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Using tissue transplantation, the British scientist Peter Nevertheless, a close analysis of his works shows Meda-
Brian Medawar showed how extrinsic cells could be wars persistent concerns with the dynamic aspects of life
permanently integrated into an animals body without which governed both his aging research and his immuno-
provoking immune responses. With his study of this logical investigations. Even while he was not thinking
phenomenonwhich he called actively acquired toler- about aging, his preoccupation with lifes changing fea-
anceMedawar was awarded the Nobel Prize in Medi- tures over time, including age-dependent transformations,
cine and Physiology in 1960 along with the Australian was a critical element of his science.
scientist Frank Macfarlane Burnet, who theoretically This dimension of Medawars work resulted from his
predicted the possibility. The monumental work of scientific training and academic networks. Born in 1915, he
Medawar stems from his long and deep interest in the was educated in Magdalen College at Oxford University
nature of living organisms changes over time, such as from 1932 to 1935 (Figure 1). There he finished his under-
growth, aging, and evolution. In particular, his concern graduate degree in zoology and worked as a demonstrator
for the phenomenon of decline played a critical role in his and research fellow before being appointed Mason Pro-
research design regarding tolerance and its interpret- fessor of Zoology at the University of Birmingham in 1947.
ation. During this period, he learned to investigate the living
organism as a constantly changing entity, whose nature
could be revealed primarily through careful observation
Growth and aging and systematic analysis that often relied upon mathemat-
On December 6, 1951, during his inaugural lecture as ical tools. It was certainly possible for him to study the
Jodrell Professor of Zoology at University College London, living organism as if it had been a static being, just as many
Peter Brian Medawar explained how the evolutionary physiologists and geneticists did at that time. However, the
process accounted for the origin of aging. According to senior investigators he met during his scientific education
Medawar, senescence had been an enigmatic phenomenon and the books he avidly read led him to view life through its
to biologists and medical researchers for a long time. None temporal variations, including its development, senile
of the current scientific theories could satisfactorily explain changes, and evolutionary adaptation.2 A major influence
its origin and cause. In this state, Medawar claimed, his on this academic standpoint was the British biologist
new evolutionary theory could provide a firm basis for DArcy Thompson, who wrote On Growth and Form
tackling the unsolved problem of biology. Indeed, aging (1917). Through his publications and personal correspon-
was an issue of conspicuous sociological importance as dence, Thompson taught Medawar that the growth and
well, because the center of gravity of the population is structural relationships of various living organisms could
shifting steadily toward old age.1 This altering demo- be mathematically traced and analyzed.3 Medawar also
graphic structure changed the principal causes of death learned biostatistics and the new evolutionary theories
from infectious to chronic diseases, incurring serious after the Modern Synthesis through several eminent scien-
economic consequences. A scientific approach to senes- tists, including Ronald Fisher, Julian Huxley, J.B.S. Hal-
cence was thus urgently needed in Western countries dane, Alfred Lotka, Edward Poulton, E.S. Goodrich, and
which were enjoying longer average lifespan. E.B. Ford. He came to appreciate these scientists quanti-
But aging was not Medawars major research subject at tative way of explaining evolution in terms of random
that time. His team was then deeply involved in a seeming
2
unrelated project, tissue transplantation, which led to the The significance and meaning of the dynamic perspectives in biological and
biomedical research has been extensively studied. See, for example, Beurton, Peter
landmark 1953 paper on actively acquired tolerance. J., Falk, Raphael, and Rheinberger, Hans-Jorg (eds.) (2000) The Concept of the Gene in
Development and Evolution: Historical and Epistemological Perspectives (Cambridge:
*Tel.: +82 0 52 217 2018. Cambridge University Press); Oyama, Susan, Griffiths, Paul E., and Gray, Russell D.
Park, H.W. (park0717@gmail.com) (eds.) (2001) Cycles of Contingency: Developmental Systems and Evolution (Cam-
1
Medawar, Peter Brian (1952) An Unsolved Problem of Biology: An Inaugural bridge: MIT Press); Keller, Evelyn Fox (2002) Making Sense of Life (Cambridge,
Lecture Delivered at University College London, 6 December 1951 (London: Lewis), pp. Mass.: Harvard University Press).
