Articles in PresS. Am J Physiol Cell Physiol (September 19, 2012). doi:10.1152/ajpcell.00299.2012 1 2 3 4 A Tribute to L.J. Henderson, a 5 remarkable physiologist, and the 6 founder of the American School of 7 Sociology (1878-1942) 8 9 Gerard Karsenty M.D., Ph.D. 10 Department of Genetics and Development 11 Columbia University Medical Center, New York, NY 12 [email protected] 13 Page 1 of 8 Copyright © 2012 by the American Physiological Society. 14 Beware, biology is coming full circle 15 “Like a machine, any organism, even the simplest, is a functional unit coherent and 16 integrated.” The man who wrote this sentence is the Nobel Laureate, Jacques Monod. 17 He was and remains a giant of molecular biology who devoted his entire scientific 18 career to molecular bacterial genetics and therefore could hardly be viewed as a 19 classical physiologist interested in vertebrate physiology. I am not even sure that the 20 word physiology, let alone pathophysiology, figures once in the book from which this 21 sentence is extracted (1). A book that was, at the time it was published, rather 22 influential. And yet here it was, the acknowledgement that the ultimate goal of biology is 23 to understand how a living organism functions as a whole, not as parts or the sum of 24 parts. Modestly and lucidly the author added that, at that time (1968) we were “far to 25 have, in complex organisms, elucidated the entire structure of these systems.” I do not 26 believe that these sentences were written to pay lip service to human biology in order to 27 attract a broader readership. Nobody really cared back then about the biology of entire 28 organism. They instead reflect what a superior mind, deeply involved in cutting edge 29 molecular genetics, saw as the ultimate quest of biology. At that time, 45 years ago, we 30 indeed knew little of how organisms, simple or complex ones, function as a “coherent 31 and integrated unit”. No one anticipated back then that we would learn so much, so fast 32 and that biology would come full circle; back to where it started but now equipped with 33 the tools needed to answer the issue stated clearly by Monod. 34 35 What made this progress possible, what has allowed biology to be, at long last, in a 36 position to answer questions regarding the functions of living organisms taken as a 37 whole is the conjunction of two aspects of modern biology: molecular biology and 38 animal genetics. 39 40 Ever since biology became a full-fledged scientific discipline the quest to understand life 41 has led to a necessary mechanistic evolution of this discipline. This required 42 simplification, also called reductionism. Indeed, given the complexities of living 43 organisms alluded to by J. Monod the ambition of mankind to understand how an 44 organism functions as a single functional unit provoked a necessary, mandatory, 45 simplification of the questions. Questions were framed not at the level of the organism Page 2 of 8 46 but at the level of the organ. Subsequently, when it became possible, this simplification 47 enterprise “reduced” from the organ to the cell, then from the cell to organelles, from the 48 organelles to the molecules and ultimately to the genes, their functions and mode of 49 action. Given the daunting complexity facing biologists, this reductionist approach was 50 and, to a certain extent, remains necessary. 51 52 Without this slow, steady, unstoppable march toward the simplest structure and the 53 molecular revolution it entailed, the study of “living organisms as a functional unit 54 coherent and integrated” could never have happened. This is because an unforeseen 55 consequence of the intimate knowledge that molecular biology has provided about cell 56 organization and function, nucleus and gene structure, cell division and mechanisms of 57 homologous recombination has been to define the rules and to identify the tools 58 necessary to inactivate, in any cell type, at anytime, and in many animal models, any 59 gene of interest. It is this unique technological arsenal that has made it possible to study 60 the interaction between organs via secreted molecules in vertebrates and invertebrates 61 alike. Hence, physiology of the entire organism is in more ways than one the poster 62 child of molecular genetics. It is, in a way, ironic that the most sophisticated advance of 63 molecular biology, namely the ability to inactivate any gene of interest in a cell-specific 64 and time-specific manner, has rejuvenated one of the most forgotten if not neglected 65 disciplines of biology, whole-organism physiology. 66 67 During the few centuries it took for biology to perform the molecular dissection of 68 virtually every single piece of living organisms, the main concepts of whole-organism 69 physiology were articulated. Without going back to Harvey and the realization of the 70 importance of blood, one must cite the work of Claude Bernard and the notion of a 71 “milieu interieur” connecting all organs (2). Half a century later Walter Cannon proposed 72 the concept of homeostasis and his contemporary, L.J. Henderson, foresaw that every 73 organ needed interactions with other organs in order to fulfill its functions, a concept he 74 called mutual dependence. 