Endocrinology

1947

Gerty and Carl Cori and glycogen

From 1922 Gerty and Carl Cori worked out how the body stores and releases sugar as glycogen: the Cori cycle, glucose-1-phosphate and the enzyme phosphorylase. Their shared 1947 Nobel Prize made Gerty Cori the first woman to win the prize for medicine.

Portrait of Gerty T. Cori
National Library of Medicine, Public domain (Wikimedia Commons)

Key people

Gerty T. Cori
Biochemist; first woman awarded the Nobel Prize in Physiology or Medicine
Carl F. Cori
Biochemist; chairman of pharmacology at Washington University from 1931
Sidney Colowick
Graduate student who helped characterize the Cori ester
Arda Green
Co-crystallized muscle phosphorylase with the Coris, 1942 to 1943

Source

Cori CF, Cori GT. Polysaccharide phosphorylase. Nobel Lecture, 11 December 1947. (opens in a new tab)

Carl Cori and Gerty Radnitz studied medicine together at the German University of Prague, graduated in 1920 and married the same year. Life in postwar Europe was hard, and as a Jewish woman Gerty had little chance of an academic post; at one point they applied to work as doctors in Java. In 1922 Carl took a job as biochemist at the State Institute for the Study of Malignant Disease in Buffalo, New York. Gerty followed six months later as an assistant pathologist and was told she would lose the job if she strayed from her own laboratory in the pathology department.

In Buffalo they asked how the body keeps blood sugar steady. Insulin, they found, increased the conversion of glucose to glycogen in muscle and liver, and epinephrine did the reverse. Since muscle glycogen does not feed blood glucose directly, they proposed and then showed that muscle breaks glycogen down to lactic acid, which the blood carries to the liver to be rebuilt and sent back as glucose. They drew this cycle of carbohydrates, now the Cori cycle, in 1929.

In 1931 Carl became chairman of pharmacology at Washington University School of Medicine in St. Louis. Gerty joined as a research associate on one tenth of his salary. In 1936, working with minced frog muscle, they isolated a new product of glycogen breakdown, glucose-1-phosphate, soon called the Cori ester. With their student Sidney Colowick they fixed its structure and found the enzyme that forms it, phosphorylase. Run backward, the reaction built glycogen, the first biological macromolecule made in a test tube. In papers of 1942 and 1943 they and Arda Green crystallized muscle phosphorylase.

The Coris shared the 1947 Nobel Prize in Physiology or Medicine with Bernardo Houssay of Argentina. Gerty Cori was the first woman to receive it, and that year she was made professor of biochemistry. Seven future Nobel laureates worked in their St. Louis laboratory.

In the summer of 1947, on a climbing trip in the Rockies, the Coris learned that Gerty had an incurable bone marrow disease. She kept working for ten years, studying the enzyme defects behind different forms of glycogen storage disease and describing a debranching enzyme with Joseph Larner. She died on 26 October 1957.

Keep exploring

All 526 moments in the history of medicine. This one is in chapter 5, Cures and codes