The song of the cell An exploration of medicine and the new human

Siddhartha Mukherjee

Book - 2022

"The discovery of cells--and the reframing of the human body as a cellular ecosystem--announced the birth of a new kind of medicine based on the therapeutic manipulations of cells. A hip fracture, a cardiac arrest, Alzheimer's, dementia, AIDS, pneumonia, lung cancer, kidney failure, arthritis, COVID--all could be viewed as the results of cells, or systems of cells, functioning abnormally. And all could be perceived as loci of cellular therapies. In The Song of the Cell, Mukherjee tells the story of how scientists discovered cells, began to understand them, and are now using that knowledge to create new treatments and new humans"--Dust jacket flap.

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Subjects
Published
New York : Scribner 2022.
Language
English
Main Author
Siddhartha Mukherjee (author)
Edition
First Scribner hardcover edition
Physical Description
xvii, 473 pages, 8 leaves of unnumbered plates : illustrations (some color) ; 24 cm
Bibliography
Includes bibliographical references (381-437) and index.
ISBN
9781982117351
  • Prelude: "The elementary particles of organisms"
  • Introduction: "We shall always return to the cell"
  • Part one: Discovery
  • The original cell: an invisible world
  • The visible cell: "Fictitious stories about the little animals"
  • The universal cell: "The smallest particle of this little world"
  • The pathogenic cell: microbes, infections, and the antibiotic revolution
  • Part two: The one and the many
  • The organized cell: the interior anatomy of the cell
  • The dividing cell: cellular reproduction and the birth of IVF
  • The tampered cell: Lulu, Nana, and the transgressions of trust
  • The developing cell: a cell becomes and organism
  • Part three: Blood
  • The restless cell: circles of blood
  • The healing cell: platelets, clots, and a "modern epidemic"
  • The guardian cell: neutrophils and their kampf against pathogens
  • The defending cell: when a body meets a body
  • The discerning cell: the subtle intelligence of the T cell
  • The tolerant cell: the self, horror antitoxicus, and immunotherapy
  • Part four: Knowledge
  • The pandemic
  • Part five: Organs
  • The citizen cell: the benefits of belonging
  • The contemplating cell: the many-minded neuron
  • The orchestrating cell: homeostasis, fixity, and balance
  • Part six: Rebirth
  • The renewing cell: stem cells and the birth of transplantation
  • The repairing cell: injury, decay, and constancy
  • The selfish cell: the ecological equation and cancer
  • The songs of the cell
  • Epilogue: "Better versions of me".
Review by Choice Review

To learn more about cells--how they came to be and how they function--and be entertained by a skilled storyteller who is also a physician and research scientist, readers can do no better than engage with this volume. Having previously authored The Gene (CH, Dec'16, 54-1766) and the Pulitzer Prize--winning The Emperor of All Maladies (2011), Mukherjee (Columbia Univ.) brings well-known and obscure cell scientists past and present together in a scintillating narrative. He entwines the history of cell science and medicine with occasional examples from his own work, enriching the story through anecdotes highlighting his personal background. Photographic images of featured scientists support the text. Mukherjee waxes nearly poetic in describing the work of earlier scientists, making readers' progress toward understanding the cell as the basic unit of life a vivid experience, evolving from discovery to discovery toward cells' behavior in human reproduction. Included in the story are specific instances in which cell alteration could play a role in disease damage repair. Through cameo portraits of his own patients, Mukherjee recounts successes and failures in his practice and how these events shaped his life. This author's enthusiasm and hopes for the future are infectious, offering an enjoyable read, no matter what readers' backgrounds are. Summing Up: Highly recommended. All readers. --Francis W. Yow, emeritus, Kenyon College

Copyright American Library Association, used with permission.
Review by Booklist Review

