eTute 2 - Bioprospecting: New Drugs from NatureeTute 2 - Bioprospecting: New Drugs from Nature Flashcards

1
Q
A

These bioactive molecules are typically secondary metabolites - that is, they’re produced by plants to carry out some kind of supporting role within the plant’s tissues (this differs from primary metabolites that are absolutely essential for plant growth).

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2
Q

Since they go to so much trouble to make them, there must be something in it for the plants. But what exactly?

A
  1. Pest deterrents: Plants are stationary organisms that can’t run away when confronted by predators. One of their defensive strategies involves engaging in a form of chemical warfare by making molecules that make their leaves toxic or bad-tasting to insects. Some of these molecules might have interesting biological properties that make them useful as human medicines.
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3
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  1. Growth regulations: Some secondary metabolites produced by plants may help to regulate the growth of stems, leaves or roots. This can include roles in regulating the expression of genes needed during the assembly of new plant cells or tissue structures. This allows plants to respond quickly to environmental stresses or alterations in climactic conditions like, for example, the change of seasons.
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4
Q

The path a molecule takes as it travels from the lab bench to end up as a pill in a bottle on a pharmacy shelf is very unpredictable, but a number of key stages are usually involved.

A
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4
Q
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  1. Cellular communication: Due to their structural complexity, growing plants need to coordinate the behaviour of cells in different parts of the plant. They do this using a chemical language in which small molecules are released to allow signalling between different cells, prompting their neighbours to actively grow, remain static, or undergo cell death.
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4
Q
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Nowadays, drug discovery projects often source their plant samples within densely vegetated regions such as tropical jungles that exhibit high botanical diversity. In its early stages, the drug discovery team often includes cultural anthropologists who study the medical practices of indigenous tribes to determine whether any plants from the local environment are believed to be useful for particular ailments. In any drug discovery program involving naturally-sourced plant matter, it is important that the human and environmental impact of plant collection and harvesting is taken into account.

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5
Q
A
  1. Natural sunblock: Plants need sunscreen to withstand the daily cycle of exposure to damaging UV irradiation produced by the sun. Unable to retreat to the shade, the leaves of many plants produce substances that act as natural versions of titanium oxide, the sunblock constituent that absorbs high energy UV radiation, thereby protecting cellular components such as DNA and proteins.
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6
Q

1) Plant Selection

A

A particular species of plant may attract scientific interest for many reasons, but in some famous cases, it originated in the medical folklore of a particular tribe or society.

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7
Q
A

In its early stages, the drug discovery team often includes cultural anthropologists who study the medical practices of indigenous tribes to determine whether any plants from the local environment are believed to be useful for particular ailments.

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8
Q
A

Crushing the plant samples liberates the bioactive molecules of concern which are then extracted using solvents such as water or alcohol.

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8
Q

2) Extract Preparation

A

The secondary metabolites of interest are typically embedded within plant cell structures that are often tough and woody. Crushing the plant samples liberates the bioactive molecules of concern which are then extracted using solvents such as water or alcohol. In most cases, the resulting crude extract is very complex in chemical terms, containing hundreds or thousands of molecules. It’s like an exciting soup of potential.

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9
Q
A

In any drug discovery program involving naturally-sourced plant matter, it is important that the human and environmental impact of plant collection and harvesting is taken into account.

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10
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A

In most cases, the resulting crude extract is very complex in chemical terms, containing hundreds or thousands of molecules. It’s like an exciting soup of potential.

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11
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A

Fewer molecules means there is less likelihood of complex interactions between different extract constituents, so fractions are usually more useful in bioassays than the original crude extracts.

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11
Q

3) Extract Fractionation

A

Due to the complexity of the crude extract (the exciting soup), chemists often prepare fractions that are essentially simplified extracts containing smaller numbers of molecules.

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12
Q

5) Compound Identification

A

Once a particular plant-derived fraction is found to contain bioactives of interest, chemists try to identify and isolate the chemical compounds that are responsible for the pharmacological activity.

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12
Q

4) Bioassay Screening

A

To determine whether they contain bioactive molecules, scientists conduct large-scale screening in which the various fractions are evaluated for their effects

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12
Q
A

In a simple example, researchers looking for new anti-cancer drugs might simply test a series of fractionated plant extracts for their ability to kill cultured tumour cells.

