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
The further study of coagulation has shown that the conditions under
which it occurs are more complicated than the simple explanation
just given would seem to imply. This explanation holds good, so far
as it goes, but facts connected with the details of the process have
recently been brought to light which warn the physiologist that as yet
his theory of coagulation is incomplete.
The presence of salts of lime has an important relation to coagulation.
If blood is received into a vessel in which has been placed some
powdered oxalate of potash, or soap, or any other chemical which
fixes lime, the blood does not coagulate. All other conditions are as
usual, but lime is withdrawn from the plasma. The non-coagulation of
oxalated plasma was interpreted as indicating that lime, under the
influence of fibrin-ferment, combines with fibrinogen to form fibrin;
that fibrinogen altered by fibrin-ferment combines with lime. This
hypothesis was based upon the analogy of the curdling of milk. Milk
cannot curdle if lime be absent. If rennin (milk-ferment), prepared
from milk from which lime has been removed, be added to a solution
of caseinogen (the coagulable protein of milk), also prepared from
lime-free milk, no curd is produced. The addition of a few drops of a
solution of chloride of lime results in the immediate curdling of the
mixture. Evidently rennin so alters caseinogen as to bring it into a
condition to combine with lime. But the analogy does not hold good for
blood. In the case of plasma, lime acts, not upon fibrinogen, but upon
the fibrin-ferment—or rather upon a precursor of fibrin-ferment—in
such a way as to render it effective. Leucocytes produce a prothrombin,
which in contact with lime salts is converted into thrombin, which
coagulates fibrinogen.
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