Sunday, October 9, 2011

Beriberi and a Rough Australian Trip


         My other blog, Dr. Amedeo, is currently sporting a blurb about Aboriginal Australian ancestry (Ancient Humans post).  I thought an excellent parallel this week would be for this blog, Amedeo, to discuss the lost Australian expedition of 1860-1861 and how it relates to a problem called beriberi.

                Let’s meet the stars of the show.

                Robert O’Hara Burke
Born in Ireland, member of Australian army, police inspector

                William John Wills
Born in England, studied in Melbourne with interest in astronomy, meteorology and chemistry

                John King
                                Born in Ireland, military experience in India, camels
            
                Charles Gray
                                British sailor

                So what did these guys do?  In 1860, an expedition set out whose purpose was “for transversing the unknown interior of the Australian continent.”  While the coasts of Australia had been settled, the vast interior of the continent remained both unexplored and widely unknown.  The hopes for the expedition were to study the plants and animals of Australia as well as collect meteorological, geographical and astronomical data.  The leader would be one Robert O’Hara Burke and he chose William John Wills as his deputy.  They amply supplied themselves with both useful and illogical items.  Interestingly, the party became convinced that camels were essential to the journey since both deserts and the Australian bush were extremely hot (but had very little else in common).  

                No one had crossed Australia from the south to the north before so an added bonus of their trip would be the notoriety of being first to do so.  Unfortunately, competition for the title came in the form of John McDouall Stuart.  Burke became increasingly concerned that Stuart would beat his expedition (which was large and moved quite slowly), so he split the party by leaving groups behind in different places.  Eventually, the whittled entourage became Burke, Wills, Gray and King.  These four men took rations and successfully reached the north shore of Australia before Stuart.  

                This is where things start to go downhill for our explorers.  Monsoon season was upon them so traveling home was slow and rations were being depleted.  Their (arguably) biggest mistake was turning to the land, which they knew little about, to supplement their food supply.  Upon seeing signs of Aborigines eating mussels from a fresh water creek, our explorers procured some and ate.  They also began making nardoo, which is commonly made from a local fern by Aboriginal tribes.

                Not long after, Charles Gray died.  He had suffered on the journey home: he was unable to walk and spoke incoherently.  One night, he was found eating directly from their extremely depleted flour rations.  He had claimed he craved it and couldn’t help himself.  The others did not understand how he could steal from them, especially since the others were also finding their health to be failing.  Their legs felt paralyzed, they felt inexplicable exhaustion, pain and listlessness.

                Their exploration originally was large and those left behind knew Burke, Wills, Gray and King would need supplies on their return, so rations had been stored in known places.  These stores helped the men’s health greatly and their odd symptoms began to recede.  

                However, the men still wanted to supplement their supplies with food from the land so they went to back making nardoo. Burke and Wills would pound and clean the plant while King was out trying to collect more.  Hypothermia began to plague them in addition to fatigue, weakness, low pulse rates, and their bodies began to waste away.  Wills and Burke died.

                Miraculously, King was discovered by local Aborigines who nursed him back to health on a diet of nardoo, fish and local animals.  He was eventually rescued and returned to Melbourne, but his health was permanently damaged.

                What in the world was wrong with these men?

                They suffered from beriberi, which is a deficiency of thiamine (also called vitamin B1, Figure 38.1).   This little molecule is essential to many cellular functions and must be obtained through our diet.  One of the first signs a body is lacking thiamine is neurological defects, such as confusion and irritability.  This eventually progresses to serious problems with the peripheral nervous system and cardiovascular problems followed by death.



                Unknowingly, the men were ingesting large amounts of thiaminase I, a protein whose job is to break down thiamine.  The mussels they ate were Velesunio ambiguus, which contain thiaminase I.  From the journals left behind, it is unclear whether the men cooked the mussels or ate them raw.  Proper cooking would have destroyed the protein and saved their health.  

   This is about to become a common theme.

                When nardoo is prepared by the Aborigines, ferns are ground into a thin paste, kept separate from other food, and diluted with water.  The expedition men ground their plants then boiled it in water.  The fern is full of thiaminase I (Figure 38.2).   The Aboriginal preparation ensured that thiaminase I was inactive.  The explorers way did not.  The men continued to eat the protein, which continued to break down any thiamine they were able to eat and their health plummeted.  Obviously when they recovered rations left behind, their health improved, but only went downhill again when they returned to nardoo.



                The most interesting part of all this was Gray’s eating of the flour.  Flour is full of thiamine.  Gray’s body clearly knew what it needed and forced him to crave the one food it knew had it.

                I had never heard of this story before listening to a podcast from “Stuff You Missed in History Class” from the website www.howstuffworks.com.  You can find it on iTunes by searching the podcast name and hunting through their archives of shows.  I highly recommend these podcasts if you have time in the car and get sick of music! 

Nardoo – a food prepared from the fern Marsilea Drummondii

Beriberi – a disease caused by a body’s deficiency in the vitamin thiamine

Vitamin – any organic molecule that is required by the body but the body cannot make itself (so it must be found in the diet)

Thiaminase I – a protein that breaks down thiamine


REFERENCES


Earl and McClearly. “Mystery of the poisoned expedition.” Nature (1994) 368(6473) pgs 683 – 684.

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