Doe Wo 06888 I mm r ammtAL mu&qmmm till *r*L)' *** *Aaf oomka» ) NZixtMff xsm&t§»ea snericar, imm «Aif/' ALLIED flUHdUfOl ASH •<» 8BOTIOS by Thantro Intoll, far^at# Sato Bac»d ATX8 U M 50 Ooonrtptlon of 3ont*mta: ?all ImilftlitA of *Antlbodi»« 1a Slood Kllfht *tonth« Aftor Inoculation with Jaaoiv oonic toTo-Trcmtod Oholor* fAecinA," by Labomiofy of Aiwy Nadleol Oollogo, 1940. Dee He 65388 X Angr Nodical Gel logo f3pl4o»l domical ftMtaveh Boporl faction 3 Vunbor 13P Antibodies ift Blood Months After Inoculation with 3upor«onic *aro-Treated Cholera facetno Anqr Modi cal Col logo Bpldooiology Laboratory lot Lt (nodical) SAW. Tounoo in-official staff aeaber SKDO. fokoehi (Secret) ioetlo* 3 Original Copy Cl notification 43T-4 343-sr? 360-.1? BaoolYod 30 Aug 40 Doc Ho 85388 I fablo of Cobtout* ftonoral Chop tor X. foot material* and procedure A. foot material* I. foot procedure 1. Agglutination reaction 2. CoKpleamt fixation reaction 9. foot-tube bactericidal* 4. laniml nation tecta Chapter XI. feat result a and ommarle* A. Agglutination reaction raaulto and wmmmej B. Complement fixation reaction revolta and suanavy 0. faot-tuba bacteriolysis raaulta and aonnaiy D. Inamaieation toot reaulta and cunaaiy Chanter XIX♦ Concluaion Seppleawnt Bibliography doc so sasta i &*aaml fhe offoetimnoa# of tho oho lorn mod no la reducing tho in* faction rato and Mortality mto of tho dieeaee alroady ha# bom lessen at rated by m«A8 amt later by «0LUI, %ummmn\ tAMLAfU&n and l£X39I3AIZi« In our country thia fact haa boon es- tablished through roculta cf investigation* aerfotued in 3T090 rmfoetum by hOTM® A and In OSAKA by HOIfOlA during oho l orn epidemic*. fha actual of foot iron* aa of oho lera-meclne Inoculation* t however, haa boon omluatod in acmral different way*. W and mmm ham olaived tho effective sorted to bo fro* thru* to four nonth #, whom** ITTCOTT, H0M«3 and XOTMyUBI ham olalnod «lx nentha. Thu iawualty tltor disappear# in mvm to nine nontho, according to 11X13X3, and In one year, seconding to FAFAWAlIi* and XMU8S * VMMI haa warned against exceeding tho effective period mi hao moanneudod that Inoculation# ho repeated omiy tlx month#{ tho 9ey«uiaa and Austrians encountered aocceae with thia not hod during tho world war. ttotheda of Manufacturing oholora vaccine aro uuaortma, but la rooont day# tho offoetimnoa* of tho «u:*raonic warn-treated oholora mod no hae suddenly cono Into proadnonco* It haa bom reported already that In tho Innuainotion of huaan# tho production of antibodies in tho blood two week# following tho second inoculation proved superior to tha eoatrols. sine# the continued effect a of 1 amine aubat«aoo# omr an ortoadod ported aaong huaaaa Imauninod with tha aunoraonic waTo-troatod dhclora mod no m«aln unknown, t#at# to cemr tide yhnee h*m been ordered. Ohnptar X. toot aatafialo and pmcadura A. To*t sutortalci fha !#•! asm canal atod of mi« taken on 9 Sec 3© !im 34 Iv«iG dll tit 1 OR t 300 II boo in SQO IT 1.600 f 3.J?oo Tl 6,uoo ▼II 12,800 mi 35.600 Control 1 12 XXI Inti/ili-iifii 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 o.5 Conplewmt diluted 10 tttees 0.5 o.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 % MMiUtiA blood cill •elution 0.5 0.5 'V' o.5 o.5 o.5 0.5 0.5 0.5 0.5 0.5 ?h/»iologic«i saline solution 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 2.0 1.5 1.5 37 °c 2 aoure BmiIIi 1 X h L L L L H s 8 I H Sabi* 1. H*ooIy«isi mlae t««t 3 Doe Vo 5538B I (2) Cojapl#««»t i S#ra tmkmn from aor# than 10 iam«ii w#rs aixod (s«parat#4 la r«frl&«mtor) sad allowed to stand for mom than thro# hoars at room taaporatur*. Th# cowpl#»#at tlt#r was a#a«ur#d hofors #aeh #xp#ria*nt • dilution was approxlast#- ly 10 tin#s. ($•• ffthl# 2.) 