Donald S. Fredrickson
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Donald Sharp "Don" Fredrickson (August 8, 1924 – June 7, 2002) was an American
medical research Medical research (or biomedical research), also known as health research, refers to the process of using scientific methods with the aim to produce knowledge about human diseases, the prevention and treatment of illness, and the promotion of ...
er, principally of the
lipid Lipids are a broad group of organic compounds which include fats, waxes, sterols, fat-soluble vitamins (such as vitamins A, D, E and K), monoglycerides, diglycerides, phospholipids, and others. The functions of lipids include storing ...
and
cholesterol Cholesterol is the principal sterol of all higher animals, distributed in body Tissue (biology), tissues, especially the brain and spinal cord, and in Animal fat, animal fats and oils. Cholesterol is biosynthesis, biosynthesized by all anima ...
metabolism, and director of
National Institutes of Health The National Institutes of Health (NIH) is the primary agency of the United States government responsible for biomedical and public health research. It was founded in 1887 and is part of the United States Department of Health and Human Service ...
and subsequently the
Howard Hughes Medical Institute The Howard Hughes Medical Institute (HHMI) is an American non-profit medical research organization headquartered in Chevy Chase, Maryland with additional facilities in Ashburn, Virginia. It was founded in 1953 by Howard Hughes, an American busin ...
. Wyngaarden JB. "Donald Sharp Fredrickson". In ''Biographical Memoirs''. National Academy of Sciences 2006;87:164-179.
Fulltext
Reprinted from ''Proc Am Phil Soc'' 2004;148(3):382-393
PDF
.


Biography

Fredrickson was born in
Cañon City, Colorado Cañon City ( ) is a List of municipalities in Colorado#Home rule municipality, home rule city that is the county seat and the List of municipalities in Colorado, most populous municipality of Fremont County, Colorado, United States. The city p ...
. His father was a county judge and the owner of Fredrickson Brown, an independent insurance agency. After high school he commenced
medical school A medical school is a tertiary educational institution, professional school, or forms a part of such an institution, that teaches medicine, and awards a professional degree for physicians. Such medical degrees include the Bachelor of Medicine, ...
at the
University of Colorado The University of Colorado (CU) is a system of public universities in Colorado. It consists of four institutions: the University of Colorado Boulder, the University of Colorado Colorado Springs, the University of Colorado Denver, and the U ...
, but completed his studies at the
University of Michigan The University of Michigan (U-M, U of M, or Michigan) is a public university, public research university in Ann Arbor, Michigan, United States. Founded in 1817, it is the oldest institution of higher education in the state. The University of Mi ...
after being transferred there by the army. During a cycling trip in
the Netherlands , Terminology of the Low Countries, informally Holland, is a country in Northwestern Europe, with Caribbean Netherlands, overseas territories in the Caribbean. It is the largest of the four constituent countries of the Kingdom of the Nether ...
he met his future wife, Priscilla Eekhof, and they married two years later. They had two sons. Between 1949 and 1952 he worked as a resident and subsequently as a fellow in
internal medicine Internal medicine, also known as general medicine in Commonwealth nations, is a medical specialty for medical doctors focused on the prevention, diagnosis, and treatment of diseases in adults. Its namesake stems from "treatment of diseases of ...
at the Peter Bent Brigham Hospital (now part of Brigham and Women's Hospital) in Boston. Much of his published work from this period is in the field of
endocrinology Endocrinology (from ''endocrine system, endocrine'' + ''wikt:-logy#Suffix, -ology'') is a branch of biology and medicine dealing with the endocrine system, its diseases, and its specific secretions known as hormones. It is also concerned with the ...
. Subsequently he spent a year in the laboratory of Ivan Frantz, a cholesterol biochemist, at
Massachusetts General Hospital Massachusetts General Hospital (Mass General or MGH) is a teaching hospital located in the West End neighborhood of Boston, Massachusetts. It is the original and largest clinical education and research facility of Harvard Medical School/Harvar ...
.


