Paul Langerhans
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Paul Langerhans (25 July 1847 – 20 July 1888) was a
German German(s) may refer to: * Germany, the country of the Germans and German things **Germania (Roman era) * Germans, citizens of Germany, people of German ancestry, or native speakers of the German language ** For citizenship in Germany, see also Ge ...
pathologist Pathology is the study of disease. The word ''pathology'' also refers to the study of disease in general, incorporating a wide range of biology research fields and medical practices. However, when used in the context of modern medical treatme ...
,
physiologist Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a subdiscipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out chemical and ...
and
biologist A biologist is a scientist who conducts research in biology. Biologists are interested in studying life on Earth, whether it is an individual Cell (biology), cell, a multicellular organism, or a Community (ecology), community of Biological inter ...
, credited with the discovery of the cells that secrete
insulin Insulin (, from Latin ''insula'', 'island') is a peptide hormone produced by beta cells of the pancreatic islets encoded in humans by the insulin (''INS)'' gene. It is the main Anabolism, anabolic hormone of the body. It regulates the metabol ...
, named after him as the
islets of Langerhans The pancreatic islets or islets of Langerhans are the regions of the pancreas that contain its endocrine (hormone-producing) cells, discovered in 1869 by German pathological anatomist Paul Langerhans. The pancreatic islets constitute 1–2% o ...
.


Eponymous terms

*
Islets of Langerhans The pancreatic islets or islets of Langerhans are the regions of the pancreas that contain its endocrine (hormone-producing) cells, discovered in 1869 by German pathological anatomist Paul Langerhans. The pancreatic islets constitute 1–2% o ...
Pancreatic cells which include
insulin Insulin (, from Latin ''insula'', 'island') is a peptide hormone produced by beta cells of the pancreatic islets encoded in humans by the insulin (''INS)'' gene. It is the main Anabolism, anabolic hormone of the body. It regulates the metabol ...
-producing cells. Langerhans discovered these cells during his studies for his
doctorate A doctorate (from Latin ''doctor'', meaning "teacher") or doctoral degree is a postgraduate academic degree awarded by universities and some other educational institutions, derived from the ancient formalism '' licentia docendi'' ("licence to teach ...
at the Berlin Pathological Institute in 1869. *
Langerhans cell A Langerhans cell (LC) is a tissue-resident macrophage of the skin once thought to be a resident dendritic cell. These cells contain organelles called Birbeck granules. They are present in all layers of the epidermis and are most prominent in t ...
s – Skin cells concerned with the
immune response An immune response is a physiological reaction which occurs within an organism in the context of inflammation for the purpose of defending against exogenous factors. These include a wide variety of different toxins, viruses, intra- and extracellula ...
and which sometimes contain Langerhans granules. In 1868, Langerhans used the technique taught to him by
Julius Friedrich Cohnheim Julius Friedrich Cohnheim (20 July 1839 – 15 August 1884) was a German-Jewish pathologist. Biography Cohnheim was born at Demmin, Pomerania. He studied at the universities of Würzburg, Marburg, Greifswald, and Berlin, receiving his doctoral de ...
to stain a sample of human skin with gold chloride and identified the cells which bear his name. From their appearance, Langerhans believed they were nerve cells. However they are a form of
macrophages Macrophages (; abbreviated MPhi, φ, MΦ or MP) are a type of white blood cell of the innate immune system that engulf and digest pathogens, such as cancer cells, microbes, cellular debris and foreign substances, which do not have proteins that ...
that were originally thought to be
dendritic cells A dendritic cell (DC) is an antigen-presenting cell (also known as an ''accessory cell'') of the mammalian immune system. A DC's main function is to process antigen material and present it on the cell surface to the T cells of the immune system ...
due to their morphology. * Layer of Langerhans – In the same paper in which he described Langerhans cells, he described the granular cells in the exterior portion of the Malpighian layer of the epidermis, the stratum granulosum otherwise known as the Layer of Langerhans. * Langerin – CD207, langerin (Cluster of Differentiation 207) is a protein which in humans is encoded by the CD207 gene. It is expressed in the Birbeck granules of Langerhans cells.


