This toxin had already been isolated by Kitasato. It is a toxalbumin,
and is very sensitive to the action of heat. A temperature of 65° C.,
maintained for 30 minutes, renders it quite inactive; and it becomes
oxidized and is destroyed by the action of the air in the presence of
light.
Brieger and Boer,[120] by precipitating with zinc chloride the filtered
culture bouillon, obtained a pure, amorphous tetanus toxin, which they
also considered as a toxalbumin, and which possesses exceedingly toxic
properties.
[120] _Deutsche Med. Wochenschr._, No. 49, Dec. 3, 1896.
If a precipitate be caused to form in these toxic solutions, as, for
instance, a precipitate of calcium phosphate, this carries down with it
all the toxin present in the liquid. 0.0005 Gm. of this precipitate is
surely fatal to a guinea-pig.
Dozon and Cournemont have observed that even in doses of 300 to 400 Gm.
of the filtered culture liquid, this toxin is not immediately toxic
to a horse, but kills the animal only after a period of incubation
of at least twenty-four hours. The blood of such an animal, however,
is immediately and directly fatal to animals into which it is
injected.[121]
[121] _Compt. rend. Soc. Biol._, 1893, p. 294; _Ibid._, 1894, p. 878.
Experiment has shown that animals that have been cured of tetanus
possess no immunity whatever against tetanus; nevertheless Behring and
Kitasato[122] first, and Wassermann and Kitasato later on, succeeded
in preparing a _tetanus antitoxin_. To obtain this, the immunization
of the animal, horse or cow, is effected by injecting increasing
quantities of the toxin, more or less attenuated by mixing it with
Gramm's iodine solution; the immunization is easily and rapidly
accomplished by the process devised by Roux and Vaillard.[123]
[122] _Deutsch. Med. Wochenschr._, 1890.
[123] _Annal. Instit. Pasteur_, VII, p. 64.
The immunized animals yield a serum which, mixed with tetanus cultures,
renders these innocuous, and which enjoys an antitoxic power that
borders on the marvelous.[124] A quintillionth of a cubic centimeter
of the serum per gramme weight of a live mouse suffices to protect the
animal from an otherwise fatal quantity of tetanus toxin.[125]
[124] NOCARD: _Bull. de l'Acad. de Médecine_, Oct. 22, 1895.
[125] NAILLARD: _Compt. rend. de l'Acad. de Sciences_, CXX, p. 1181.
This serum is nevertheless powerless to preserve man in cases of acute
tetanus; it confers an immediate, but only transitory, immunity.
As to its mode of action, it appears to cause a permanent condition
of excitation or of nutritive reaction of the cells, which makes
these resistant to the poison. As in the case of the other toxins,
the quantity of antitoxin necessary to protect an organism is so much
greater the later the treatment is applied.
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