Book reviewkararogersout of nature. why drugs from plants matter to the future of humanity2012university of arizona presstucson216 pp., 8 b&w illustrations, bibliography index. 6.00 in x 9.00 in/isbn 978-0-8165-2969-8 (pb) us $ 19.95michaelheinrich⁎michael.heinrich@pharmacy.ac.ukcentre for pharmacognosy and phytotherapy, ucl school of pharmacy, university of london, 29–39 brunswick sq., london wc1n 1ax, uk
Out of Nature. Why Drugs from Plants Matter to the Future of
the ‘downstream’ aspects of drug development are not covered,
Humanity, Kara Rogers. University of Arizona Press, Tucson
but it is about what examples exist that allow us humans to use
2012, 216 pp., 8 b&w illustrations, bibliography index. 6.00 in
nature. In several of the cases she discusses a more detailed
x 9.00 in/ISBN: 978-0-8165-2969-8 (pb) US $ 19.95
analysis would have been useful and would have provided a muchstronger argument for her case. For example, she discusses the
We must reconnect with nature, with the world that ulti-
failed development of Hoodia. spp. into a medicine for use in
mately defines our existence and produces our foods and
obesity or diabetes (pp. 148–149), but does not address the
complexity its development. It was first developed into a poten-tial medicine (a ‘drug’) and later into a food supplement (i.e. with
In the field of biodiversity research and ethnopharmacol-
a much weaker or no medical claim). Ultimately, projects to
ogy few if any will have doubts about this statement by the
develop it into a new food supplement were halted, mostly
freelance science writer and senior editor of biomedical
because of concerns in terms of safety ).
sciences at Encyclopaedia Britannica, Inc. We humans not
Similarly, one could have incorporated some of the more success-
only depend on plants and other elements of the environment
ful recent examples of drug discovery like peplin or galanthamine
for our daily lives (, but these also offer a diverse
set of resources used as food, for building up our environment,
One of her key arguments centres on the exciting concept of
and as it is most widely studied, as medicines. While all these
biophilia or in other words the innate human attraction to life
examples highlight the empirical importance of plants (
in the natural world. She argues that in order to reconnect to
nature we need to reawaken this drive and that this will be an
elements of life and death, a topic which has been a long-
essential basis for conservation efforts and developing new
standing element in a wide range of academic disciplines (e.g.
drugs. This is a fascinating point and certainly one well worth
supporting. However, how was it possible that ‘we’ discon-
As is evident from the quote at the beginning K Rogers’
nected to nature and in fact, who did (and who did not)
emphasis is on the broader science-based links and certainly less
disconnect? Again, as an ethnopharmacologist one could have
on local and traditional forms of connecting with nature. In this
easy to read and very well argued book she explores the
It certainly is less of a book for an advanced (and enclosed)
‘‘Western’’ societies’ relationship with the environment (or nat-
scholarly debate, but one would certainly hope that many
ure) and the relevance of plant-based natural products to drug
decision makers in industry, the societies of the world and politics
discovery. This not seen in isolation but linked to the threats
engage with such a science-based analysis. It also is certainly
associated with the loss of biodiversity.
useful in some undergraduate courses providing examples for
Using stories about drug development from natural sources
how to make use of biodiversity and on what strategies are
she discusses a wide range of biological and environmental
needed in order to achieve this. In her style she is very personal
and well as pharmacological topics. In a quote on the back
and engaging, and the use of stories makes the topics very
cover Mark Merlin links the book to ‘‘ethnobotanical aspects
accessible. Her dedication to the topic is also shown by her
of people-landscape and people plant species relationships’’.
beautiful drawings of plants and maps which illustrate some of
However, this is exactly what the book is not about and
her key points. However, at the same time this personal style is
as such this statement is misleading. It is much more about
also a limitation. Telling such stories does not as such provide
how humans in Western societies have made use of plants to
strategies to overcome these huge problems, and as such the book
develop medicines and not about the interdependence of
is a call but not a plan for action.
humans and plants especially in local and traditional societies,
which remains the key focus of ethnobotany. The book covers
many of the core themes discussed today including the
responsibilities arising from the Convention on Biological
Diversity (1992) and subsequent treaties. The book is not
Blom, W.A.M., Abrahamse, S.L., Bradford, R., Duchateau, G.S.M.J.E., Theis, W., Orsi,
about ‘ready to use’ recipes on how to protect biodiversity, but
A., Ward, C.L., Mela, D.J., 2011. Effects of 15-d repeated consumption of Hoodia
about the ‘why’. Today ‘nature’ – the communities of plants,
gordonii purified extract on safety, ad libitum energy intake, and body weight
animals and microorganisms – does not sit in an economic
in healthy, overweight women: a randomized controlled trial. The AmericanJournal of Clinical Nutrition 94, 1171–1181.
and political vacuum, but are essential for determining what
Etkin, N., 1988. Ethnopharmacology: biobehavioral approaches in the anthropo-
actions need to be taken to assess, monitor and conserve them
logical study of indigenous medicines. Annual Review of Anthropology 17,
Heinrich, M., 2010. Ethnopharmacology and drug development. In: Mander, L., Lui,
Also, it is not about the ‘drug discovery pipeline’ as such but
H.-W. (Eds.), Comprehensive Natural Products II Chemistry and Biology, Vol. 3.
about the importance of nature in this context. As such many of
Book review / Journal of Ethnopharmacology ] (]]]]) ]]]–]]]
Heinrich, M., Teoh, H.L., 2004. Galanthamine from snowdrop—the development of
a modern drug against Alzheimer’s disease from local Caucasian knowledge.
Centre for Pharmacognosy and Phytotherapy,
Journal of Ethnopharmacology 92, 147–162.
UCL School of Pharmacy, University of London,
Heywood, V., 2011. Ethnopharmacology, food production, nutrition and biodiver-
sity conservation: towards a sustainable future for indigenous peoples. Journal
29–39 Brunswick Sq., London WC1N 1AX, UK
Moerman, D.E., 1979. The anthropology of symbolic healing. Current Anthropology
Ortiz de Montellano, B., 1975. Empirical Aztec medicine. Science 188, 215–220.
CASE STUDY 19 Reduced-Duration Tuberculosis Treatment: Tuberculosis (TB) is caused by Mycobacterium tuber- administered for six to eight months, often under the culosis , slow-growing bacteria that thrive in areas of direct observation of a health-care provider. The four-the body that are rich in blood and oxygen. TB in the drug regimen consists of isoniazid, rifampin, pyraz