The Internal Secretion of the Pancreas: How Banting and Best Discovered Insulin

The Internal Secretion of the Pancreas: How Banting and Best Discovered Insulin

Human pancreas anatomy illustration with detailed islet cells, medical illustration style, no text, scientific accuracy

How Did Banting and Best First Isolate Insulin from the Pancreas?

Frederick Banting and Charles Best discovered that by tying off the pancreatic ducts in dogs, they could allow the enzyme-producing tissue to degenerate while preserving the insulin-producing islets. This breakthrough technique, first published in their landmark 1922 paper “The Internal Secretion of the Pancreas,” enabled them to extract pure insulin without the destructive digestive enzymes that had defeated previous researchers.

Dr. Kumar’s Take

This paper represents one of medicine’s greatest turning points. Banting’s insight to separate the pancreas’s two functions - digestion and hormone production - was elegantly simple yet revolutionary. What strikes me most is how this discovery emerged from a struggling country surgeon’s midnight inspiration, proving that breakthrough science often comes from unexpected places. Every person with diabetes today owes their life to this foundational work.

Key Findings

The Toronto team demonstrated that pancreatic extracts from duct-ligated dogs could successfully lower blood glucose in diabetic animals. Their extract, initially called “isletin,” reduced blood sugar from dangerously high levels to near-normal ranges within hours of injection. Most remarkably, they kept a diabetic dog named Marjorie alive for 70 days using these extracts - far longer than any previous attempt.

The researchers proved that the pancreas produces an internal secretion essential for glucose metabolism. When this secretion was absent, as in diabetes, animals developed the classic symptoms: excessive urination, thirst, weight loss, and ultimately death from ketoacidosis.

Brief Summary

In 1921, Frederick Banting and Charles Best, working in J.J.R. MacLeod’s laboratory at the University of Toronto, conducted experiments on dogs to isolate the pancreas’s internal secretion. They surgically tied off pancreatic ducts in healthy dogs, waited 7-10 weeks for the digestive tissue to atrophy, then extracted the remaining islet tissue. These extracts successfully treated diabetes in dogs whose pancreases had been removed, proving that a specific hormone controlled blood sugar regulation.

Study Design

This was an experimental animal study using dogs as subjects. The researchers employed a two-phase approach: first creating pancreatic extracts by duct ligation and tissue degeneration, then testing these extracts in pancreatectomized diabetic dogs. They measured blood glucose levels, urine sugar content, and overall animal health over periods ranging from days to months. The study established both the method for insulin extraction and its therapeutic efficacy.

Results You Can Use

The key breakthrough was the duct ligation technique, which solved the fundamental problem that had stymied previous researchers. When pancreatic tissue was simply ground up, powerful digestive enzymes destroyed the delicate insulin molecules before they could be isolated. By allowing the enzyme-producing tissue to degenerate first, Banting and Best obtained extracts that were both potent and stable. Their diabetic test animals showed dramatic improvements in blood sugar control and survival.

Why This Matters For Health And Performance

This discovery transformed type 1 diabetes from an invariably fatal disease to a manageable chronic condition. Before insulin, children diagnosed with diabetes faced certain death within months, sustained only by starvation diets that delayed but could not prevent the inevitable. The internal secretion of the pancreas - insulin - became the key that unlocked cellular glucose uptake, allowing millions to live full, productive lives.

How to Apply These Findings in Daily Life

  • Understand that insulin is essential for moving glucose from blood into cells
  • Recognize the symptoms of diabetes: excessive thirst, urination, and unexplained weight loss
  • Appreciate that modern insulin therapy stems directly from this foundational research
  • Support continued diabetes research and access to affordable insulin
  • Learn about the pancreas’s dual role in digestion and hormone production
  • Discuss family diabetes history with your healthcare provider

Limitations To Keep In Mind

This early research used crude extraction methods that produced impure insulin preparations. The animal model, while groundbreaking, required translation to human subjects with different physiology and insulin requirements. The study also didn’t address the autoimmune destruction underlying type 1 diabetes, focusing instead on insulin replacement therapy. Long-term complications of diabetes and optimal insulin dosing remained to be discovered.

FAQs

Why did previous attempts to extract insulin fail?

Earlier researchers ground up whole pancreases, mixing insulin-producing islets with enzyme-producing tissue. The powerful digestive enzyme trypsin immediately destroyed the delicate insulin molecules, making extraction impossible.

Was this research ethical by today’s standards?

The animal experiments were conducted according to 1920s standards, but would require extensive ethical review today. The researchers were deeply troubled by the animal suffering but recognized the life-saving potential for human patients.

How pure was the original insulin extract?

The early extracts were quite crude, containing many impurities that caused fever and abscesses when injected. It took additional work by James Collip to purify insulin sufficiently for safe human use.

Conclusion

Banting and Best’s 1922 paper established the scientific foundation for insulin therapy that continues to save millions of lives today. Their elegant solution to the extraction problem - separating the pancreas’s digestive and hormonal functions - opened the door to modern diabetes treatment. This work reminds us that transformative medical discoveries often emerge from simple yet profound insights.

Read the full study here

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