3
34. At that time, Medawar was certainly aware of his contemporary political dis- Medawar regularly corresponded with Thompson who occasionally commented on
course on aging. See Thane, Pat (2000) Old Age in English History: Past Experiences, Medawars papers before their publication. Deeply appreciating this help and the
Present Issues (Oxford: Oxford University Press), pp. 336342; Soloway, Richard A. insights he gained from Thompsons book, Medawar wrote a chapter in Essays on
(1990) Demography and Degeneration: Eugenics and the Declining Birthrate in Twen- Growth and Form Presented to DArcy Wentworth Thompson (1945), edited by Wilfred
tieth Century Britain (Chapel Hill: University of North Carolina Press), pp. 226258. Le Gros Clark and Medawar himself. See Thompson to Medawar, 21 February 1942,
Available online 6 August 2010 PBM, Box 2, Folder A.24.
www.sciencedirect.com 0160-9327/$ see front matter 2010 Elsevier Ltd. All rights reserved. doi:10.1016/j.endeavour.2010.07.002
Feature Endeavour Vol.34 No.3 113
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114 Feature Endeavour Vol.34 No.3
Medawar tried to describe age changewhether it meant skin. But the most important job for him at the time was
growth or senescencein mathematical terms. While his research on homograft transplantation pursued with Tho-
previous works concerned only the cells growth and aging, mas Gibson and Leonard Colebrook at the Glasgow Royal
this article dealt with those of the whole human being, Infirmary. In fact, the safest way of skin transplantation
particularly the change of the relative proportion of its for burned patients was to use their own skin from
parts with development. Citing the books of Thompson and unharmed body parts. Yet the use of skin homografta
Huxley whose methodology Medawar adopted in the paper, piece of skin from an unrelated individual of the same
he suggested a mathematical way to describe the growth of specieswas attempted in various hospitals, because
a man in accordance with his age. Using a picture showing many patients did not have enough of their own skin to
his growth process only as the changing bodily proportion cover their damaged surface. This attempt, however,
without altering the actual height (Figure 3), he traced the invariably led to unsatisfactory consequences. As many
distance of four portions of the body (the fork, navel, surgeons had already known, tissues from unrelated
nipples, and chin) from the base-line in mathematical people could not be successfully transferred except for
terms using a function of time. some special cases such as corneal transplantation.10
According to his equation, if two variablestime and Although transplantation between monozygotic twins
the initial distance of a body part from the base-linewere was an acceptable alternative in this state, most people
known, it was possible to predict the relative location of the did not have such a twin brother or sister. Yet homograft
part within the body at that time. Medawar thought that transplantation brought forth many intriguing academic
by creating this equation he succeeded in describing each and clinical questions, and Medawar became interested in
parts growth as a single process of continuous defor- the issues after his work at Glasgow. Indeed, he received a
mation in time. Moreover, a further analysis of the devel- research grant from the Medical Research Council to tackle
opmental process and the equation describing it revealed various topics regarding homograft problems, such as the
that the rate of change of shape of the human being falls off biological nature of rejection response, the relevance of
progressively in time from the 5th month of foetal life to skin dosage to transplantation, and the influence of age
maturity.9 As he learned from his tissue culture exper- upon the length of time of tissue survival.11
iment, growth and senescence occurred simultaneously in Like his studies of tissue culture and growth, Medawars
early life. way of approaching these topics reveals his persistent
interest in the changing features of the living organism,
Starting tissue transplantation especially the phenomenon of decline. In most of his trans-
Medawars deep scientific concern for growth and aging plantation experiments, he traced the declining number of
could also be seen in a different project related to a more skin patches on an animals body rather than merely
urgent problem. As is well known, Medawar came to join a observing the final outcome of rejection response. Medawar
medical research program after the beginning of World hoped to approach the homograft rejection through its
War II along with many other young scientists who were dynamics, not statics. In particular, he attempted to infer
requested by the government to participate in war-related the tempo of homografts breakdown from the changing
research. Even though his works in these programs dif- number of surviving skin patches. In one of these exper-
fered from his previous study, his original perspectives and iments, he used four groups of rabbits (Figure 4).
methodologies could still be seen. The first was the group that received lower-dosage
Medawars first wartime medical project was his homografts from different rabbits, whereas the second
research on the restoration of severed peripheral nerves. was that which bore high-dosage.12 The third and fourth
He simultaneously investigated other related issues, such
as the effects and toxicity of sulfonamide drugs and the 10
Silverstein, Arthur (2009) A History of Immunology, 2nd ed. (Amsterdam, Else-
proper way of using fixatives for the treatment of burned vier), pp. 232233.
11
F.J.C. Herald to Medawar, 19 January 1943, NAUK, FD 1/6959.
12
Medawar, Peter Brian (1944) The Behavior and Fate of Skin Autografts and Skin
9
Medawar, The Shape of the Human Being, p. 133. Homografts in Rabbits, Journal of Anatomy 78, p. 186.
