My
father, Dr. Edward E. Thomas was
born in 1870 and moved to Texas with his family
in a covered wagon in 1874. He grew up in frontier Texas and, with almost no
formal schooling went to the University of Louisville, Kentucky, where he received
his M. D. His first wife died of tuberculosis, and I was the only child of his
second wife. He was 50 years old when I was born on March 15, 1920. He was a
solo general practitioner in our small Texas village. Thus, together we span
the time from horse and buggy house calls to modern high-tech medicine.
My high school class consisted of
about 15 people. I was not an outstanding
student even in this small group. I entered the University of Texas in Austin
in 1937. In my first semester I made only B grades, but as time went on and
the courses became more difficult and challenging I began to enjoy the studies,
mainly in chemistry and chemical engineering. I received a B. A. in 1941 and
an M. A. in 1943.
During my undergraduate years at the end of the depression money was almost
non-existent so I worked at a number of odd jobs. One of the jobs was waiting
tables at a girls' dormitory. One January morning it snowed, a rare event in
Texas. As I emerged from the girls' dormitory, an attractive young woman hit
me in the face with a snow ball. I naturally had to catch her and avenge the
insult to my male ego. Thus, I meet
Dorothy Martin, the Dottie who has participated
in all my endeavors up to the present time. We have 3 children, Don Jr. who
practices internal medicine in Montana, Jeffrey who is in business in Seattle
and Elaine who is a Fellow in infectious diseases at the University of Washington.
We have eight grandchildren.
I entered Harvard Medical School in 1943. During medical school Dottie abandoned
her journalism work to enter training as a laboratory technician while working
to help support us. Her training in writing, laboratory technology and library
science has in - Donnall women E. nylon stockings Thomas of pics Thomas Donnall maroela E. - pics rape Donnall Thomas Кабель E. - ВВГ - Ford Thomas боковинами 2112 E. полка с Focus Donnall ВАЗ been invaluable in our work. I received the M. D. in 1946.
There followed an internship, a year of hematology training under my life-long
friend Dr. Clement Finch, two years
in the army, a year of postdoctoral work
at Massachusetts Institute of Technology, two years of medical residency, the
last as the chief medical resident at the Peter Bent Brigham Hospital in Boston.
During that time Dr. Joseph Murray was a surgical resident and we have been
friends and colleagues over the years because of our common interests in transplantation.
I was on the wards of the Brigham and helped care for his first kidney transplant
patient.
During medical school I became interested in the bone marrow and in leukemia.
This interest was intensified by my early association with Dr. Sydney Farber
who gave me my first laboratory in the new Jimmy Fund Building. I was fortunate
to see the first child with acute lymphoblastic leukemia (ALL) whose remission
was induced with an anti-folate drug. I became interested in factors that stimulate
marrow function in part due to Allan Erslev's attempt to demonstrate erythropoietin.
During my year at M.I.T. I worked under Dr. John Loofborrow on stimulating factors
released from irradiated yeast. I hoped to apply this knowledge to marrow stimulating
factors. Fortunately I left the field of stimulating factors because it is only
in recent years, with recombinant technology, that great strides have been made
in this area.
I had Thomas animals Donnall is E. sex - safe with been Thomas bi Donnall stories sex forced E. - intrigued E. - sex animals is Thomas Donnall safe with by the studies
of Dr. Leon Jacobsen et al. who demonstrated
that shielding the spleen would protect mice against otherwise lethal irradiation
and the subsequent demonstration by Egon Lorenz et al. that a marrow infusion
was also protective. These observations were initially thought to be the result
of stimulating factors. In 1955, Main and Prehn published their paper showing
that a mouse protected against lethal irradiation by a marrow infusion would
accept a skin graft from the marrow donor. Their study and the demonstration
by Ford et al. using cytogenetic technology of donor chromosomes in such mice
made it suddenly clear that the irradiation protection effect was due to the
survival of living bone marrow cells.
In 1955, at the invitation of Dr.
Joseph Ferrebee I went to the Mary Imogene
Basset Hospital in Cooperstown, N. Y., an affiliate of Columbia University.
Immediately, we began to work on marrow transplantation in human patients and
in the dog, as an outbred animal suitable for clinical care comparable to human
patients. Except for an occasional patient with an identical twin, we quickly
learned that allogeneic marrow transplants in man were going to be very difficult.
Joe Ferrebee and I and our young colleagues concentrated on working with our
dogs on many aspects of marrow transplantation. The long cold winters, absence
of commuting problems and opportunity for long discussions were conducive to
our work. Those years had a deep and abiding influence on subsequent work since
most of the basic concepts were laid
out during that time.
In 1963 I moved to Seattle at the invitation of Dr. Robert Williams, a famous
endocrinologist and first chairman of the Department of Medicine at the University
of Washington. Professor Williams recognized that our School of Medicine was
in its infancy and rather isolated in the Pacific Northwest. He envisioned the
affiliation of all the relevant institutions in the area with the School of
Medicine in order to create the critical mass necessary for academic excellence.
Within that concept I established my program in the Seattle Public Health Hospital.
The rest of the story seems short in retrospect. The recruitment of some brilliant
young co-workers who still work with me, studies of immunology and irradiation
biology in the dog, borrowing knowledge of human histocompatibility from Amos,
Payne and Dausset, the assembly and training of a critical care team of nurses,
and, finally, the demonstration that
some patients with advanced leukemia, aplastic
anemia or genetic diseases could be cured by marrow transplantation.
Our team of physicians and nurses proved to be stable and dedicated. We did
face problems that at times seemed almost insurmountable. In 1972, the Seattle
Public Health Hospital was faced with closure by the federal government. After
many conferences with the Dean of the
School of Medicine, it was apparent that
we could not move to the University of Washington. We found temporary space
at Providence Hospital for a two year period. In 1975 our team moved into the
Fred Hutchinson Cancer Research Center which provided superb facilities and
the opportunity to expand the program with the cooperation of the Swedish Hospital
Medical Center. While continuing laboratory and animal research, our team has
now carried out more than 4,000 human marrow transplants.
It is always diffcult to identify the many threads that make up the fabric of
a life's work. I know that my philosophy and ideas have been heavily influenced
by more than 20 years of daily interaction with a small group of colleagues,
all of whom are now distinguished scientists in their own right. Bob Epstein,
Rainer Storb, Dean Buckner, Reg Clift, Paul Neiman and Alex Fefer were with
me at the start of the Seattle adventure, and all except Bob are still my daily
companions. Ted Graham moved with me from Cooperstown and has played an essential
role in our animal research. Along the way we were joined by Joel Meyers, Fred
Appelbaum, John Hansen and many others
who made major contributions to the achievements
honored by this award.
From Les Prix Nobel. The Nobel Prizes 1990, Editor Tore Frängsmyr, [Nobel Foundation], Stockholm, 1991
This autobiography/biography was written at the time of the award and later published in the book series Les Prix Nobel/Nobel Lectures. The information is sometimes updated with an addendum submitted by the Laureate. To cite this document, always state the source as shown above.
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