On Digestive Proteolysis: Being the Cartwright Lectures for 1894Chittenden, R. H. (Russell Henry)
Science
On Digestive Proteolysis: Being the Cartwright Lectures for 1894
Chittenden, R. H. (Russell Henry)
Digestion; Digestive enzymes; Enzymes
Further, by direct injection of peptone into a lymphatic vessel,
Shore has shown that even so small an amount as 0.049 gramme is not
assimilated or transformed by the lymph in half an hour. Consequently,
we seem to have strong evidence that peptones are not prone to direct
alteration of any kind by the leucocytes of the lymphatic system.
Further, it would appear that the lymphoid cells of the spleen are
equally unable to assimilate small amounts of peptone injected into
the splenic artery. Leucocytes, then, can play no direct part in the
absorption of the products of proteolysis from the intestine; the lymph
is normally free from both proteoses and peptones, and the leucocytes
plainly have no power to transform these bodies into other forms. They
can only utilize the proteid material elaborated from the products of
proteolysis by other agencies.
Plainly, proteoses and peptones in the blood and lymph are foreign
substances. When present in the circulation they give rise, as we
have seen, to an increased flow of lymph and to a change in the
coagulability of the blood. Further, not only is the flow of lymph
augmented but there is likewise an increase in the amount of solid
matter, while a corresponding decrease is noticed in the solid matter
of the blood-plasma. This fact obviously gives support to the view
that the increased formation of lymph after the injection of peptone
is due to an active process of secretion by the endothelium cells of
the capillary walls.[230] Further, as we have seen, peptone disappears
from the blood more or less rapidly after its injection, so that it
is quite possible that the loss or alteration of the coagulability
of the blood may not be due to the peptone itself, but rather to an
altered condition of the blood induced by the peptone. Moreover, this
altered condition of the blood may be the real cause of the increased
transudation, or secretion of lymph so conspicuous after the injection
of peptone. Starling, however, by carefully conducted experiments
on dogs finds, in conformity with Heidenhain’s views, that peptone
injected into the blood exercises a direct excitatory effect on the
endothelial cells, causing thereby an increased flow of lymph; the
increased flow being in no way caused by the change in the blood that
is simultaneously produced. Further, it would appear, according to
Starling’s views, that the change in the coagulability of the blood is
not due to the effect of the peptone on the endothelial cells of the
blood-vessels, or at least on their lymph-producing functions. Thus,
the injection of peptone may result in an action on the endothelial
cells of the blood-vessels, thereby increasing the flow of lymph, or
on the blood itself with a destruction or diminution of the clotting
power of the blood; the two results being more or less independent.
Further, the rapid transferences of peptone from the blood to the
lymph is effected by the selective activity of the endothelial cells
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