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肺炎球菌感染犬的免疫因素。

IMMUNITY FACTORS IN PNEUMOCOCCUS INFECTION IN THE DOG.

机构信息

Laboratories of The Rockefeller Institute for Medical Research.

出版信息

J Exp Med. 1916 Jul 1;24(1):7-24. doi: 10.1084/jem.24.1.7.

Abstract

Intravenous inoculations of from 1 to 3 cc. per kilo of body weight of a bouillon culture of virulent pneumococci produce septicemia and meningitis in dogs. The injected pneumococci leave the circulation rapidly, but begin to reinvade the blood from 24 to 48 hours later. The septicemia reaches its climax between the 4th and 5th days and then abruptly declines, the blood becoming sterile within from 1 to 3 days after the height of the septicemia is reached. The initial disappearance of the pneumococci from the circulation has been found to be due to agglutination of the diplococci in the blood stream and accumulation of the clumps in the lungs, liver, spleen, etc. If the dogs are reinoculated during the ascension of the septicemia, the injected diplococci leave the circulation as rapidly as in normal dogs. Cultures isolated in this stage of the infection, both before and from 3 to 4 hours after the reinoculation, are resistant to the agglutinins and opsonins of immune sera that agglutinate and opsonize the cultures with which the dogs were originally infected. Thus it follows that the pneumococci are able to reinvade the circulation because they have acquired a fastness to the existing antibodies and not because the antibodies have been bound or exhausted. By reinoculating dogs at the time of the crisis in the septicemia it has been shown that the agglutination of the pneumococci is more rapid and complete and that the diplococci leave the circulation much more rapidly than in normal dogs. Hence acquired antibodies are operative within the animals at this time although they cannot be demonstrated in vitro until from 24 to 48 hours later. Pneumococci isolated as the infection is subsiding are more susceptible to the action of immune sera than the original cultures injected. It is probable that all the dogs would have survived the infection if a meningitis had not developed. In the acutely fatal cases of meningitis few pneumococci are phagocyted, while in the milder and convalescent cases much phagocytosis occurs. It is suggested that the incubation period of infectious diseases is due to the fact that the infecting agents must become adapted to the adverse conditions encountered in the newly infected host before they can multiply sufficiently to produce the symptoms of disease. It is further suggested that epidemics may arise because the infectious agent is passed from person to person in the ascending stage of the disease and thus enters new hosts in a state of maximum resistance to the natural antibodies of such individuals. When early contacts are avoided, epidemics tend to subside because the infectious agent is weakened by the action of acquired antibodies during the period of convalescence.

摘要

静脉内注射每公斤体重 1 至 3 毫升的有毒肺炎球菌肉汤培养物,可使狗产生败血病和脑膜炎。注入的肺炎球菌很快离开循环系统,但在 24 至 48 小时后开始重新侵入血液。败血病在第 4 至 5 天达到高峰,然后突然下降,血液在达到败血病高峰后 1 至 3 天内无菌。最初发现肺炎球菌从循环系统中消失是由于双球菌在血流中凝集和聚集在肺、肝、脾等器官中。如果在败血病上升期间给狗重新接种,注入的双球菌会像正常狗一样迅速离开循环系统。在感染的这个阶段分离的培养物,无论是在重新接种之前还是在重新接种后 3 至 4 小时,都对免疫血清中的凝集素和调理素具有抗性,这些凝集素和调理素可凝集和调理最初感染狗的培养物。因此,肺炎球菌能够重新侵入循环系统,是因为它们获得了对现有抗体的坚固性,而不是因为抗体已经被结合或耗尽。通过在败血病危机时给狗重新接种,可以证明肺炎球菌的凝集更快更完全,双球菌离开循环系统的速度也比正常狗快得多。因此,虽然在体外直到 24 至 48 小时后才能证明获得的抗体,但此时它们在动物体内仍有作用。随着感染的消退,分离的肺炎球菌比注入的原始培养物更易受免疫血清的作用。如果没有发生脑膜炎,所有的狗可能都能活下来。在急性致命性脑膜炎病例中,很少有肺炎球菌被吞噬,而在较轻和恢复期病例中,吞噬作用则较多。有人认为,传染病的潜伏期是由于感染因子必须适应新感染宿主遇到的不利条件,然后才能充分繁殖,产生疾病症状。进一步认为,传染病可能会爆发,是因为感染因子在疾病上升阶段从一个人传给另一个人,因此进入新宿主时处于对该个体天然抗体的最大抵抗力状态。当避免早期接触时,传染病往往会平息,因为在恢复期,获得的抗体会削弱感染因子的作用。

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