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Feature Endeavour Vol.34 No.3 115
bits of one month old did not differ from adult rabbits in the
rate of the advancement of the axon tip of a severed nerve
cell, whereas the length of time required for the functional
completion and the scar delaysthe time for a severed
nerve fiber to retrogress before growing forwardwere
shorter in younger rabbits. He also studied how the age
of skin donors and recipients influenced the outcome of
tissue transplantation. As we will see, this research was a
crucial early work that formed a starting point of his later
studies of immune tolerance. However, this experiment
itself did not seem to produce any new result that could
interest Medawar. He found that young rabbits aged be-
tween 2 and 4 weeks old did not show any difference from
adult rabbits in terms of homograft rejection. This result
Figure 4. The decline of the number of animals holding homograft patches. From
P.B. Medawar, The Behavior and Fate of Skin Autografts and Skin Homografts in
did not mean, however, that age was irrelevant in tissue
Rabbits, Journal of Anatomy 78 (1944), p. 186. transplantation. It simply implied that the power of resist-
ance to skin homografts is fully developed in rabbits ran-
groups were those which experienced grafting of the same ging between 2 and 4 weeks in age.13
foreign tissues twice. Their difference was that while the
third group received the second-set homograft at a body Embryogenesis, individuality, and the relations of
part different from the place where the first skin patch was biological changes
transplanted the fourth had the second-set homograft When, then, was the critical period in an organisms life,
attached to the very place where the first, from the same during which the power of resistance to skin homografts
donor, was attached. He arrived at three conclusions from was formed? Medawar suspected that the embryo develop-
this experiment. First, the homograft rejection by the host mental period was the phase when the capacity to resist
was a systemic response involving its whole body rather foreign graft was formed. He was well aware of the early
than a local cellular response, as the relatively small experiments by James Murphy at the Rockefeller Institute
difference between the third and fourth groups indicated. and others works which revealed that embryonic organisms
If it had been a local response, a much faster process should did not respond to extrinsic agents even though they ulti-
have been observed in the fourth group. Second, as several mately rejected them after growth. Something must occur
researchers had already pointed out, the nature of this during developmental periods, and it was necessary to study
rejection response was actively acquired immunity. This the periods further to understand the nature of the changes
was obvious, since the second-set homografts in the third occurring in embryogenesis and the factors making the
and fourth groups were broken down more rapidly than the young organism accept extrinsic agents without resistance.
first-sets in the first and second groups. After the first-set For Medawar, the embryo development was significant
homograft was broken down, the rabbit acquired stronger for other reasons as well. It was related to various bio-
immunity against the same kind of tissues. Third, the logical problems in which he was interested. As I have
amount of grafted tissue had something to do with the shown, his early tissue culture experiments revealed the
pattern of rejection, as could be seen in the difference progress of senescence during embryogenesis. It was also
between the first and second groups. But what was the significant that the study of embryogenesis was a way to
precise nature of this difference? To answer this question, appreciate the repair process after injury, because the two
Medawar used C.I. Bliss statistical method of expressing processesembryogenesis and tissue regeneration
the percentages of graft mortality as areas of the normal resembled each other very closely. Since both entailed
curve of error in terms of the normal deviate. With this rapid cell proliferation in accordance with the shape of
method, Medawar was able to calculate the probit the body, the study of embryo growth was expected to
mortality, which, to put it simply, is the probability that produce results that could help his wartime projects on
a randomly chosen skin homograft would be dead by a the regeneration of tissues.14 Another work highlighting
specific date. By comparing the rate of the increase of the the significance of embryo development was the project of
probit mortality of the first and second groups, Medawar Rupert Billingham, Medawars student at Oxford. In his
concluded that the tempo at which breakdown proceeds, dissertation, he discussed how a dark skin patch trans-
once the process has started, is the same for both: the planted into a white skin area blackened the neighboring
difference between them lies in the length of the latent tissue. Billingham, along with Medawar, interpreted this
period which must pass before the homograft reaction phenomenon as an irreversible transformation of cellular
becomes effective. The amount of skin tissues influenced traits through the migration of color-determining heredi-
only the brief period before the actual rejection process. tary cytoplasmic materials from dark to white cells.15 This
Medawar studied another phenomenon related to the
living organisms changes over timehow the age of an 13
Medawar, Peter Brian (1945) A Second Study of the Behaviour and Fate of Skin
organism influenced the regeneration of its peripheral Homografts in Rabbits, Journal of Anatomy 79, p. 174.
14
nerves and the result of tissue transplantation. He studied Medawar, Peter Brian (1945) Biological Aspects of the Repair Process, British
Medical Bulletin 3, pp. 7073.
the rate of regeneration of rabbits severed peripheral 15
Billingham, Rupert E. and Medawar, Peter Brian (1947) The Cytogenetics of
nerves under varying conditions, finding that young rab- Black and White Guinea Pig Skin, Nature 159, pp. 115117.
