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Putting Theory into Practice: James Black, Receptor Theory and the Development of the Beta-Blockers at ICI, 1958–1978

Published online by Cambridge University Press:  26 July 2012

Viviane Quirke
Affiliation:
Centre for Health, Medicine and Society, Tonge Building, Oxford Brookes University, Oxford OX3 OBP, UK
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The concept of drug receptors has played a significant role in the biomedical sciences and in pharmaceutical innovation in the second half of the twentieth century. Although the concept dates back to the work of the German bacteriologist and immunologist Paul Ehrlich and of the British physiologist John Newport Langley at the end of the nineteenth and the beginning of the twentieth century, its acceptance was delayed because of conflicting ideas about drug action, and because of uncertainties and hesitations about the concept itself.

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Articles
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Copyright © The Author(s) 2006. Published by Cambridge University Press

References

1 See J Parascandola, ‘Origins of receptor theory’, Trends Pharmacol. Sci., 1980, 1: 189–92; idem, ‘The development of receptor theory’, in M J Parnham and J Bruinvels (eds), Discoveries in pharmacology, vol. 3, Pharmacological methods, receptors and chemotherapy, Amsterdam, Elsevier, 1986, pp. 129–56. On the development of the receptor concept by Paul Ehrlich, see C-R Prüll, ‘Part of a scientific master plan? Paul Ehrlich and the origins of his receptor concept’, Med. Hist., 2003, 47: 332–56; on John Langley's role in the elaboration of receptor theory, see A-H Maehle, ‘“Receptive substances”: John Newport Langley (1852–1925) and his path to a receptor theory of drug action’, Med. Hist., 2004, 48: 153–74.

2 A-H Maehle, C-R Prüll and R F Halliwell, ‘The emergence of the drug receptor theory’, Nature Reviews, Aug. 2002, 1: 637–41, on p. 641. See also C-R Prüll, A-H Maehle, and R F Halliwell, ‘Drugs and cells—pioneering the concept of receptors’, Pharmacy in History, 2003, 45: 18–30.

3 See the time line in Maehle, et al., op. cit., note 2 above, p. 638.

4 On Black, see V P Gerskowitch, R A D Hull, and N P Shankley, ‘The “pharmacological toolmaker's” rational approach to drug design: an appreciation of Sir James Black’, Trends Pharmacol. Sci., 1988, 9: 435–7. See also V Quirke, ‘Black, James Whyte’, Encyclopedia of life sciences, 20 vols, London, Nature Publications Group, 2002, vol. 3, pp. 300–1.

5 J W Black, ‘Ahlquist and the development of beta-adrenoceptor antagonists’, Postgrad. med. J., 1976, 52, Suppl. 4: B I Hoffbrand, R G Shanks, and I Brick (eds), Ten years of propranolol: a symposium on the history and future of beta-blockade, (Amsterdam, 26–28 Sept. 1975): 11–13, on p. 11.

6 C Kennedy, ICI: the company that changed our lives, London, Hutchinson, 1986, pp. 136–41.

7 For a more detailed analysis of the origins of ICI's cardiovascular research programme, see V Quirke, ‘From evidence to market: Alfred Spinks' 1953 survey of new fields for pharmacological research, and the origins of ICI's cardiovascular programme’, in V Berridge and K Loughlin (eds), Medicine, the market, and the mass media: producing health in the twentieth century, London, Routledge, 2005, pp. 144–69.

8 W J Reader, Imperial Chemical Industries: a history, 2 vols, London, Oxford University Press, 1975, vol. 2, pp. 3, 13.

9 See J Lesch, ‘Chemistry and biomedicine in an industrial setting: the invention of the sulfa drugs’, in S H Mauskopf (ed.), Chemical sciences in the modern world, Philadelphia, University of Pennsylvania Press, 1993, pp. 158–215.

10 D Bovet, Une Chimie qui guérit: histoire de la découverte des sulfamides, Paris, Payot, 1988.

11 Kennedy, op. cit., note 6 above, pp. 120–1.

12 K Holland, ‘IC Pharmaceuticals’, Pharmaceutical Journal, Sept. 1987, 12: 286–8. See also C W Suckling and B W Langley, ‘Francis Leslie Rose, 1909–1988’, Bio. Mem. F.R.S., 1990, 36: 491–524, on p. 498.

