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Rosemary Peyton Biggs (21 April 1912 – 29 June 2001) was an English
haematologist Hematology ( always spelled haematology in British English) is the branch of medicine concerned with the study of the cause, prognosis, treatment, and prevention of diseases related to blood. It involves treating diseases that affect the produc ...
. She worked closely with
Robert Gwyn Macfarlane Robert Gwyn Macfarlane (26 June 1907 – 26 March 1987) was an English hematologist. Life Born in Worthing, Sussex, Gwyn Macfarlane left Cheltenham College in 1924 and a year later entered the Medical School of St Bartholomew's Hospital, L ...
at the Radcliffe Infirmary and Churchill Hospital in
Oxford Oxford () is a city in England. It is the county town and only city of Oxfordshire. In 2020, its population was estimated at 151,584. It is north-west of London, south-east of Birmingham and north-east of Bristol. The city is home to the ...
, where she studied coagulation disorders, particularly
haemophilia Haemophilia, or hemophilia (), is a mostly inherited genetic disorder that impairs the body's ability to make blood clots, a process needed to stop bleeding. This results in people bleeding for a longer time after an injury, easy bruising, ...
.


Early life and education

Rosemary Biggs was born on 21 April 1912 in
London London is the capital and List of urban areas in the United Kingdom, largest city of England and the United Kingdom, with a population of just under 9 million. It stands on the River Thames in south-east England at the head of a estuary dow ...
to Edgar Biggs, a goldsmith, and his wife Ethel. Rosemary wished to study medicine but her parents did not approve of her choice, so as a compromise she studied
botany Botany, also called , plant biology or phytology, is the science of plant life and a branch of biology. A botanist, plant scientist or phytologist is a scientist who specialises in this field. The term "botany" comes from the Ancient Greek w ...
, receiving a BSc from the
University of London The University of London (UoL; abbreviated as Lond or more rarely Londin in post-nominals) is a federal public research university located in London, England, United Kingdom. The university was established by royal charter in 1836 as a degree ...
in 1934 and later a PhD in
mycology Mycology is the branch of biology concerned with the study of fungi, including their genetic and biochemical properties, their taxonomy and their use to humans, including as a source for tinder, traditional medicine, food, and entheogen ...
from the
University of Toronto The University of Toronto (UToronto or U of T) is a public university, public research university in Toronto, Ontario, Canada, located on the grounds that surround Queen's Park (Toronto), Queen's Park. It was founded by royal charter in 1827 ...
. With the beginning of World War II, she returned to London and enrolled at the
London School of Medicine for Women The London School of Medicine for Women (LSMW) established in 1874 was the first medical school in Britain to train women as doctors. The patrons, vice-presidents, and members of the committee that supported and helped found the London School of Me ...
; she graduated with an MBBS in 1943.


