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Carl Axel Gemzell (January 4, 1910 in
Motala Motala () is a locality and the seat of Motala Municipality, Östergötland County, Sweden with 29,823 inhabitants (41,956 in the entire municipality) in 2010. It is the third largest city of Östergötland, following Linköping and Norrköping. M ...
,
Sweden Sweden, formally the Kingdom of Sweden,The United Nations Group of Experts on Geographical Names states that the country's formal name is the Kingdom of SwedenUNGEGN World Geographical Names, Sweden./ref> is a Nordic country located on ...
– February 11, 2007 in
Norrtälje Norrtälje is a locality and the seat of Norrtälje Municipality, Stockholm County, Sweden with 17,275 inhabitants in 2010. It is one of the largest towns in Roslagen. History Norrtälje’s early history dates back to the Iron Age. Around 225 ...
, Sweden) was a Swedish medical doctor and pioneer in reproductive endocrinology.


Life

Gemzell studied medicine at the
Karolinska Institute The Karolinska Institute (KI; sv, Karolinska Institutet; sometimes known as the (Royal) Caroline Institute in English) is a research-led medical university in Solna within the Stockholm urban area of Sweden. The Karolinska Institute is consist ...
and was registered as a physician in 1940. After training in
surgery Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
and
obstetrics and gynecology Obstetrics and Gynaecology (also spelled as Obstetrics and Gynecology; abbreviated as Obs and Gynae, O&G, OB-GYN and OB/GYN) is the medical specialty that encompasses the two subspecialties of obstetrics (covering pregnancy, childbirth, and t ...
he studied experimental
endocrinology Endocrinology (from '' endocrine'' + '' -ology'') is a branch of biology and medicine dealing with the endocrine system, its diseases, and its specific secretions known as hormones. It is also concerned with the integration of developmental event ...
at the Wenner-Gren Institute and received his PhD in 1948. Subsequently, he worked at the Institute for Experimental Biology of the
University of California, Berkeley The University of California, Berkeley (UC Berkeley, Berkeley, Cal, or California) is a public land-grant research university in Berkeley, California. Established in 1868 as the University of California, it is the state's first land-grant u ...
before returning to Sweden. He became professor in Ob-Gyn at the
Uppsala University Faculty of Medicine The Uppsala University Faculty of Medicine is one of the faculties of Uppsala University, Sweden, and is mainly dedicated to education and research in medicine and related fields of science and practice. Education The ''Uppsala University Faculty ...
. After his mandatory retirement in Sweden in 1975, he moved to the USA where he continued to work at
SUNY Downstate Medical Center SUNY Downstate Health Sciences University (Downstate) is a public medical school and hospital in Brooklyn, New York. It is the southernmost member of the State University of New York (SUNY) system and the only academic medical center for hea ...
, Brooklyn, New York, and later at the
University of Puerto Rico The University of Puerto Rico ( es, Universidad de Puerto Rico, UPR) is the main public university system in the U.S. Commonwealth of Puerto Rico. It is a government-owned corporation with 11 campuses and approximately 58,000 students and 5,3 ...
in San Juan before he retired in Florida and, after the death of his wife, returned to Sweden.


Work

Gemzell developed methods to extract the
human growth hormone Growth hormone (GH) or somatotropin, also known as human growth hormone (hGH or HGH) in its human form, is a peptide hormone that stimulates growth, cell reproduction, and cell regeneration in humans and other animals. It is thus important in h ...
and human
gonadotropins Gonadotropins are glycoprotein hormones secreted by gonadotropic cells of the anterior pituitary of vertebrates. This family includes the mammalian hormones follicle-stimulating hormone (FSH) and luteinizing hormone (LH), the placental/chorio ...
from
cadaver A cadaver or corpse is a dead human body that is used by medical students, physicians and other scientists to study anatomy, identify disease sites, determine causes of death, and provide tissue to repair a defect in a living human being. Stud ...
pituitary gland In vertebrate anatomy, the pituitary gland, or hypophysis, is an endocrine gland, about the size of a chickpea and weighing, on average, in humans. It is a protrusion off the bottom of the hypothalamus at the base of the brain. The ...
s. In 1958 Gemzell was the first to show that extracted gonadotropins containing FSH could be used as
fertility medication Fertility medications, also known as fertility drugs, are medications which enhance reproductive fertility. For women, fertility medication is used to stimulate follicle development of the ovary. There are very few fertility medication options a ...
to stimulate ovulation in women with anovulatory infertility. Ovulation stimulation using FSH medication became the basis of modern infertility therapy such as
IVF In vitro fertilisation (IVF) is a process of fertilisation where an egg is combined with sperm in vitro ("in glass"). The process involves monitoring and stimulating an individual's ovulatory process, removing an ovum or ova (egg or eggs) f ...
. First pregnancies were achieved in 1961 and Gemzell recognized early that
multiple pregnancy A multiple birth is the culmination of one multiple pregnancy, wherein the mother gives birth to two or more babies. A term most applicable to vertebrate species, multiple births occur in most kinds of mammals, with varying frequencies. Such bir ...
and the
ovarian hyperstimulation syndrome Ovarian hyperstimulation syndrome (OHSS) is a medical condition that can occur in some women who take fertility medication to stimulate egg growth, and in other women in very rare cases. Most cases are mild, but rarely the condition is severe and c ...
were major side effect of the therapy. Gemzell's pituitary gonadotropin preparation was soon replaced by FSH extracts from urine of postmenopausal women by a method that was developed by Piero Donini and later marketed as
Pergonal Menotropin (also called human menopausal gonadotropin or hMG) is a hormonally active medication for the treatment of fertility disturbances. Frequently the plural is used as the medication is a mixture of gonadotropins. Menotropins are extracted ...
. Decades later pituitary extractions were proven to be unsafe as
Creutzfeldt–Jakob disease Creutzfeldt–Jakob disease (CJD), also known as subacute spongiform encephalopathy or neurocognitive disorder due to prion disease, is an invariably fatal degenerative brain disorder. Early symptoms include memory problems, behavioral changes, ...
could be transmitted. In 1960 Gemzell and Leif Wide presented a
pregnancy test A pregnancy test is used to determine whether a female is pregnant or not. The two primary methods are testing for the female pregnancy hormone (human chorionic gonadotropin (hCG)) in blood or urine using a pregnancy test kit, and scanning with ...
based on in-vitro hemagglutination inhibition, a first step away from in-vivo pregnancy testing. This test initiated a series of improvements in pregnancy testing leading to the contemporary at-home testing. Gemzell was a collector of modern paintings and drawings. A part of his collection was publicly exhibited at the
Moderna Museet Moderna Museet ("the Museum of Modern Art"), Stockholm, Sweden, is a state museum for modern and contemporary art located on the island of Skeppsholmen in central Stockholm, opened in 1958. In 2009, the museum opened a new branch in Malmö in t ...
in
Stockholm Stockholm () is the Capital city, capital and List of urban areas in Sweden by population, largest city of Sweden as well as the List of urban areas in the Nordic countries, largest urban area in Scandinavia. Approximately 980,000 people liv ...
in 1996. The Gemzell Prize is awarded annually to medical researchers by the University of Uppsala since 1977.


Key publications

*1958, First report using pituitary FSH *1960, "An immunological pregnancy test" *1962, "Induction of ovulation with human pituitary gonadotrophins" *1966, Review of clinical results using pituitary FSH for anovulatory women


References


External links


Obituary
{{DEFAULTSORT:Gemzell, Carl Axel Swedish obstetricians 1910 births 2007 deaths