75 organism physiology (3, 4). These concepts 76 Page 3 of 8 are the founding principles of whole- 77 Nowadays these concepts sound pretty much like “what else is new?” but no, neither 78 life nor biology started yesterday. If we place ourselves in the early 20th century when 79 neuroscience was essentially an aspect of anatomy, when insulin was not even 80 imagined, then we can appreciate how visionary and groundbreaking these principles 81 were. Given the simplicity and yet the depth of the principles put forward by each of 82 these three giants of physiology one cannot help but become curious about their lives, 83 personalities and their history. I have chosen to focus on the life of Lawrence Joseph 84 Henderson because he fascinates me the most, being the individual who, by far, was 85 the most unusual, took the most risks, had the broader vision and the most foresight. 86 87 Who was L.J. Henderson? 88 One sees nothing remarkable when looking at a picture of L:J. Henderson (Figure 1): he 89 seems to be a serious, almost too serious, upper middle class man of the early 20th 90 century. And maybe he was indeed very serious, if not pompous, more than any 91 academician I know or heard of but he was an intellectual maverick and a very 92 courageous one. A native of the state of Massachusetts, besides a short stay in France, 93 Henderson’s career took place entirely at Harvard University and its Medical School 94 where, in his first life, he went to medical school, became a faculty member and rose to 95 the rank of Professor of Biological Chemistry. Although L.J. Henderson was trained as 96 and viewed himself as a physician and had the utmost respect for clinical medicine, he 97 never practiced medicine. Instead he became a physiologist and an admirer of Claude 98 Bernard’s concepts. Physiology is one of the disciplines where Henderson let his 99 monomania (from 19th century psychiatry, a single pathological preoccupation in an 100 otherwise sound mind) express itself. What distinguishes L.J. Henderson from his peers 101 and from his time is that he did not hide it but instead used his monomania to be a 102 visionary in physiology and sociology--two fields that are not often present in the same 103 sentence. 104 105 What was his single obsession? L.J. Henderson was obsessed all of his life with the 106 notion of equilibrium between components of a system whether it was an organism or a 107 society. Without jumping in an opportunistic manner on the current bandwagon, one can 108 state that L.J. Henderson was the first scientist to propose the concept of systems Page 4 of 8 109 biology although for him the “system” was the organism, not a single cell. For him no 110 physiological function was achieved by a single organ, it was, instead, the end result of 111 a complex network of interactions between organs what he called “mutual dependence.” 112 This is what led him for instance to describe the Handerson Hasslebach equation that 113 links acid base homeostasis to lung and kidney physiology. But besides this contribution 114 forgotten by too many, the tragic aspect of his life as a scientist is that there was 115 virtually no tool to verify this concept experimentally in the early 20th century. 116 117 The origin of a monomania 118 It is always hard to know what comes first, the chicken or the egg, and maybe it is not 119 that important after all. This being said, and as mentioned above, two if not three 120 pioneers of science may have helped formalize the aforementioned beliefs of L.J. 121 Henderson, at least in physiology. First was Claude Bernard whose general view of 122 physiology relied on the concept of milieu interieur as a relatively stable and self- 123 equilibrating means to connect all organs in order to keep all physiological functions in 124 check. This concept of milieu interieur allowing a proper functioning of a given organism 125 (for Claude Bernard and L.J. Henderson this organism had to be a human being) was 126 refined by the long-time colleague of Henderson at Harvard, W.B. Cannon who forged 127 the concept of homeostasis. This concept means that all physiological functions are 128 maintained in check because of the existence of concurring positive and negative 129 influences on the main organ responsible for executing them. 130 131 The other great influence on Henderson’s view of physiology, and chronologically the 132 first one not exerted by a physiologist but rather by a physicist and chemist, was that of 133 Josiah Willard Gibbs, whose work entitled “On the equilibrium of heterogeneous 134 substances” proposed a global interpretation of physiochemical phenomena that aimed 135 toward a state of equilibrium. The best way to measure the influence that Gibb’s work 136 had on L.J. Henderson is to cite Henderson, “Just as Newton first conclusively showed 137 that this is a world of masses, so Willard Gibbs first revealed it is a world of system” (4). 138 This view of the organism as a system in equilibrium is the basis of the thinking and of 139 the work of Henderson in physiology. To give full credit to L.J. Henderson one must 140 emphasize that at the time, the early 20th century, endocrinology was in its infancy. Page 5 of 8 141 Neither the hormones were known nor did the experimental tools exist to study their 142 function even if the hormones had been identified. This is probably why recognition of 143 his important work in physiology did not survive him. What really matters in Henderson’s 144 double life is his thinking and the validation that sought to link two fields that he saw as 145 more analogous that we usually do. 146 147 The rebirth of a monomania 148 What is truly exceptional and remarkable about L.J. Henderson is that when he was in 149 his late forties and early fifties his professional life took on another dimension without 150 ever abandoning or demeaning his roots and his previous identity. In the late 20’s 151 Henderson was encouraged to read, in its original Italian version, Vilfredo Pareto’s 152 classical work, “The Mind and Society” that had been published 10 years earlier (6). 