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13
Q
A

upon simple biological systems. This can be done using cultured cells grown on multi-well plates that enable many different samples to be evaluated simultaneously.

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14
Q
A

Hundreds if not thousands of different bioassays are used in modern drug discovery research, all with a view to identifying plant-derived fractions that contain molecules with interesting pharmacological properties.

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15
Q
A

They need expertise in natural product chemistry, and this has been crucial to modern pharmacology. In modern instrumental analysis, mass spectrometry and nuclear magnetic resonance (NMR) spectroscopy are the main experimental tools used by chemists to identify new plant-derived bioactives.

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16
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A

These include experiments conducted using cultured cells, but usually proceed to various species of lab animals including rats and mice.

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16
Q

6) Animal Testing

A

Once a pure bioactive compound is available, it is subjected to a larger range of tests that provide a fuller knowledge of its pharmacological characteristics.

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17
Q
A

Animal testing of drugs in modern drug discovery is subject to extensive ethical and regulatory oversight. Essentially, drug testing in animals is intended to meet two basic needs.

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18
Q
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First, it seeks to establish whether a new molecule is effective for the disease of concern and second, whether it is safe for human use. Note that animal testing is only reserved for molecules that have already shown promise in cell-based in vitro test systems.

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19
Q

7) Human Testing

A

If sufficient proof is obtained that a plant-derived bioactive is safe and effective in animals, human testing can begin.

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20
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Conducting human trials of new drugs is a complicated and demanding process, so only the most promising molecules ever enter this costly stage.

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21
Q
A

Human testing involves multiple phases so that ineffective or unsafe molecules can be identified and their development discontinued.

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21
Q

8) Regulatory Approval

A

Once a drug is proven to be safe and effective in humans, a marketing approval application can be submitted to a government agency that regulates the licensing of medicines in particular jurisdictions.

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22
Q
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Due to the huge amount of data needed to support drug approval applications, this complex process involves months of evaluation of enormous data-dense drug company dossiers by government assessors and academic expert reviewers.

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23
Q

9) Marketing

A

Once a drug application is approved by the relevant government agency, it can be made available for use by doctors and patients. Advertising campaigns then inform doctors about the availability of the new medicine.

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24
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If all goes to plan, the new medicine helps to enhance human well-being by providing patients with remedies for their medical problems.

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25
Q
A

Yet the availability of a new drug also raises the prospect of unexpected harm, hence post-marketing surveillance networks are established to monitor the frequency of any harmful effects that new drugs might cause when used by large numbers of patients.

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26
Q
  1. Morphine (1804)
A

The opium poppy has long been known for its euphoric properties. The active ingredient morphine was first isolated from dried poppy resin by a 20 year old German pharmacy apprentice named Friedrich W.

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27
Q
A

Sertürner (1783-1841). He then confirmed its sleep-inducing effects in dogs, prompting him to name the drug after Morpheus, the Greek god of dreams. Sertürner’s experimental methods were quickly adopted by other European researchers, leading to the isolation of many plant-derived drugs in the first half of the nineteenth century.

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28
Q
A

Used widely to treat moderate to severe pain, morphine remains the gold standard against which other painkillers are tested.

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29
Q
A

Its mild CNS (central nervous system) stimulatory properties ensure caffeine is a widely consumed constituent of soft drinks, coffee, tea and cocoa beverages as well as over-the-counter remedies for drowsiness and the common cold.

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29
Q
  1. Caffeine (1821)
A

This naturally occurring alkaloid is present in dozens of plants, but is commonly associated with the beans of the coffee plant.

29
Q
A

The English words caffeine and coffee both from the Arabic word qahweh, reflecting the entrance of coffee from Turkey and Arabia in early modern times.

29
Q
  1. Salicylic acid (1838)
A

The antipyretic (“fever reducing”) properties of extracts prepared from the humble weeping willow tree had been confirmed during human testing by the Rev Edward Stone in the early 1780s.

30
Q
A

Caffeine was extracted as a white powder from cocoa beans by a young German doctor named Friedrich Ferdinand Runge (1795-1865).

