Experiments have shown that the leucocytes are attracted by the
products secreted by pathogenic microbes, or saprophytes. Attracted by
the latter, the white corpuscles surround, envelop, and finally digest
them; and when it happens that all the pathogenic microbes within an
organism are absorbed, the organism survives, while in the contrary
case it succumbs.
Attention must be called to this attack by the white corpuscles within
the limits where they are normally confined. It is a pathologic
diapedesis--a leucocytosis provoked by the irritation of the
tissues--and caused either by the presence alone of foreign elements,
or by the soluble products secreted by them.
When, for any reason whatever, this phagocytic action is impeded,
the resistance of the organism to pathogenic infection ceases to be
effective, and the organism may therefore be invaded by the microbe.
Numerous causes may contribute to impede this action.
=The Antitoxins.=
We have seen that the second means of defense possessed by the organism
resides in the action of special products, true defensive secretions,
possessing an activity contrary to that of the toxins, and which are
secreted by the cells of the organism under the influence of the
vaccins.
This is a property common to every organism, and which is observed even
in non-vaccinated subjects, although in this case the secretion forms
with great difficulty and in small quantity.
When an organism subjected to the toxic action of a bacterial infection
does not succumb to the intoxication, it emerges from the test gifted
with a new property, which may be augmented by habituation, and which
borders on immunity.
At first we were content to vaccinate small animals in the laboratory,
but in proportion as the discoveries in this domain extended, and there
developed a need for large quantities of antitoxins, recourse was had
to the larger animals, particularly horses and cattle. From the moment
that large quantities of blood and antitoxic serum were at command,
search was made for a means of isolating the antitoxin and determining
its properties.
Experiments so far made have shown that the antitoxins are substances
of an albuminoid nature, of unknown composition, and which are very
closely united to the albuminoid substances of the serum. It must
be observed, however, that Behring and Knorr oppose the assertion
regarding the albuminoid nature of tetanic antitoxin, but their reasons
for this do not appear to be well founded.
In general, these antitoxins are precipitable with the globulins, and
possess quite considerable powers of resistance towards physical and
chemical agents. Thus they are destroyed only at a temperature above
60-65° C. Kept in the dry state, in the residue of evaporated serum,
and away from the light and all oxidizing action, it is possible to
preserve their activity for a very long time.
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