Professor Barry Marshall AC FRACP FRS FAA
(30 September 1951 - )
Medical Laboratory Scientist & Gastroenterologist
Nobel Laureate 2005
Introduction
Professor Barry Marshall is a Nobel Laureate, Clinical
Professor and UWA Brand Ambassador at The University of Western Australia.
Professor Marshall (1974 UWA graduate) and Emeritus Professor J Robin Warren
were awarded the 2005 Nobel Prize for Physiology or Medicine for their
discovery of the bacterium Helicobacter pylori (H.pylori) and its role in
gastritis and peptic ulcer disease.
Marshall and Prof. Robin Warren showed that the bacterium
Helicobacter pylori (H. pylori) plays a major role in causing many peptic
ulcers, challenging decades of medical doctrine holding that ulcers were
caused primarily by stress, spicy foods, and too much acid. This discovery
has allowed for a breakthrough in understanding a causative link between
Helicobacter pylori infection and stomach cancer.
Education
Marshall was born in Kalgoorlie, Western Australia and lived in Kalgoorlie
and Carnarvon until moving to Perth at the age of eight. His father held
various jobs, and his mother was a nurse. He is the eldest of four siblings.
He attended Newman College for his secondary education and the University of
Western Australia School of Medicine, where he received a Bachelor of
Medicine, Bachelor of Surgery (MBBS) in 1974. He married his wife
Adrienne in 1972 and has four children.
Marshall obtained a bachelor’s degree from the University of Western
Australia in 1974. From 1977 to 1984 he worked at Royal Perth Hospital, and
he later taught medicine at the University of Western Australia, where he
also was a research fellow.
Opportunities & Experiences
In the early 1980s Marshall became interested in the research of Warren, who
in 1979 had first observed the presence of spiral-shaped bacteria in a
biopsy of a patient’s stomach lining. The two began working together to
determine the significance of the bacteria. They conducted a study of
stomach biopsies from 100 patients that systematically showed that the
bacteria were present in almost all patients with gastritis, duodenal ulcer,
or gastric ulcer. Based on these findings, Warren and Marshall proposed that
the bacterium Helicobacter pylori was involved in causing those
diseases.
This contradicted the commonly held belief that peptic
ulcers resulted from an excess of gastric acid that was released in the
stomach as the result of emotional stress, the ingestion of spicy foods, or
other factors. It also challenged the traditional treatments, which included
antacid medicines and dietary changes, by supporting a curative regimen of
antibiotics and acid-secretion inhibitors.
In 1982 Marshall and Warren obtained funding for one year
of research. The first 30 out of 100 samples showed no support for their
hypothesis. However, it was discovered that the lab technicians had been
throwing out the cultures after 2 days. This was standard practice for
throat swabs where other organisms in the mouth rendered cultures as not
useful after 2 days. Due to other hospital work, the lab technicians did not
have time to immediately throw out the 31st test on the second day, and so
it stayed from Thursday through to the Monday. In this sample, they
discovered the presence of H. pylori. It turns out that H.
pylori grow more slowly than 2 days, and also that the stomach cultures
are not contaminated by other organisms.
In 1983 they submitted their findings so far to the Gastroenterological
Society of Australia, but the reviewers turned their paper down, rating it
in the bottom 10% of those they received in 1983.
After failed attempts to infect piglets in 1984, Marshall, after having a
baseline endoscopy done, drank a broth containing cultured H. pylori,
expecting to develop, perhaps years later, an ulcer.Hoping to persuade skeptics, Marshall drank a culture of H.
pylori and within a week began suffering stomach pain and other
symptoms of acute gastritis. Stomach biopsies confirmed that he had
gastritis and showed that the affected areas of his stomach were infected
with H. pylori. He was surprised when, only three days later, he
developed vague nausea and halitosis (due to the achlorhydria, there was no
acid to kill bacteria in the stomach, and their waste products manifested as
bad breath), noticed only by his mother. On days 5–8, he developed
achlorhydric (no acid) vomiting. On day eight, he had a repeat endoscopy,
which showed massive inflammation (gastritis), and a biopsy from which
H. pylori was cultured, showing it had colonised his stomach. On the
fourteenth day after ingestion, a third endoscopy was done, Marshall began
to take antibiotics and was cured.
After his work at Fremantle Hospital, Marshall did
research at Royal Perth Hospital (1985–86) and at the University of
Virginia, USA (1986–present), before returning to Australia while remaining
on the faculty of the University of Virginia. He held a Burnet Fellowship at
the University of Western Australia (UWA) from 1998–2003. Marshall continues
research related to H. pylori and runs the H. pylori Research Laboratory at
UWA.
Professor Marshall returned to Perth and UWA in 1996 after a tenure at the
University of Virginia. Today, Professor Marshall is the Director of The
Marshall Centre for Infectious Diseases Research and Training, which was
founded in his honour. In addition to H. pylori research, the Marshall
Centre is at the forefront of infectious disease identification and
surveillance, diagnostics and drug design, and transformative discovery.
Professor Marshall has several projects including studying the relationship
H. pylori has with the immune system. Recent research has found children
with H. pylori are 45 per cent less likely to develop asthma. With this as a
basis, Professor Marshall and his team are developing a medication that uses
the bacteria to rebalance an overactive immune system and prevent asthma and
food allergies.