31
Q
A

In 1838, the Italian chemist Rafaelle Piria (1814-65) isolated salicylic acid as an extractable oxidation product from willow bark, but it was too toxic for human use.

32
Q
A

The German scientist Felix Hoffman made history after converting salicylic acid into aspirin, one of the most remarkable analgesic and anti-inflammatory drugs ever produced.

33
Q
  1. Cocaine (1860)
A

The Inca Indians of South America had long revered the leaves of the coca plant, but knowledge of its powerful properties spread to Europe thanks to the 16th century Florentine traveller Amerigo Vespucci.

34
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A

In the 19th century chemists struggled to identify its bioactive constituent, but when the German chemist Albert Niemann succeeded in 1859 cocaine attracted much interest for its stimulant effects.

35
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A

Due to the high potential for addiction, cocaine has few medical uses, but it is useful in pharmacology research and helped drive the discovery of several local anaesthetic drugs

36
Q
A

Many years later, the Swedish pharmacologist Arvid Carlsson found that after administering L-DOPA to sufferers of Parkinson’s disease it enters the brain to restore levels of dopamine, a neurotransmitter that is depleted in this neurodegenerative condition.

37
Q
  1. L-DOPA (1914)
A

L-DOPA or levodopa was first isolated from the broad bean plant Vicia faba by Marcus Guggenheim, a Swiss biochemist.

38
Q
A

Despite its limitations, L-DOPA remains in wide use to this day for the treatment of Parkinson’s disease.

39
Q
  1. Warfarin (1948)
A

Originally developed for use as a rat poison, warfarin is widely used in the treatment of patients who are at risk of blood clots.

40
Q
A

Warfarin was discovered by Karl Link, an agricultural chemist in Wisconsin who became interested in identifying the toxic substances within mouldy sweet clover that caused the death of cattle who consumed this problem weed.

41
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A

After further rounds of parasite replication, the red blood cells rupture to release new merozoites. The release of red blood cell debris triggers the recurring bouts of fever that are typical of malaria. Other symptoms include body aching, vomiting, and diarrhoea.

41
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A

Due to its toxicity, the use of warfarin must be carefully monitored in patients, but it remains the most widely used anticoagulant in the world.

42
Q
A

Within the hepatocytes, the parasites undergo rapid multiplication for 7 to 10 days, during which period the victim is largely free of disease symptoms.

42
Q
A

A human case of malaria begins when a female anopheline mosquito injects Plasmodium sporozoites into a victim during a blood meal. After penetrating the skin, sporozoites enter the bloodstream and are quickly distributed to the liver where they promptly infect liver cells.

43
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A

The parasitised liver cells then rupture, releasing tens of thousands of fresh merozoites into the blood. These quickly enter red blood cells where they hijack the cells and begin feeding upon vital cell components such as haemoglobin.

44
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A

The most effective ways of controlling malaria include mosquito vector control, which involves the use of insecticide-treated bed netting and spraying indoor living areas with insecticides.

45
Q
A

A number of drugs have proven useful in the treatment of malaria; some are used for prophylaxis (i.e. to prevent infection of healthy people travelling to malarial regions), while others are used to treat acute malarial attacks . An important advance in the drug treatment of malaria occurred with the development of artemisinin and related drugs by Chinese researchers in the 1970s.

45
Q
  1. Case study 1 Part II - Tu Youyou and the discovery of artemisinins
A

Since malaria is a major problem for troops serving within tropical jungle war zones, military research institutes have often pioneered the search for new antimalarial drugs.

45
Q
A

For example, during World War II, a celebrated Australian army doctor named Neil Hamilton Fairley conducted key research on atrabrine, an early antimalarial drug. Dr Failey’s careful research assisted the development of effective clinical procedures for treating malaria-affected soldiers.

45
Q
A

Similarly, today’s most important class of antimalarial drugs originated in China during the 1970s, in research that was sponsored by the People’s Liberation Army known as Project 523. It was named after the May 23 date when the secret project began.

45
Q
A

Little progress was made until an extract from Qinghao (Artemisia Annua L.) showed good activity against Plasmodium parasites, but reproducing the findings proved difficult due to variable results from one batch of herb extracts to the next.