13 Reader, op. cit., note 8 above, vol. 2, p. 286.

14 Ibid.

15 Kennedy, op. cit., note 6 above, pp. 127–9.

16 Holland, op. cit., note 12 above, vol. 2, p. 286.

17 Reader, op. cit., note 8 above, vol. 2, p. 459; Kennedy, op. cit., note 6 above, p. 129.

18 J A Woodbridge, ‘Social aspects of pharmaceutical innovation: heart disease’, PhD thesis, University of Aston, Birmingham, 1981, p. 26.

19 AstraZeneca ICI research report (hereafter ICI) CPR 3: minutes of 2nd meeting of the Chemotherapeutic Research Committee, 31 March 1948. ICI records are held at Alderley Park, Cheshire.

20 Ibid., minutes of meeting, 24 Sept. 1951.

21 Ibid., minutes of 1st meeting, 19 Jan. 1948. A member of the committee, Dr J Madinaveitia, for example, drew the Committee's attention to the “importance of biochemical work as a basis for new ideas and new lines of synthetic work”. However, pharmacology rather than biochemistry was to provide ICI with their first angle of approach to the problem of hypertension.

22 Ibid., minutes of meeting, 19 July 1951.

23 The term “diseases of organic dysfunction”, rather than the now more familiar “chronic diseases”, was used at ICI to distinguish their study from that of infectious diseases. ICI CPR 33: Research Department, Biological Group (Diseases of Organic Dysfunction) Report, Oct.–Dec. 1954.

24 ICI CPR 3: 31 March 1953; ICI CPR 8: 1 Dec. 1954; ICI CPR 11: joint plan for 1954. On Raventos, see D G Davey, ‘Dr James Raventos’, obituary, Br. J. Pharmacol., 1983, 80: 3.

25 A W Johnson, F L Rose and C W Suckling, ‘Alfred Spinks, 1917–1982’, Bio. Mem. F.R.S., 1984, 30: 567–94.

26 ICI CPR 35: Research Report of the Biological Group (Pharmacological Section) for July–Dec. 1955. J M Thorp, ‘An experimental approach to the problem of disordered lipid metabolism’, J. Atheroscler. Res., 1963, 3: 351–60.

27 Johnson, et al., op. cit., note 25 above, p. 584.

28 R Vos, Drugs looking for diseases: innovative drug research and the development of the beta-blockers and the calcium antagonists, Dordrecht, Kluwer Academic, 1991, pp. 81–2. This comment is based on an interview with Black.

29 ICI CPR 50, 50/3: Research Department Period Report, 22 Jan. 1959.

30 Prüll, op. cit., note 1 above; also Maehle, op. cit., note 1 above.

31 Parascandola, ‘The development of receptor theory’, op. cit., note 1 above, pp. 150–3; idem, ‘A J Clark: quantitative pharmacology and the receptor theory’, Trends Pharmacol. Sci., 1982, 3: 421–3. On Clark, see also Prüll, et al., op. cit., note 2 above, pp. 26–7. For an indirect view of the development and gradual acceptance of receptor theory, see A Albert's series of textbooks on Selective toxicity. It is interesting to note that it was not until Albert became more confident in the scientific basis of receptor theory, in the 3rd edition of the series published in 1965, that he began to appreciate the role played by Clark. A Albert, Selective toxicity, 3rd ed., London, Methuen, 1965, pp. 45–7.

32 On Clark's life and scientific career, see E V Verney and I Barcroft, ‘Alfred Joseph Clark, 1885–1941’, Obit. Not. F.R.S, 1939–41, 3: 969–84.

33 Parascandola, ‘The development of receptor theory’, op. cit., note 1 above, pp. 149–50.

34 A J Clark and J Raventos, ‘The antagonism of acetylcholine and of quaternary ammonium salts’, Q. J. Exp. Phys., 1937, 26: 375–92. See also Verney and Barcroft, op. cit., note 32 above, p. 974.

35 Parascandola, ‘A J Clark’, op. cit., note 31 above, p. 422.

36 Clark is quoted in Prüll, et al., op. cit., note 2 above, p. 27.

37 Parascandola, ‘The development of receptor theory’, op. cit., note 1 above, p. 151; idem, ‘A J Clark’, op. cit., note 31 above, p. 422.

38 E J Ariëns, ‘Affinity and intrinsic activity in the theory of competitive inhibition’, Arch. Int. Pharma. Théra., 1954, 99: 32–49; R P Stephenson, ‘A modification of receptor theory’, Brit. J. Pharmacol. Chemother., 1956, 11: 379–93.

