Venoms: Venomous Animals and Antivenomous Serum-therapeuticsCalmette, A. (Albert)
Science
Venoms: Venomous Animals and Antivenomous Serum-therapeutics
Calmette, A. (Albert)
Antitoxins; Poisonous snakes; Toxins; Venom
If, instead of making use of the _mouse_ as test animal, we employ the
_rabbit_, it is found that the same serum, in a dose of 0·75 c.c.,
neutralises 0·001 gramme of venom sufficiently for the mixture to be
innocuous when inoculated. It is clear that, in this mixture, the whole
of the venom was not neutralised by the serum, but the small quantity
left free is incapable of producing harmful effects.
By this method of employing mixtures of the same dose of venom with
variable quantities of antivenomous serum, we are therefore enabled to
determine with the greatest exactness the antitoxic power _in vitro_ of
each specimen of serum. But it must not be forgotten that _the result
obtained applies only to the species of animal into which the mixtures
were injected_.
I have already stated (Chapter VIII.) that a fairly close parallelism
exists between the _neurotoxic_ action of venoms and their _hæmolytic_
action, and I have established that, in order that the sensitive red
blood-corpuscles may be dissolved under the influence of venom, it is
indispensable that the reaction take place in the presence of normal
serum, since venoms have no effect upon red corpuscles freed from serum
by several successive washings and centrifugings.
Preston Kyes has explained this phenomenon very well by showing that
the venom combines with the lecithins in the serum, or with those
contained in the stroma of the corpuscle, so as to constitute a
hæmolysing _lecithide_.
The knowledge of this fact enables us to determine, by means of a very
neat and simple method, and with a sufficient degree of accuracy for
practical purposes, the antitoxic power of an antivenomous serum by
measuring its _antihæmolytic_ power.[102]
To this end it is sufficient to cause variable doses of serum to act
on a given quantity of defibrinated horse- or rat-blood, to which a
constant dose of venom is then added. We employ, for example, a 5 per
cent. dilution of defibrinated horse-blood, which is portioned out in
doses of 1 c.c. into a series of test-tubes. To each of these tubes in
succession is added a progressively increasing quantity of the serum
for titration, starting with 0·01 c.c., and continuing with 0·02 c.c.,
0·03 c.c., &c., up to 0·1 c.c. A control tube receives no serum. There
are then introduced into all the tubes 1 decimilligramme of venom and
0·2 c.c. of normal horse-serum, deprived of alexin by previous heating
for half an hour at 58° C. At a temperature of about 16° C. hæmolysis
commences to manifest itself in the control tube in from fifteen to
twenty minutes. It takes place in the other tubes with a retardation
which varies with the dose of serum added. Tubes are to be noticed in
which it does not occur even after the lapse of a couple of hours.
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