Sairekeert ees iy oi) Da) Lethal. ined hatter) He mannan ii tt att) i 1 i PSNI T ny 4 43h tebe Te ala a Pa ns eee nM " nici i aft 8 ith Hh sh a a i Pe ia » Need ae ity ame al tees i irate i i ia Thy sie se =a = eStsiss cS te Bh ss (uy } ‘ : p nel i Pere ig) Sadia nigh ahs MA * Ha sd'ide Na aout) 4 1 { oy at thai Tue y! mays th, pti + Weg i’ Dene hertae lich ( iV Hiya aye ’ ' aia Ny bag tty) i if ) " ‘ iat viel) Xi qui FOR THE PEOPLE FOR EDVCATION FOR SCIENGE LIBRARY OF THE AMERICAN MUSEUM OF NATURAL HISTORY PROCEEDINGS OF THE SOCIETY FOR EXPERIMENTAL BIOLOGY AND MEDICINE VOLUME X 1912-1913 EDITED BY THE SECRETARY NEW YORK 1913 { ik ae ‘ Wat (eo eae cere hy aoe PRESS OF Pesan, . ; ‘WHE NEW ERA PRINTING COMPANY bs vers LANCASTER, PA. CONTENTS: SCIENTIFIC PROCEEDINGS (50th—54th meetings): Communications of the fiftieth meeting, October 16, 1912. Communications of the fifty-first meeting, December 18, I912 . Communications of the fifty-second meeting, February 19, 1913 Communications of the fifty-third meeting, April 16, 1913. Communications of the fifty-fourth meeting, May 21, 1913 Recapitulation of the names of the authors and of the titles of the communications ; d é : EXECUTIVE PROCEEDINGS (50th—54th meetings) REGISTER OF NAMES AND ADDRESSES OF THE MEMBERS List OF OFFICERS . , : CLASSIFIED List OF MEMBERS. : INDEX OF THE SCIENTIFIC PROCEEDINGS. PEATE te SCIENTIBIC se ROCEEDINGS: ABSTRACTS OF THE COMMUNICATIONS. Fiftieth meeting. Cornell University Medical College. October 16, 1912. Dr. Lee in the chair. 1 (697) A note on the mode of infection in epidemic poliomyelitis. By SIMON FLEXNER and PAUL F. CLARK. [From the Laboratories of The Rockefeller Institute for Medical Research.| Both in experimental and human epidemic poliomyelitis the virus has been repeatedly demonstrated in the tonsils, in the nasal mucous membrane, and in nasal washings, both from fatal and acute cases. As the experimental disease can also be produced by intranasal swabbing with the active virus it seems probable that the nasal mucosa is one at least of the sources of the virus in the outside world and also the means of its entrance to the body. The marked viability of the virus under adverse conditions such as drying, low temperature, etc., must also be considered as making for a fairly well founded theory of the nasal route as one path of the virus to and from the body. The precise manner in which microédrganisms enter the body through mucous membranes is difficult to establish. Because we can produce experimental poliomyelitis by the application of the active virus to the nasal mucous membrane, we have in this disease a means of determining whether the virus so applied first enters the blood stream and through this the central nervous system or whether it ascends directly along the lymphatics that unite the nasal mucosa with the central meninges. In experimental polio- myelitis produced by any method of injection it is well known that the virus is present throughout the central nervous system. But after an intranasal injection, can the virus be demonstrated equally early in all regions of the cord? I 2 SCIENTIFIC PROCEEDINGS (50). In order to answer this question, the nasal mucous membrane of a Macacus rhesus monkey was swabbed lightly with a portion of ground cord from a recently paralyzed monkey. The monkey was killed at the end of 48 hours and the following portions of the central nervous system were removed separately and aseptically: (1) the olfactory lobes with small portions of the adjacent brain substance, (2) the medulla, and (3) pieces of the cord at different levels including the cervical and lumbar enlargements. These different portions were injected separately as suspensions into the brain and peritoneal cavity of three other Macacus rhesus monkeys. The monkey injected with the suspension of the olfactory lobes came down in a manner typical of poliomyelitis in monkeys with definite prodromal symptoms on the ninth day, paralysis on the tenth and death on the twelfth day. At autopsy, lesions char- acteristic of the disease were observed throughout the cord. The two other monkeys remained entirely well and have never shown any symptoms of paralysis. The result of this experiment is definite. The virus of polio- myelitis passes from the nasal mucous membrane to the olfactory lobes and adjacent parts of the brain before it reaches the medulla or cord. This distribution is what we would expect were the ascent by the direct lymphatic path and not by the blood stream. Were the dissemination by the latter route we should expect early localization in those parts of the cord and medulla that possess an especial affinity for the virus. 2 (698) Effects on meningeal tuberculosis of the local injection of foreign leucocytes. By WILFRED H. MANWARING. [From the Rockefeller Institute for Medical Research.] In a previous report,! it was shown that the use of foreign leucocytes as a local therapeutic agent in experimental meningeal infections in dogs is limited by the toxicity of foreign leucocytes 1Vol. IX, p. 117. Loca INJECTION OF FOREIGN LEUCOCYTES. 