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116 Feature Endeavour Vol.34 No.3
interpretation was significant at that time, because it could agents. According to him, the rule that skin cannot be
be considered a case of cellular heredity that did not follow transplanted between individuals of the same species is
the Mendelian laws concerning the nuclear genes. As known to be true only of higher vertebratesfrom adult
historian Jan Sapp has shown, several scientists in the frogs and upwards. This implied that individuality or
early twentieth century claimed that cytoplasmic inheri- self-specificity was something that developed over time
tance explained cell differentiation during embryogenesis, during both embryogenesis and evolution. In a language
when the identical nuclear gene sets in all somatic cells did reminiscent of the old recapitulation theory of the nine-
not appear to control the creation of distinct cell types.16 In teenth centurywhich postulated that an organisms
this situation, Billingham and Medawars work seemed to embryogenesis recapitulated its evolutionary history
show another case of non-Mendelian heredity relevant to he thus argued, As self-specificity develops [during embry-
embryogenesis, although their study did not directly deal ogenesis], so also it evolves.
with developmental phases. This statement showed that Medawar implicitly
Medawars notion of immunological individuality also assumed the hidden interrelatedness of all kinds of bio-
had a significant bearing on embryogenesis. The fact that logical changes. Just as the relationship between aging and
most adult animals could not accept others tissues due to growth became manifest through their simultaneous
their immunological barrier meant that each organism occurrence in early life, the correlation between growth
maintained a kind of individuality. In fact, similar and evolution was observed by the formers recapitulation
ideasincluding Frank Macfarlane Burnets concept of of the latter. Since the recapitulation theory was generally
selfhad already been proposed by several scientists, discredited by the scientific community in the mid-twen-
and it is probable that Medawar was influenced by one tieth century, Medawars use of this theory in his study
of them.17 His first statement on immunological indivi- reveals his conceptual standpoint very well. In 1951, he
duality during his lecture in 1946 revealed the formation of also published an article on the relationship between
his perspective amid these earlier conceptions. According evolution and embryogenesis. Through his observation,
to him, the homograft rejection phenomenon and the pro- he argued that Amphioxus (lancelets) and the ascidian
blem of blood group incompatibility were two classical (sea squirts) were very close in the evolutionary pedigree
examples of the consequence of this individuality. They because they shared significant portions of the develop-
obviously indicated that individuality had a genetic basis, mental pathway.19 The overlapping growth process of the
since it was well known that the blood groups were geneti- two species meant that they shared their evolutionary
cally determined and that homograft rejection phenomena history as well.
did not occur among highly inbred animals. But he stressed
that the formation of immunological identity depended Evolutionary theory of aging and time-chimeras
upon developmental processes together with genes. But Medawar, who was sensitive to the new trends in
According to him, Individual differentiation or self-speci- contemporary biology, did not rely on the recapitulation
ficity develops, as could be seen from the fact that the theory in his other works. Rather, he tried to use the new
chick, before the eighteenth day of incubation, is almost evolutionary biology created through the Modern Syn-
indiscriminately hospitable to extrinsic agents.18 thesis. As noted earlier, Medawar knew many distin-
Medawar argued that immunological individuality had guished British evolutionary scientists through his
an evolutionary as well as an embryological dimension. He education at Oxford and his professional networks. From
wrote that the rejection response toward a different indi- them, he absorbed the newly established notion that evol-
viduals tissue was a byproduct of evolution, during which ution was contingent upon random genetic mutations and
animals developed mechanisms of protecting themselves natural selection within an environment where an organ-
against invading microbes. While such mechanisms suc- ism happened to live.
cessfully increased the rate of survival of the individual Medawars evolutionary theory of aging published in
and were thus selected during evolution, it came to frus- 1946 was heavily indebted to the novel evolutionary theory
trate surgeons efforts to transplant homograft. and its contributors. His archived manuscripts show that
Remarkably, Medawar thought that there was a con- he employed the ideas of Fisher, Ford, Huxley, Haldane,
nection between these evolutionary and embryological Lotka, and George Simpson in developing his theory.20
dimensions of immunological identity construction. He Using these resources, Medawar initially postulated a
wrote that lower animals in the evolutionary scale did hypothetical group of animals that began reproduction
not reject homografts just as higher organisms in their immediately after birth and died only of predation and
embryonic and fetal periods failed to resist extrinsic natural disasters rather than through aging. Since the
force of natural selection upon the group gradually wea-
16
Sapp, Jan (1987) Beyond the Gene: Cytoplasmic Inheritance and the Struggle for kened over time through the decline of the number of
Authority in Genetics (New York: Oxford University Press), p. 103.
17
About historical studies of immunological ideas on individuality or self, see
individuals due to accidents and predation (Figure 5),
Tauber, Alfred I. (1994) The immune Self: Theory or Metaphor? (Cambridge: Cam-
19
bridge University Press); Lowy, Ilana (2003) On Guinea Pigs, Dogs and Men: Ana- Medawar, Peter Brian (1951) Asymmetry of Larval Amphioxus, Nature 167, pp.
phylaxis and the Study of Biological Individuality, 19021939, Studies in History and 852853.