4 T)oc Be 553SS I Coapl«K«nt 8 X 10 X 12 X lH X 0.15 x?o 0.25 0.15 o.?o o.?5 0,15 o.?o 0.25 0.15 0.20 o.?5 Physiologlcel miine solution 1-35 1.30 1.25 5TC0 1.35 i.30 1 hour 1.25 1-35 1.30 1.25 U35 1.30 1.25 5> sensitized blood cell solution 0.5 0.5 3.5 379C ).5 0.5 2 hours 0.5 0.5 0.5 0.5 0.5 0.5 0.5 3s stalls X 1* L X * L 1 X FcL I K X iftbl* 2. ralae a»aturt—at t««t 5 Doc So 58388 I (3) Antlgtn* The superstate v*Tt~ti*tatod antigen vat obtained by culturing choltra bacteria (SItaut atrain) la an agar aodlut for 18 hours at 37°Ct suspending th# bactarla la a physiological tallat solution at a ratio of 10 mg par ec, sub- jecting 80 et of the suspension to th« action of 880 ho eucertonic warot for 80 minutes la order to destroy the cells, and adding 0*5 per coat of carbolic acid, Ooopltta hemolysis vat dlsrlsy- td vlth a dilution of 3 tints or tort vhaa the "self-retarding action” of Milt antigen vat measured. The practical tlttr vat tot at 16 tints• (Sat fables 3 and 4,} i Bom So 993*8 l Tost tubs tmaWr antigen dilution Z 2 n u in 8 IT lb T 32 n 6b Til 12« Till 25* Control X ii Ill Antlgon 0.5 o.5 o.5 o.5 0.5 0.5 0.5 lb | diluted 10 tiaos o.5 0.5 o.5 M 0.5 0.5 0.5 0.5 0.5 0.5 I swans sortUB diluted 10 tlass 0.5 0.5 0.5 >.? 0.5 0.5 0.5 0.5 0.5 saline solution 1.5 1.0 o.5 37° C l-h our lae ub&ti on — > ■ ■■ ■■—* — * ■■— 5% sons!tltod blood coll solution 1.0 1.0 1.0 1.0 1.0 — 1.0 1.0 1.0 1.0 1.0 1.0 37°' our inc1 abut ion losults E s a 1 t 1 i kk & a X. h fabl« 3. lest on fixation strength of antigen and i&auae ssrna 7 Doe Ho 5538B I Test tube sumbsr ml antigen dilution 1 2 n 4 111 8 IV 1£ f 32 s # Central m 7TXJ Antigen a.5 0*5 0.5 0.5 0.5 0*5 Ccmphmmt dilifcsd 2D Un»» 0.5 0.5 o*5 0.5 0.5 0.5 0.5 KhgrslologieaX —line kiM1«i 0.5 0.5 0.5 0.5 0.5 0*5 13 1.0 yfc l-hom p ineub alien % sensitised blood eoH solution 1*0 | 1.0 1.0 1.0 1.0 1.0 1.0 1*0 37°t .— 2-iiOU3 r ineab ntion R suits H I L t L L B 1 Tabl» 4* t&st 0,36 12.12 6*o6 3.03 0 0 1 *JK. Suitor posltim IB 43 49 23 15 3 1 0 0 M 152 [ * 11-84 2B,29 32.^4 i$,ao i 9.87 1.97 0.65 0 0 Tsibl© 6, ggluCtlnat ion mmtSjsm r-zimlts u Boo lo 5538ft Z Table 7. Agglutination reaction results. 4" «■ 0m#« posit It# to the agglutination reaction at dilution* of 40 tlaes and over totalled S!7 per coat for the tf.S.V., ZS per coat for the fand 13 nor eont for the A.M. At dilutions of 10 tines and over tbs pool tiro eases totallsd 100 per cent for tbs U.S.f, f 84 per cent for the t.V* and 80 par esnt for tbs A.W. £.5.7. oases showing a negative agglutination moot ion or positivity to the 5-tins dilution were not *»countered* Das case rash was produced at ths naxiraum agglutination Talus of 160-tiss dilution, fh® severity of ths U*8.T, casss vers post tire to dilutions of 380 tins* and over, but in examining the drop in individual agglutination values after eight nonths had elapsed ths values vers found to he between 40 and 80 tines, the values for IT,?, were still lower, indicating A drop to 10 to 30 tines. the U.S.y. indicated the highest average individual score, according to the agglutination reaction results, with a figure of p.8, followed by *•** with 1.7 and by A.M. with 1.0, By score is seaat ths exponential score represented by the exponent of prime factor % for the absolute value of the antigen-antibody reaction titer possessed by the individual serun. id Doc 770 55330 X 1. Oouplomoat fixation jroaotlon moult« and mmmryt Cooplanant fixation otrongth wax gonoral ly voofc. In «T«*y inotaaoo ths ooorplouoat fixation tltor «ao mxiamjn at a 30~Um dilution. firm eaooo (14.71 pox a oat) voro Indicated by U.S.T,, ono onto (3.03 por coat) by K.f. and flT# oaooo (3,t3? oor coat} by A.M. (Son Tabloo 8 and 9.) u iMB as 5538b I ■i#ruEk billot ion D 5 10 20 40 • JteakJBaai Total mniiww 0 BuEsber positive 12 a 9 5 0 0 iS II > 33.50 23.53 26.47 14.71 0 0 i M\*ab&r positive 13 U 5 1 0 0 i * 39.39 42*42 15.15 3.4B 0 0 • A*M* ftnber positive 74 4$ 28 5 0 © M 152 31 48.02 28.95 I9*ca 3*23 0 © Table &• Ccmphsmmt fixation reaction results Boo Vo 8538V I Tn'blo 3. 