39 Woodbridge, op. cit., note 18 above, p. 137.

40 Ibid., pp. 127, 135–6. See also A Albert, Selective toxicity, 5th ed., London, Methuen, 1973, p. 220.

41 Prüll, et al., op. cit., note 2 above, p. 27.

42 Woodbridge, op. cit., note 18 above, p. 115.

43 Maehle, op. cit., note 1 above, p. 173.

44 J N Langley, ‘On the reaction of cells and of nerve-endings to certain poisons, chiefly as regards the reaction of striated muscle to nicotine and to curari’, J. Physiol., 1905, 33: 374–413.

45 H H Dale, ‘On some physiological actions of ergot’, J. Physiol., 1906, 34: 163–206.

46 See W F Bynum, An early history of the British Pharmacological Society, 1931–1981, London, British Pharmacological Society, 1981, pp. 8–9. By the time of the Second World War, Dale's leadership in science administration meant that he was himself no longer closely involved in scientific research.

47 Maehle, op. cit., note 1 above, p. 171. See also a later article by Dale on ‘Pharmacology and nerve-endings’, Proc. R. S. Med., 1935, 28: 319–32, on p. 319.

48 Woodbridge, op. cit., note 18 above, p. 115.

49 G Barger and H H Dale, ‘Chemical structure and sympathomimetic action of amines’, J. Physiol., 1910–1911, 41: 19–59.

50 R P Ahlquist, ‘A study of the adrenotropic receptors’, Am. J. Phys., 1948, 153: 586–600; Idem, ‘Adrenergic receptors: a personal and practical view’, Perspect. Biol. Med., 1973, 17: 119–22.

51 Vos, op. cit., note 28 above, pp. 71–2.

52 Ahlquist, ‘Adrenergic receptors’, op. cit., note 50 above, p. 120.

53 Vos, op. cit., note 28 above, pp. 72, 76.

54 Kennedy, op. cit., note 6 above, p. 137.

55 Vos, op. cit., note 28 above, p. 75. Also G O Carrier, ‘Evolution of the dual adrenergic receptor concept: key to past mysteries and modern therapy’, in Parnham and Bruinvels (eds), op. cit., note 1 above, pp. 203–21, on pp. 217–18.

56 See Black, op. cit., note 5 above, p. 12.

57 Ibid.

58 U S von Euler, ‘A specific sympathomimetic ergone in adrenergic nerve fibres (sympathin) and its relations to adrenaline and nor-adrenaline’, Acta. Physiol. Scand., 1946, 12: 73–97; A M Lands, ‘The pharmacological activity of epinephrine and related dihydroxyphenylalkylamines’, Pharmacol. Rev., 1949, 1: 279–309, on p. 301.

59 Black, op. cit., note 5 above, p. 12.

60 See R A Maxwell and S B Eckhardt, Drug discovery: a casebook and analysis, Clifton, NJ, Humana Press, 1990, p. 13. Also A M Barrett, ‘Design of β-blocking drugs’, in E J Ariëns (ed.), Drug design, New York, Academic Press, 1972, vol. 3, pp. 205–28, on p. 208; R G Shanks, ‘The discovery of beta adrenoceptor blocking drugs’, in M J Parnham and J Bruinvels (eds), Discoveries in pharmacology, vol. 2, Haemodynamics, hormones and inflammation, Amsterdam, Elsevier, 1984, pp. 38–72.

61 C E Powell and I H Slater, ‘Blocking of inhibitory adrenergic receptors by a dichloro analog of isoproterenol’, J. Pharm. exp. Ther., 1958, 122: 480–8; N C Moran and M E Perkins, ‘Adrenergic blockade of the mammalian heart by a dichloro analogue of isoproterenol’, J. Pharm. exp. Ther., 1958, 124: 223–37.

62 Vos, op. cit., note 28 above, p. 77.

63 J D Fitzgerald, ‘Trails of Discovery 1): The importance of chance and the prepared mind in the discovery of the beta-blockers’, Dialogues in Cardiovascular Medicine, 2000, 5: 172–6, p. 172.

64 Kennedy, op. cit., note 6 above, p. 137.

65 J W Black, ‘Drugs from emasculated hormones: the principles of synoptic antagonism’ (Nobel Lecture, Dec. 8 1988), in T Frängsmyr (ed.), Nobel lectures in physiology or medicine, 1981–1990, Singapore, World Scientific, 1993, pp. 418–39, on pp. 418–19; also M Weatherall, In search of a cure: a history of pharmaceutical discovery, Oxford University Press, 1990, pp. 240–1.

