LIBRARY OF THE UNIVERSITY OF CALIFORNIA. RECEIVED BY EXCHANGE Class Ube Tftniverstts ot Cbtcago FOUNDED BY JOHN D. ROCKEFELLER A STUDY OF THE CONCENTRATION OF THE ANTIBODIES IN THE BODY FLUIDS OF NORMAL AND IMMUNE ANIMALS A DISSERTATION SUBMITTED TO THE FACULTY OF THE OGDEN GRADUATE SCHOOL OF SCIENCE IN CANDIDACY FOR THE DEGREE OF DOCTOR OF PHILOSOPHY (DEPARTMENT OF PHYSIOLOGY) BY FRANK C. BECHT and JAMES R. GREER CHICAGO 1910 mniperstts of Gbicago FOUNDED BY JOHN D. ROCKEFELLER A STUDY OF THE CONCENTRATION OF THE ANTIBODIES IN THE BODY FLUIDS OF NORMAL AND IMMUNE ANIMALS A DISSERTATION SUBMITTED TO THE FACULTY OF THE OGDEN GRADUATE SCHOOL OF SCIENCE IN CANDIDACY FOR THE DEGREE OF DOCTOR OF PHILOSOPHY (DEPARTMENT OF PHYSIOLOGY) BY FRANK C. BECHT and JAMES R. GREER CHICAGO 1910 A STUDY OF THE CONCENTRATION OF THE ANTI- BODIES IN THE BODY FLUIDS OF NORMAL AND IMMUNE ANIMALS.* FRANK C. BECHT AND JAMES R. GREEK. (From the Hull Physiological Laboratory, The University of Chicago.) THE presence of antibodies of various kinds in serum has long been known, and the concentration in that fluid has been carefully studied. The presence of antibodies in the various other body fluids has not been so carefully investigated, nor has sufficient allow- ance been made for individual variations in animals of the same species. While the authors were associated with Dr. Carlson in his work on lymph formation, he suggested that a careful comparison between the concentration of the antibodies in the various body fluids of the same animal might be of considerable importance in determin- ing the differences between the lymph and serum, and in that way throw light on some of the problems of lymph formation, and possibly also on the point of origin of antibodies. When the work was begun, we intended to collect lymph from the different organs, but the practical difficulties encountered in introducing cannulae into the delicate lymphatics of such organs as the spleen was so great, that the project was temporarily abandoned, and the work has been con- fined to a comparison between serum, lymph from the cervical lym- phatics, lymph from the thoracic duct, pericardial fluid, cerebrospinal fluid, and aqueous humor. Thus far work has been done on the hemolysins, hemagglutinins, agglutinins for the typhoid bacillus, the protein precipitins, and the opsonins, bacterial and erythrocytic. No work has yet been undertaken on the bacteriolysins. We have not enough data to enable us to draw any broad conclusions, and we will content ourselves with presenting what we believe to be the facts under the various conditions studied. Literature. The first studies that we were able to find on the relative concentra- tion of antibodies in the various body fluids were those of Pegano,36 w ho found the concentration of hemolysins of the thoracic lymph in dogs lower than that of the serum. Falloise ll and later Batelli* confirmed the work of Pegano. Hughes and Carlson- 8 working on normal dogs, horses, and cats found the concentration of hemolysins for * Received for publication November 9, 1909. 127 218508 BECHT AND JAMES R. GREER rabbit corpuscles in the body fluids to form a descending series: serum, thoracic lymph, neck lymph, pericardial fluid, aqueous humor. No lysins were found in the cere- brospinal fluid. Straus and Wolf4 studied the hemolytic power against rabbit cor- puscles of the cerebrospinal fluid, edema fluid, pleural and pericardial transudates, and blister fluid, and attempted to correlate the hemolytic strength with the protein content. Marshall and Morgenroth 2 s found anti-complement and anti-amboceptor in a pathological exudate an ascites fluid. Hedinger j s studied the hemolytic power of non-inflammatory exudates like those arising from cirrhosis of the liver and heart failure, and found that they were not so hemolytic as the serum. The inflammatory exudates arising from cases of tuberculosis and carcinoma were not so strongly hemolytic as non-inflammatory exudates. He failed to find hemolysins in the fluid from an ovarian cyst, or in the cerebrospinal fluid in two cases of tuberculosis. Marshall 2 ^ found that pleural and ascites fluids were more strongly hemolytic than the serum from an infant. But no conclusions can be drawn from this comparison in regard to the comparative hemolytic power of serum and other body fluids in the same individual. He found a multiplicity of amboceptors and complements in the fluids that he studied. Grollo 4 could find no amboceptors for rabbit corpuscles in transudates, but found them in exudates, altho in the latter complement is often lacking. He suggests this method as a means of diagnosis between transudates and exudates. Liidke 22 con- firmed the findings of Marshall in regard to the