The Fundamentals of BacteriologyMorrey, Charles Bradfield
Science
The Fundamentals of Bacteriology
Morrey, Charles Bradfield
Bacteriology
This method is usually spoken of as the “complement-fixation” or the
“complement-deviation test” (“Wassermann test” in syphilis) and is
applicable in a great variety of microbial diseases, but it is of
practical importance in those diseases only where other methods are
uncertain--syphilis in man, concealed glanders in horses, contagious
abortion in cattle, etc. A better name would be the “Unknown Amboceptor
Test” since it is the amboceptor that is searched for in the test by
making use of its power to “fix” complement.
The principle is the same in all cases. The method depends, as
indicated above, on the ability of complement to combine with at least
two amboceptor-antigen systems, and on the further fact that if the
combination with one amboceptor-antigen system is once formed, it
does not dissociate so as to liberate the complement for union with
the second amboceptor-antigen system. If an animal is infected with a
microörganism and a part of its defensive action consists in destroying
the organisms in its blood or lymph, then it follows from the above
discussion of cytolysins that there will be developed in the blood of
the animal amboceptor specific for the organism in question. If the
presence of this _specific amboceptor_ can be detected, the conclusion
is warranted that the organism for which it is specific is the cause of
the disease. Consequently what is sought in the “complement-fixation
test” is a _specific amboceptor_. In carrying out the test, blood
serum from the suspected animal is collected, heated at 56° for half
an hour to destroy any complement it contains and mixed in definite
proportions with the specific antigen and with complement. The
antigen is an extract of a diseased organ (syphilitic fetal liver,
in syphilis), a suspension of the known bacteria, or an extract of
these bacteria. Complement is usually derived from a guinea-pig,
since the serum of this animal is higher in complement than that
of most animals. The blood of the gray rat contains practically as
much. If the specific amboceptor is present, that is, if the animal
is infected with the suspected disease, the complement will unite
with the antigen-amboceptor system and be “fixed,” that is, be no
longer capable of uniting with any other amboceptor-antigen system. No
chemical or physical means of telling whether this union has occurred
or not, except as given below, has been discovered as yet, though
doubtless will be by physico-chemical tests, nor can the combination
be seen. Hence an “indicator,” as is so frequently used in chemistry,
is put into the mixture of antigen-amboceptor-complement after it has
been allowed to stand in the incubator for one-half to one hour to
permit the union to become complete. The “indicator” used is a mixture
of sheep’s corpuscles and the heated (“inactivated”) blood serum of
a rabbit which has been injected with sheep’s blood corpuscles and
therefore contains a _hemolytic amboceptor specific_ for the corpuscles
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