The Jerusalem Post

Doctors who deciphered body’s response to oxygen win Nobel Prize for medicine

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STOCKHOLM/LONDON (Reuters) – Two Americans and a Briton won the 2019 Nobel Medicine Prize on Monday for discoverin­g a molecular switch that regulates how cells adapt to fluctuatin­g oxygen levels, opening up new approaches to treating heart failure, anemia and cancer.

William Kaelin at the US Dana-Farber Cancer Institute and Harvard Medical School was “almost speechless” when told that he and two other doctors, Gregg Semenza of Johns Hopkins University and Briton Peter Ratcliffe of Oxford University, would share the 9-million Swedish-crown ($913,000) prize, the Nobel award-giving body said.

“They were extremely happy, and happy to share the prize with each other,” Thomas Perlmann, a member of the Nobel Assembly, told reporters as the prize was announced.

Perlmann said he had reached Kaelin by phone early on Monday, after first having dialed the wrong number.

“He was really happy, almost speechless,” Perlmann said. Ratcliffe was at his office and Semenza was asleep, he said.

The scientists’ work establishe­d the basis for understand­ing of how oxygen levels are sensed by cells – a discovery that is being explored by medical researcher­s seeking to develop treatments for various diseases that work by either activating or blocking the body’s oxygen-sensing machinery.

Their work centers on the hypoxic response – the way the body reacts to oxygen flux – and “revealed the elegant mechanisms by which our cells sense oxygen levels and respond,” according to Andrew Murray, an expert at Britain’s University of Cambridge who congratula­ted the three.

Randall Johnson, a professor at Sweden’s Karolinska Institute where the annual prize is awarded, noted that since “oxygen is essential for life and is used by virtually all animal cells,” the work is central to how the body functions.

“It’s a prize that really tells us the fundamenta­l truth about how cells work,” he said. “For example, when you’re exercising, you’re using up oxygen at a much more rapid pace ... and this is a switch that helps the cell figure out how much oxygen it’s getting and how it should behave. If you have a stroke there’s suddenly no oxygen going to the brain... Those cells, if they are going to survive, need to find a way to adapt to that level of oxygen.”

Medicine is the first of the Nobel Prizes awarded each year. The prizes for achievemen­ts in science, peace and literature have been given since 1901 and were created in the will of dynamite inventor and businessma­n Alfred Nobel.

Nobel medicine laureates have included scientific greats such as Alexander Fleming, the discoverer of penicillin, and Karl Landsteine­r, who identified separate blood types and so enabled safe transfusio­ns to be widely introduced.

Last year, American James Allison and Japanese Tasuku Honjo won the prize for discoverie­s about how to harness the immune system in cancer therapies.

 ?? (Pontus Lundahl/Reuters) ?? THOMAS PERLMANN, secretary-general of the Nobel Committee, presents William Kaelin, Peter Ratcliffe and Gregg Semenza with this year’s Nobel Prize in Medicine during a news conference in Stockholm yesterday.
(Pontus Lundahl/Reuters) THOMAS PERLMANN, secretary-general of the Nobel Committee, presents William Kaelin, Peter Ratcliffe and Gregg Semenza with this year’s Nobel Prize in Medicine during a news conference in Stockholm yesterday.

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