20
Philosophy of Biological and Biomedical Sciences 34, pp. 399423; Kroker, Kenton Medawar, Peter Brian, undated but written in the 1940s, Demography: notes,
(1999) Immunity and Its Other: The Anaphylactic Selves of Charles Richet, Studies in PBM, Box 17, Folder C.26; Special Case, PBM, Box 17, Folder C.23; Population with
History and Philosophy of Biological and Biomedical Sciences 30, pp. 273296. Constant Force of Mortality, PBM, Box 17, Folder C.23; Natural Examples, PBM,
18
Medawar, Peter Brian (1946) The Theory of the Differences between Individuals, Box 17, Folder C.23. For a more thorough discussion on this issue, see Park, Hyung
The Substance of a Lecture Given to the Oxford Summer School of the British Social Wook (2009) Refiguring Old Age: Shaping Scientific Research on Senescence, 1900
Hygiene Council, p. 103, PBM, Box 36, Folder E.23. 1960 (Ph.D. Thesis: University of Minnesota), pp. 146163.
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Feature Endeavour Vol.34 No.3 117
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118 Feature Endeavour Vol.34 No.3
an interesting medico-legal case in which tissue transplan- had entered the host body at that time would be perma-
tation was used as a critical means to settle a dispute about nently tolerated as a part of the hosts self. Indeed, as
a mans monozygotic twin sons. One of his twin children, several historians have pointed out, this argument was
who had been given to a wrong person due to a mistake partially indebted to Owens article, and it is possible that
after birth, found his biological parents and twin brother Medawar, too, came to know of Owens research through
through tissue transplantation. The twins could exchange Burnet.27 After writing this book, Burnets team conducted
their skin without having any immunological reaction. an experiment on immunological tolerance using viruses
Medawar, however, did not claim that immunological and red blood cells, although they did not obtain a result
individuality was genetically determined as this episode that fit with his theoretical expectation.28 Another inter-
might indicate. It was a property that comes into being esting work was published in 1952 by Jack Cannon and
during the course of development.25 Admittedly, he had William Longmire at the University of California.29 They
already claimed in 1946 that individuality was formed arrived at a more successful result using chickens skin
during development and evolution. Yet his argument in homograft rather than employing viruses and red blood
1952 came to have a different twist with his research at cells as Burnet did. In this experiment, Cannon and Long-
Staffordshire as well as his reading and citing of the mire found that the age of the chicken was closely related to
American scientist Ray Owens 1945 paper. the length of homografts survival time in a new host.
In his Wisconsin laboratory, Owen conducted an exten- While about 13% of the chickens that had received a
sive blood testing of cows that had twin brother or sister homograft patch right after hatching retained it by the
coming from a distinct egg. Knowing that the freemartin, eighth week, only one percent among those that had
the infertile young female cow, was made through con- acquired a homograft from the fourth to the sixth day after
nected blood vessels between dizygotic twin calves during birth still kept it in the same week. The younger the host
embryogenesis and fetal phase, he argued that the shared organism was at the time of surgery, the longer the extrin-
blood circulation during these periods also explained why sic transplant could survive on the skin. An older paper
many dizygotic twin calves had identical blood types.26 published in the 1920s also showed an interesting result.
This was interesting with respect to immunology, because In 1929, C.H. Danforth and Frances Foster at Stanford
it was known that two genetically distinct cows could University argued that 29 among 188 chickens that had
hardly have the same blood type due to a large number received a graft from a different individual on the day of
of different kinds of blood antigens in cattle. Based on this hatching or within a few days thereafter could retain it
fact and other evidence, Owen concluded that the dizygotic almost indefinitely.30 Since 12 among these 29 chickens
twins identical types of blood cells descended from the had obtained a graft from the same strain, the number of
embryonic cells that had been exchanged between the two surviving homografts from completely unrelated individ-
fetuses in a uterus. While they were in the mothers uterus, uals was 17, which was still quite impressive.
