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In 1984 Cox returned to Samoa as an ethnobotanist, propelled
there by personal misfortune. That year, Cox's mother had died a
long and painful death from cancer. After witnessing her
suffering, Cox experienced a revelation of sorts. Well aware of
the rich tradition of folk healing he had observed a decade
earlier, he now hoped to find a cure for cancer. "I vowed I
would do whatever I could to fight the disease that killed my
mother," he writes in Nafanua: Saving the Samoan Rain Forest, a
book being published this fall that recounts his work and life
in Samoa.
This time he brought along his wife and four young children. The
family settled on the island of Savai'i in the isolated village
of Falealupo, the westernmost point of Western Samoa, one of the
world's poorest countries (average annual per capita income:
$100). Here, far from many of the Western influences of
neighboring American Samoa, Cox felt he could learn about the
plants and the healers who use them before both vanished.
Major technological advances in screening processes have helped
Cox and other ethnobotanists immensely. Pharmacologists must
analyze between 10,000 and 17,000 chemical compounds before
finding one with the potential to be tested for efficacy in
humans. Until recently, animal testing and clinical trials of a
single drug required an average 12 years of research and cost up
to $300 million. But initial screening can now be done in a
matter of days without using animals. Molecular biologists are
able to isolate enzymes that can trigger human diseases, then
expose those enzymes to a plant's chemical compounds. If a plant
extract blocks the action of a particular enzyme--say, one that
promotes a skin inflammation--they know the plant has drug
potential. By extracting specific chemicals from the leaves,
roots or bark with a series of solvents and testing each sample
individually, scientists can determine which of the plant's
thousands of compounds actually blocks the enzyme.
As a result of these advances, about 100 U.S. companies are
searching out plants. Drug companies and scientific institutions
are collaborating on field research all over the globe, racing
to study as many natural substances as possible before they, or
the native people who use them, disappear. Some work with the
handful of ethnobotanists like Cox to ferret out drug candidates
based on their knowledge of indigenous peoples. Others use a
broad-brush approach, mass-collecting plants whose chemical
compounds might contribute to new drugs.
One of the most extensive prospecting efforts is the National
Cancer Institute's, which is focusing on screening plants for
compounds active against the AIDS virus and nine major types of
cancer. Since 1986, the NCI has received samplings of thousands
of different species from ethnobotanists as well as such
institutions as the New York Botanical Garden, the Missouri
Botanical Garden and the University of Illinois at Chicago.
In contrast to random collecting, Cox feels, ethnobotanical
field research provides a far more streamlined way of locating
plants that have medical potential. "Indigenous people have been
testing plants on people for thousands of years," says Cox. More
important, healers may alert ethnobotanists to nuances that
random collecting could miss. Take Homalanthus nutans, a
rain-forest tree whose bark Samoans have used for centuries as a
cure for hepatitis. Cox quickly found that he could not just
casually go into the forest and gather the bark because 1) there
are two varieties of the tree, and the bark of only one is
effective, and 2) only trees of a certain size produce the
desired extract.
After Cox collected the proper bark samples, he sent them to the
NCI in the mid-1980s for testing. One isolate, called
prostratin, appeared to inhibit growth of the AIDS virus, at
least in the test tube, leading the NCI to patent it. If
prostratin should ever be developed and approved by the Food and
Drug Administration, both the Western Samoan government and the
citizens of Falealupo could be in for a windfall under a royalty
arrangement that Cox worked out between both entities and the NCI.
Cox has located three other medically promising plants. Two of
the plants, used by Samoans to control skin inflammations, are
being investigated by a pharmaceutical firm. The third doubles
the life span of infection-fighting T lymphocytes in the test
tube; its effect in the human body is not yet known. Cox's
family has already benefited from the anti-inflammatories. After
his infant daughter Hillary came down with a skin infection that
did not respond to Western ointments, a healer ground up some
leaves; the resulting greenish goo made the infection disappear.
When Cox's son Paul Matthew was stung by wasps, healers rubbed
bark on the wounds, and the swelling vanished.
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