Department of Medicine and the Douglas Smith Foundation for Medical Research of The University of Chicago, Chicago.
J Exp Med. 1937 Nov 30;66(6):705-27. doi: 10.1084/jem.66.6.705.
In view of the finding that one or more attacks of pneumococcus lobar pneumonia experimentally induced in dogs failed to protect the animals against subsequent infection, an attempt was made to determine whether or not the dog's antipneumococcal immunity could be enhanced to the degree of complete resistance to the experimental disease. To this end dogs were passively immunized by the intravenous injection of large quantities of both unconcentrated antipneumococcus horse serum and concentrated antibody solution and actively immunized by vaccination with killed and living cultures of pneumococci. None of these procedures were found to result in constant protection against the pulmonary infection. The disease, however, was of brief duration, the lesions of limited extent and usually sterile within 24 hours. A combination of active and passive immunization produced no better results. It was only when immune bodies and leucocytes were implanted with the infecting dose that prevention of infection was secured with any degree of constancy. Even under these conditions the lesion sometimes involved a considerable portion of a lobe. The factors involved in the inception of experimental lobar pneumonia are discussed and the bearing of this study on the prophylactic immunization of human beings against pneumococcus pneumonia is suggested.
鉴于一项实验发现,在狗身上诱发的一次或多次肺炎球菌性大叶性肺炎攻击未能保护动物免受随后的感染,因此尝试确定狗的抗肺炎球菌免疫力是否可以增强到完全抵抗实验性疾病的程度。为此,通过静脉内注射大量未经浓缩的抗肺炎球菌马血清和浓缩抗体溶液对狗进行被动免疫,并通过接种死菌和活菌肺炎球菌进行主动免疫。这些方法都没有发现能持续预防肺部感染。然而,该疾病持续时间较短,病变范围有限,通常在 24 小时内无菌。主动和被动免疫的结合也没有产生更好的结果。只有当将免疫体和白细胞与感染剂量一起植入时,才能在一定程度上确保预防感染的稳定性。即使在这些条件下,病变有时也会涉及一个肺叶的相当一部分。本文讨论了实验性大叶性肺炎发病的因素,并提出了该研究对人类预防肺炎球菌性肺炎的预防性免疫接种的意义。