the cattle learned not to respond to the blood cells of In the early 1950s, Medawar was aware of Burnets book
distinct genetic constitution coming from their dizygotic and article, but there is no evidence that he read the papers
twin brother or sister. by Cannon, Longmire, Danforth, and Foster. Cannon and
Although Medawar did not state it explicitly in his 1952 Longmires article came out in 1952 when Medawar was
paper, this observation by Owen implied a considerable conducting his landmark research that would be published
change in the concept of immunological individuality. in 1953. Since Medawars archival collection does not have
While the individuality of 1946 was something that merely any correspondence with them, it is unlikely that they
grew during developmental periods, it was now what was exerted any influence upon Medawar. In contrast, Dan-
actively defined in these stages. Whereas Medawar in 1946 forth and Fosters older experiments had been performed
had thought that all genetically extrinsic entities would in the 1920s, and it is thus possible that Medawar had
ultimately be rejected by an animal which had retained known of it. Yet Medawar did not cite their works in his
them during growth periods, he found in 1952 that such crucial papers on tolerance published during the early
entities could be completely integrated into the adult host 1950s. Indeed, the aim and design of Medawars exper-
that could readjust the boundary of its individuality iments were different from theirs. While Danforth and
through development. In this process, it was difficult to Foster merely tried to show that tissues could survive
find any clear roles assigned to nuclear genes. for a long time in a foreign host when they were trans-
There were other publications with a related implica-
27
tion. Perhaps the most important work for Medawar was Burnet, Frank Macfarlane and Fenner, Frank (1949) The Production of Anti-
bodies, 2nd ed. (Melbourne: Macmillan), p. 103. Tauber, Alfred I. and Podolsky, Scott
the second edition of Production of Antibodies (1949) writ- H. (1994) Frank Macfarlane Burnet and the Immune Self, Journal of the History of
ten by Burnet and his colleague Frank Fenner. In this Biology 27, pp. 531573; Silverstein, A History of Immunology, p. 56. My former paper
book, the authors argued that immunological self was analyzes this matter from a slightly different perspective. See Park, Hyung Wook
(2006) Germs, Hosts, and the Origin of Frank Macfarlane Burnets Concept of Self
defined during embryogenesis and that any entities that and Tolerance, 19361949, Journal of the History of Medicine Allied Sciences 61, pp.
492534.
25 28
Medawar, Peter Brian (1952) A Biological Analysis of Individuality, American Burnet, Frank Macfarlane, Stone, J.D., and Edney, M. (1950) The Failure of
Scientist 40, p. 637. Antibody Production in the Chick Embryo, Australian Journal of Experimental
26
Owen, Ray D. (1945) Immunogenetic Consequences of Vascular Anastomoses Biology and Medical Science 28, pp. 291298.
29
between Bovine Twins, Science 102, pp. 400401. This paper was significant with Cannon, Jack A. and Longmire, William P. (1952) Studies of Successful Skin
regard to hematopoietic stem cell research as well. See Fagan, Melinda B. (2007) The Homografts in the Chicken, Annals of Surgery 135, pp. 6068.
30
Search for the Hematopoietic Stem Cell: Social Interaction and Epistemic Success in Danforth, C.H. and Foster, Frances (1929) Skin Transplantation as a Means of
Immunology, Studies in History and Philosophy of Biological and Biomedical Sciences Studying Genetic and Endocrine Factors in the Fowl, Journal of Experimental
38, pp. 222224. Zoology 52, p. 445.
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Feature Endeavour Vol.34 No.3 119
planted onto it in its early age, Medawar aimed at inves- systematically using more standardized laboratory organ-
tigating whether the host could remember the structure isms, such as the mouse. In addition, a highly meaningful
and pattern of the molecules and cellssome of which result would be gained, if experimenters could actually
could have a foreign originwithin its body during its insert a group of foreign cells into an embryonic animal
early developmental phase. In this sense, his aim per- instead of just supposing the occurrence of this process
tained to a larger question on how an organisms immuno- through connected fetal blood vessels as Owen did.
logical boundary could be defined by recognizing its In designing his new study, Medawar returned to the
extrinsic as well as intrinsic constituents. issue of the age of experimental organisms. If a skin patch
The first study guided by this aim was Medawar and his was grafted to an unrelated adult animal, it was invariably
colleagues experiments using dizygotic twin calves con- rejected due to the hosts immune response. But the above
ducted at Cold Norton Farm in Staffordshire. According to experiments using cows and Owens observation implied
Medawar, this research was initiated when Hugh Donald, that an extraneous entity could be tolerated if the host
head of the Agricultural Research Councils Animal Breed- organism was in its embryonic or fetal stage. In fact, the
ing and Genetics Research Organization, asked him how papers by Danforth, Foster, Cannon, and Longmire
he could distinguish monozygotic and dizygotic twins.31 revealed that the host could be slightly older, since some
While it was often believed that skin transplantation newly hatched chickens also accepted external tissues.
would easily reveal their difference, his team obtained a What, then, happened during these early periods of an
distinct result. They found that that all two-egg twins animal? Unlike Burnet, Medawar was not interested in
show some degree of tolerance to homografts transplanted constructing a detailed theory on the mechanism of the
from one to the other, and that thirty-six out of 42 cattle of immune system formation during growth phases. Indeed,
two-egg twin birth were found to be completely tolerant to he read Burnets Production of Antibodies, but did not
skin homograft.32 Tissue transplantation could hardly be attempt to discuss the mechanism proposed by him. Meda-
used for distinguishing identical from non-identical twin war simply mentioned that there might be the more
calves. profound theoretical reasons as Burnet wrote.33 To Meda-
This result not only corroborated Owens blood testing war, what was important was to analyze observable
study but also deepened its immunological implication in phenomena rather than to postulate hypothetical molecu-
at least two respects. First, Medawars experiment lar mechanisms, and, in this respect, his own previous
revealed that the actual scope of the phenomenon that research was enough as a guide to further investigation. As
Owen showed was broader than his paper implied. It I explained earlier, he already found in 1945 that young
indicated that the calves might be able to remember the rabbits aged between 2 and 4 weeks old did not differ from
whole bodys pattern of their dizygotic twin brother or older rabbits in terms of immune response to homografts.
