Alexander Fleming Laboratory Museum, United Kingdom.
Department of Infectious Diseases, Faculty of Medicine, St Mary's Campus, Imperial College London, Paddington, London W2 1PG, United Kingdom.
Vaccine. 2021 Apr 8;39(15):2074-2079. doi: 10.1016/j.vaccine.2021.03.017. Epub 2021 Mar 13.
Following the 1892 cholera pandemic, Richard Pfeiffer, Director of the science section of Robert Koch's Institute for Hygiene in Berlin, began laboratory-based studies on the pathogenesis of the disease using an animal model. These investigations resulted in his discovery of bacterial endotoxin; recognition of the bacteriolytic properties of both animal and human immune sera; and identification of the specific nature of protective immune responses. His research led naturally from cholera to typhoid fever and in November 1896 Pfeiffer published the results of experimental studies on a typhoid vaccine. In September 1896 Almroth Wright, a professor of pathology in the British Army Medical School, published a short note entitled "Typhoid Vaccination". It was appended to a review on the use of styptics to control defective blood coagulation: his previous research studies had a physiological basis that stemmed from earlier studies on tissue fibrinogen. In December 1895, Wright had been commissioned by the Army Medical Department to develop a typhoid vaccine and he later admitted that such work began only after he had spoken with Pfeiffer. In January 1897 Wright published a further paper in which he claimed precedence over Pfeiffer in the introduction of anti-typhoid vaccination. This self-entitlement has subsequently been accepted, primarily because the British Army approved typhoid vaccination in 1914 at the beginning of the First World War. That time has been used as their starting point by many of Wright's biographers, but without any attempt to confirm Wright's claim to priority. This paper concludes Richard Pfeiffer, not Almroth Wright, provided the first account of human typhoid vaccination. It also provides early examples of laboratory-based responses to pandemic and epidemic infectious diseases.
1892 年霍乱大流行后,柏林罗伯特·科赫研究所卫生科学分部主任理查德·菲尔绍(Richard Pfeiffer)开始使用动物模型对该疾病的发病机制进行基于实验室的研究。这些研究导致他发现了细菌内毒素;认识到动物和人类免疫血清的溶菌特性;并确定了保护性免疫反应的特异性。他的研究自然而然地从霍乱延伸到伤寒,1896 年 11 月,菲尔绍发表了伤寒疫苗的实验研究结果。1896 年 9 月,英国陆军军医学校病理学教授阿尔姆罗思·赖特(Almroth Wright)发表了一篇题为“伤寒疫苗接种”的简短说明。它附在一篇关于使用止血剂控制凝血缺陷的综述之后:他之前的研究工作有一个生理学基础,源于他早期对组织纤维蛋白原的研究。1895 年 12 月,赖特受陆军医疗部门委托开发伤寒疫苗,后来他承认,在与菲尔绍交谈后,他才开始这项工作。1897 年 1 月,赖特发表了另一篇论文,声称他在引入抗伤寒疫苗接种方面优于菲尔绍。这种自封的权利后来被接受了,主要是因为英国陆军在第一次世界大战开始时于 1914 年批准了伤寒疫苗接种。许多赖特的传记作者都将这一时间用作他们的起点,但没有任何试图证实赖特的优先权主张。本文的结论是,理查德·菲尔绍(Richard Pfeiffer)而不是阿尔姆罗思·赖特(Almroth Wright)首先描述了人类伤寒疫苗接种。它还提供了实验室应对大流行和传染病的早期范例。