Lipid research

In 1953 he took up a post at the National Heart Institute, part of the
National Institutes of Health The National Institutes of Health (NIH) is the primary agency of the United States government responsible for biomedical and public health research. It was founded in 1887 and is part of the United States Department of Health and Human Service ...
in
Bethesda, Maryland Bethesda () is an unincorporated, census-designated place in southern Montgomery County, Maryland, United States. Located just northwest of Washington, D.C., it is a major business and government center of the Washington metropolitan region ...
. Initially, he worked with protein chemist and Nobel laureate Christian B. Anfinsen, and subsequently (with Daniel Steinberg) developed an interest in the metabolism of
cholesterol Cholesterol is the principal sterol of all higher animals, distributed in body Tissue (biology), tissues, especially the brain and spinal cord, and in Animal fat, animal fats and oils. Cholesterol is biosynthesis, biosynthesized by all anima ...
and
lipoprotein A lipoprotein is a biochemical assembly whose primary function is to transport hydrophobic lipid (also known as fat) molecules in water, as in blood plasma or other extracellular fluids. They consist of a triglyceride and cholesterol center, sur ...
s, as well as related medical conditions such as Niemann-Pick disease. His group identified Tangier disease (HDL deficiency) and
cholesteryl ester storage disease Lysosomal acid lipase deficiency (LAL deficiency or LAL-D) or Wolman disease, is an autosomal recessive inborn error of metabolism that results in the body not producing enough active lysosomal acid lipase (LAL) enzyme. This enzyme plays an import ...
, two inborn errors of cholesterol metabolism. He played a prime role in the identification of several
apolipoprotein Apolipoproteins are proteins that bind lipids (oil-soluble substances such as fats, cholesterol and fat soluble vitamins) to form lipoproteins. They transport lipids in blood, cerebrospinal fluid and lymph. The lipid components of lipoprotei ...
s (proteins that characterise the nature of a blood lipid particle): APOA2,
APOC1 Apolipoprotein C-I is a protein component of lipoproteins that in humans is encoded by the ''APOC1'' gene. Function The protein encoded by this gene is a member of the apolipoprotein C family. This gene is expressed primarily in the liver, ...
, APOC2 and APOC3. In 1967 Fredrickson co-authored the paper that described the classification of lipoprotein abnormalities in five types, depending on the pattern of lipoprotein
electrophoresis Electrophoresis is the motion of charged dispersed particles or dissolved charged molecules relative to a fluid under the influence of a spatially uniform electric field. As a rule, these are zwitterions with a positive or negative net ch ...
; this became known as the
Fredrickson classification Hyperlipidemia is abnormally high levels of any or all lipids (e.g. fats, triglycerides, cholesterol, phospholipids) or lipoproteins in the blood. citing: and The term ''hyperlipidemia'' refers to the laboratory finding itself and is also use ...
. It was adopted as the mondial standard by the
World Health Organization The World Health Organization (WHO) is a list of specialized agencies of the United Nations, specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Gen ...
in 1972. His group also conducted the first trials of pharmacological cholesterol reduction in the prevention and treatment of
cardiovascular disease Cardiovascular disease (CVD) is any disease involving the heart or blood vessels. CVDs constitute a class of diseases that includes: coronary artery diseases (e.g. angina, heart attack), heart failure, hypertensive heart disease, rheumati ...
.


Textbooks

From 1960 he worked, with John Stanbury and James Wyngaarden, on several editions of the encyclopedic medical textbook ''The Metabolic and Molecular Bases of Inherited Disease''.