The Helicobacter pylori Research Group is taking up the challenge to develop
new diagnostics and treatments to target H. pylori across the globe. The
research team is focused on the prevention, diagnosis and treatment of H.
pylori using clinical microbiology, molecular biology, immunology, genomics
and systems biology.
Another brainchild of Professor Marshall is the Noisy Guts Project.
Irritable Bowel Syndrome is a perplexing and persistent problem affecting 11
per cent of the world’s population. Research shows a strong correlation
between gut noises and gut disorders, and his team are developing a safe,
non-invasive screening, monitoring and diagnostic tool.
In 2007, Marshall accepted a part-time appointment at the
Pennsylvania State University.
Awards
Prior to winning the Nobel Prize, Marshall had received
the Albert Lasker Clinical Medical Research Award (1995) and the Benjamin
Franklin Medal (1999) for his work on H. pylori. He also wrote
several books, including Helicobacter Pioneers (2002), a collection of
historical first-hand accounts of scientists who studied Helicobacter.
Marshall also received the Warren Alpert Prize in 1994;
the Australian Medical Association Award and the Albert Lasker Award for
Clinical Medical Research in 1995; the Gairdner Foundation International
Award in 1996; the Paul Ehrlich and Ludwig Darmstaedter Prize in 1997; the
Golden Plate Award of the American Academy of Achievement, the Dr A.H.
Heineken Prize for Medicine, the Florey Medal, and the Buchanan Medal of the
Royal Society in 1998.
He was elected a Fellow of the Royal Society (FRS) in 1999.
Also, the Keio Medical Science Prize
in 2002; and the Australian Centenary Medal and Macfarlane Burnet Medal and
Lecture in 2003.
Marshall was appointed a Companion of
the Order of Australia in 2007. He was awarded an honorary Doctor of Science
degree by the University of Oxford in 2009.
Marshall was elected Fellow of the Australian Academy of Health and Medical
Sciences (FAHMS) in 2015.
These Days
These days, apart from his duties as a
Nobel laureate, university professor, researcher, medical doctor and
renowned speaker, Prof. Marshall devotes time to his own bio tech startup,
Ondek, which is developing products that use Helicobacter pylori
bacterium to cure allergies.
In August 2020 Barry Marshall, along with Simon J.
Thorpe, accepted a position at the scientific advisory board of Brainchip
INC, a computer chip company.
Did You Know?
The Nobel Prize is not a single prize, but five separate
prizes that, according to Alfred Nobel's 1895 will, are awarded "to
those who, during the preceding year, have conferred the greatest
benefit to humankind”.
Nobel Prizes are awarded in the fields of Physics, Chemistry,
Physiology or Medicine, Literature, and Peace (Nobel characterized
the Peace Prize as "to the person who has done the most or best to
advance fellowship among nations, the abolition or reduction of
standing armies, and the establishment and promotion of peace
congresses"). Nobel Prizes are widely regarded as the most
prestigious awards available in their respective fields.
The prize ceremonies take place annually. Each recipient (known as a
"laureate") receives a gold medal, a diploma, and a monetary award.
In 2020, the Nobel Prize monetary award is 10,000,000 SEK, or
US$1,145,000, or €968,000, or £880,000.[4] A prize may not be shared
among more than three individuals, although the Nobel Peace Prize
can be awarded to organizations of more than three people. Although
Nobel Prizes are not awarded posthumously, if a person is awarded a
prize and dies before receiving it, the prize is presented.
The Nobel Prizes, beginning in 1901 and the Nobel Memorial Prize in
Economic Sciences, beginning in 1969, have been awarded 603 times to
962 people and 25 organizations. Four individuals have received more
than one Nobel Prize including Marie Curie.
Website nobelprize.org
To see the list of Australians who have won the Nobel Prize, click
here.
YouTube:
Barry Marshall at GYSS 2023 – How bad luck, incompetence & fraud,
delayed a discovery by 100 years- you will need to advance to 7mins as there was
technical difficulties at the beginning. https://youtu.be/EDN0-0OKLFc
YouTube:
The Barry J Marshall Library: UWA Science Library renamed in Nobel
Laureate's honour https://youtu.be/AO1T-NhcVoU
Community
of Inquiry: Scientific Proof
MiddleSecondary
Australian
Curriculum General Capability:Critical and creative thinking Australian
Curriculum General Capability:Personal and social capability Australian
Curriculum General Capability:Literacy
Australian
Curriculum General Capability:
Numeracy
Australian
Curriculum General Capability: Ethical Understanding
Philosophy
Cooperative
Learning Activity
1. As a class, you are going to conduct a
Community of Inquiry. Read over the structure and process of a
CoI before commencing this activity.
2. Your stimulus material is an
article written in
July 2019 and the YouTube videos above. Split up the resources
so all the class as different aspects to this discussion.
3. As a class group, read through
the article above paragraph by paragraph.
4. In pairs, write up a question
for each of the four quadrants below:
5. Put all the "Questions for
Thinking" on a piece of butcher's paper or the board and collate
those questions that seem to be asking the same thing. The question
which is asked most, starts off the classroom discussion.
This list was provided in The Conversation after
Prof. Richard Robson was awarded the Nobel Prize in Chemistry 2025
Here are all the Australians who have won the
Nobel Prize in Science from 1915