hemolytic strength of transudates and exudates. Granstronvs found wide variations in the hemolytic content of transu- dates and exudates, and could establish no characteristics essential for either. The hemolysins did not run parallel with those of the blood. Isolysins are found less frequently in transudates and exudates than in the blood. Hemolysins were not found in the cerebrospinal fluid. Isolysins and heterolysins were found independent of the albumen content, number of the leukocytes, and the osmotic pressure of the fluids tested. Tedeschi4; found precipitins in both transudates and exudates, less frequently in the latter than in the former. Mioni3 found amboceptor but no com- plement for guinea-pig corpuscles in the pericardial fluid of the ox. Bard 2 claims to have found hemolysins in the cerebrospinal fluid of patients, and found that they were increased during various diseases. Massaglia 26 could not confirm the work of Bard. His results in both healthy and diseased individuals were negative. The presence of antibodies for syphilitic material in the cerebrospinal fluid has been shown by various investigators, among them Morgenroth and Stertz,3i and Wassermann and Plaut.4 2 Gatti 2 could demonstrate no hemolysins in the aqueous humor of the ox. Levaditi 2 showed that there is normally no opsonin in the aqueous humor; but if the fluid of the anterior chamber of the eye of an immune animal is withdrawn, the newly formed aqueous humor will contain opsonin. Bohme 6 investigated the opsonin content of pleural, peritoneal, and abscess fluids He found that usually in such cases the opsonin content of the fluid was reduced for the infecting organism, but remained unchanged for other bacteria. He could find no opsonin in normal cerebrospinal fluid, but found them there after an inflammation had been set up in the dura. He could not develop opsonins in the cerebrospinal fluid by repeated puncture as Levaditi had done by drawing off the aqueous humor. He believes that there is a relation between the protein content and the opsonin action of a fluid. Methods. The plan of study adopted was to determine first the concentration of the antibodies in the body fluids of normal cats and dogs; then the concentration in actively immunized animals; and, finally, to study the passage of the antibodies from CONCENTRATION OF ANTIBODIES 129 the blood into the other body fluids in animals passively immunized by the with- drawal of large quantities of blood, and the injection of a corresponding amount of warm, defibrinated blood from an actively immunized animal. The body fluids were secured under as nearly aseptic conditions as possible. The animal was anesthetized with ether, and kept in a state of complete anesthesia, by the administration of the vapor through a trachea cannula or through a tube introduced through the larynx. The neck lymphatics were then isolated, and small, sterile, glass cannulae provided with sterile, rubber tubing were inserted. If there was no free flow of lymph, the neck was gently massaged. The lymph was never allowed to come in contact with the air of the room, for as soon as it filled the cannula and a part of the rubber tubing, it was drawn off by means of a fine, sterile Pasteur pipette, and placed in a dry, sterile test tube plugged as for bacteriological work. The lymph was allowed to coagulate spontaneously in the test tube, and was then defibrinated, and the delicate coagulum removed. The thoracic duct was tied off at the same time as the isolation of the neck lym- phatics so that the lymph formed during the experiment was retained in the duct. Usually the lymph from this duct was not collected until the animal had been bled to death, altho sometimes it was collected simultaneously with the neck lymph. The routine method was to draw the lymph by means of a Pasteur pipette provided with a bulb, so that the fluid never came in contact with the air at all. This fluid was also defibrinated. The pericardial fluid was never collected until after the death of the animal by very complete bleeding from the arteries and veins of the neck. The thorax was opened by removing the sternum, a small hole was cut into the pericardium, and the fluid was removed by means of a sterile Pasteur pipette. We found it a good plan in our experiments to suspend the animal by the jaws for a few minutes before attempting to withdraw the cerebrospinal fluid. This drained away the blood from the head and made admixture of this fluid with blood less likely. Our method was to open the dura between the first and the second cervical vertebrae, and then remove the fluid by means of the Pasteur pipette. The end of the pipette must be well rounded in the flame, otherwise rupture of the delicate blood vessels of