Physician-writer Mukherjee (The Gene: An Intimate History, 2016) pays homage to the basic units of all living things, cells. He draws on scientific breakthroughs and medical history, bountiful cellular biology, and current clinical therapies for cancer. Mukherjee's main message emphasizes discovery and opportunities. Cells can be reengineered or repurposed, resulting in transformative medical treatments. He portrays various patients, including a girl whose T cells are manipulated to attack her childhood leukemia, and presents an excellent recounting of the "birth" of in vitro fertilization (IVF), a kind of cell therapy. Mukherjee's coverage of early efforts at bone marrow transplantation is heart-tugging. A discussion of stem cells is first-rate. Certain cells do the darnedest things. For example, microglia cells in the nervous system are assigned the task of "pruning" neural synapses (connections between neurons). Mukherjee allows bits of his personal life to trickle into the discourse, such as how he was "overwhelmed by the most profound wave of depression." In all, this is a distinctive ode to cells--their structure and function, commonalities, diversities, interconnectedness, and limitless possibilities--infused with a sense of wonder and humanity.HIGH-DEMAND BACKSTORY: Pulitzer Prize-winner Mukherjee is a top medical writer with a surefire readership.

From Booklist, Copyright (c) American Library Association. Used with permission.
Review by Publisher's Weekly Review

A better understanding of the cell holds immense power for medicine according to this eye-opening account from Pulitzer winner Mukherjee (The Emperor of All Maladies). He begins with the ground-breaking realization from two 19th-century scientists that every bit of plant and animal tissue in the world is made up of microscopic cells. Since then, Mukherjee writes, there has been "a revolution in the making, and a history (and future) that had been unwritten: of cells, of our capacity to manipulate cells." An extraordinarily gifted storyteller, Mukherjee offers an expansive chronology of discovery in cell therapies (such as IVF) and setbacks, such as the use of thalidomide for pregnancies in the 1960s. He also includes stories of what he calls "new humans"--Mukherjee clarifies that the term isn't a sci-fi-inspired "vision of the future," but rather everyday folks whose health has been restored by advances in cellular manipulation and engineering, such as a patient who recovered from leukemia with cell therapy. The author's ideas about the near future of medicine (one in which medicine will "perhaps even create synthetic versions of cells, and parts of humans") are both convincing and inspiring, and woven throughout his narrative are accessible explanations of cell biology and immunology. This is another winner from Mukherjee. (Oct.)

(c) Copyright PWxyz, LLC. All rights reserved
Review by Library Journal Review

Mukherjee gives us the story of those minuscule, self-regulating packages called cells, from their groundbreaking discovery by English scientist/architect Robert Hooke and Dutch cloth merchant Antonie van Leeuwenhoek to revolutionary new ways cells are being manipulated today to improve human health. Following the Pulitzer Prize-winning The Emperor of All Maladies and the No. 1 New York Times best-selling The Gene.

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Review by Kirkus Book Review

A luminous journey into cellular biology. Mukherjee, a physician, professor of medicine, and Pulitzer Prize--winning author (The Emperor of All Maladies), has a knack for explaining difficult ideas in terms that are both straightforward and interesting. In his latest, he punctuates his scientific explanations with touching, illustrative stories of people coping with cell-based illnesses, tracking how the knowledge gleaned from those cases contributed to further scientific advancement. In the early chapters, the author traces the discovery of cells as the building blocks of animal and plant life, with the invention of the microscope making analysis possible. With this development, researchers could better understand the roles of cells in human physiology, including the illnesses that rogue cells could cause. In the middle section, Mukherjee investigates how scientists then moved on to study the processes through which cells become specialized by function and how some turn cancerous. The identification of the phases of cell division and the discovery of DNA were crucial breakthroughs, opening the way for a new generation of treatments. Mukherjee occasionally digresses from the historical story to provide vivid portraits of key researchers, with recollections about his own work. The final section of the book deals with emerging areas of research such as cell manipulation and gene editing as well as new technologies like transplantation. It's all unquestionably exciting, but the author is careful to acknowledge the knotty ethical considerations. Treating embryos for cellular abnormalities makes medical sense, but the idea of altered human beings has worrying implications. Mukherjee also emphasizes that there is still a great deal we do not know about cells, especially the interactions between types. Understanding the mechanics is one thing, he notes; hearing "the song of the cell" is something else. This poignant idea serves as a suitable coda for a fascinating story related with clarity and common sense. Another outstanding addition to the author's oeuvre, which we hope will continue to grow for years to come. Copyright (c) Kirkus Reviews, used with permission.

Copyright (c) Kirkus Reviews, used with permission.