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5 - The discovery of ivermectin: a ‘crapshoot’, or not?

Published online by Cambridge University Press:  24 November 2009

Gerald Esch
Affiliation:
Wake Forest University, North Carolina
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Summary

Healing is a matter of time, but it is sometimes also a matter of opportunity.

The Physician's Oath, Hippocrates (460–377 b.c.)

What is ivermectin? Chemically, and technically, ivermectin is aligned with a family of “16-membered macrocyclic lactones with a disaccharide attached at the carbon-13 position” (Campbell, 1989). Scientists at Merck, Sharp & Dohme Research Laboratories (MSDRL) in Rahway, New Jersey, initially isolated it. These molecules most closely resemble milbemycins, discovered in Japan and first thought to have toxic effects just for mites. It is now known that these drugs are effective against certain parasitic nematodes as well. Biologically, ivermectin is a broad-spectrum anthelmintic, acaricide, and insecticide.

For me, the story of this drug's discovery is an interesting tale, for a number of reasons. First, one of the folks deeply involved in it is an old friend of mine, Bill Campbell. I have known Bill for more than thirty years. Second, before I began writing this essay, I knew very little about this sort of applied research. So, I had to sit down and do some serious reading. Quite honestly, I found it to be rather intriguing. Third, I was told by a colleague of mine, who should know, that ivermectin is considered by many in the agricultural industry almost as a miracle drug, primarily because of its toxic breadth for both ecto- and endoparasitic organisms.

Type
Chapter
Information
Parasites and Infectious Disease
Discovery by Serendipity and Otherwise
, pp. 175 - 187
Publisher: Cambridge University Press
Print publication year: 2007

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References

Campbell, W. C. 1989. Ivermectin and Abamectin. New York: Springer-Verlag.CrossRefGoogle Scholar
Campbell, W. C. 1992. The genesis of the antiparasitic drug ivermection. In Inventive Minds, ed. Weber, R. J. and Perkins, D. J.. Oxford: Oxford University Press.Google Scholar
Collins, K. 2004. Profitable gifts. A history of the Merck mectizan [Ivermectin] donation program and its implications for international health. Perspectives in Biology and Medicine 47: 100–109.CrossRefGoogle ScholarPubMed

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