the meninges is likely to follow. The method of collecting the aqueous humor was simple and easy. It consisted in thrusting a sharp pointed Pasteur pipette into the anterior chamber of the eye through the cornea, and allowing the aqueous humor to flow into it, largely by the tension within the eyeball. A little suction sufficed to remove the last drop of the fluid. The serum was secured from blood drawn when the animal was bled to death, and in most cases was freed from the corpuscles at once. Careful notes were made in regard to the condition of the fluids, and in most cases where there was any admixture of blood, the fluid was discarded. HEMOLYSIS AND HEMAGGLUTININS. Methods. The study of the hemolysins and hemagglutinins in normal* animals was made on dogs only. The animals utilized were brought in from various parts of the city. Most of the tests were made with rabbit corpuscles in 5 per cent suspension in 0.9 per cent NaCl solution. In some cases rat and horse corpuscles were used. *The term "normal" means animals which had not previously been immunized by us. We had no way of knowing what their history had been previous to coming to the laboratory. 130 FRANK C. BECHT AND JAMES R. GREEK Our methods were the following: Quantities of the various body fluids of the animal to be tested varying between o. i c.c. and o.oooi c.c. were placed in a series of eight dry, sterile test tubes plugged as for bacteriological work. In order to make the necessary measurements with a pipette graded to T fa of a c.c., dilutions of the body fluids T V and ^ were made. To the fluid in each tube enough sterile 0.9 per cent NaCl solution was added to make the total volume up to 0.4 c.c. To this was then added o. 2 c.c. of a 5 per cent suspension of the corpuscles to be tested. In this way we got dilutions of the fluid varying between i : 6 and i : 6, 144. All of the fluids from the same animal were prepared, the tubes were placed in a block containing a suitable number of holes, and adjusted to the sliding platform of a shaker in an incubator warmed to 37 C. The shaker was run by water power, and the motion was rapid enough to secure constant, thorough agitation, but not violent enough to injure the corpuscles. The routine technic was to keep the tubes in the shaker for an hour and in the ice-box from 12 to 20 hours to permit sedimentation of the corpuscles before the final reading. In determining the amount of hemolysis in the final reading, the following method was employed: A measured sample of the corpuscle suspension in the test was sedi- mented in the centrifuge, and the supernatant liquid drawn off with a pipette. The corpuscles were then laked by adding distilled water to restore the original volume. This sample contained three times as much hemoglobin as the hemolytic tests, because 0.2 c.c. of the corpuscles were added to 0.4 c.c. of the fluid tested. Therefore, the above sample was diluted to three times its volume with water. This, then, would give exactly the same concentration of hemoglobin as in any tube in the test, provided that the hemolysis was complete, and is termed 100 per cent for this sample of corpuscles. By further dilution tubes containing 90 per cent, 80 per cent, etc., were prepared. No attempt was made to estimate closer than 10 per cent. A new scale was made for each sample of corpuscles. The agglutinins were read from the same tubes as the hemolysins. The method employed to determine whether or not agglutination had occurred, was inspection of the rim of sedimented corpuscles. When the corpuscles, after sedimentation by stand- ing in the ice-box, show a perfectly smooth, knife-edged border, no agglutination has occurred. If the border is slightly or decidedly roughened, agglutination has occurred At first this method was carefully supplemented by microscopic examination, but it was soon found so accurate that in the later experiments we depended entirely upon the observation of the rim of the corpuscles, and dispensed with the use of the micro- scope. A. Normal animals. The concentration of lysins and hemag- glutinins in the body fluids of normal animals varies within rather narrow limits. This variation is great enough, however, to make it necessary that the comparison be made between the body fluids of the same animal. The following experiment shows the behavior of the body fluids of the normal dog. Table I shows that the concentration of hemolysins is greater in the serum than in the other body fluids; thoracic lymph is next, at least in the case of rabbit corpuscles; and neck lymph is third. CONCENTRATION OF ANTIBODIES This difference in the hemolytic power of serum or other body fluid against the corpuscles of different species of animals has been explained by Ehrlich and