-Good science demands independent replication of new ideas and results and abandonment of accepted theories in light of more reliable evidence. Failure to comply leads to damaging bad science, as with the falsely claimed association between measles, mumps and rubella vaccination and autism. Progress of good science also often requires serendipity, 'making discoveries by accident and sagacity of things not sought'. Work on the pentraxin proteins, C-reactive protein (CRP) and serum amyloid P component (SAP), and on amyloidosis, has benefited from abundant serendipity, leading to routine clinical use of CRP measurements, the invention of SAP scintigraphy for amyloidosis, the establishment of the NHS National Amyloidosis Centre providing superior patient care, and latterly the invention of a novel pharmacological mechanism for therapeutic depletion of pathogenic proteins. New drugs using this mechanism are in development for amyloidosis and cardiovascular disease and potentially also Alzheimer's disease, type II diabetes and other tissue damaging conditions. KEY WORDS: amyloidosis, C-reactive protein, serum amyloid P component
The nature of scienceWhat is science? An excellent definition is given by EO Wilson: 'Science is the systematic enterprise of gathering knowledge about the world and organising it and condensing that knowledge into testable laws and theories' . 1 In order for a claim or observation to be considered rigorously scientific it must be testable experimentally and must accurately predict how the relevant aspect of the world works. Robert Park, an eminent physicist and director of the Washington office of the American Physical Society, succinctly observes that if either condition is not met then: We all easily recognise commercial advertising but it is particularly important to identify advertising masquerading as science.Rigorous science and the scientific method are immensely powerful, and have been responsible for all progress in modern medicine and beyond. I will not provide examples or otherwise defend that statement in this College and before this audience because the case has been extensively rehearsed elsewhere, most recently in the outstanding 'Sense about Science' lecture given in March 2007 by Raymond Tallis. 4 Rather, I wish to focus on the difference between good science, which can be a majestic expression of the highest achievement of the human intellect and spirit, and bad science, which is misleading, wasteful, often damaging and sometimes lethal.A necessary condition for good science is that it must function within the strict guidelines of the s COLLEGE LECTURES 562