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从美杜莎之血到贝林的血清疗法:血清疗法的漫长之路。

From the Gorgon's blood to Behring's Blutserumtherapie: A long path towards serum therapy.

作者信息

Lahaie Yves-Marie, Watier Hervé

机构信息

Service médical TAAF-IPEV, Institut polaire français, Plouzané, France.

Université de Tours and INSERM, UMR 1100, Tours, France.

出版信息

Immunol Rev. 2024 Nov;328(1):13-23. doi: 10.1111/imr.13391. Epub 2024 Sep 14.

Abstract

At the end of the 19th century medicine was turned upside down by the development of serum therapy, a great therapeutic revolution as was vaccination a few years earlier. Many serums were developed, the most famous being the German doctor Emil von Behring's diphtheria serum, which saved countless children's lives from this dreadful disease. The discovery of the serum therapy principle, allowed by the progressive understanding of humoral immunity, occurred both in Germany and France, almost at the same time. Interestingly, this principle arose from two different intellectual paths, reviving the age-old opposition between mechanism and vitalism: while Behring came to this discovery reasoning as a chemist, French researchers Charles Richet and Jules Héricourt behaved as physiologists, focusing on the role of the host in the host-pathogen interaction. However, we should maybe consider that serum therapy history begins much earlier. Great forerunners must not be forgotten, especially researchers who investigated the field of immunity as soon as in the very beginning of the microbiological revolution; but also many people throughout centuries who tried to cure diseases with blood: as a transfer of blood serum, serum therapy also lies in the tradition of blood transfusion.

摘要

19世纪末,血清疗法的发展使医学发生了天翻地覆的变化,这是一场如同几年前疫苗接种一样伟大的治疗革命。人们研制出了许多血清,其中最著名的是德国医生埃米尔·冯·贝林的白喉血清,它挽救了无数儿童的生命,使其免遭这种可怕疾病的侵袭。血清疗法原理的发现,得益于对体液免疫的逐步了解,几乎同时在德国和法国出现。有趣的是,这一原理源于两条不同的学术路径,重现了由来已久的机械论与活力论之间的对立:贝林是以化学家的思维方式得出这一发现的,而法国研究人员夏尔·里歇和朱尔斯·埃里库尔则是生理学家,他们关注宿主在宿主-病原体相互作用中的作用。然而,也许我们应该认为血清疗法的历史要早得多。伟大的先驱者不应被遗忘,尤其是那些在微生物学革命一开始就研究免疫领域的研究人员;但还有几个世纪以来许多试图用血液治疗疾病的人:作为血清的转移,血清疗法也属于输血的传统。

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