Directorships

Apart from his work in research, Fredrickson was involved in the management of the NHI from an early stage. He was clinical director from 1960 onward and from 1966 general director of NHI. In 1974 he left the NHI (then already the National Heart and Lung Institute) to head the
Institute of Medicine The National Academy of Medicine (NAM), known as the Institute of Medicine (IoM) until 2015, is an American nonprofit, non-governmental organization. The National Academy of Medicine is a part of the National Academies of Sciences, Engineerin ...
of the
National Academy of Sciences The National Academy of Sciences (NAS) is a United States nonprofit, NGO, non-governmental organization. NAS is part of the National Academies of Sciences, Engineering, and Medicine, along with the National Academy of Engineering (NAE) and the ...
. Nine months later he was asked by president
Gerald Ford Gerald Rudolph Ford Jr. (born Leslie Lynch King Jr.; July 14, 1913December 26, 2006) was the 38th president of the United States, serving from 1974 to 1977. A member of the Republican Party (United States), Republican Party, Ford assumed the p ...
to become head of the
National Institutes of Health The National Institutes of Health (NIH) is the primary agency of the United States government responsible for biomedical and public health research. It was founded in 1887 and is part of the United States Department of Health and Human Service ...
, a task he commenced on 1975-06-01. One of the main issues that occupied him was the controversy over research involving
recombinant DNA Recombinant DNA (rDNA) molecules are DNA molecules formed by laboratory methods of genetic recombination (such as molecular cloning) that bring together genetic material from multiple sources, creating sequences that would not otherwise be fo ...
. Already in 1973 there had been scientists urging a ban on such research for environmental reasons. Fredrickson released a guideline that restricted release of genetically modified organisms into the environment, and called into existence a body that would advise on these matters and had to approve any NIH research involving recombinant DNA technology. Fredrickson is credited with restoring confidence in this form of research. A second controversy involved
congressional A congress is a formal meeting of the representatives of different countries, constituent states, organizations, trade unions, political parties, or other groups. The term originated in Late Middle English to denote an encounter (meeting of ad ...
control over the NIH in general. Some feel that Fredrickson's decision to resign from his position in 1981 was fuelled by these controversies. The recombinant DNA controversy was the subject of a book published by Fredrickson in 2001. After 1981 Fredrickson was scholar-in-residence at the
National Academy of Sciences The National Academy of Sciences (NAS) is a United States nonprofit, NGO, non-governmental organization. NAS is part of the National Academies of Sciences, Engineering, and Medicine, along with the National Academy of Engineering (NAE) and the ...
for two years, but in 1983 he was recruited to become the vice-president of the
Howard Hughes Medical Institute The Howard Hughes Medical Institute (HHMI) is an American non-profit medical research organization headquartered in Chevy Chase, Maryland with additional facilities in Ashburn, Virginia. It was founded in 1953 by Howard Hughes, an American busin ...
, a privately run health research charity. At that stage, the institute was still the owner of the
Hughes Aircraft Company The Hughes Aircraft Company was a major American aerospace and defense contractor founded on February 14, 1934 by Howard Hughes in Glendale, California, as a division of the Hughes Tool Company. The company produced the Hughes H-4 Hercules air ...
, and Fredrickson participated in the negotiations that led to the sale (for $5.2 billion) to
General Motors General Motors Company (GM) is an American Multinational corporation, multinational Automotive industry, automotive manufacturing company headquartered in Detroit, Michigan, United States. The company is most known for owning and manufacturing f ...
. He made substantial changes to the institute's research programme. He resigned in 1987 when the trustees of the institute discovered that there had been financial malversations under his presidency.


Later years

Fredrickson returned to the NIH, resuming work on lipid diseases and writing for the
National Library of Medicine The United States National Library of Medicine (NLM), operated by the United States federal government, is the world's largest medical library. Located in Bethesda, Maryland, the NLM is an institute within the National Institutes of Health. I ...
. He participated in the genetic elucidation of Tangier disease, which he had himself described in the 1960s. He was a member of the
National Academy of Sciences The National Academy of Sciences (NAS) is a United States nonprofit, NGO, non-governmental organization. NAS is part of the National Academies of Sciences, Engineering, and Medicine, along with the National Academy of Engineering (NAE) and the ...
, the
American Academy of Arts and Sciences The American Academy of Arts and Sciences (The Academy) is one of the oldest learned societies in the United States. It was founded in 1780 during the American Revolution by John Adams, John Hancock, James Bowdoin, Andrew Oliver, and other ...
, and the
American Philosophical Society The American Philosophical Society (APS) is an American scholarly organization and learned society founded in 1743 in Philadelphia that promotes knowledge in the humanities and natural sciences through research, professional meetings, publicat ...
. He was personal physician to
Hassan II of Morocco Hassan II (; 9 July 1929 – 23 July 1999) was King of Morocco from 1961 until his death in 1999. A member of the Alawi dynasty, he was the eldest son of King Mohammed V of Morocco, Mohammed V, and his second wife Princess Lalla Abla ...
, and had a close personal friendship with the king until the latter's death in 1999. He was found dead, face-down, in his
swimming pool A swimming pool, swimming bath, wading pool, paddling pool, or simply pool, is a structure designed to hold water to enable Human swimming, swimming and associated activities. Pools can be built into the ground (in-ground pools) or built abo ...
in 2002. He is buried in
Leiden Leiden ( ; ; in English language, English and Archaism, archaic Dutch language, Dutch also Leyden) is a List of cities in the Netherlands by province, city and List of municipalities of the Netherlands, municipality in the Provinces of the Nethe ...
,
the Netherlands , Terminology of the Low Countries, informally Holland, is a country in Northwestern Europe, with Caribbean Netherlands, overseas territories in the Caribbean. It is the largest of the four constituent countries of the Kingdom of the Nether ...
. His papers are held at the National Library of Medicine in Bethesda, Maryland.


References


External links


The Donald S. Fredrickson Papers
Profiles in Science, National Library of Medicine
Donald S. Fredrickson Papers (1910-2002)
National Library of Medicine finding aid {{DEFAULTSORT:Fredrickson, Donald American physiologists American medical researchers 1924 births 2002 deaths University of Michigan Medical School alumni People from Cañon City, Colorado Directors of the National Institutes of Health Ford administration personnel Carter administration personnel University of Colorado alumni Members of the American Philosophical Society Members of the National Academy of Medicine