66 See Maxwell and Eckhardt, op. cit., note 60 above, table 1, p. 12.

67 Ibid., p. 13.

68 J M Cruickshank and B N C Prichard, Beta-blockers in clinical practice, 2nd ed., London, Edinburgh, Churchill Livingstone, 1994, esp. ‘Historical Introduction’, pp. 1–7, on pp. 2–3.

69 See Black's reminiscences on the occasion of his Nobel Prize, in J W Black, ‘Biography of James W Black’, in Frängsmyr (ed.), op. cit., note 65 above, pp. 413–17. See also Fitzgerald, op. cit., note 63 above, pp. 174–5; also M P Stapleton, ‘Sir James Black and propranolol’, Tex. Heart Inst. J., 1997, 24: 336–42, on pp. 338–9.

70 Vos, op. cit., note 28 above, p. 83.

71 Black, ‘Biography’, in Frängsmyr (ed.), op. cit., note 69 above, pp. 414–15.

72 K H George, ‘James Black, English pharmacologist’, in E J McMurray (ed.), Notable twentieth-century scientists, 4 vols, New York, Gale Research, 1995, vol. 1, pp. 185–7, on p. 185. George was obviously unaware that Black is Scottish, not English. See also Black, ‘Drugs from emasculated hormones’, in Frängsmyr (ed.), op. cit., note 65 above, p. 425.

73 Black, ‘Biography’, op. cit., note 69 above, pp. 414–15. Also Vos, op. cit., note 28 above, p. 82.

74 Kennedy, op. cit., note 6 above, p. 136.

75 Weatherall, op. cit., note 65 above, p. 31. Vos, op. cit., note 28 above, pp. 78, 186.

76 Shanks, in a personal communication to Maxwell and Eckhardt, op. cit., note 60 above, p. 13.

77 Gerskowitch, et al., op. cit., note 4 above, p. 435.

78 Kennedy, op. cit., note 6 above, p. 137; Stapleton, op. cit., note 69 above, p. 339.

79 Gerskowitch, et al., op. cit., note 4 above, p. 435.

80 Fitzgerald, op. cit., note 63 above, p. 172.

81 Black published his results in 1959. J W Black, ‘Electrocardiographic changes produced in rabbits by vasopressin (pitressin) and their alteration by prolonged treatment with a commercial heart extract’, J. Pharm. Pharmacol., 1960, 12: 87–94; he also mentioned this research in his first report for ICI. ICI CPR 50: Research Department Report 50/3, 22 Jan. 1959.

82 Black, ‘Biography’, Frängsmyr (ed.), op. cit., note 69 above, p. 415, and personal communication.

83 ICI CPR 1: 8 Jul. 1951; ICI CPR 3: 31 March 1948.

84 See Holland, op. cit., note 12 above, p. 286; also ICI CPR 2: Development Memo for Oct. 1957: visit of Veterinary Services Department to Glasgow Veterinary College and Hospital, 12 Nov. 1957.

85 Kennedy, op. cit., note 6 above, pp. 136–7.

86 Johnson, et al., op. cit., note 25 above, p. 585.

87 The importance of Horsfall's contribution was later recognized by having a new section, called the Biological Electronics Unit, created for him in the Biology/Biochemistry Department. ICI DO772: Administration Section organization chart, 18 March 1971.

88 Woodbridge, op. cit., note 18 above, p. 154 (based on an interview with Black). In 1933, Fourneau synthesized piperoxane, the first of a new class of adrenergic blockers (ibid., p. 143). Although the article in Comptes Rendus was not cited by Woodbridge, it is likely that it was E Fourneau and D Bovet, ‘Recherches sur l'action sympatholytique de nouveaux dérivés du dioxane’, C. r. Soc. biol. fil., 1933, 113: 388–90.

89 Vos, op. cit., note 28 above, p. 84. The Swedish company A B Hässle, which merged first into Astra, and then with ICI's Pharmaceutical Division to form AstraZeneca, also picked up in 1963 the trail left by Fourneau, but unlike ICI did not abandon it (ibid., p. 110). More intriguingly still, in 1915 Fourneau had described the synthesis of phenoxypropanolamines, one of which was later synthesized by ICI and shown to be a beta-blocker. However, back in 1915, the effects of these compounds on the heart was thought to preclude them from being useful in the clinic. See Fitzgerald, op. cit., note 63 above, p. 174.

90 Black, ‘Drugs from emasculated hormones’, op. cit., note 65 above, p. 420.

91 Ibid., pp. 420–2. See also J W Black, ‘A personal view of pharmacology’, Annu. Rev. Pharmacol. Toxicol., 1996, 36: 1–33, on pp. 2–3.

