The Body at Work: A Treatise on the Principles of PhysiologyHill, Alex
Science
The Body at Work: A Treatise on the Principles of Physiology
Hill, Alex
Physiology
serum in a similar way, precipitating a protein which he termed
fibrinoplastin. When these two substances were dissolved and the
solutions mixed, he obtained a clot, which he regarded as a compound of
fibrinogen and fibrinoplastin. Subsequently he found that the mixture
did not always clot, but he discovered that if he coagulated blood
with alcohol, and washed this residue, the washings added to the mixed
solution just referred to invariably produced a clot. Thinking that the
substance which he obtained from his alcohol-coagulated blood could
not be proteid, he termed it “fibrin-ferment.” He neglected the control
experiment. He failed to ascertain whether or not all three substances
were needed. Had he tried adding fibrin-ferment to fibrinogen, he
would have discovered that the further addition of fibrinoplastin
was unnecessary. He did not ascertain, as he might have done, that
the weight of fibrin formed is somewhat less, not greater, than the
weight of fibrinogen used. (Fibrinogen gives off a certain quantity of
globulin when it changes into fibrin.) He was also wrong in supposing
that the water which he added to alcohol-coagulated blood dissolved
no protein. His “fibrin-ferment” is always associated with a protein.
Since it may also be obtained from lymphatic glands, thymus gland, and
other tissues which contain lymphocytes, it has been inferred that
it is itself a protein, of the class known as nucleo-proteins. The
fact that it is destroyed at so low a temperature as 55° C. has been
supposed to confirm the theory that it is a protein. But with regard to
the chemical nature of fibrin-ferment, as of all other ferments, we are
at present in the dark. Under ordinary circumstances, when blood clots,
the fibrin-ferment, or plasmase, or thrombin—it has received various
names—is set free by leucocytes. Fluids which contain fibrinogen clot
on the addition of a “ferment” which is either secreted by leucocytes
or set free from leucocytes when they break up—as they are very apt
to do, as soon as the conditions upon which their health depends are
interfered with.
Freshly shed blood contains minute particles, termed “platelets,” in
diameter measuring about a quarter that of a red blood-corpuscle. When
the inner coat of a vessel is injured, platelets accumulate at the
injured spot. They form a little white heap, from which coagulation
starts. Evidently they supply the ferment, or a precursor of the
ferment. As yet their origin has not been traced. They are too large to
be the unchanged granules of granular leucocytes, but that they are in
some way derived from leucocytes seems probable.
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