Two win medicine Nobel for showing how people react to heat and touch
STOCKHOLM (AP) — Two scientists won the Nobel Prize in medicine on Monday for their discoveries into how the human body perceives temperature and touch, revelations that could lead to new ways of treating pain or even heart disease.
Americans David Julius and Ardem Patapoutian separately identified receptors in the skin that respond to heat and pressure, and researchers are working on drugs to target them. Some hope the discoveries could eventually lead to pain treatments that reduce dependence on highly addictive opioids. But the breakthroughs, which happened decades ago, have not yet yielded many effective new therapies.
Julius, of the University of California at San Francisco, used capsaicin, the active component in chili peppers, to help pinpoint the nerve sensors that respond to heat, the Nobel Committee said. Patapoutian, of Scripps Research Institute at La Jolla, California, found pressure-sensitive sensors in cells that respond to mechanical stimulation.
"This really unlocks one of the secrets of nature," said Thomas Perlmann, secretary-general of the committee, in announcing the winners. "It's actually something that is crucial for our survival, so it's a very important and profound discovery."
The committee said their discoveries get at "one of the great mysteries facing humanity": how we sense our environment.
The choice of winners underscored how little scientists knew about that question before the discoveries — and how much there still is to learn, said Oscar Marin, director of the MRC Centre for Neurodevelopmental Disorders at King's College London.
"While we understood the physiology of the senses, what we didn't understand was how we sensed differences in temperature or pressure," Marin said. "Knowing how our body senses these changes is fundamental because once we know those molecules, they can be targeted. It's like finding a lock, and now we know the precise keys that will be necessary to unlock it."
Marin predicted that new treatments for pain would likely come first, but that understanding how the body detects changes in pressure could eventually lead to drugs for heart disease, if scientists can figure out how to alleviate pressure on blood vessels and other organs.
Richard Harris, of the Chronic Pain and Fatigue Research Center at the University of Michigan, also said the new laureates' work might help design new pain medications, but noted the field has long been stalled.
He said that because pain also includes a psychological component, simply identifying how it is triggered in the body isn't necessarily enough to address it. Still, he said Julius' and Patapoutian's work would likely help doctors better treat pain that is caused by things like extreme temperatures and chemical burns.
"Their discoveries are giving us the first inkling of how this type of pain starts, but whether it's involved in many chronic pain patients remains to be seen," he said.
Still, Fiona Boissonade, a pain specialist at the University of Sheffield, said the Nobel laureates' work was especially relevant for the one in five people globally that suffer from chronic pain.