The Fundamentals of BacteriologyMorrey, Charles Bradfield
Science
The Fundamentals of Bacteriology
Morrey, Charles Bradfield
Bacteriology
which is capable also of uniting with complement. The indicator is
put into the first mixture and the whole is again incubated and
examined. If the mixture is _clear_ and _colorless_ with a _deposit
of red corpuscles_ at the bottom, that would mean that the complement
had been bound to the first complex, since it was not free to unite
with the second sheep’s corpuscles (antigen)--rabbit serum (hemolytic
amboceptor) complex--and destroy the corpuscles. Hence if the
complement is bound in the first instance, the _specific amboceptor_
for the first antigen must have been present in the blood, that is, the
animal was infected with the organism in question. Such a reaction is
called a “positive” test.
On the other hand, if the final solution is _clear_ but of a _red_
color, that would mean that complement must have united with the
corpuscles--hemolytic amboceptor system--and destroyed the corpuscles
in order to cause the _clear red_ solution of hemoglobin. If complement
united with this system it could not have united with the first system,
hence there was no _specific amboceptor_ there to bind it; no specific
amboceptor in the animal’s blood, means no infection. Hence a _red
solution_ is a “negative test.”
The scheme for the test may be outlined as follows:
Antigen + Patient’s Serum, heated + Complement
(specific for (unknown amboceptor) (derived from
the amboceptor guinea pig’s serum)
sought)
Incubate one-half hour in a water bath or one hour in an incubator.
Then add the indicator which is
Antigen + Amboceptor
(red blood corpuscles) (for corpuscles, serum of
a rabbit immunized against
the red corpuscles)
Incubate as above.
In practice all the different ingredients must be accurately tested,
standardized and used in exact quantities, and tests must also be run
as controls with a known normal blood of an animal of the same species
as the one examined and with a known positive blood.
It should be stated that in one variety of the Complement-Fixation
Test, namely, the “Wassermann Test for Syphilis” in human beings,
an antigen is used which is not derived from the specific organism
(_Treponema pallidum_) which causes the disease nor even from
syphilitic tissue. It has been determined that alcohol will extract
from certain tissues, _human or animal_, substances which _act
specifically_ in combining with the syphilitic amboceptor present
in the blood. Alcoholic extracts of beef heart are most commonly
used. Details of this test may be learned in the advanced course in
Immunity and Serum Therapy.
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