalorganisationbyconsideringthecellasalogicalandcom- putationalmachine.Itispossiblethatthisapproachwillshift biologyawayfromtherathercommonsenseandfamiliarworld thatithasgenerallyoccupiedinthepasttoonethatismore ThefulltextoftheHarveianOrationonwhichthispaperisbased abstract.Thecomplexsituationsoperativemayleadtostrange isavailablefromthePublicationsDepartmentoftheRoyalCollege andnon-intuitivebehaviours,20 andtoworktheseoutbiologists ofPhysicians.ThislectureisalsopublishedintheLancet. willneedassistancefromscientistsinotherdisciplines,suchas mathematiciansandphysicists,whoaremoreusedtothinking aboutexplanationsnoteasilyencompassedbythecommon senseworldofoureverydayexperience.

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