Career

In 1944, after holding junior posts in London hospitals, Biggs moved to
Oxford Oxford () is a city in England. It is the county town and only city of Oxfordshire. In 2020, its population was estimated at 151,584. It is north-west of London, south-east of Birmingham and north-east of Bristol. The city is home to the ...
, where she joined the Radcliffe Infirmary's pathology department as a graduate assistant. She initially studied
crush syndrome Crush syndrome (also traumatic rhabdomyolysis or Bywaters' syndrome) is a medical condition characterized by major shock and kidney failure after a crushing injury to skeletal muscle. Crush ''injury'' is compression of the arms, legs, or other p ...
and the variability in haematological tests, under the mentorship of
Robert Gwyn Macfarlane Robert Gwyn Macfarlane (26 June 1907 – 26 March 1987) was an English hematologist. Life Born in Worthing, Sussex, Gwyn Macfarlane left Cheltenham College in 1924 and a year later entered the Medical School of St Bartholomew's Hospital, L ...
. She then researched the formation and breakdown of blood clots (
coagulation Coagulation, also known as clotting, is the process by which blood changes from a liquid to a gel, forming a blood clot. It potentially results in hemostasis, the cessation of blood loss from a damaged vessel, followed by repair. The mechanis ...
and
fibrinolysis Fibrinolysis is a process that prevents blood clots from growing and becoming problematic. Primary fibrinolysis is a normal body process, while secondary fibrinolysis is the breakdown of clots due to a medicine, a medical disorder, or some other ...
), and earned an MD and a gold medal from the University of London with her thesis on the clotting enzyme
prothrombin Thrombin (, ''fibrinogenase'', ''thrombase'', ''thrombofort'', ''topical'', ''thrombin-C'', ''tropostasin'', ''activated blood-coagulation factor II'', ''blood-coagulation factor IIa'', ''factor IIa'', ''E thrombin'', ''beta-thrombin'', ''gamma- ...
in 1949. In 1952, she designed a new test, the
thromboplastin Thromboplastin (TPL) is derived from cell membranes and is a mixture of both phospholipids and tissue factor, neither of which are enzymes. Thromboplastin acts on and accelerates the activity of Factor Xa, also known as thrombokinase, aiding blood ...
generation test, for detecting defects in the blood of people with
haemophilia Haemophilia, or hemophilia (), is a mostly inherited genetic disorder that impairs the body's ability to make blood clots, a process needed to stop bleeding. This results in people bleeding for a longer time after an injury, easy bruising, ...
. The same year, Biggs and Macfarlane's group discovered a previously unknown clotting enzyme,
factor IX Factor IX (or Christmas factor) () is one of the serine proteases of the coagulation system; it belongs to peptidase family S1. Deficiency of this protein causes haemophilia B. It was discovered in 1952 after a young boy named Stephen Christmas ...
, which they originally named ''Christmas factor''. They also coined the term ''Christmas disease'' (now known as
haemophilia B Haemophilia B, also spelled hemophilia B, is a blood clotting disorder causing easy bruising and bleeding due to an inherited mutation of the gene for factor IX, and resulting in a deficiency of factor IX. It is less common than factor VIII defi ...
) for patients with factor IX deficiencies, as distinguished from classical haemophilia (now known as
haemophilia A Haemophilia A (or hemophilia A) is a genetic deficiency in clotting factor VIII, which causes increased bleeding and usually affects males. In the majority of cases it is inherited as an X-linked recessive trait, though there are cases which aris ...
), wherein there is a deficiency in
factor VIII Factor VIII (FVIII) is an essential blood-clotting protein, also known as anti-hemophilic factor (AHF). In humans, factor VIII is encoded by the ''F8'' gene. Defects in this gene result in hemophilia A, a recessive X-linked coagulation disorder ...
. The new factor and disease were named after Stephen Christmas, the first patient discovered by the group at Oxford to be deficient in factor IX. Biggs and Macfarlane published the textbook ''Human Blood Coagulation and its Disorders'' in 1953 and wrote the first UK guidelines for treating haemophilia in 1955. Their proposal for a national haemophilia centre that housed departments for treatment, research and blood plasma fractionation, was approved by the
Department of Health A health department or health ministry is a part of government which focuses on issues related to the general health of the citizenry. Subnational entities, such as states, counties and cities, often also operate a health department of their ow ...
in 1964; at the time, three-quarters of all known patients in England and Wales with severe haemophilia were treated at Oxford. Upon Macfarlane's retirement in 1967, Biggs was placed in charge of the Medical Research Council's Blood Coagulation Research Laboratory in Oxford. The Oxford Haemophilia Centre was opened in 1968 at the Churchill Hospital, and it was directed by Biggs from its foundation until her retirement in 1977. Biggs received the James F. Mitchell Foundation International Award for Heart and Vascular Research in 1971 and the Haemophilia Society's Macfarlane Award in 1978. She was elected
Fellow of the Royal College of Physicians The Royal College of Physicians (RCP) is a British professional membership body dedicated to improving the practice of medicine, chiefly through the accreditation of physicians by examination. Founded by royal charter from King Henry VIII in 1 ...
in 1974. She was a founding member of the British Society for Haematology and the
International Society on Thrombosis and Haemostasis The International Society on Thrombosis and Haemostasis (ISTH) is a not-for-profit global membership organization of specialists in the field of blood coagulation and its disorders, such as thrombosis and hemophilia. It was founded in 1954 as the In ...
, and served as editor of the ''
British Journal of Haematology The ''British Journal of Haematology'' is a peer-reviewed medical journal focusing on hematology and other blood-related topics, such as blood diseases and their treatment. It is published by ileyon behalf of the British Society for Haematol ...
'' and the ''
Journal of Thrombosis and Haemostasis The ''Journal of Thrombosis and Haemostasis'' is a monthly peer-reviewed medical journal covering research on thrombosis and hematology in general. It is published by Wiley-Blackwell and the editors-in-chief are David Lillicrap and James Morrissey ...
''.


Later life

Biggs retired in 1977 and thereafter lived in Little Comberton,
Worcestershire Worcestershire ( , ; written abbreviation: Worcs) is a county in the West Midlands of England. The area that is now Worcestershire was absorbed into the unified Kingdom of England in 927, at which time it was constituted as a county (see H ...
, with her adopted daughter. She died on 29 June 2001.


References

{{DEFAULTSORT:Biggs, Rosemary 1912 births 2001 deaths 20th-century English medical doctors Alumni of the London School of Medicine for Women British haematologists English medical researchers Fellows of the Royal College of Physicians People from Oxford University of Toronto alumni