Early education

Langerhans was born in
Berlin Berlin ( ; ) is the Capital of Germany, capital and largest city of Germany, by both area and List of cities in Germany by population, population. With 3.7 million inhabitants, it has the List of cities in the European Union by population withi ...
on 25 July 1847, the son of a
physician A physician, medical practitioner (British English), medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the Medical education, study, Med ...
. He later entered the renowned
Evangelisches Gymnasium zum Grauen Kloster The Evangelisches Gymnasium zum Grauen Kloster, located in suburban Schmargendorf, Berlin, is an independent school with a humanistic profile, known as one of the most prestigious schools in Germany. Founded by the Evangelical Church in West Berl ...
in the same city. Due to his outstanding performance he was exempted from the final oral examinations. He began his medical studies at the
University of Jena The University of Jena, officially the Friedrich Schiller University Jena (, abbreviated FSU, shortened form ''Uni Jena''), is a public research university located in Jena, Thuringia, Germany. The university was established in 1558 and is cou ...
and completed them in Berlin.Langerhans, Paul
deutsche-biographie.de


Major scientific contributions

In February 1869, he presented a thesis entitled "Contributions to the microscopic anatomy of the
pancreas The pancreas (plural pancreases, or pancreata) is an Organ (anatomy), organ of the Digestion, digestive system and endocrine system of vertebrates. In humans, it is located in the abdominal cavity, abdomen behind the stomach and functions as a ...
," in which he refers to ''islands of clear cells'' throughout the gland, staining differently than the surrounding tissue. He noticed that these areas were more richly innervated, but he could not suggest a function, except for the incorrect hypothesis that they might be
lymph node A lymph node, or lymph gland, is a kidney-shaped organ of the lymphatic system and the adaptive immune system. A large number of lymph nodes are linked throughout the body by the lymphatic vessels. They are major sites of lymphocytes that includ ...
s. One year before, still as an
undergraduate Undergraduate education is education conducted after secondary education and before postgraduate education, usually in a college or university. It typically includes all postsecondary programs up to the level of a bachelor's degree. For example, ...
, he analysed epidermal skin cells as part of an open competition organised by Berlin University. The ''branched skin cells resembling neuron,'' described in his paper entitled "On the nerves of the human skin," remained an enigma for over a century before their immunological function and significance were recognised.


Early career and disease

After graduation, he accompanied the geographer Richard Kiepert to
Syria Syria, officially the Syrian Arab Republic, is a country in West Asia located in the Eastern Mediterranean and the Levant. It borders the Mediterranean Sea to the west, Turkey to Syria–Turkey border, the north, Iraq to Iraq–Syria border, t ...
,
Palestine Palestine, officially the State of Palestine, is a country in West Asia. Recognized by International recognition of Palestine, 147 of the UN's 193 member states, it encompasses the Israeli-occupied West Bank, including East Jerusalem, and th ...
and western
Jordan Jordan, officially the Hashemite Kingdom of Jordan, is a country in the Southern Levant region of West Asia. Jordan is bordered by Syria to the north, Iraq to the east, Saudi Arabia to the south, and Israel and the occupied Palestinian ter ...
, but returned to Europe at the outbreak of the
Franco-Prussian War The Franco-Prussian War or Franco-German War, often referred to in France as the War of 1870, was a conflict between the Second French Empire and the North German Confederation led by the Kingdom of Prussia. Lasting from 19 July 1870 to 28 Janua ...
and later served in an ambulance unit in
France France, officially the French Republic, is a country located primarily in Western Europe. Overseas France, Its overseas regions and territories include French Guiana in South America, Saint Pierre and Miquelon in the Atlantic Ocean#North Atlan ...
. In 1871,
Rudolf Virchow Rudolf Ludwig Carl Virchow ( ; ; 13 October 18215 September 1902) was a German physician, anthropologist, pathologist, prehistorian, biologist, writer, editor, and politician. He is known as "the father of modern pathology" and as the founder o ...
arranged a position for him as prosector in
pathological anatomy Anatomical pathology (''Commonwealth'') or anatomic pathology (''U.S.'') is a medical specialty that is concerned with the diagnosis of disease based on the gross examination, macroscopic, Histopathology, microscopic, biochemical, immu ...
at the
University of Freiburg The University of Freiburg (colloquially ), officially the Albert Ludwig University of Freiburg (), is a public university, public research university located in Freiburg im Breisgau, Baden-Württemberg, Germany. The university was founded in 1 ...
, and within two years he became a full professor. It was there in 1874 that he contracted
tuberculosis Tuberculosis (TB), also known colloquially as the "white death", or historically as consumption, is a contagious disease usually caused by ''Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can al ...
, very likely because of his work in the dissecting room. In search of a cure, he travelled to
Naples Naples ( ; ; ) is the Regions of Italy, regional capital of Campania and the third-largest city of Italy, after Rome and Milan, with a population of 908,082 within the city's administrative limits as of 2025, while its Metropolitan City of N ...
,
Palermo Palermo ( ; ; , locally also or ) is a city in southern Italy, the capital (political), capital of both the autonomous area, autonomous region of Sicily and the Metropolitan City of Palermo, the city's surrounding metropolitan province. The ...
, the island of
Capri Capri ( , ; ) is an island located in the Tyrrhenian Sea off the Sorrento Peninsula, on the south side of the Gulf of Naples in the Campania region of Italy. A popular resort destination since the time of the Roman Republic, its natural beauty ...
, and underwent treatments at
Davos Davos (, ; or ; ; Old ) is an Alpine resort town and municipality in the Prättigau/Davos Region in the canton of Graubünden, Switzerland. It has a permanent population of (). Davos is located on the river Landwasser, in the Rhaetian ...
and
Silvaplana Silvaplana (Romansh language, Romansh: ) is a municipalities of Switzerland, municipality in the Maloja Region in the Switzerland, Swiss Cantons of Switzerland, canton of Graubünden and the name of a lake in the municipality. History The first ...
in
Switzerland Switzerland, officially the Swiss Confederation, is a landlocked country located in west-central Europe. It is bordered by Italy to the south, France to the west, Germany to the north, and Austria and Liechtenstein to the east. Switzerland ...
, but all in vain: he was forced to apply for release from his university duties.