sister as a part of their own constitution. Indeed, while From this finding, he concluded that the ability to recog-
the result of the blood testing clearly implied that embryo- nize foreign materials had already developed before the
nic blood cells were shared between dizygotic twins rabbit reached 2 weeks of age. This conclusion indicated
through connected blood vessels, it was still not immedi- that an earlier phase of an organisms life, including the
ately obvious that skin cells precursors also migrated embryonic period, held a key to the puzzle of immunity. It
simultaneously through the same route. Since the exper- is also quite remarkable that Medawar was thinking about
iment showed that this was indeed the case, it could then time-chimeras again. While completing his experiment on
be further construed that the skin cell was just one of those the effect of freezing on the viability of cells in 1952, he
that had been shared in developmental phases. Other stated that one possible approach to the problem of the
types of cells must have been exchanged as well, and causes of senescence is to graft tissue from a young animal
perhaps all kinds of cells might have been shared and to its own self when it has grown older.34 It was possible to
remembered by the dizygotic twins. Second, Medawars detach tissues from a young animal and to store them in a
experiment revealed more complex aspects of the tolerance freezer until the organism became older. Then, the frozen
phenomenon than Owens. It was found that the degree of young tissues could be thawed and regrafted to their
tolerance among the calves was widely variable. While original body to investigate the process of aging.
complete tolerance toward their dizygotic twins skin was Medawar, Billingham, and Leslie Brents well-known
found in 36 cattle among the 42, the remaining six indi- research in 1953 started from making this time-chimera,
viduals also showed varied degrees of tolerance, measured although it was a genetic chimera as well. He injected a
by the number of days during which the skin patch sur- suspension of adult tissue cells of an A-line mouse into six
vived on the host body. Moreover, it was found that the fetuses within the uterus of a CBA mouse.35 These chi-
grafts from one twin to the other may be tolerated meras between the young CBA and the older A-line mouse
although grafts of the reciprocal transplantation are even- grew well except one which died before birth. After these
tually destroyed. These findings indicated that tolerance remaining five mice became eight weeks old, they received
was a highly complex phenomenon, and it was necessary
33
for Medawar to study the varied dimensions of the problem Anderson, D., Billingham, Rupert E., Lampkin, G.H., and Medawar, Peter Brian
(1951) The Use of Skin Grafting to Distinguish between Monozygotic and Dizygotic
Twins in Cattle, Heredity 5, p. 395.
31 34
Medawar, Peter Brian (1986) Memoir of a Thinking Radish: An Autobiography Billingham, Rupert E. and Medawar, Peter Brian (1952) The Freezing, Drying
(Oxford: Oxford University Press), pp. 110111. and Storage of Mammalian Skin, Journal of Experimental Biology 29, p. 466.
32 35
Billingham, Rupert E., Lampkin, G.H., Medawar, Peter Brian, and Williams, H.L. Billingham, Rupert E., Brent, Leslie, and Medawar, Peter Brian (1953) Actively
(1952) Tolerance to Homografts, Twin Diagnosis, and the Freemartin Condition in Acquired Tolerance of Foreign Cells, Nature 172, p. 604. The A-line and CBA mice
Cattle, Heredity 6, p. 211. were widely-used inbred strains.
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120 Feature Endeavour Vol.34 No.3
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Feature Endeavour Vol.34 No.3 121
the phase of tolerance to that of immunity via the null with Niels Jerne who proposed the natural selection
period. In fact, this shifting of phases was the reason why theory of antibody, while Medawar wished that his col-
he called the phenomenon he studied actively acquired laborators, Billingham and Brent, receive the award along
tolerance, which was the exact inverse of actively with him.41 Second, Medawar and Burnet approached the
acquired immunity. immunological problems in highly different ways. To Bur-
In 1956, Medawar tried to provide a more detailed basis net, who was trained as a virologist and microbiologist,
for this age-dependence of tolerance. He inoculated two tolerance was the most common outcome of microbe
groups of mouse fetuses before and after the eighteenth animal interaction. Indeed, several microbiologists after
day of conception with the same foreign cells. While a Louis Pasteur and Robert Koch claimed that infectious
slightly higher percentage of mice with initial tolerance disease and death were merely unusual consequences of
were found in the group that received the foreign cells at a microbial infection resulting from disturbed natural bal-
later stage, the group that was inoculated before the eight- ance. To these scholars, evolutionary forces tended to
eenth day was eventually revealed to have a larger pro- maintain peaceful coexistence among species including
portion of individuals with long-term tolerance toward humans and various microbes. But Medawar, who was
tissues in an entirely normal condition for upwards of not trained in microbiology, was not aware of these recent
50 days. Considering the difficulty of inoculation into a discussions and studies. Following more traditional stand-
very young fetus before the eighteenth day after con- points, he took it for granted that humans contact with
ception, these results clearly showed that it was easier bacteria and viruses led to infectious disease and other
to induce tolerance to external agents in younger organ- health problems. This view was combined with his tissue
isms. Citing Cannon and Longmires article as well, Meda- transplantation experiment which showed that most cases
war and his colleagues thus claimed that these of transplantation should fail. To him, microbial infection
experiments revealed the progressive decay, with increas- and tissue transplantation were similar because both
ing age, of the power of an antigenic stimulus to confer involved pathogenic intrusion of extraneous entities into
tolerance.39 The ability to develop tolerance would decay an animals body. According to this perspective, toler-
until the null period, and then the ability itself was con- ancewhich for Burnet was a natural outcome of
verted to that of immunity, which was a kind of negative microbeanimal interactionwas an extraordinary
tolerance. phenomenon that had to be forged only through sophisti-
This idea will remind many readers of his reference to cated experimental manipulation.