3 for these animals. Rabbit leucocytes injected into the meningeal cavities of dogs invariably cause death. A single injection of horse leucocytes, however, can be safely made in normal dogs, although on repeating the injection, or on injecting horse leu- cocytes for the first time into meninges already the seat of an inflammatory lesion, death results. The injection of horse leucocytes into the cerebral meninges of dogs, simultaneously with the inoculation of the meninges with tubercle bacilli, causes a slight delay in the development of the paralytic symptoms in about half of the treated animals. This delay, however, is very slight when compared with the great prolongation of the latent period previously observed,! after treat- ment with homologous leucocytes. In the same report, it was shown that foreign leucocytes are much less toxic for monkeys. Both rabbit leucocytes and horse leucocytes can be safely injected into the meningeal cavities of these animals. The study of the therapeutic control of meningeal tuberculosis in monkeys is made difficult by extra-dural leakage, when the inoculations and treatments are made by the method of lumbar puncture. The inoculations and treatments, in the later experi- ments herein reported, were therefore made through a permanent wax-trephine? opening in the skull. The injection of foreign leucocytes into the meningeal cavities of monkeys, either simultaneously with the inoculation with tubercle bacilli, or subsequent to the inoculation has thus far given no definitely positive prophylactic or curative effects. Ina small group of monkeys, however, inoculated and treated by the method of lumbar puncture, the repeated injection of rabbit leucocytes was associated with a considerable prolongation of the latent period in one of the treated monkeys, and by a complete prevention of the subsequent tuberculosis in a second monkey. The work with monkeys is being continued. 1 Jour. Exp. Med., 1912, XV, pp. I-13. 2 Jour. Exp. Med., 1912, XV, p. 3. 4 SCIENTIFIC PROCEEDINGS (50). 3 (699) The importance of calcium in relation to growth. By FRANCIS H. MCCRUDDEN. [Rockefeller Institute Hospital, New York.) In certain cases of retarded development there is faulty skeletal development and disturbed calcium metabolism. The bones are frail and easily fractured; large quantities of calcium are lost through the feces, and the urine is almost free from calcium. It seems probable that the retarded skeletal develop- ment is due to the lack of calcium salts available for bone growth. Other cases of retarded development show no such disturbances of calcium metabolism and the bones are of normal solidity. In these cases there is a more fundamental absence of the ‘‘ tendency to grow”’ rather than any lack of material for growth. 4 (700) The pyramid tract in the Canadian porcupine (Erethizon dorsatus Linn.). By SUTHERLAND SIMPSON. [From the Physiological Laboratory, Medical College, Cornell Uni- versity, Ithaca, N. Y.] The nerve fibers of the pyramid tract pass caudalwards from their cells of origin in the motor area of the cerebral cortex and are homo-lateral until the lower part of the medulla oblongata is reached. At this level, in the majority of mammals that have been examined, most of the fibers decussate and take up a position in the lateral column of the spinal cord on the opposite side, just ventral to the posterior horn, forming the crossed lateral pyramid tract. I,e-*" a color change would be expected. This is known as the principle of dichromatism. Whether a color change occurs or not with the same light source would depend on the values of k,, and k;andon 1. The necessary conditions Ij, > I,, Rgr > Rr for oxyhemoglobin and / sufficiently small are all realized in the case of red blood corpuscles viewed indaylight. This formulation isonly avery rough approximation. Theexact formulation would require integration of the intensities over the whole spectrum, and this cannot be done at present as long asit is not known what func- tions J and k are of \ (the wave-length). However, several ob- servations furnish strong support for the view that the color CoMBINED ACTION OF MAGNESIA AND ETHER. 159 change of erythrocytes in layers of varying thickness is in accord- ance with the principle of dichromatism. It is possible to con- struct a thin wedge of solid oxyhemoglobin and observe the thick- ness at which the color change occurs. In such a wedge at a thickness of 1.3 u and less the color is identical with that of a single layer of red blood corpuscles. Above 1.3 » adistinct reddish tinge is noticeable, increasing with the thickness of the wedge to a deep pure red. In this experiment the color is the same in parallel or convergent light. This rules out the influence of the stroma and the surface curvature on the color of the red blood corpuscles. Finally, small (microscopic) crystals of oxyhemoglobin (second crystallization) are of the same color as the red blood corpuscles, while larger (i. e., thicker) crystals are bright