You have already met aspirin, a benzene ring with a -COOH group and an ester link. Its story starts in the bark of willow trees, and it works by fitting an enzyme.
In 1763 Edward Stone, a clergyman in England, wrote to the Royal Society that powdered willow bark brought down fevers. In 1828 the German chemist Johann Buchner took the active molecule out of the bark as crystals and named it salicin, after Salix, the Latin name for willow. Your body turns salicin into salicylic acid. In 1838 the Italian chemist Raffaele Piria made salicylic acid from salicin in the lab.
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By the 1870s doctors gave salicylic acid for pain and fever. It worked, and it was hard on the stomach. In 1897 Felix Hoffmann, a chemist at the Bayer company in Germany, made a pure, stable form of acetylsalicylic acid: salicylic acid whose -OH group has joined an ethanoyl group, -COCH₃, the piece of ethanoic acid that ends up in an ester. Charles Gerhardt in France had first made it, less pure, in 1853. Bayer sold it as Aspirin from 1899.
How aspirin eases pain
Your cells make messenger molecules called prostaglandins, which bring on pain, swelling and fever. An enzyme called cyclooxygenase, COX for short, makes them. In 1971 the British pharmacologist John Vane showed that aspirin stops cells making prostaglandins, and he shared the 1982 Nobel Prize in Physiology or Medicine for this work.
Aspirin fits the channel that leads into COX's active site. There, its ester link meets an -OH group on the side group of one of the enzyme's amino acids, serine. The ethanoyl group moves across and joins the enzyme's oxygen, making a new ester, and the rest of the molecule floats away as salicylic acid.
The ethanoyl group stays bonded to the enzyme and sits across the channel, so the enzyme's own molecule can no longer get in. That COX is blocked for good, and the cell has to build new enzyme to make prostaglandins again. Most medicines let go of their target after a while. Aspirin, and penicillin later in this lesson, make a covalent bond to their enzyme and stay.