46
Q
A

In the 1940s, clinical researchers in Calcutta, India successfully used Rauwolfia to treat patients with high blood pressure. Western interest in snakeroot rose after positive findings from a 5-year blood pressure study in Bombay were published in the USA and Europe.

46
Q
A

One approach during Project 523 involved scientific investigation of the antimalarial properties of herbal remedies that were used in traditional Chinese medicine. A group of young researchers, led by Tu Youyou (pictured below on the right), began isolating constituents from over 2000 herbal preparations, with purified compounds then tested for effectiveness in malaria-infected mice.

47
Q

ACT Combination Therapies

A

Due to the speed at which they acted, artemisinins quickly became the most widely prescribed antimalarial drugs. Another reason for their popularity was that artemisinins are often effective against parasites that are resistant to other antimalarial drugs.

47
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A

On the basis of these positive results from animal testing, the Chinese team determined the chemical structure of the antimalarial substance extracted from the Artemisia plant and named the molecule artemisinin.

48
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A

Artemisinins are not usually used alone, but are most effective when combined with other antimalarial drugs in artemisinin-based combination therapies (ACT). The use of multiple drugs helps to reduce the spread of drug resistance, although artemisinin resistance is itself a growing concern in some countries.

48
Q
A

The drug contains an unusual endoperoxide bridge (C-O-O-C) that is essential to its anti-parasitic properties. In much the same way that hydrogen peroxide (H2O2) bleaches hair by forming oxygen radicals that attack hair pigments, artemisinin is a peroxide that causes extensive oxidative damage to parasite macromolecules.

49
Q
  1. Case study 2 Part I: reserpine - when things go wrong
A

A bioactive produced by a plant to kill or deter insect predators might also have toxic effects on human cells and tissues, so it’s quite common to encounter toxicity as researchers try to translate bioprospected molecules into human pharmaceuticals.

50
Q
A

Snakeroot belongs to a family of toxic perennial herbs which comprises the aster family (Asteraceae). The snakeroot plant has long been used to treat snakebites by practitioners of Ayurvedic medicine in India, but scientific studies of the plant’s medicinal properties only began in the twentieth century.

51
Q
A

Chemists working for the Swiss pharmaceutical firm Ciba in Basel eventually extracted the alkaloids of interest from Rauwolfia in 1952, and named one of the alkaloids reserpine (the chemical structure is shown below on the left), concluding it was responsible for the blood pressure-lowering and sedative properties of Rauwolfia extracts. In 1953, reserpine was approved for marketing under the name Serpasil in the treatment of high blood pressure (hypertension) and cardiac rhythm disorders.

51
Q
A

Why so fast? It was the first true blood pressure-lowering drug of modern times. In the early 1950s, the Western world was desperate for drugs to treat the ever-increasing numbers of patients with high blood pressure.

52
Q
A

Study of the pharmacological properties of Rauwolfia were complicated by the fact that the plant contained many bioactive alkaloids . Some of these had opposing pharmacological properties, so it took time for researchers to identify the most interesting compounds.

53
Q
A

As the first antihypertensive to market, reserpine enjoyed popularity for a brief period in the mid-1950s, but doctors and users soon became aware of some very troubling side effects, including serious depressive illness.

54
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A

In some patients, the drug precipitated such severe bouts of depression that they took their own lives. Even if they didn’t experience depressive symptoms, many patients complained of muddled thoughts and an inability to complete complex tasks.

55
Q
A

Happily for patients, a succession of safer blood pressure-lowering drugs began appearing on the market, so doctors had more alternatives to reserpine at their disposal. Reserpine is now rarely used in modern medicine.

56
Q
A

As pharmacologists studied the effects of reserpine on living tissues, they noted that it affected the sympathetic nervous system by strongly depleting intracellular stores of key monoamine neurotransmitters such as noradrenaline, serotonin and dopamine.

57
Q
A

By blocking the capacity of neurotransmitters to allow the transmission of electrical signals between nerve cells, reserpine suppresses the activity of the sympathetic nervous system.

58
Q
A

While this helps explain the blood pressure-lowering effects of reserpine, it also accounts for the serious depression that afflicted users of the drug. By lowering the levels of monoamine neurotransmitters involved in mood regulation, reserpine precipitates prolonged bouts of depression.

