MacFarlane then joined the staff of the Lister Institute of Preventative Medicine. She served as secretary of the Anaerobic Wound Infections sub-committee there and was a prolific researcher and publisher of scientific articles, including discovering and characterising several toxins for the first time.[3][4][5] One of her most significant discoveries came in 1941 when, along with her colleague B.C.J.G. Knight, she isolated the toxin of Clostridium welchii and showed that it was an enzyme.[6][7] This was the first time it had been demonstrated that a toxin could attack cell membranes in this way, and opened up the possibility of developing an anti-toxin to combat this bacterium, which had been one of the main causes of gas gangrene in World War I.[8]