William K. Summers
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William Koopmans Summers (born April 14, 1944) is an independent neuroscientist and was the inventor of
Tacrine Tacrine is a centrally acting acetylcholinesterase inhibitor and indirect cholinergic agonist (parasympathomimetic). It was the first centrally acting cholinesterase inhibitor approved for the treatment of Alzheimer's disease, and was marketed un ...
(Cognex) as a treatment for
Alzheimer's disease Alzheimer's disease (AD) is a neurodegeneration, neurodegenerative disease that usually starts slowly and progressively worsens. It is the cause of 60–70% of cases of dementia. The most common early symptom is difficulty in short-term me ...
. Tacrine was the first FDA approved anti-dementia drug. Today there are five FDA approved anti-dementia drugs.Pharmaceutical treatments for Alzheimer’s disease. (http://nyp.org/services/neuroscience/alzheimer.html#top)


Early life

Summers was born in
Jefferson City, Missouri Jefferson City, informally Jeff City, is the capital of Missouri, United States. It had a population of 43,228 at the 2020 census, ranking as the 15th most populous city in the state. It is also the county seat of Cole County and the princip ...
. He graduated from Jefferson City Public High School in 1962. He began college at Westminster College in
Fulton, Missouri Fulton is the largest city in and the county seat of Callaway County, Missouri, United States. Located about northeast of Jefferson City and the Missouri River and east of Columbia, the city is part of the Jefferson City, Missouri, Metropolita ...
in 1962 and transferred to the
University of Missouri The University of Missouri (Mizzou, MU, or Missouri) is a public university, public Land-grant university, land-grant research university in Columbia, Missouri. It is Missouri's largest university and the flagship of the four-campus Universit ...
where he received a Bachelor of Science in 1966. Summers attended
Washington University School of Medicine Washington University School of Medicine (WUSM) is the medical school of Washington University in St. Louis in St. Louis, Missouri. Founded in 1891, the School of Medicine has 1,260 students, 604 of which are pursuing a medical degree with or ...
, graduating in 1971 after an elective year of basic research in
nephrology Nephrology (from Greek'' nephros'' "kidney", combined with the suffix ''-logy'', "the study of") is a specialty of adult internal medicine and pediatric medicine that concerns the study of the kidneys, specifically normal kidney function (ren ...
. This effort led to his first academic publication and a continued interest in medical research.


Education

Summers’ post graduate education was at Washington University School of Medicine. He did a combined residency in internal medicine and
psychiatry Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psych ...
. Summers was in the last group of ‘ward internal medicine internships’ at Barnes Hospital under Carl V. Moore. In psychiatry he was influenced by pioneers in biological psychiatry such as
Eli Robins Eli Robins (1921 Texas – 1994 Washington) was an American psychiatrist who played a pivotal role in establishing the way mental disorders are researched and diagnosed today. Early career Robins finished his medical training and residencies at Ha ...
,
George Winokur George Winokur (February 10, 1925 - October 12, 1996) was an American psychiatrist known for seminal contributions to diagnostic criteria and to the classification and genetics of mood disorder. Education He obtained his M.D. degree from the U ...
, George Murphy, John Feigner, John William Olney, Paula J. Clayton, Robert Woodruff, Ferris N. Pitts, and many other founders of the medical basis of psychiatry.