0oopl«M*t fixation reaction ronulto. 2P* GRAPH I" Dofiaito ws»ult» shoving « dacront® in Individual oowplo- aont fixation 9%T*nsih9 pm not Th« nrorafo Individual acorn v«» 0.56 point for U.3.?*, 0.21 point for K.T. and 0.36 point for A.M. t th« tattor t*o *•»!»* !••« thmn on* half of TJ.S.7. C. font-tub* b&otorlolyoia r»«ult§ nad ausaaaiyi (So® 9»U«s 10 and 11.) 10 Doc Ho 55388 1 Smtm dilution 5 § 10 20 40 so 160 330 610 1260 2560 1 JoUil SCOTS Hal casST: at - .-Mitive casas 2 X 2 1 a 2 6 5 5 4 4 181 % ? oeitivlty 5*ea 2..9U z*% 5.aa 5 *66 17.55 14*71 34*71 11.77 11,77 i -i K.V, Cg4@ 8S a $ a a 6 4 6 0 4 a 0 ■ osltl-rlty St 6.06 15*26 6.06 6.06 m.aa 12.12 ibjla 0 12.12 6.06 0 A*M. Pasitiy® Casas 22 16 9 5 17 20 m 10 19 16 7 m i oaitirlty * / XUA7 < 10,52 5.92 3,29 —j n.ia 23.I6 7.24 6.se i 12.50 L 10.53 4.61 Table ID. Bacteriolysis .reaction result# 15 Doe io i Table 11. Bacteriolysis tool results a$* 3" an*?! #ere than half (53 per cant) of the oases indicated a bacteriolytic titer of 330 tines end over. Approximately half (48 per cent) of the I.f. cases Indicated a titer of SO times *md over, not differing to any great extent free that displayed by A.M, fluctuations la individual bacteriolytic titer after sight months were observed, but because of the Insufficient asm»at of Mire and the well number of eves! nod eaeoo in the Initial series a standard for comparison could not be oetnbll shed. It was observed, however, that tight heath* after Inoculation the tKS.T. retained a distinctly higher amount of hemolysin as compared to the control. The highest average Individual score was displayed by U.S.f. with 5.3 points, followed by with 3.8 pointe and A.K. with 3.9 pointe. B. Immunisation test results and suassary* The immunisation tests were performed on laboratory animals corresponding In amber to the 33 persons, 39 persons and 141 persons fro® who® the U.5.T., I.l. and A.W. test sera, respectively, were derived. (See Tables 13 and 13.) 17 Doe so 5538G 1 Dags observed 1 a 5 Total deaths 6 6 1 15 i (Tras 34 cases) lieath rate (?) 25 18.75 3*13 1 &*?• Deaths 14 5 1 20 (fma 33 cases) >®sth pate (^) 4B.2? 17.24 3.45 68.97 A«H* S3 21 ia 122 {from 152 cases) fceath rate (%) 58.B7 14,90 12.?? 86.52 fable 12. laBonizatlon tost results xs Deo He 653S8 I Table 13. Immunisation loot results *• GRAPE 21" The death rote of animals employed la the teete and Inoculated with K.V. and A.M. practically readied or exceeded oae half their umher on the flret day, whereas the rate for ?.5.T, was only 36 per cent* the total covering the three-day period reveal# a 47-per cent rate for U.S.V., a 69-per cent rate for IC,T. and an 87-per cent rate for A.H. Death# among the Infected animal# vers the highest on the first day, hut decreased on the second and third days, la that order. These results shov the D«S.?. serum to poosoe# the highest Immunisation strength followed hy the K.f. serum; the A.H. seme displayed extremely weak immunisation strength. Chapter III• Conclusion A. Comparative studies were made on the anti bodies contained in human blood eight months after Inoculations of supersonic ware- treated cholera vaccines and control cholera vaccines (manufactured by Army Medical College) were made on the ease Amy, In addition the antibodies contained in the bleed of persons not connected direct- ly with the above experiment were studied. 