his coworkers on the basis of a multiplicity of amboceptors and complements, some of which are specific, some TABLE i. COMPARATIVE HEMOLYTIC AND AGGLUTINATING POWER OF THE BODY FLUIDS OF A NORMAL DOG ON RABBIT AND RAT CORPUSCLES. DILUTION SERUM NECK LYMPH THORACIC LYMPH Rabbit Rat Rabbit Rat Rabbit Rat Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. :6 IOO 40 o + + o 10 o sp* + 5 + + o sp o o 40 o + + + + o sp o + + + :24 = 48 :g6 :38 4 DILUTION PERICARDIAL FLUID CEREBROSPINAL FLUID AQUEOUS HUMOR Rabbit Rat Rabbit Rat Rabbit Rat Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. :6 :i2 '.24 : 4 8 96 :34 o + + o sp o o o o sp o sp o o o o sp sp sp o o *It will be noted that in this table several tubes are marked "sp." By that symbol is meant hemolysis not due to the ordinary hemolysins. The appearance of the partially laked corpuscles is entirely different from that in the ordinary hemolytic test. The hemoglobin can be seen diffusing from the sedi- mented corpuscles, while the supernatant fluid remains perfectly clear. The hemoglobin has the peculiar reddish purple tint of reduced hemoglobin, instead of the clear red of oxyhemoglobin. Furthermore, laking may appear anywhere in the series, frequently, where no hemolysis is to be expected, and is met more often in fluids like the cerebrospinal, or aqueous humor, which are normally not hemolytic, than in the other fluids. Rat corpuscles seem more susceptible to this form of hemolysis than rabbit corpuscles. Complement seems to inhibit this form of hemolysis. non-specific. In most cases the thoracic lymph of normal dogs is hemolytic for rat corpuscles, altho in the experiment cited above, such was not the case. As may be seen from the table above, the concentration of agglu- tinins may be higher in the thoracic lymph than in the serum. Such, however, is not the usual finding. In 10 experiments on normal dogs we found in seven the concentration of agglutinins highest in the serum; in two it was highest in the thoracic lymph; and in one 132 FRANK C. BECHT AND JAMES R. GREER the concentration was the same in both. The fact that the concen- tration of agglutinins may be greater in the thoracic lymph than in the serum, renders it hard to see how these antibodies can come from the blood by pure nitration, for in that case, we should expect the hemolysins to run a parallel course a thing which they do not do or else we must assume that the agglutinins pass through membranes more readily than the hemolysins. It would be necessary, also, on the basis of filtration, to assume sudden great changes in the concen- tration of the agglutinins in the blood, for on no other basis could we explain the fact that the concentration of agglutinins would be so much lower in the serum by the time the lymph reached the upper end of the thoracic duct, than it was at the time the lymph was formed. Of course other explanations are possible: there may be an active secretion of the agglutinins into the lymph from the blood, or the agglutinins, after being formed in the area drained by the thoracic duct, are thrown into the lymph, reaching the blood by that route. Much more investigation must be made before any conclusion can be reached on this point. The pericardial fluid when collected under the best conditions never shows hemolysins for rabbit corpuscles. Agglutinins may or may not be present. In four of our ten supposedly normal dogs hemolysis was noted, in only one case amounting to more than 10 per cent. Of these four animals, two were in poor condition, emaciated, and generally run down, and both these dogs yielded excessive amounts of pericardial fluid; in the other two cases, the pericardial was found to contain a few erythrocytes. Agglutinins were found in all four of these cases and in three others, making a total of seven in ten. From these experiments we are inclined to believe that hemolysins are not found in the pericardial fluid of normal dogs. The fact that some animals showed hemolysins in the pericardial fluid we would explain as a pericardial transudate in two cases, and to admixture with blood in two cases. We did not test whether it was amboceptor, or complement, or both which was absent from the fluid, altho we have evidence on this point in immune animals. Agglutinins for rabbit corpuscles may or may not be present in the pericardial fluid of normal dogs. As will be seen from Table i the cerebrospinal fluid and aqueous < x r CONCENTRATION or ANTIBO^ES^ 133 humor of normal animals contain no lysins or agglutinins for rat or rabbit corpuscles. In our 10 experiments on normal animals there were no traces of hemolysis or agglutination in a single case where admixture of blood was eliminated. Our results with cerebrospinal fluid confirm those of Massaglia, who could find no lysins in that fluid, and are contrary to those of Bard, who claims to have demon- strated them there. Conclusions. i. In the normal dog hemolysins for rabbit cor- puscles are found in the serum, neck lymph, and thoracic lymph, but are absent from the pericardial fluid, cerebrospinal fluid, and aqueous humor. They are most concentrated in the serum, less concentrated in the thoracic lymph, and are found only in traces in the neck lymph. 