Experiments by Harden and Zilva showed that exposure of lemon juice to
_ultra-violet rays_ for eight hours does not influence its antiscorbutic
activity, that exposure of autolyzed yeast for the same length of time
likewise does not impair its "antineuritic" potency, but that under
identical conditions the fat-soluble factor in butter becomes
inactivated. Similar tests carried out by the author with orange juice
led to the same result. It thus appears that one of the vitamines--not
the most unstable--manifests a peculiar sensitiveness to a certain form
of physical or chemical action.
In view of the fact that _shaking_ partly destroys pepsin and rennin, as
shown by Shaklee and Meltzer, it would be of interest to ascertain
whether this process brings about any impairment of the antiscorbutic
vitamine. Particular interest is attached to this question because it is
generally recognized that milk loses some of its potency in the course
of handling--whatever may be comprised by this term. In experiments on
the fat-soluble vitamine Steenbock and his co-workers found that
"somewhere in the course of the manipulation to which the butter fat had
been subjected, factors had been introduced which were responsible for a
vitamine destruction."
Before discussing the question of the manner in which the antiscorbutic
vitamine functionates, it may be well to state briefly the type of the
disturbance which its deficiency occasions. The chief manifestation is
damage to the integrity of the endothelium of the vessels, resulting in
hemorrhage--whether from diapedesis or from rhexis or both of these
conditions, the microscope does not inform us. Nor can it be stated
positively that the endothelium has not been injured by a secondary
toxic or bacterial factor. However this may be, the end result of the
deficiency is endothelial damage, a pathologic condition which may be
demonstrated clinically in scurvy by the "capillary resistance test"
(chapter VII). The other marked functional alteration in scurvy is
increased susceptibility to infection; but how a vitamine deficiency
induces this vulnerability cannot be explained. Clinical tests show that
the blood contains sufficient antitoxin (diphtheria) to afford
protection. Harden and Zilva found that "guinea-pigs fed on an
unrestricted mixed diet, on a quantitatively restricted mixed diet, and
a scorbutic diet showed no differentiation in amboceptor and agglutinin
titres, and in the complement activity of the blood." If this is to be
interpreted as indicating that the protective substances of the body
undergo but little alteration, we must consider whether susceptibility
to infection, as well as tendency to hemorrhage, is not due largely to
alteration in the cement substance of the endothelial and epithelial
membranes.
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