Deborah
Doniach was a remarkable person who made outstanding contributions
to medical research. She was a pioneer in the establishment of
new paradigms in immunology which have provided the stimulus for
far reaching studies into disorders now recognized to be a damaging
consequence of reaction of the patient’s immune system with
their own tissues – so-called autoimmune disease.
She was born on April 6, 1912
in Geneva Switzerland, the oldest of three daughters. Her father,
Arieh Abileah, was a distinguished concert pianist and accompanist
of Josef Szigetti, the noted violinist. He later emigrated to
Palestine where he was a Professor at the Jerusalem conservatory
of music for many years. Her mother was Fee Helles, born Fea
Geller in Poltava, Ukraine and inspired by Isadora Duncan, she
created a novel School of Dance and Movement in Paris.
Deborah had a checkered childhood during
the World War I period, and eventually moved to Paris where
she was educated at Lycée Molière, and
later became a medical student at the Sorbonne. She
interrupted her studies to marry Sonny (Israel) Doniach with
whom she moved to London to begin a long and happy marriage.
Eventually she enrolled in the Royal Free Medical School. After
graduation she worked as an assistant lecturer in chemical pathology
at the Middlesex Hospital, London and as a research assistant
first at the Royal Free Hospital and then crucially, at the
Middlesex as an endocrinologist with the eminent thyroid surgeon,
Rupert Vaughan-Hudson. Afterwards she joined the newly-formed
Department of Immunology where she soon became an Honorary Consultant
Immunopathologist and Professor of Clinical Immunology.
In 1956, in the course of her research
on patients with the thyroid inflammatory disorder, Hashimoto’s
disease, she noted that the serum protein fraction containing
the body’s general store of antibodies which protect against
infection fell from elevated to normal levels after removal
of the thyroid. Also aware that the patient’s thyroid
contained many plasma cells, normally known to produce antibodies
to foreign moieties such as microbes, she astutely formed the
idea that they were responding to a stimulus within the gland
itself. As chance would have it, Ivan Roitt and Peter Campbell
working in the same Medical School (later to merge with University
College London), were examining the possibility that autoimmune
reactions to milk proteins might help to restrain the growth
of certain breast cancers, so it was perhaps inevitable that
interaction between Doniach, Roitt & Campbell would generate
the hypothesis that the plasma cells in the Hashimoto gland
might be reacting against normal thyroid components. It was
rapidly confirmed that the serum of these patients did in fact
react with normal thyroid extracts, and such was the import
of these observations and the percipience of the then current
editors of The Lancet, that the preliminary communication was
published within a week of receipt!
Thus began an extremely fruitful partnership
between Doniach and Roitt with collaboration from many gifted
postdoctoral scientists and clinicians including, amongst others,
Keith Taylor, Giorgio Torrigiani, Noel Ling, David El-Kabir,
Geoffrey Walker, Dame Sheila Sherlock, Gianfranco Bottazzo,
Alex Florin-Christensen, Hemmo Drexhage, Rita Mirakian, Maurizio
Rizetto and Ricardo Pujol-Borel, with loyal technical support
from Marlene and Granville Swana. They elucidated the nature
of the thyroid components evoking autoantibodies in Hashimoto’s
disease, revealed the involvement of the acid-producing parietal
cells in the gastric autoimmunity of pernicious anaemia, and
formulated the concept of a spectrum of autoimmune disorders
ranging from organ-specific or restricted diseases such as Hashimoto
thyroiditis and pernicious anaemia at one pole, with the rheumatological
disorders involving antibodies to widely distributed body components
such as DNA, at the other. Later, intensive studies revealed
the central role of mitochondrial autoimmunity in the liver
disease, primary biliary cirrhosis. After a period of 13 years
or so, Deborah pursued a wonderfully productive independent
pathway which uncovered the critical evidence for autoimmunity
in insulin-dependent diabetes mellitus, and the existence of
thyroid growth-promoting and -inhibitory antibodies. The care
she had for the patients in her Thyroid Clinic and her awareness
of the diagnostic value of the antibodies in these autoimmune
diseases were driving forces behind the initial establishment
of a diagnostic Clinical Immunology Routine Service, now provided
by virtually all major pathology laboratories. She received
numerous awards including the 1957 Van Meter Prize of the American
Goitre Association, the 1964 Gairdner Award Toronto (both jointly)
and in 1967 the Prize of the British Postgraduate Federation;
she was elected ‘Woman Scientist of the Year’ in
1984 by the Association of American Women Scientists.
Deborah retired in her mid-70’s
but never lost her enthusiasm for reading about science. Indeed,
she was enthusiastic not just about science but also, as a true
scholar, the pursuit of knowledge for its own sake. She would
take subjects like the works of Shakespeare, Byron, Freud, Molière
and at the end, Spinoza and delve deeply into each of them with
an academic relish that it would behoove many of us and our
students to emulate. Her many talents included fluency in several
languages and an accomplished soprano voice. She loved the arts
but could not abide sports, and found her delightful husband’s
interest in football on TV utterly incomprehensible. Deborah
was a warm and friendly person, open always to new ideas and
always willing to help young research workers and clinicians.
Her extraordinary zest for life was inspiring and guaranteed
that never a dull moment would be had in her company. As the
saying goes, she will be a hard act to follow.
Tragically, her daughter died at the
age of 20 and she sorely missed her husband who passed away
in 2001. She is survived by her two sisters, Miriam Bendor and
Maia Helles, her son, Sebastian, a Professor of Physics at Stanford
University, California, five grandchildren and seven great-grandchildren.
Professor Ivan M. Roitt, FRS
University College London