2. Agglutinins are found in the serum, neck lymph, and thoracic lymph of normal dogs. They may or may not be present in the pericardial fluid, and are always absent from cerebrospinal fluid and aqueous humor. In most cases the concentration descends in the following order: serum, thoracic lymph, neck lymph, pericardial fluid; altho in some cases, the order is thoracic lymph, serum, neck lymph, pericardial fluid. 3. Serum and thoracic lymph show a weaker hemolysis and agglutination toward rat than toward rabbit corpuscles. Neck lymph lakes and agglutinates rabbit but not rat corpuscles. Peri- cardial fluid agglutinates rabbit but not rat corpuscles. Cerebro- spinal fluid and aqueous humor neither lake nor agglutinate rat or rabbit corpuscles. B. Immunized animals. Various methods of producing active immunity were employed with good success. It is of interest to ascertain what methods of immunizing yield the best results. We employed the following: (i) Immunization of dogs with rabbit blood : (a) intraperitoneally by a single large injection of from 80 to 150 c.c. of blood, (b) intraperitoneally by repeated small injections, (c) sub- cutaneously by repeated small injections. (2) Immunization of dogs with horse serum:* (a) by a single large intraperitoneal injection of 100-150 c.c., (b) by repeated, small intraperitoneal injections, (c) by * This serum was secured aseptically, November, 1908, by drawing the blood from the carotid of a horse into jars. It was allowed to coagulate and stand in the ice-box until the serum came out. The serum was then sealed into bulbs and kept in the ice-box until used. 134 FRANK C. BECHT AND JAMES R. GREER repeated, small subcutaneous injections. A comparison of the results secured by using the fluids directly from the animal, so far as the lysins are concerned, is not conclusive, for, as will be seen, com- plement is not increased, at least not in proportion to the ambocep- tors, if at all. This fact necessitates the use of sufficient complement to supply all the amboceptors present to demonstrate the true state of affairs. So far as the agglutinins are concerned, apparently a single large dose of the serum or blood may develop them more markedly than the other methods tried. The repeated, small intra- peritoneal injections yielded the most uniform results. As has been noted by numerous investigators, the increase in complement does not keep pace with the increase in amboceptors. The apparent increase in the hemolysins and in the agglutinins for rabbit corpuscles is shown in Table 2. TABLE 2. LYTIC AND AGGLUTINATING ACTION OF THE BODY FLUIDS OF A DOG IMMUNIZED WITH RABBIT BLOOD. (November 25, December 15, 10 c.c. rabbit blood intraperitoneally; December 15, 15 c.c. Fluids collected December 23.) DILUTION SERUM NECK LYMPH THOKACIC LYMPH PERICAR- DIAL FLUID CEREBRO- SPINAL FLUID AQUEOUS HUMOR Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. :i* '3 6 100 100 50 o o o + + + + + + + 60 o o o + + + + + + o IOO 60 o o o + + + + + + + + + + o o o o :i2 = 24 :48 :p6 :34 '.1,536 :6,i44 From Table 2 it can be seen by comparison with Table i that the repeated injections of rabbit blood does not appear to increase to any very marked extent the hemolytic power of the body fluids over that of a normal animal. There is, however, a marked increase in the power of the body fluids to agglutinate rabbit corpuscles in those fluids which had the power to agglutinate them previous to the injection; there is no development, except in a few cases, of agglutinins in the cerebrospinal fluid and the aqueous humor. Altho Table 2 does not show this point, a careful comparison of this table with the succeeding ones CONCENTRATION OF ANTIBODIES will show that the relative concentration of the agglutinins, in the body fluids, remain the same during the process of immunization. That there is, however, a marked increase in the amboceptor content of the body fluids, normally containing them, during the process of immunization is shown by Table 3. TABLE 3 . LYTIC AND AGGLUTINATING POWER ON RABBIT CORPUSCLES OF THE BODY FLUIDS OF DOG IMMUNIZED WITH RABBIT BLOOD AS AFFECTED BY COMPLEMENT (0.2 c.c. FRESH GUINEA-PIG SERUM). (Intraperitoneal injections of rabbit blood as follows: December i, 5 c.c.; December 5, 7^ c.c.; December 10, 10 c.c.; December 15, 15 c.c.; December 21, 16 c.c.; January 16, 20 c.c. Fluids collected February 8.) DILUTION SERUM NECK LYMPH THORACIC LYMPH No Comple- ment Complement No Comple- ment Complement No Comple- ment Complement Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. :6 100 100 90 10 o o + + + + o 100 100 100 100 So 30 10 o + + o 60 10 + + + 4- o E 40 20 o + + + + 100 7o 20 o + + + o oooooooo + + + o :24 = 48 :g6 : 3 84 : 1,336........ DILUTION PERICARDIAL FLUID CEREBROSPTNAL FLUID AQUEOUS HUMOR No Comple- ment Complement No Comple- ment Complement No Comple- ment Complement Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. :6 :i2 = 24 = 48 : 9 6 o + + + + 20 10 O + + + + o o o o 1384 : 1,536 :6,i44 This experiment shows very clearly that in the immunized animal the serum, neck lymph, thoracic lymph, and pericardial fluid do not contain complement in sufficient quantity to activate all of the ambo- ceptor present in the fluid, because the addition of guinea-pig com- plement,* in doses of itself not ly tic, is able to produce stronger * We experienced considerable difficulty in securing a complement which was effective and at the same time did not of itself produce hemolysis. Rabbit serum, guinea-pig serum, and dog serum from which the amboceptor had been separated in the cold were tried. The guinea-pig serum proved the only effective one. 136 FRANK C. BECHT AND JAMES R. GREER hemolysis where only traces had appeared, and to produce hemolysis in. other cases where there were no traces with exactly the same amount of the fluid without complement. The addition of c6mplement in a non-hemolytic dose is able to cause hemolysis in the pericardial fluid. In 8 of 13 experiments on blood-immune dogs traces of hemolysis occurred in the lowest dilu- tions of that fluid. In these experiments we could detect no contami- nation with blood, neither did we note that the fluid was present in excessive amounts. Apparently, then, in dogs immune to a foreign blood, amboceptor is always, and complement usually present in the pericardial fluid. This agrees in part with the findings of Mioni who found amboceptor but no complement for guinea-pig corpuscles in the pericardial fluid of the ox. No amboceptors are found in the cerebrospinal fluid or aqueous humor, for no hemolysis occurs when effective complement is added, at least a complement which proved effective in the case of the other body fluids. The agglutinins in the various body fluids are seen from Table 5 to run practically the same course as in the normal animal, except that the^concentration is highest in the serum, a little lower in the thoracic lymph, still lower in the neck lymph, and lowest, but always present, in the pericardial fluid. Sometimes, as in the normal animal, the concentration of agglutinins in the thoracic lymph is equal to or greater than that of the serum. In the 16 immune animals in which we compared serum and thoracic lymph, in n cases the serum was higher in the concentration of the agglutinins than the thoracic lymph, in two cases the thoracic lymph was higher than the serum, and in three cases the two fluids showed equal concentration. The fact that the thoracic lymph may contain these antibodies in equal or even considerably higher concentration than the corresponding serum may be of significance as bearing upon the source of these substances. In 15 experiments with cerebrospinal fluid from immune dogs, a positive agglutination was secured in two. In 16 experiments with the aqueous humor, positive results were secured in five. Thus it will be seen that agglutinins may be found in the cerebrospinal fluid and the aqueous humor, but their presence is the exception and not the rule. A point of considerable interest is the determination whether the CONCENTRATION OF ANTIBODIES fluids of an animal immune to one kind of blood show an increased hemolytic and agglutinating power toward the corpuscles of another species. An experiment of this kind is shown in Table 4. TABLE 4 . LYTIC AND AGGLUTINATING ACTION ON HORSE AND RABBIT CORPUSCLES OF BODY FLUIDS OF A DOG INJECTED WITH HORSE SERUM. (100 c.c. of serum injected intraperitoneally January 16; fluids removed January 29.) DILUTION SERUM NECK LYMPH THORACIC LYMPH Horse Corpuscles Rabbit Corpuscles Horse Corpuscles Rabbit Corpuscles Horse Corpuscles Rabbit Corpuscles Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. 6 100 100 100 70 30 o + + + + + 100 100 30 IO o + + 4- 100 90 60 IO o 4- 4- + + 4- So IO + + + o 100 100 5 20 o o 1 1 4-44 + + o 100 40 o o o + + o o :i2 124 J'.'. 96 : 3 84 :i,536 :6,i44 DILUTION PERICARDIAL FLUID CEREBROSPINAL FLUID AQUEOUS HUMOR Horse Corpuscles Rabbit Corpuscles Horse Corpuscles Rabbit Corpuscles Horse Corpuscles Rabbit Corpuscles Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. :6 48.".!'