92 ICI CPR 26, ICI Pharmaceuticals Division Joint Report of Organic and Biochemical Sections (1954–7): 1 Jan.–31 March 1956.

93 ICI CPR 50: 50/3, 22 Jan. 1959.

94 Ibid.

95 Barrett, op. cit., note 60 above, p. 213.

96 ICI CPR 50/6: 14 June 1960.

97 Vos, op. cit., note 28 above, p. 85.

98 Woodbridge, op. cit., note 18 above, p. 176.

99 Ibid., pp. 158, 177. Although he had been at ICI for longer, Dunlop's name first appeared in connection with the cardiovascular programme in 1958. See ICI CPR 53/2: 22 Aug. 1958.

100 Barrett's name is first mentioned in ICI CPR 99 1B: Nov.–Dec. 1964 to Jan. 1965.

101 Barrett, op. cit., note 60 above, p. 214.

102 ICI CPR 50/8: 21 Aug. 1961; ICI CPR 56/8: 26 Jan. 1962.

103 ICI CPR 56/8: 26 Jan. 1962.

104 ICI CPR 50/9: 7 Nov. 1962.

105 ICI CPR 56/9: 7 Nov. 1962.

106 ICI CPR 56/9: 7 Nov. 1962.

107 The synthetic anti-histamines used at the time, such as mepyramine and diphenhydramine, did not inhibit the acid secretion stimulated by histamine, hence Black came up with the idea of finding a selective antagonist of histamine's “beta-receptors”. See Gerskowitch, et al., op. cit., note 4 above, p. 436. NB: the first synthetic anti-histamines had in fact been developed by Daniel Bovet, working in Fourneau's laboratory in collaboration with Rhône-Poulenc. See V Quirke, ‘War and change in the pharmaceutical industry: a comparative study of Britain and France in the twentieth century’, special issue of Enterprise and History, 2004, 36: 64–83.

108 Vos, op. cit., note 28 above, p. 85.

109 Ibid., pp. 90–1, see also Vos's note 62, on p. 293.

110 Woodbridge, op. cit., note 18 above, pp. 182–3.

111 Ibid., p. 189.

112 L Finucane, SK&F: from Camberwell to Welwyn Garden City, 1956–1989, Welwyn Garden City, Smith Kline & French Laboratories Ltd., 1989, p. 49. Paget's name first appears in connection with ICI's cardiovascular programme in 1959. See ICI CPR 50/4: 16 June 1959.

113 ICI CPR 56, 56/12: 24 Apr. 1964.

114 Woodbridge, op. cit., note 18 above, pp. 191–3. On Black's enduring influence, see Vos, op. cit., note 28 above, p. 89.

115 Woodbridge, op. cit., note 18 above, p. 193.

116 ICI CPR 99, 2B: Feb.–Apr. 1965 ; CPR 99 3B: May–Aug. 1965.

117 ICI CPR 56/12: 24 Apr. 1964 ; CPR 56/13: 13 Nov. 1964.

118 ICI CPR 56/13: 13 Nov. 1964.

119 Kennedy, op. cit., note 6 above, p. 138; Vos, op. cit., note 28 above, p. 91.

120 B N C Prichard and P M S Gillam, ‘Use of propranolol in the treatment of hypertension’, Br. med. J., 1964, ii: 725; Woodbridge, op. cit., note 18 above, p. 197. See also L Hansson, ‘The use of propranolol in hypertension: a review’, in Hoffbrand, et al., op. cit., note 5 above, pp. 77–80.

121 Woodbridge, op. cit., note 18 above, pp. 212–13.

122 Ibid., p. 228.

123 According to Barrett, this is actually an impediment to therapeutic progress. Barrett, op. cit., note 60 above, pp. 217, 226.

124 Ibid., p. 217.

125 Not only was there Mead Johnson's sotalol, A B Hässle's alprenolol, but also Ciba's oxprenolol, which were all launched around the same time. Woodbridge, op. cit., note 18 above, pp. 198–203, 214.

126 ICI CPR 99, 5B: 25 May 1966.

127 ICI CPR 99, 9B: 6 Nov. 1967.

128 On the role of computers and information science in drug design, see P J Lewi, ‘Computer technology in drug design’, in E J Ariëns (ed.), Drug Design, New York, Academic Press, 1976, vol. 7, pp. 209–75.