Minots thesis in his 1941 paper on tissue culture. While Despite this difference, both Medawar and Burnet had a
Medawars research subject in 1956 was very different dynamic view of life which was significant in immunologys
from what he studied in 1941, his view of aging as a transformation in the mid-twentieth century. Although
phenomenon that proceeded even in the earliest part of pursued from different standpoints, their perspectives
life could still be seen in the above remark. In a deeper on life, together with their impact upon their discipline,
sense, Medawar found one of his favorable research sub- reveal how important it was to study the living organism
jects, namely, a process that entailed both growth and through its temporal dimensions in modern biomedicine.
senescence. Like cells proliferative capacity, the ability Ultimately, their contributions altered the direction of
to incorporate extrinsic agents underwent a rapid decline immunologys development from chemical studies of anti-
during the developmental period. genantibody reactions to biological investigations into
living organisms and their continuously shifting physio-
Medawar, Burnet, and dynamics of life logical states.42 As a major contributor to this significant
The fact that Medawar shared the Nobel Prize with Burnet scientific transformation, Medawars persistent concern on
due to his experimental confirmation of Burnets theory decline played a critical role in his works. It was a phenom-
may lead some people to think that Medawars work enon unique to living organisms, associated with a variety
merely resulted from his efforts to test Burnets idea. of his research subjects pertaining to biological changes,
Elsewhere, I have tried to show why this view is mislead- including tissue culture, the evolution of aging, and the
ing, although Medawar was certainly inspired by Burnet in induction of immunological tolerance.
some degree.40 First, the archival records show that the
two scholars hardly exchanged correspondence regarding Acknowledgements
their study subjects during the 1940s and early 1950s. I thank Sally Kohlstedt, John Eyler, and Andreas-Holger Maehle for their
thoughtful comments on earlier versions of this paper. The two referees
They were mostly working in their own research environ-
also gave me helpful criticism. This article stems from the latter half of
ment with little mutual communication. The fact that my chapter, Germs and Tissues: Frank Macfarlane Burnet, Peter Brian
Medawar and Burnet expressed their wish to share the Medawar, and the Immmunological Conjuncture, in Annette Barton
Nobel Prize with different people may also indicate their (ed.), Host-Pathogen Interactions: Genetics, Immunology, and Physiology
substantial difference. Burnet envisaged a joint award (Hauppauge, New York: Nova Science Publishers, in press).
41
Sexton, Christopher (1999) Burnet: A Life (Oxford: Oxford University Press), p.
39
Ibid., p. 373. 140; Medawar, Memoir of a Thinking Radish, p. 137.
40 42
Park, Hyung Wook (2010, in press) Germs and Tissues: Frank Macfarlane Tauber, The Immune Self, pp. 81123; Silverstein, A History of Immunology, pp.
Burnet, Peter Brian Medawar, and the Immunological Conjuncture, in Barton, 240253; Lowy, Ilana (1992) The Strength of Loose ConceptsBoundary Concepts,
Annette (ed.), Host-Pathogen Interactions: Genetics, Immunology, and Physiology Federative Experimental Strategies and Disciplinary Growth: The Case of Immu-
(New York: Nova Science Publishers). The fact that Burnet cited Erich Traubs papers nology, History of Science 30, pp. 371396. Also see Hamilton, David (1989) Peter
while Medawar ignored them during the early 1950s is further illuminating. As I Medawar and Clinical Transplantation, Immunology Letters 21, pp. 913; Mazumdar,
discussed in my book chapter, this reveals their different perspective very clearly. Pauline M.H. (ed.) (1989) Immunology, 19301980 (Toronto: Wall & Thompson).
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