Career

Summers served as an Assistant Professor of Internal Medicine and Psychiatry at the
University of Pittsburgh The University of Pittsburgh (Pitt) is a public state-related research university in Pittsburgh, Pennsylvania. The university is composed of 17 undergraduate and graduate schools and colleges at its urban Pittsburgh campus, home to the universit ...
and later at the
Los Angeles County+USC Medical Center LOS, or Los, or LoS may refer to: Science and technology * Length of stay, the duration of a single episode of hospitalisation * Level of service, a measure used by traffic engineers * Level of significance, a measure of statistical significanc ...
. During this time Summers did a pilot
intravenous Intravenous therapy (abbreviated as IV therapy) is a medical technique that administers fluids, medications and nutrients directly into a person's vein. The intravenous route of administration is commonly used for rehydration or to provide nutrie ...
, trial of tacrine in Alzheimer's disease and found measurable acute improvement in the memory performance of the subjects. In 1981, Summers began private medical practice in Arcadia, California. He soon joined the clinical faculty of
UCLA The University of California, Los Angeles (UCLA) is a public land-grant research university in Los Angeles, California. UCLA's academic roots were established in 1881 as a teachers college then known as the southern branch of the California St ...
where he began working further on the development of tacrine as a practical treatment of Alzheimer's disease. He discovered that tacrine was readily absorbed by
oral administration Oral administration is a route of administration where a substance is taken through the mouth. Per os abbreviated to P.O. is sometimes used as a direction for medication to be taken orally. Many medications are taken orally because they are in ...
and did enter the central nervous system, An intravenous treatment for a
chronic disease A chronic condition is a health condition or disease that is persistent or otherwise long-lasting in its effects or a disease that comes with time. The term ''chronic'' is often applied when the course of the disease lasts for more than three mo ...
is not a practical treatment. An oral preparation of tacrine was a potentially practical treatment for Alzheimer's. Safety experiments were done in animal models. In 1984, it was inconceivable that a dementia patient could improve on a short or long term basis. Thus, psychometric scales had to be developed and validated. The oral tacrine study was published in the ''
New England Journal of Medicine ''The New England Journal of Medicine'' (''NEJM'') is a weekly medical journal published by the Massachusetts Medical Society. It is among the most prestigious peer-reviewed medical journals as well as the oldest continuously published one. Hist ...
'' on November 13, 1986. The accompanying editorial was very positive, but the scientific community of the time was not prepared to accept that Alzheimer's could be treated. Criticism by researchers associated with the
Alzheimer's Association The Alzheimer's Association was founded by Jerome H. Stone with the help of several family members in Chicago, Illinois, and incorporated on April 10, 1980, as the Alzheimer's Disease and Related Disorders Association, Inc. It is a non-profit Ame ...
was sharp. The US
Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respon ...
investigated Dr. Summers from November 18, 1986 through May 4, 1989. Additionally, Dr. Summer's work was investigated by UCLA. Considerable publicity occurred. Summers was defended by
Robert L. Bartley Robert Leroy Bartley (October 12, 1937 – December 10, 2003) was the editor of the editorial page of ''The Wall Street Journal'' for more than 30 years. He won a Pulitzer Prize for opinion writing and received the Presidential Medal of Freedom f ...
and
Daniel Henninger Daniel Henninger is a conservative American commentator. He serves as the deputy editorial page director of ''The Wall Street Journal'', and is a Fox News contributor. Early life Henninger was born in Cleveland, Ohio. He is a graduate of George ...
by a series of Wall Street Journal editorials. On March 28, 1989 U.S. Patent 4,816,456 was issued to Dr. Summers. With no findings to support allegations and concerns,
Frances Oldham Kelsey Frances Kathleen Kelsey ( Oldham; July 24, 1914 – August 7, 2015) was a Canadian-American pharmacologist and physician. As a reviewer for the U.S. Food and Drug Administration (FDA), she refused to authorize thalidomide for market because sh ...
closed the FDA Office of Compliance investigation, in May, 1989. Nevertheless, the Office for Drug Evaluation I, placed Summers on a secret "black list" without informing him. Once discovered by Summers, in 2007, the citation was removed.


Impact and achievements

When Summers initiated his research, it was commonly accepted that Alzheimer's disease was a progressive unremitting
neurodegenerative disease A neurodegenerative disease is caused by the progressive loss of structure or function of neurons, in the process known as neurodegeneration. Such neuronal damage may ultimately involve cell death. Neurodegenerative diseases include amyotrophic ...
that could not be improved. Today, there are five FDA approved medications for the treatment of Alzheimer's or Dementia of other types. In 2011, there are 842 Clinical trials on over 100 drugs under investigation for the treatment of Alzheimer's disease. Since the 1980s, the majority of research effort was focused on the genetics and toxicity of
beta amyloid Beta (, ; uppercase , lowercase , or cursive ; grc, βῆτα, bē̂ta or ell, βήτα, víta) is the second letter of the Greek alphabet. In the system of Greek numerals, it has a value of 2. In Modern Greek, it represents the voiced labio ...
protein as the cause of Alzheimer's disease. Summers developed alternative hypothesis based on oxidative brain injury. He hypothesized that brain insults (
head trauma A head injury is any injury that results in trauma to the skull or brain. The terms ''traumatic brain injury'' and ''head injury'' are often used interchangeably in the medical literature. Because head injuries cover such a broad scope of inju ...
,
viral infection A viral disease (or viral infection) occurs when an organism's body is invaded by pathogenic viruses, and infectious virus particles (virions) attach to and enter susceptible cells. Structural Characteristics Basic structural characteristics, s ...
,
open heart surgery Cardiac surgery, or cardiovascular surgery, is surgery on the heart or great vessels performed by cardiac surgeons. It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to corr ...
,
hypertension Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. High blood pressure usually does not cause symptoms. Long-term high bl ...
,
diabetes Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...
, and others) create a smoldering inflammation which produces free radicals and distant sites of inflammation. These areas of inflammation cause the production and deposition of beta amyloid and
tau protein The tau proteins (abbreviated from tubulin associated unit) are a group of six highly soluble protein isoforms produced by alternative splicing from the gene ''MAPT'' (microtubule-associated protein tau). They have roles primarily in maintaining ...
. Based on this theory, Summers created a complex, potent
antioxidant Antioxidants are compounds that inhibit oxidation, a chemical reaction that can produce free radicals. This can lead to polymerization and other chain reactions. They are frequently added to industrial products, such as fuels and lubricant ...
which is classified as a health supplement. This antioxidant combination has been shown to improve memory in normal aging people.Summers WK, Martin RL, Cunningham M, DeBoynton VL, Marsh GM. Complex Antioxidant Blend improves Memory in community dwelling seniors. Journal of Alzheimer’s Disease. 2010, 19:429-439.


References


External links


Personal site
{{DEFAULTSORT:Summers, William K., Md 1944 births Living people American neuroscientists People from Jefferson City, Missouri Westminster College (Missouri) alumni University of Missouri alumni Washington University School of Medicine alumni Washington University in St. Louis fellows University of Pittsburgh faculty Keck School of Medicine of USC faculty