Dr Karl Landsteiner

Karl Landsteiner was born in Vienna on June 14, 1868. His father, Leopold
Landsteiner, a doctor of law, was a well-known journalist and newspaper
publisher, who died when Karl was six years old. Karl was brought up
by his mother, Fanny Hess, to whom he was so devoted that a death mask
of her hung on his wall until he died. After leaving school, Landsteiner
studied medicine at the Univerisity of Vienna, graduating in 1891. Even
while he was a student he had begun to do biochemical research end in
1891 he published a paper on the influence of diet on the composition
of blood ash. To gain further knowledge of chemistry he spent the next
five years in the laboratories of Hantzsch at Zurich, Emil Fischer at
Wurzburg, and E. Bamberger at Munich.
Returning to Vienna, Landsteiner resumed his medical studies at the
Vienna General Hospital. In 1896 he became an assistant under Max von
Gruber in the Hygiene Institute at Vienna. Even at this time he was
interested in the mechanisms of immunity and in the nature of antibodies.
From 1898 till 1908 he held the post of assistant in the University
Department of Pathological Anatomy in Vienna, the Head of which was
Professor A. Weichselbaum, who had discovered the bacterial cause of
meningitis, and with Fraenckel had discovered the pneumococcus. Here
Landsteiner worked on morbid physiology rather than on morbid anatomy.
In this he was encouraged by Weichselbaum, in spite of the criticism
of others in this Institute. In 1908 Weichselbaum secured his appointment
as Prosector in the Wilhelminaspital in Vienna, where he remained until
1919. In 1911 he became Professor of Pathological Anatomy in the University
of Vienna, but without the corresponding salary.
Up to the year 1919, after twenty years of work on pathological anatomy,
Landsteiner with a number of collaborators had published many papers
on his findings in morbid anatomy and on immunology. He discovered new
facts about the immunology of syphilis, added to the knowledge of the
Wassermann reaction, and discovered the immunological factors which
he named haptens (it then became clear that the active substances in
the extracts of normal organs used in this reaction were, in fact, haptens).
He made fundamental contributions to our knowledge of paroxysmal haemoglobinuria.
He also showed that the cause of poliomyelitis could be transmitted
to monkeys by injecting into them material prepared by grinding up the
spinal cords of children who had died from this disease, and, lacking
in Vienna monkeys for further experiments, he went to the Pasteur Institute
in Paris, where monkeys were available. His work there, together with
that independently done by Flexner and Lewis, laid the foundations of
our knowledge of the cause and immunology of poliomyelitis.
Landsteiner made numerous contributions to both pathological anatomy,
histology and immunology, all of which showed, not only his meticulous
care in observation and description, but also his biological understanding.
But his name will no doubt always be honoured for his discovery in 1901
of, and outstanding work on, the blood groups, for which he was given
the Nobel Prize for Physiology or Medicine in 1930.
In 1875 Landois had reported that, when man is given transfusions of
the blood of other animals, these foreign blood corpuscles are clumped
and broken up in the blood vessels of man with the liberation of haemoglobin.
In 1901-1903 Landsteiner pointed out that a similar reaction may occur
when the blood of one human individual is transfused, not with the blood
of another animal, but with that of another human being, and that this
might be the cause of shock, jaundice, and haemoglobinuria that had
followed some earlier attempts at blood transfusions.
His suggestions, however, received little attention until, in 1909,
he classified the bloods of human beings into the now well-known A,
B, AB, and O groups and showed that transfusions between individuals
of groups A or B do not result in the destruction of new blood cells
and that this catastrophe occurs only when a person is transfused with
the blood of a person belonging to a different group. Earlier, in 1901-1903,
Landsteiner had suggested that, because the characteristics which determine
the blood groups are inherited, the blood groups may be used to decide
instances of doubtful paternity. Much of the subsequent work that Landsteiner
and his pupils did on blood groups and the immunological uses they made
of them was done, not in Vienna, but in New York. For in 1919 conditions
in Vienna were such that laboratory work was very difficult and, seeing
no future for Austria, Landsteiner obtained the appointment of Prosector
to a small Roman Catholic Hospital at The Hague. Here he published,
from 1919-1922, twelve papers on new haptens that he had discovered,
on conjugates with proteins which were capable of inducing anaphylaxis
and on related problems, and also on the serological specificity of
the haemoglobins of different species of animals. His work in Holland
came to an end when he was offered a post in the Rockefeller Institute
for Medical Research in New York and he moved there together with his
family. It was here that he did, in collaboration with Levine and Wiener,
the further work on the blood groups which greatly extended the number
of these groups, and here in collaboration with Wiener studied bleeding
in the new-born, leading to the discovery of the Rh-factor in blood,
which relates the human blood to the blood of the rhesus monkey.
To the end of his life, Landsteiner continued to investigate blood groups
and the chemistry of antigens, antibodies and other immunological factors
that occur in the blood. It was one of his great merits that he introduced
chemistry into the service of serology.
Rigorously exacting in the demands he made upon himself, Landsteiner
possessed untiring energy. Throughout his life he was always making
observations in many fields other than those in which his main work
was done (he was, for instance, responsible for having introduced dark-field
illumination in the study of spirochaetes). By nature somewhat pessimistic,
he preferred to live away from people.
Landsteiner married Helen Wlasto in 1916. Dr. E. Landsteiner is a son
by this marriage.
In 1939 he became Emeritus Professor at the Rockefeller Institute, but
continued to work as energetically as before, keeping eagerly in touch
with the progress of science. It is characteristic of him that he died
pipette in hand. OnJune 24, 1943, he had a heart attack in his laboratory
and died two days later in the hospital of the Institute in which he
had done such distinguished work.
From Nobel Lectures, Physiology or Medicine 1922-1941.