Claude Bernard (12th Jul 1813 to 10th Feb 1878)

 CLAUDE BERNARD IS CALLED AS "FATHER OF MODERN PHYSIOLOGY" 


The contribution of this great man, “Claude Bernard” to the field of physiology is enormous. He is a French physiologist and is rightly called as “Father of Modern Physiology”. His most important contribution to the field of physiology was his concept of the internal environment of the organism, which led to the present understanding of homeostasis—i.e., the self-regulation of vital processes. He is also known for his other discoveries which include discoveries concerning the role of the pancreas in digestion, the glycogenic function of the liver, and the regulation of the blood supply by the vasomotor nerves.

Early days of Claude Bernard: Claude Bernard started teaching at his cottage for local children at a very young age, when his father incurred huge losses in his winegrowing business. His mother was from a peasant background. After the death of his father, the entire responsibility fell on his shoulders. Being from a winegrower background, the educational opportunities were very scarce to him. Claude started his schooling in the church school and his later education was done at Jesuit College in Villefranche-sur-Saone. He showed a little academical interest and was more interesting in making new friends at the school Claude's parents were disappointed with his school performance and arranged for him to spend a further year in the College Royal of Thoissey. He became interested in philosophy, in particular by René Descartes’ emphasis on the quest for truth stimulated by doubt. At that time, his main interests were focused to Romantic writers, and he himself wrote two books, a piece of vaudeville comedy (‘La Rose du Rhône’) and a five-act historical tragedy (‘Arthur de Bretagne’). When searching for an editor in Paris in 1834, one of them advises him to abandon his projects for literature, and Claude Bernard began his medical studies at the Faculty of Medicine of Paris. There, he shared a lodging together with Charles Lassègue (the future prominent neurologist).
 
Following lectures by François Magendie, Professor of Experimental Medicine at the Collège de France, he decided to devote his own life to experimental physiology and, because of his skillful aptitudes, he was engaged by Magendie in 1841 as a research assistant (préparateur). By deference to the methodological approach and scientific interests of his mentor, his first experimental studies were orientated towards the nervous system and chemical aspects of digestion. During his whole life, Claude Bernard will acknowledge Magendie’s positive influence on his own career. In 1843, Claude Bernard became a medical doctor but failed to qualify for teaching medicine, and he had to work in the private laboratory of a close friend.
 
Claude Bernard and Milieu interior: The word “milieu interior” was coined by Claude Bernard. The literal meaning of milieu interior in French is “environment within”. He proposed that all the cells in our body is bathed in the ECF which acts as the internal environment and all the activities of the cell depend on the internal environment.
 
Scientific Discoveries by Claude Bernard

Among the discoveries made by Claude Bernard, the major ones were: 
  1. Role of pancreas in digestion. Role of Liver in maintaining glucose homeostasis. 
  2. Types of vasomotor nerves and their actions. 
Pancreas experiment of Claude Bernard: 

The hypothesis at the time of Claude Bernard was that, the gastric and pancreatic juice contain the same digestive principle. Claude wanted to check the truthfulness of the above hypothesis. He created an artificial pancreatic fistula in a dog and he further collected the pancreatic juice. He found that gastric and pancreatic juice contained totally different enzymes. Pancreatic juice contained a powerful enzyme which could emulsify the fat which was absent in gastric juice.

Role of Liver in maintaining glucose homeostasis: 

The theory that was prevailing at the time of Claude Bernard was that, the sugar was metabolized in the body particularly by the respiratory system. He tried to identify the organ from which the sugar in the body was disappearing. He starved few dogs and was assessing for glucose in blood coming out of various organs. Surprisingly he found that blood from the portal vein had a high amount of glucose, even though the dogs were starving. He found that the sugar which was there in the blood was actually the sugar which has come out of the liver. This concept has helped us to understand the present functions of liver in glucose homeostasis. 

In 1855, by flushing with water the vessels from an isolated liver and by leaving the organ for one night, he demonstrated that sugar was derived from an unsolvable substance present in the hepatic tissue. He isolated that substance in 1857, called it glycogen, and showed that is was similar to starch. Types of vasomotor nerves and their actions: 

The Third greatest discovery of claude Bernard was the two types of vasomotor nerves. He found that there were two types of nerves, vasodilatator nerves (which dilate the lumen of the blood vessel) and vasoconstrictors (which shrink the lumen of the blood vessel). 

All of these discoveries of Claude Bernard astonished the physiologists worldwide. Even in Germany, the Physiologist Du Bois-Reymond had to acknowledge in 1860: “this discoverer, more lucky than anyone, now forces everybody to look toward the vivisection table in the College of France”. 
Later he was compelled to abandon his studies due to his illness and he wrote a book “Introduction to the study of experimental medicine”. In this book he establishes as general principles his thoughts about experimentation in physiology and medicine. Bernard uses cases from his own practice to illustrate experimental procedure and scientific reasoning in medicine. He argues against custom and authority as guides to sound decision-making, insisting that a theory disproved by experiment must be abandoned forthwith. Bernard’s work becomes itself a customary and authoritative guide to the provision of medical care. 

Claude Bernard occupied the seat 29 at the Académie française from 1868 and was succeeded by Ernest Renan. When he died in 1878, he was accorded a public funeral, an honor that had never before bestowed in France to a man of science, and his grave resides in Père Lachaise cemetery in Paris. He has been the father of a scientific revolution, and his heritage is still active nowadays in parallel with the current genetic revolution.