.".;".". = 96 ;384 6 - 80 30 o o + + + + + o o o 4- o o sp o o o o o o o o o o o o o o o Horse corpuscle control =o. Rabbit corpuscle control =o. The animal tested here, while showing a marked immunity to horse corpuscles, does not show immunity toward rabbit corpuscles much higher than the normal. Indeed, in the 10 normal animals studied, in two cases the lysins in the neck lymph were as concentrated as here; and in five cases the lysins in the thoracic lymph were as concentrated as here. Therefore, the lysins for rabbit corpuscles are apparently little more concentrated as may be seen by comparing Table 4 with Table i. The agglutinins are somewhat higher than normal. Apparently the immunity is not entirely specific. Muir and Browning 32 have advanced some evidence that a com- 138 FRANK C. BECHT AND JAMES R. GREER plement-like body plays a role in agglutination. They used ox corpuscles, rabbit serum immune to ox blood, and guinea-pig serum as complement. They do not make the claim that the complement and the agglutinin are identical, merely that this form of complement behaves like hemolytic complement, is thermostable, and acts only when suitable amboceptor is present. They are not sure whether or not this is the same complement concerned in hemolysis. In the course of our experiments we found some evidence which points in the opposite direction; viz., addition of complement or at least of rabbit serum, as in one experiment, inhibits the agglutination of rabbit corpuscles by the fluids of an immune dog. TABLE 5. THE INHIBITION OF THE AGGLUTINATION OF RABBIT CORPUSCLES BY THE BODY FLUIDS OF AN IMMUNE DOG BY THE ADDITION OF RABBIT SERUM. (150 c.c. rabbit blood intraperitoneally, February 16. Fluids drawn February 26. o.i c.c. rabbit serum as complement.) DILUTION SERUM NECK LYMPH THORACIC LYMPH No Comple- ment Complement No Comple- ment Complement No Comple- ment Complement Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. :6 100 100 80 10 + + + + + + 100 IOO 100 70 10 o o + + + o IOO 10 o + + + + + + IOO 30 000 + + + + 1 IOO IOO 40 o + + + + + + IOO IOO IOO 10 o o + + + | | | :i2 124 = 48 : 9 6 :384 11,536 : 6,144 DILUTION PERICARDIAL FLUID CEREBROSPINAL FLUID AQUEOUS HUMOR No Comple- ment Complement No Comple- ment Complement No Comple- ment Complement Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. Lysis Aggl. :6 :i2 :24 20 sp sp + + + + 20 10 o o + + + + o o + + + + o o o sp o o o o o : 4 s :..: : 9 6 '384 : i,536 : 6,144 Corpuscle control=o. Complement control=o. This experiment shows that the addition of rabbit serum as com- plement instead of favoring agglutination as in the case; observed by CONCENTRATION OF ANTIBODIES 139 Muir and Browning actually inhibited it in every series in the experi- ment by at least two dilutions. In this case we have a cerebrospinal fluid and an aqueous humor which contained agglutinins for rabbit corpuscles but in these fluids the addition of rabbit serum completely inhibited the action. We would not give the impression that this occurred normally in our work, or even frequently, for in the nine cases where complement was used with body fluids of immune dogs, this phenomenon was noted in only this one experiment. It appeared only once in the fluids of normal dogs, and in that case the action was less marked. Conclusions. i . In the blood of dogs immunized with alien blood hemolysins are faund in the serum, thoracic lymph, and neck lymph, and usually in the pericardial fluid. They are not found in the cere- brospinal fluid or aqueous humor. The comparative concentration is the same as in the normal animal. 2. -The addition of guinea-pig serum as complement in non- hemolytic doses increases greatly the hemolytic power of the serum, neck lymph, thoracic lymph, and pericardial fluid; therefore, in the course of immunization the amboceptors are increased in the fluids, while complement is not. Cerebrospinal fluid and aqueous humor do not become hemolytic on the addition of complement; therefore, they do not contain amboceptors. 3. In the immunized dog the agglutinins are more concentrated than in the same fluids of the normal animal. The usual order of descending concentration is: serum, thoracic lymph, neck lymph, pericardial fluid; but the order may be thoracic lymph, serum, neck lymph, pericardial fluid. Cerebrospinal fluid and aqueous humor may have agglutinins present but usually do not. If agglutinins are present in these two fluids, the concentration is about equal and lower than the pericardial fluid. 4. Immunization of a dog to horse serum increases the hemolytic power of the body fluids for horse corpuscles, but little if at all for rabbit corpuscle. The hemagglutinins are increased to a slight extent. 