Robert Gwyn Macfarlane
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Robert Gwyn Macfarlane (26 June 1907 – 26 March 1987) was an English hematologist.


Life

Born in
Worthing Worthing () is a seaside town in West Sussex, England, at the foot of the South Downs, west of Brighton, and east of Chichester. With a population of 111,400 and an area of , the borough is the second largest component of the Brighton and Ho ...
, Sussex, Gwyn Macfarlane left
Cheltenham College ("Work Conquers All") , established = , closed = , type = Public school Independent School Day and Boarding School , religion = Church of England , president = , head_label = Head , head = Nicola Hugget ...
in 1924 and a year later entered the Medical School of
St Bartholomew's Hospital St Bartholomew's Hospital, commonly known as Barts, is a teaching hospital located in the City of London. It was founded in 1123 and is currently run by Barts Health NHS Trust. History Early history Barts was founded in 1123 by Rahere (die ...
, London. In 1936 he married Hilary Carson MD and over the next 11 years had five children, a girl followed by four boys. Hilary practised as a GP, whilst always offering Gwyn great academic support. She died in 2010 aged 100 years.
During Macfarlane's clinical years he was exposed to the sufferings of haemophiliacs and this subject became the core for his lifelong study into the processes of
blood clotting 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 ...
. He examined the
venom Venom or zootoxin is a type of toxin produced by an animal that is actively delivered through a wound by means of a bite, sting, or similar action. The toxin is delivered through a specially evolved ''venom apparatus'', such as fangs or a st ...
of many different snakes and isolated the poison of the
Russell's viper Russell's viper (''Daboia russelii''), is a venomous snake in the family Viperidae native to the Indian subcontinent and one of the big four snakes in India. It was described in 1797 by George Shaw and Frederick Polydore Nodder, and named af ...
to have the strongest blood coagulant powers
see video
He found that when a compound that included venom at dilutions of 1 in 100,000 was applied to a wound,
bleeding Bleeding, hemorrhage, haemorrhage or blood loss, is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur internally, or externally either through a natural opening such as the mouth, nose, ear, urethra, vag ...
diminished. This medicine was later marketed as ''Stypven'' by Burroughs Welcome Ltd.. ''Stypven Time'' is now a standard measure for coagulation efficiency. This research was the basis for his London M.D. thesis for which he was awarded the University Gold Medal, in 1938. In 1940 Macfarlane took the position of Clinical Pathologist at the Radcliffe Infirmary 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 ...
. With a year as a Major in the Royal Army Medical Corps in 1944, where he was involved trying to treat the complications of
gas gangrene Gas gangrene (also known as clostridial myonecrosis and myonecrosis) is a bacterial infection that produces tissue gas in gangrene. This deadly form of gangrene usually is caused by '' Clostridium perfringens'' bacteria. About 1,000 cases of gas ...
on the war front, he continued to work in Oxford for the rest of his professional life. He led a team that included Rosemary Biggs and Ethel Bidwell, to investigate congenital coagulation defects, the treatment of bleeding disorders and to develop replacement therapies that enabled haemophiliacs to enjoy an almost normal life. Perhaps his greatest contribution to modern medicine was his deciphering of the Enzyme cascade process of blood coagulation. Working in 1951 with Prof Alexander Stuart Douglas at the Blood Coagulation Research Unit in Oxford they jointly discovered a second strain of haemophilia, 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 ...
, but then known as Christmas disease after its first known sufferer, Stephen Christmas. In 1956 he was elected to the fellowship of
The Royal Society The Royal Society, formally The Royal Society of London for Improving Natural Knowledge, is a learned society and the United Kingdom's national academy of sciences. The society fulfils a number of roles: promoting science and its benefits, r ...
, in 1963 he was elected a Fellow of
All Souls College All Souls College (official name: College of the Souls of All the Faithful Departed) is a constituent college of the University of Oxford in England. Unique to All Souls, all of its members automatically become fellows (i.e., full members of t ...
and in 1965 was appointed Professor of Clinical Pathology at Oxford University. In 1966, he was awarded the Cameron Prize for Therapeutics of the University of Edinburgh. Gwyn Macfarlane was a close associate of Howard Florey during the development of a process to extract penicillin from culture grown in the Dunn School of Medicine. Baron Florey went on to be President of the Royal Society and Macfarlane developed an enormous respect for the capabilities of a man, held by many to be one of the greatest scientists of the twentieth century. Macfarlane considered that the role Florey had played in the development of Penicillin had been overshadowed, so when he retired to Scotland in 1967 he commenced his first authoritative biography ''Howard Florey, The Making of a Great Scientist'' which was published in 1979. Later Macfarlane's second book '' Alexander Fleming, The Man and the Myth'' examined the life of the other great contributor to the age of anti-bacterial engineering. In later life Macfarlane felt that his close personal exposure to these developments left him as a conduit to modern science education, and his contributions both written and in BBC TV programs etc. will always be valuable. In 1988, following Macfarlane's death in the previous year, The Macfarlane Trust (named after him) was established to help British haemophiliacs affected by the Tainted Blood Scandal.


Selected works

1934 (with B. Barnett) The haemostatic possibilities of snake venom. ''Lancet, ii,985'' 1938 ''The normal haemostatic mechanism and its failure in the haemorrhagic states''. Thesis for Doctor of Medicine, University of London. 1953 (with R. Biggs) ''Human Blood Coagulation and its Disorders''. Blackwell Scientific Publications, Oxford. 1961 (with A.H.T.Robb-Smith) (ed) ''Functions of the Blood''. Academic Press, New York. 1964 An enzyme cascade in the blood clotting mechanism, and its function as a biochemical amplifier. ''Nature, Lond''. 202,221 1979 ''Howard Florey, The Making of a Great Scientist'', Oxford University Press 1984 ''Alexander Fleming, The Man and the Myth'', Chatto and Windus,


References

* ''Robert Gwyn Macfarlane, Biographical Memoirs of Fellows of the Royal Society'', G.V.R.Born and D.J.Weatheral, Volume 35, 1990. * ''The Life and Achievements of Professor Robert Gwyn Macfarlane FRCS: Pioneer in the Care of Haemophiliacs'', Alistair Robb-Smith. Royal Society of Medicine Services Ltd. 1993. * ''A Review of the Scientific and Literary accomplishments of Professor R.G.Macfarlane CBE FRS''. British Journal of Haematology 133(6);581-590 June 2006 Hougie, Cecil.


Interest factor

Video
Russell's Viper Venom, Blood clotting
{{DEFAULTSORT:Macfarlane, Robert Gwyn 1907 births 1987 deaths People from Worthing Fellows of the Royal Society Commanders of the Order of the British Empire People educated at Cheltenham College Royal Army Medical Corps officers Fellows of All Souls College, Oxford Alumni of the Medical College of St Bartholomew's Hospital 20th-century British medical doctors British haematologists