The antitoxic theory suffers from the fact that the toxic origin of
scurvy cannot be established. Before this is possible, it is clear that
it will be difficult to bring forward convincing evidence of a
neutralizing substance. Against this theory is the fact that elimination
therapy is of no avail in the treatment of infantile scurvy. Hess and
Unger (1919) failed to alleviate the symptoms by means of catharsis,
diuresis, sweating and repeated intravenous injections of normal salt
solution. In its favor it may be advanced, in a general way, that the
vitamine, in many characteristics, resembles an antitoxin--in its
extreme lability, its destruction by heat, aging and alkalies. On the
other hand, antitoxins also are readily destroyed by acid which, as has
been shown, exerts a protective influence on the antiscorbutic factor.
The rapidity of action of the vitamines, one of the most impressive
phenomena, calls to mind the neutralizing action of an antitoxin, and
probably has given rise to the analogy. Williams suggests that the
vitamines have "a general, non-specific, antitoxic or eliminative
action" on toxic substances resulting from the metabolic decomposition
of food.
The theory has been advanced that the action of the vitamines is
catalytic. Although this viewpoint has been taken regarding the
water-soluble rather than the antiscorbutic vitamine, it will be well to
review briefly the work on which it is based. Among the first to suggest
this hypothesis were Vedder and Clark, who noted a relationship between
the amount of vitamine required by fowls and their carbohydrate intake.
Funk in 1913 made a similar observation in regard to beriberi, and in
the following year, with von Schoenborn, showed that a vitamine-free
diet led to hyperglycæmia, with diminished amount of hepatic glycogen,
and that the addition of water-soluble vitamine diminished the
hyperglycæmia and increased the liver glycogen. The work of Burge and
his co-workers on the catalase content of tissue led to a similar
conclusion. Their results may be summarized by the statement that the
oxidative processes are hampered and fail to balance the autolytic
changes, and, furthermore, that a relationship exists between the
catalase activity, acidosis and normal oxidative processes. This theory
would presuppose that scurvy is due to the formation of toxins which are
normally in process of continual destruction in the body. According to
some, these catalyzed toxic substances are metabolic in character,
originating from incompletely oxidized food; according to another
interpretation, they are the product of autolyzed tissue cells (tissue
toxins). The difficulty with this explanation is that scurvy cannot be
prevented or cured by a diet containing food of high catalytic power.
For example, wheat embryos which, according to recent investigations of
Crocker and Harrington, have a high catalytic activity, were found of no
therapeutic value in relation to infantile scurvy (Hess, 3).
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account