153 This was a revelation to Henderson and even more so because he saw it as an 154 intellectual validation of his view of physiology. Henderson was so impressed by the 155 global view of the society that Pareto proposed that he compared his work to that of 156 Gibbs, which, for him, was the ultimate compliment. 157 158 I will not discuss the work of Pareto and the notion of “residues” and “derivation” yet I 159 should mention that a view of Pareto is that societies always aim at equilibrium, defined 160 as “a state such that if a small modification different from that which will otherwise occur 161 is impressed upon a system, a reaction will at once appear tending toward the condition 162 that would have existed if the modification had not been impressed” (6). It is difficult to 163 imagine a better endorsement, in another field, of the general philosophy of science 164 proposed by L.J. Henderson. What Henderson saw in Pareto’s work was not only the 165 notion of equilibrium but also of a reciprocal influence of groups of individuals on other 166 groups. He assumed all his life that an organized society was akin to an organism and 167 therefore Pareto provided him with the intellectual validation of his view of physiology--a 168 view he had never been able to verify experimentally in his life as a physiologist. 169 170 As a result of this exposure, L.J. Henderson left the field of physiology to become a 171 founder of the American School of Sociology. I cannot properly evaluate his contribution 172 to sociology, but it should be noted that some of his students, such as Georges Homans Page 6 of 8 173 and Talcott Parsons, became leading sociologists. Based on that alone, one has to 174 assume that he was rather influential and therefore expert in this nascent field. Although 175 this second part of his professional life was devoted to sociology, it was used to large 176 extent to prove, by analogy, that his view of mutual dependence between organs, had to 177 be true since it applied in the society. Pareto was in a way a (prestigious) spokesperson 178 of L.J. Henderson. What stands the test of time is this effort by Henderson to use each 179 of his dual competencies to validate his beliefs and analyses in both fields. Professional 180 sociologists may express reservations regarding his view of social equilibrium, likewise 181 molecular biologists may, rightly so, think that even if it may be true this view of biology 182 is rather superficial and ….. not molecular. Those were and remain simple but so valid 183 views. But frankly, as biologists aren’t we immediately attracted by the idea that the 184 society bears similarity to an entire organism? And is there any sociologist who will not 185 be interested by the idea that the functioning of an organism follows many rules that 186 applies to a society? Simply put, can we neglect or negate the power of the analogy 187 between the organization, as a system, of a society and of an entire organism? Isn’t it 188 true that our deciphering of the genome and of the functions of genes has in a great part 189 validated the view of whole-organism physiology that L.J. Henderson defined 190 throughout his life? 191 192 There is more that should be said. First, at the human level. how can one not be 193 impressed by the intellectual courage and honesty of this man. He certainly did not 194 need to take a professional risk while at the peak of his scientific career. He could have 195 remained on track and used his reading of Pareto to impress in social settings or as a 196 personal source of pleasure on weekends. Instead of that, well after his 50th birthday, 197 L.J. Henderson decided to begin anew, to give up a prestigious identity to build up 198 another one without however, forgetting his roots as a physiologist and a physician. 199 Second at the scientific level, nowadays there are only few Departments of Physiology 200 in this or any country that have not added “molecular and cellular” to their name. 201 Henderson tells us: “forget all that, physiology was not when it was born and will not be 202 when it reaches adulthood to be “molecular and cellular” first. It was and will reborn as 203 “whole-organism” physiology. This was what physiology was before the molecular era 204 and Henderson who did not live through it tells us that this is what physiology will be in Page 7 of 8 205 the future. Who can seriously doubt that he was, that 70 years after his death he is 206 absolutely right? As a matter of fact what isn’t it Jacques Monod wrote 40 years latter? 207 Functional dependence is the name of the game in physiology. Identifying, deciphering 208 all these inter-organ interactions postulated by Claude Bernard and L.J. Henderson, is 209 really the purpose of physiology When I first read about L.J. Henderson I thought that 210 his analogy between what is an organism and what is a society was as profound as it 211 was simple and deserved greater recognition, even if belatedly, if nothing else than to 212 pay tribute to his intellectual courage and his foresight. 