19 TSoc ¥o 56388 X 3. The sera fren persons who had besn Inoculated with supersonic wave-treated vaccine* were found to retain the original agglutinin, oowpleaent fixation substances, bacterlolysln and laauae substones• eight south* after the Inoculation. The amount retained greatly surpassed that retained in persons who had been Inoculated with the control cholera vaccine (aanufactured by A ray Medical School). C. The antibodies contained in the blood of persons who had been Inoculated eight Months previously with the control cholera vaccine (Manufactured by A my Medical School) gave the impression of being slightly superior In number to those of ordinary persons. The results, however, indicated no great difference between the two. Supplement An opportunity to exaaine the blood tjnse# of a land# muster of persons was provldod. The results of this oxa^in#tloa have boom added to tho Main toxt a# a supploaent. the standard «orm prepared bp tho Away Medical College %idcnic logical Section vmn dissolved la m physiological saline solution according to an established rule* Blood cells of the highest possible freshness vers oilseed to act upon this. Mood ©ell agglutination eat examined and the results were dstemlned el thin a three ~jb! nut* period, (See fables 14, IS and 18 and Supplementary f»tl« 1.) Supplementary fable 1. Blood type 8* OHAPH 8* Ssz (l) Bleed type 30 Bee Ho 55398 Z A comparative study of the Individual antibody productivity performed concurrently with Inoculations (based on blood typos) of supersonic v«ve-t rented a bo lore vaccine and control cholera meet no revealed no particularly marked differences. (800 supplementary Table 2 for comparative insults.) Bibliography 1. Anay Kadleal droup, B3VKXOAK7 ICTftm (%ldamiolo£y Manual). 3. SAKAMTOU, Tutakm, SUIKIV rar&AHC (Serologic Krauni nation MatkoAa for Baotaria), p **0€* 3. nmoHi, sAixivoAiar otosi ummuASCj oad Xaarunology), Adraaca traatlaa. 4. K0BAYA3KI, 3okusa, KAMWVI SHHM0 SAIKIHOAKU (Slapllflod Clinical lactartology), ?nrt Tour. 5. K1MBA. Kiyoahl, SAIIXMOAKU OTOBI «nK*4X8 (lactarlolagy *aA Immunology). 6. TAMOBA, Toihimifcl, SaVCMfS jRiKYUJO (UWJTUXAI BASBHI (Alumni Association Journal of Infoetlouo Oiaaaaa* Vaaaarah Inatituta), Saoond Toar, Vo. I. 7. SHI ISA, Toahlji and OTAMA, Matas to, VAimdAKtJ XA3VK (Journal of Baatarlalagy), Vo. 392, 1934, 8. DKXT3U. Hianyo, SIBOV BXSVXSUf SUOAVir US9HI (Japan Journal of Mlerokiology and Pathology), Tal. 32, *0. 1, Voraakar 1938. 9. WkfAlASl, Vatari (and nina othara), TOKYO Ul SAS3HI (Tokyo Maliart Journal), Vo. TO, Saeamkar 1938. 10. «A9AUBft, Jatari (and four athara), TOKYO UI XASVHI, Saptaakar 1938. 11. YAffAVABI, Vatari (and thm othara), VIVOS BI3BXV9*MUkVV iTOftlGAKTJ 2A3SIX, Yol. 32, Octokar 1938. 12. KOSXV, H.*. u. FSZOOVJ, 1.; Haadbuch dar Potto* aikroorfranianan. Id. III. I Tail. 71. 1928. 13. HUfSOI, H. | Handkuch dar Pothog alkroorgani mt. Bd. Ill I. I fail. 159. 1938. 14. yilXfS u. WW®, Zaitachr, f. Xnnuniatatator BA, 84. 1912* 15. lahil Korea Bullatin IX-80, n mc. jip J53S8 I rMfpXvama ry Ifc&U 2 .. .. ... ,. if ~ -ft- * K.7. Blood typ* SeruR Agglutination reaction Cocpiasecnt fixation reaction 1 i . Insaunltgr ' 3erwa iiwabcr Agglutination reaction Conplessscst reaction Bacteriolysis IfflMtisity B » 0 ms. • m*. 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