58
Q

Cinchona

A

Due to the prevalence of malaria across 17th century Europe, the Jesuit discovery of cinchona created strong European demand for the antimalarial bark. This was very strong in Rome, the malaria capital of Europe, but also in Britain, especially after cinchona was added to the London Pharmacopoeia in 1677. Since it engaged in over-harvesting, the establishment of a Spanish-owned commercial monopoly led to a slow extinction of natural cinchona forests across South America.

59
Q
A

If every cloud has a silver lining, then reserpine-associated depression helped researchers formulate the monoamine theory of depression that, despite its limitations, remains influential to this day. Most modern antidepressant drugs elevate concentrations of monoamine neurotrasmitters such as serotonin and noradrenaline within the brain.

60
Q
A

The Dutch established cinchona plantations in Indonesia, and the British established them in Sri Lanka. This helped stabilise European supplies of quinine, but a serious shortage developed in World War II after the Germans invaded the Netherlands and the Japanese secured Java. With the Allies desperate for a synthetic source, legendary Harvard chemist Robert Woodward carried out the full chemical synthesis of quinine in 1944.

60
Q
A

The reserpine episode remains a cautionary tale about the potential for bioprospected drugs to cause toxic or unexpected harmful effects. For this reason, thorough investigation of the toxicological properties of newly discovered drugs is an obligatory part of any modern drug discovery program of research.

61
Q

Jaborandi

A

Jaborandi (Pilocarpus microphyllus) is a South American tree that grows to several metres in height. A medicinal aromatic oil extracted from its leaves has long been used by indigenous peoples in Brazil: in 1570, the Portuguese explorer and naturalist, Gabriel Soares de Souza, reported on its use during the treatment of mouth ulcers by the Guarani in Brazil. In 1875, pilocarpine was identified as the bioactive constituent causing the sweating and salivation that accompanies jaborandi ingestion. Pilocarpine was soon found to lower intraocular pressure in patients suffering from the eye condition glaucoma.

61
Q
A

Due to over-harvesting by drug companies, by the mid-1980s jaborandi was declared a protected species by the Brazilian government. Due to new uses for conditions such as dry mouth syndrome, modern demand for pilocarpine remains high. The development of socially- and environmentally-sustainable jaborandi farming models remains a major concern of the Brazilian government and pharmaceutical companies.

62
Q
A

Biopiracy is when academic researchers or profit-driven commercial interests exploit traditional indigenous knowledge concerning the medicinal properties of local plants.

63
Q
A

Indigenous communities are often located in places which frequently lack strong national or local governments and courts to enforce intellectual property rights. Legal problems arise and intensify when traditional medicine’s bioactive ingredients are found effective for other medical conditions. Are these new uses protected by any intellectual property ownership rights applying to the tribal groups?

63
Q
A

Such ethical and legal questions lie within the domain of ethnopharmacology, the contemporary study of the ethnic uses of medicinal plants and other remedies.

63
Q
A

The drugs were identified during studies of the pharmacological properties of extracts prepared from the rosy periwinkle (Vinca rosea), an attractive plant that originated in Madagascar. (Your gran may have it growing in her garden at home.)

63
Q

Rosy Periwinkle

A

The widely used cancer drugs vincristine and vinblastine have a shady past that’s very close to biopiracy.

64
Q
A

Vincristine and vinblastine were soon extracted and subsequently marketed for use in treating tumours that affect white blood cell populations such as certain forms of leukaemia and lymphoma.

64
Q
A

To secure steady supplies of the plant, Eli Lilly contracted farmers in eastern India to grow rosy periwinkle crops on a large scale. Vincristine and vinblastine produce many millions of dollars of profits annually, but some critics note that the impoverished people of Madagascar have received few royalty payments of any kind for the sales of successful drugs extracted from their exported plant.

64
Q
A

In the early 1950s the pharmaceutical giant Eli Lilly & Company were attracted by folk medicine reports of the plant’s use in the treatment of diabetes. No treatment link was found, but the periwinkle extracts were unexpectedly found to sharply decrease white blood cell counts in rodents.