5. Occasionally the addition of rabbit serum will inhibit the agglutination of washed rabbit corpuscles by the fluids of a dog immune to rabbit blood. 140 FRANK C. BECHT AND JAMES R. GREER PROTEIN PRECIPITINS. Since most investigators who have worked with precipitins are agreed as to the delicacy and specificity of the reaction, we chose them as one of the antibodies best suited for study in our work on the body fluids of normal and immune animals. In several cases these were the same animals used in the work on hemolysins and hemag- glutinins. Our method was the same as is usually employed, namely, a dilution method. Doses of the immune fluid varying between o . 2 c.c. and o.oi c.c. were placed in a series of test tubes and made up to 2 c.c. with sterile 0.9 per cent Nad solution. To these tubes were then added 0.15 c.c. of the same serum as used for immunization. Control experiments were made in case of each of the fluids, and of the serum, to eliminate any possibilities of a sediment from the protein solutions confusing the results. The tubes were incubated for two hours at 37 C., and then left in the ice-box 12 to 20 hours before the final reading was made. Our results were as follows: In the fluids of three normal dogs tested with the fresh serum of the rabbit not a trace of precipitate appeared in any tube. In experiments with the fluids of seven dogs immune to rabbit blood, three gave positive and four negative results. One dog gave a precipitate only in the first dilution of the serum (i : 10) ; the other mixtures and the control mixtures remained perfectly clear. This animal had been immunized by repeated injections of rabbit blood intraperitoneally, receiving in all 57 c.c. between November 14 and December 5, 1908. A dog which 10 days earlier had received an intraperitoneal injection of 150 c.c. of rabbit blood gave a positive reaction in both serum and thoracic lymph. In this case the precipitation occurred in a much higher dilution than in the former, tho in the latter, neither the neck lymph, pericardial fluid, cerebrospinal fluid, nor the aqueous humor nor any of the controls showed any pre- cipitate. A dog immunized by the intraperitoneal injection of 80 c.c. of rabbit blood gave the best results of all, the serum and thoracic lymph giving precipitation in dilutions of i : 40 and the > ^ : 5. BEATTIE, Lancet, 1907, 2, p. 705. 6. BOHME, Deutsch. Arch.f. klin. Med., 1909, 96, p. 195. 7. BRAUDE AND CARLSON, Amer. Jour. Physiol., 1908, p. 221. 8. DE BLASI, Centralbl.f. Bakt., 1905 (Ref.), 36, p. 353. 9. EHRLICH UND MORGENROTH, Berl. klin. Wchnschr., 1900, 37, p. 453. 10. EHRLICH, Ztschr.f. Hyg., 1892, 12, p. 183. n. FALLOISE, Bull. Acad. Roy. de Belgique, 1903, p. 521. 12. GATTI, Biochem. Centralbl., 1905, 6, p. 678. 13. GRANSTROM, ibid., 1906-7, 5, p. 113. 14. GROLLO, Polidinico, 1906, 12, H. 10. 15. HEDINGER, Deutsch. Arch.f. klin. Med., 1902, 77, p. 24. 16. HEKTOEN, Jour. Am. Med. Assoc., 1906, 46, p. 1407. 17. - , Jour. Infect. Dis., 1906, 3, p. 721. 18. HUGHES AND CARLSON, Amer. Jour. Physiol,, 1908, 21, p. 236. 19. KEITH, Proc. Roy. Soc., London, 1905-6, 77, p. 537. 20. KOHLER, Klin. Jahrb., 1902, 8, p. 39. 21. LEVADITI AND INMAN, Compt. rend, de la Soc. Biol., 1907, 62, p. 725. 22. LUDKE, Centralbl.f. Bakt., 1906, 44, p. 269. 23. - , ibid., 1904, 38, pp. 209, 421. 24. MARSHALL, Jour. Exp. Med., 1905, 6, p. 365. 25. MARSHALL UND MORGENROTH, Ztschr.f. klin. Med., 1902, 47, p. 279. 26. MASSAGLIA, Gior. d. r. Accad. di med. di Torino, 1906, 68, pp. 7-8. 27. - , Biochem. Centralbl., 1906-7, 5, p. 200. 28. MELTZER AND NORRIS, Jour. Exp. Med., 1897, 2, p. 701. 29. MERKLE, Milnchen. med. Wchnschr., 1904, 51, p. 329. 158 FRANK C. BECHT AND JAMES R. GREER 30. MIONI, Compt. rend, de la Soc. Biol., 1903, 55, p. 1592. 31. MORGENROTH UND STERTZ, Arch. f. Path. Anat., 1907, 188, p. 167. 32. MUIR AND BROWNING, Jour. Hyg., 1906, 6, p. 20. 33. NEUFELD UND TOPLER, Centralbl.f. Bakt., 1905, 38, p. 456. 34. NUTTALL, Ztschr.f. Hyg., 1888, 4, p. 353. 35. OPIE, Jour. Exp. Med., 1907, 9, p. 515. 36. PAGANO, Arch. Ital. di Biol., 1894, 20, p. no. 37. PICK, cited by Kohler. 38. PRUDDEN, Med. Rec., 1890, 37, p. 88. 39. RlCKETTS AND GOMEZ, Jour. Infect. Dis., 1908, 5, p. 221. 40. STRAUS UND WOLF, Fortschr. d. Med., 1902, 20, p. i. 41. TEDESCHI, Jour. Med. Res., 1908, 19, p. 237. 42. WASSERMAN UND PLAUT, Deutsch. med. Wchnschr., 1906, 32, p. 1769. 43. WIDAL, Compt. rend, de la Soc. Biol., 1897, 27, p. 7. 44. WRIGHT AND DOUGLAS, Lancet, 1904, 2, p. 411. 45. WRIGHT AND REID, Proc. Roy. Soc., London, 1906, B, 77, p. 194. 14 DAY USE RETURN TO DESK FROM WHICH BORROWED This boolc is due o5*e last date stanTpfd below, or on the date to which renewed. 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