129 ICI CPR 99, 13B: 27 March 1969.

130 Woodbridge, op. cit., note 18 above, pp. 219–20.

131 Fitzgerald joined ICI in 1967. See ICI CPR 99, 9B: 6 Nov. 1967.

132 Woodbridge, op. cit., note 18 above, pp. 232–5.

133 ICI CPR 99, 14B: 8 July 1969.

134 ICI CPR 99, 13B: 27 March 1969.

135 Membrane-stabilizing activity was later shown to be unimportant in beta-blockade. See Cruickshank and Prichard, op. cit., note 68 above, p. 7.

136 Woodbridge, op. cit., note 18 above, pp. 254–5.

137 Ibid., pp. 258.

138 ICI CPR 99, 14B: 8 July 1969.

139 ICI CPR 99, 14B: 8 July 1969. On the history of Ventolin, see E Jones, The business of medicine, London, Profile Books, 2001, pp. 330–3.

140 A technique by which fixed ligands bind the receptors in a solution, preventing their flow through a chromatography column, with the effect of separating them from other materials. See J D Robinson, Mechanisms of synaptic transmission: bridging the gaps (1890–1990), Oxford University Press, 2001, p. 159.

141 On the isolation of receptor protein from cell membranes, see ibid., pp. 157–63. Somerville found Lefkowitz's method difficult to reproduce, however.

142 ICI CPR 99, 25B: 27 Feb. 1973.

143 On the importance of quantitative-activity studies in the rise of a rational approach to drug design, see for instance Y C Martin, Quantitative drug design: a critical introduction, New York, Marcel Dekker, 1978.

144 ICI CPR 99, 23B : 16 June 1972.

145 ICI CPR 99, 22B: 7 March 1972.

146 On Hansch's method see Martin, op. cit, note 143 above, and also A Verloop, ‘The use of linear free energy parameters and other experimental constants in structure-activity studies’, in Ariëns (ed.), op. cit., note 60 above, pp. 133–88.

147 ICI CPR 99, 23B: 16 June 1972. Unlike Black, Hässle's researchers believed that moderate beta-receptor stimulant action was useful in a beta-blocker, therefore it is likely that this change of position on ICI's part was a response to competitors' drugs coming onto the market. See Fitzgerald, op. cit., note 63 above, p. 174.

148 ICI CPR 99, 23B: 16 June 1972.

149 ICI CPR B 99, 30B: 23 Oct. 1974.

150 ICI CPR B 99, 30B: 23 Oct. 1974.

151 On this progress from hypothetical entity to tangible object see E J Ariëns, ‘Receptors: from fiction to fact’, Trends Pharmacol. Sci. inaugural issue, 1979, pp. 11–15; and R P Ahlquist, ‘Adrenoceptors’, in ibid., pp. 16–17.

152 ICI CPR B 99, 33B: 20 Oct. 1975. A M Lands had identified β1 and β2 receptors in 1967, concluding that while the former was prominent in cardiac stimulation, the latter played an important role in bronchodilation. A M Lands, et al., ‘Differentiation of receptor systems activated by sympathomimetic amines’, 1967, Nature, 214: 597–8. See Robinson, op. cit., note 140 above, p. 154. The first time β1 and β2 receptors were mentioned in ICI's research reports was in CPR 99, 27B: 22 Oct. 1973.

153 ICI CPR B 99, 30B: 23 Oct. 1974.

154 ICI CPR B 99, 34B: 26 Feb. 1976.

155 ICI CPR 99, 1B: Nov.–Dec. 1964 to Jan. 1965.

156 ICI CPR B 99, 35B: July 1976.

157 See Finucane, op. cit., note 112 above, ch.10. On the history of cimetidine, see also Maxwell and Eckhardt, op. cit., note 60 above, pp. 365–76; and M Ennis and W Lorenz, ‘Histamine receptor antagonists’, in Parnham and Bruinvels (eds), op. cit., note 60 above, pp. 623–45.

158 Holland, op. cit., note 12 above, p. 288.

159 Ibid., pp. 286–7.

160 On the parallels between the two projects, see Finucane, op. cit., note 112 above, p. 50.

161 Black, ‘Biography’, op. cit., note 69 above, p. 415.

162 Davey, op. cit., note 24 above.

163 D A Hounshell, ‘Invention in the industrial research laboratory: individual act or collective process?’, in R J Weber and D N Perkins, Inventive minds: creativity in technology, New York, Oxford University Press, 1992, pp. 273–90.

164 See A W Cuthbert, ‘Men, molecules and machines’, Trends Pharmacol. Sci. inaugural issue (1979): 1–3, on p. 3.