Studies in immunity: more especially with reference to some of the reactions of complement; and, to the seat of origin of complement and immune body

Abstract

#1. The method of investigating the seat of origin of antibodies, especially the haemolysins, bactericidal bodies and precipitins, by means of "Organ extracts" is valueless: and no reliance can be placed on results derived by such a method. #2. Normal rabbits, injected intravenously with ox blood corpuscles, show Immune body, in their blood, against ox blood corpuscles, for the first time, on or about the third day. #3. Normal rabbits, from which the spleen alone, the spleen and thyroid, the thyroid alone, or one Kidney has been removed and into which, within a week or so after the operation, ox blood corpuscles have been injected intravenously, show, like the controls, Immune body, against ox blood corpuscles * for the first time on or about the third day. #4. The total leucocyte count of perfectly normal rabbits may vary in different individuals between roughly 4,000 and 15,000; in individual rabbits, in ordinary and exaggerated conditions of laboratory life, as regards feeding time of day &c., the total leucocytes do not vary beyond 3,000 on either side of a mean per Cram,that is beyond the limits to be allowed for experimental error. #5. The differential count, as regards polymorphonuclears and lymphocytes, varies so much, under ordinary laboratory conditions, in the same rabbit, at different times, and in different rabbits, that conclusions should be drawn, with great caution, from any variation under experimental conditions. #6. The spleen was removed from a normal rabbit. Two days after its removal, it was injected intravenously with ox blood corpuscles. Immune body appeared in its blood in three days and yet there was no leucocytosis. To adopt the usual criterion this may be taken as evidence that a compensatory action on the part of the hone marrow and lymphatic apparatus has been excluded. #7. Injections into normal rabbits, intravenously, intraperitoneally, and subcutaneously, of even large amounts of ox blood corpuscles do not produce a variation in the total leucocyte count beyond that in control animals. #8. Such injections, - and I speak here with the greatest caution - produce no effect on the differential count. #9. From the above results, I would conclude provisionally, that so far as such methods can settle such a question, there is great probability that neither, the spleen, nor the bone marrow, nor the lymphatic apparatus, nor the kidney, is the seat of formation in rabbits, of Immune body against ox blood corpuscles. #10. Normal rabbits, from whom blood, a haemoiysin, agglutinin and precipitin for ox blood has been carefully excluded, after being fed for some time on ox blood, show in their blood all of these active principles. This gives some support to the view, to be advanced in this paper, that the formation of antibodies is allied to the ordinary physiological processes of assimilation: and as the liver is accredited by physiologists with a high role in such processes, to the liver being regarded provisionally as a possible seat of formation of Immune body, - (for sensitised ox blood corpuscles. #11. The amount of complement in leech, citrate, fluoride, and oxalate plasmas of the rabbit is the same as in the corresponding leech, citrate, fluoride, and oxalate sera. #12. Normal aqueous humour of rabbits and the fluid from a tape worm cyst of the rabbit, do not contain complement for sensitised ox blood corpuscles. They are both highly specialised secretions. #13. The fluid that collects in a short time after puncture in the anterior chamber of the eye and Blister fluids do contain, such complement. They are both of the nature of transudates from the blood vessels. #14. As showing the highly specialised nature of the secretion in the anterior chamber of the eye, some rabbits, with a blood serum, of very high titre in Immune body against ox blood corpuscles, may have none of this Immune body in even 0.5cc of their aqueous humour). #15. Normal rabbits may be bled to the extent of more than one third of their blood at one sitting, or of more than one half within 18 hours without showing any change in the complement content of their serum for sensitised ox blood corpuscles . #16. If a normal rabbit, whose blood has been ascertained to be free from Immune body against ox blood corpuscles, be injected intravenously with a large amount of ox blood corpuscles - 28cc equivalent to 56cc defibrinated blood - the ox blood corpuscles can be recognised in the rabbit's general circulation until about the third day. At that time there is a critical formation of Immune body, a critical disappearance of the ox blood corpuscles, and a critical haemoglobinuria. contrary to what Sachs found, I did not observe any variation in the complement content for ox blood corpuscles in such an experiment. #17. The infection intravenously into normal rabbits of unsensitised ox blood corpuscles, even in very large quantity, does not produce any diminution of complement. The injection intravenously into normal rabbits, of an amount of sensitised or saturated ox blood corpuscles calculated to be sufficient to use up all the complement in the rabbit's body produces no reduction of the complement, while the injection of four times the calculated amount of such corpuscles into a similar rabbit, produces a scarcely perceptible diminution of the complement. On the other hand, the injection intravenously into rabbits, which have been immunised against ox blood corpuscles, of a quantity of fresh, sensitised, or saturated corpuscles far from sufficient to use up all the calculated amount of complement in the animal's body, markedly reduces the complement content of the animal's blood. Such animals often die rapidly. The possible explanation of both Phenomena may be,that the sudden lysis sets free stromata, which absorb the complement and further block the capillaries of the lung and other organs. #18. If a normal rabbit be injected intraperitoneally with inactivated Immune serum against rabbit corpuscles, obtained by injecting a guinea pig with rabbit corpuscles, this heated immune serum appears to be absorbed into the rabbits bloodyto find complement there free in the blood, to unite with it and to cause extracellular haemolysis of the rabbi'ts red blood corpuscles and intense haemoglobinuria. #19. There is great probability therefore, that complement exists, free in the circulating plasma of the blood, and that, further, the organ, producing complement, must be one of great metabolic activity and of exceptional powers of regeneration. #20. The extirpation of the spleen and of the thyroid in rabbits may be said to cause no variation in the complement content of rabbits' serum. #21. Taking such things in relation, with the positive findings of Nolf, Ehrlich &c., I submit that the liver ought to be considered as a possible seat of origin of complement. #22. When hen corpuscles are injected intravenously into rabbits, the corpuscles tend to accumulate and to be retained in the liver. #23. Such corpuscles are phagocyted to a small degree by the liver cells and Kupfer cells. No evidence was observed for phagocytosis taking place in the spleen or any of the other organs. #24. The liver cells are capable of a wide variation in morphological appearance, possibly corresponding with a similar wide range of metabolic activity and functioning. #25. Taking into consideration the facts exclusive and presumptive accumulated above concerning the seat of origin of Immune body, the facts of the accumulation and retention of hen corpuscles in the liver and then phagocytosis there, and the fact of the great variation possible in the liver cell, I submit that the liver ought to be considered as a possible seat of origin of immune body. #26. To generalise, I would submit the possibility of the formation of antibodies being, in nature, the hypertrophy of a normal physiological process - a process which physiologically deals with overflow from the intestinal tract of material, toxic and non toxic, fluid and particulate, multiplying and non multiplying and which has escaped the process of intestinal digestion to which the bulk of absorbed material is subjected before absorption

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