Consequences, Madeira and marriage

In October 1875 he embarked for
Funchal Funchal () officially Funchal City (), is the capital, largest city and a Municipality (Portugal), municipality in Portugal's Madeira, Autonomous Region of Madeira, bordered by the Atlantic Ocean. The city has a population of 105,795, making it ...
on the island of
Madeira Madeira ( ; ), officially the Autonomous Region of Madeira (), is an autonomous Regions of Portugal, autonomous region of Portugal. It is an archipelago situated in the North Atlantic Ocean, in the region of Macaronesia, just under north of ...
, where he made a partial recovery and launched himself into a new career with undiminished energy. He began studying marine worms, making regular trips down to the harbour to pick over the fishermens' nets. His publications describing and classifying marine
invertebrates Invertebrates are animals that neither develop nor retain a vertebral column (commonly known as a ''spine'' or ''backbone''), which evolved from the notochord. It is a paraphyletic grouping including all animals excluding the chordate subphylum ...
deserve to rank as his third contribution to science. In 1887, he gave a lecture on these topics to the Royal Academy in Berlin. He practiced as a physician in Funchal, treating mostly fellow tuberculosis sufferers, and published scientific papers about the condition in Virchow's archive. Not content with this, he also wrote a handbook for travellers to the island, and pursued studies in
meteorology Meteorology is the scientific study of the Earth's atmosphere and short-term atmospheric phenomena (i.e. weather), with a focus on weather forecasting. It has applications in the military, aviation, energy production, transport, agricultur ...
. In 1885, he married Margarethe Ebart, the widow of one of his patients. They travelled to Berlin for the wedding, and he met his father, sisters and two brothers for the last time. The newly-weds rented Quinta Lambert, known as the most beautiful villa in Funchal and now the Official Residence of the President of the Regional Government. In the words of his new bride "three indescribably happy years" followed.


Death

In autumn of 1887, progressive renal failure brought his medical activities to an end. He developed leg
oedema Edema (American English), also spelled oedema (British English), and also known as fluid retention, swelling, dropsy and hydropsy, is the build-up of fluid in the body's tissue. Most commonly, the legs or arms are affected. Symptoms may inclu ...
, crippling headaches and transient memory loss. Sometimes he stopped in the middle of a sentence and was unable to continue. He died of uraemia on 20 July 1888, five days before his 41st birthday. He is buried in the British Cemetery of Funchal on
Madeira Madeira ( ; ), officially the Autonomous Region of Madeira (), is an autonomous Regions of Portugal, autonomous region of Portugal. It is an archipelago situated in the North Atlantic Ocean, in the region of Macaronesia, just under north of ...
, a place he had chosen, describing it as a "true graveyard, isolated and quiet, a good place to rest."


References


Further reading

* * * *


External links

*
Digitization (Bayerische Staatsbibliothek)
*
Digitization (Niedersächsische Staats- und Universitätsbibliothek Göttingen)
*
Digitization (SLUB Dresden)
{{DEFAULTSORT:Langerhans, Paul 1847 births 1888 deaths 19th-century German biologists German pathologists Scientists from Berlin Scientists from the Kingdom of Prussia Physicians from the Province of Brandenburg German military personnel of the Franco-Prussian War History of Madeira Deaths from kidney failure German military doctors Prussian Army personnel German physiologists Burials in Madeira Island