213 214 References: 215 216 217 218 219 1. Monod J. Chance and Necessity: An Essay on the Natural Philosophy of Modern Biology. New York, Alfred A. Knopf, 1971. 2. Bernard C. An Introduction to the Study of Experimental Medicine. Macmillan & Co., Ltd., 1927. 220 3. Cannon WB. The Wisdom of the Body. W.W. Norton & Company, Inc., 1932. 221 4. Russett CE. The Concept of Equilibrium in American Social Thought. Yale 222 University Press, 1966. 223 5. Gibbs WJ. (1876). On the Equilibrium of Heterogeneous Substances. 224 Transactions of the Connecticut Academy of Arts and Sciences, 3, 108-248, 343- 225 524, (1875–1878). 226 6. Pareto V. The Mind and Society. Harcourt, Brace, 1935. Page 8 of 8 L. J. HENDERSON, HIS TRANSITION FROM CHEMIST TO PHYSIOLOGIST; HIS QUALITIES PHYSICAL AS A MAN. D. B. Dill Applied Physiology Laboratory, Desert Research Institute, University of Nevada System Boulder City, Nevada 89005 INTRODUCTION L. J. Henderson (LJ) played many parts; my account deals chiefly with the part I knew best, that of a physiologist. Baird Hastings, in his biographical memoirs of D. D. Van Slyke, prepared for the National Academy of Science in 1976, recalled that Van Slyke had a framed picture of LJ hanging in his office. In Hasting’s opinion these two good friends “advanced physiology most” in their day. LJ left to the history of science a superlative legacy, his Memories. With the permission of his son, Lawrence J. Henderson (Larry), I borrowed a copy of the 265-page Typescript from Harvard University Archives; Larry has agreed to the selections that follow. Included are LJ’s recollections of events as school boy, college and medical school student, post-doctoral student in Europe, and as a young professor, all as they molded his life as a physiologist and developed his qualities as a man. The Memories end with 1925, the year I met him. My account of subsequent events deals chiefly with my own observations and what I have learned from others, especially from his son Larry and his secretary, Hilda Richardson (now Hilda Carter Fletcher) to whom he dictated his Memories during three happy summers, 1937-39 at his summer home on Lake Seymour, Morgan Center, Vermont. MEMORIES In LJ’s recollections of school days one that was deeply implanted revolved around an algebra problem that he solved by his own method, but his answer was rejected by the teacher because he had not followed the rule the teacher had taught. This aroused a strong feeling of injustice on his part, and convinced him of the incompetence of his teacher but he guessed that the experience helped develop the habit of thinking things out for himself. His teacher of physics, Irving Palmer, was the only one of his teachers who stood out in his memory as not only good, but very good. Palmer, he believed, permanently modified his intellectual life. Perhaps because of Palmer’s influence he entered Harvard with a taste for natural science and mathematics, but with no suspicion that he had the ability to do scientific work. He reports surprise at ending his first year at Harvard with “fairly good grades.” The periodic table of Mendeleev delighted LJ. His reflections on it in his sophomore year at Harvard gave him the feeling there were many such undiscovered uniformities; such thoughts led to his later interest in the order of nature and the fitness of the environment that bore fruit 20 years later. During this year he also spent much time thinking about instrument useful in Gibbs’ Phase Rule as “a scientific attaining a generalized description.” While an udergraduate he discussed the Phase Rule with one of his teachers and came away with the impression that he understood it better than his teacher did. His thinking about such matters became reveries to which he continued to return persistently. He remarks on his reveries being concerned predominantly with external and L. J. Henderson taken Business School in the late in his 1930’s. office in Morgan Hall in the Harvard intellectual problems, not with personal affairs and emotions. The development of LJ’s linguistic ability began at about age IO when his father took him to the French colony of Saint Pierre Miquelon. He returned there at least three times in the next six years, living in the home of his father’s French business representative. Although there was no formal instruction in French, the several months there greatly widened his outlook. When he was I7 he spent several weeks in a pastor’s family near Giittingen. Here as before he had no formal instruction in German and was too shy to try to speak the language. But this shyness disappeared so that after graduation he had no inhibitions in his attempts to speak the languages. Later he remarks that as soon as he could speak the most rudimentary French or German he talked in these languages to himself. This practice played a role in his becoming at home with these languages including the ability to think in them. In the same way he frequently found himself delivering a lecture (without forming any sounds) on some topic of current interest such as the physiological aspects of osmotic pressure or the equilibrium of acids and bases in the body. At age eighteen he had his first experience as a teacher. His younger brother, Harry, had lost a year because of sickness; LJ 1
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