red. 99 (795) Combined action of magnesium and ether; evidence of a central effect of magnesium. By S. J. MELTZER and JOHN AUER. [From the Department of Physiology and Pharmacology of the Rockefeller Institute.] We have shown about eight years ago that magnesium sulphate is capable of causing a profound depression in animals. After an injection of a proper dose of a solution of a magnesium salt the animal loses for some time, all reflexes and signs of sensibility, while the respiration remains intact. Several years before it was found (M.) that a condition similar to this can be produced by an intra-cerebral injection of two or three drops of a 5 per cent. solution of magnesium sulphate, while the injection of hypertonic solutions of other salts caused convulsions. On the basis of both experiences we assumed as a working hypothesis that magnesium favors an inhibition of the entire nervous system. We designated the depressed condition of the animals as anesthesia, which implied that the central nervous system was also affected. This interpre- tation has not been accepted by Wiki. He called attention to experiments of Binet and of his own to the effect that magnesium salts paralyze the motor nerve endings, and he assumed that in our 160 SCIENTIFIC PROCEEDINGS (54). experiments the animals were merely paralyzed and had not lost any sensation; in short, magnesium acts, according to Wiki, like curare, although he admits the significant difference that curare paralyzes the respiratory motor nerves before the motor nerves of the other parts of the body, while magnesium paralyzes all other motor nerves before it attacks the motor nerves concerned in the respiration. The statement that magnesium paralyzes motor nerve endings is perfectly correct; we have seen it ourselves numerous times. While it is true that many other inorganic salts have also a curare-like action upon the motor nerve endings, it has to be admitted that the effect of magnesium salts upon the motor nerve endings exceeds that of any of the other salts. This fact, however, is rather in harmony with our assumption that magnesium depresses all parts of the nervous system. The ques- tion is only whether it affects also the central part of the nervous system. Wiki and two or three others deny it; we assume it, and have many good reasons for this assumption. We shall, however, not enter here upon a discussion of the entire subject. Our sole purpose in the present communication is to report the results of a series of experiments which make it probable that magnesium affects also the central nervous system. In these experiments rabbits and dogs received one half, or less, of the effect- ive dose of magnesium sulphate. It was found that such animals are readily deeply narcotized by inhalations of small doses of ether which are insufficient to narcotize normal animals. You see here a picture of three rabbits. The dose of magnesium sulphate necessary to narcotize a rabbit is about 1.2 gm. per kilo body weight. Rabbits No. 1 and 3 each received intramuscularly 0.6 gm. MgSO, per kilo. Rabbits No. 2 and 3 inhaled through trache- otomy tubes, connected by means of a T-tube with the tube of a bottle containing ether. Each rabbit received exactly the same amount of ether which was insufficient to cause complete narcosis. The animals were photographed soon after the discontinuation of the etherization. Rabbit No. 1 which had only magnesium, and No. 2 which had only ether are sitting up. Rabbit No. 3 which had magnesium and ether is deeply narcotized and is limp. You see here a similar picture of three dogs treated in the same manner. If magnesium would have had only a peripheral effect there could PRODUCTION OF AcID BY TISSUES. 161 have been no summation with the subminimum central effect of the ether. 100 (796) Note on the production of acid by tissues growing in vitro. By PEytTon Rows, M.D. [From the Laboratories of the Rockefeller Institute for Medical Research.| Connective-tissue cells of the chicken, growing im witro in chicken plasma to which a little blue litmus has been added, produce rapidly a focal, pink coloration of the medium. If a number of small fragments of one tissue (heart muscle or the aorta of young chicks, or chicken sarcoma) be plated out with the plasma medium in a petrie dish, it will be found that all the tissue bits are at first stained blue, but that those from which growth occurs become pink, while the growing tissue itself is unstained. The fragments remaining permanently inert keep the blue color. Often a pink coloration of tissue bits can be observed at a time when growth is found, microscopically, to have barely started. The acid change is in general sharply localized to the neighborhood of the growing tissue. When growth is checked by placing the preparation in the ice-box, neutralization in the acid foci is often incomplete at the end of forty-eight hours, and this even when the bulk of alkaline plasma is relatively large and its plasma network thinned by dilution. Diffusion in the plasma medium as thus indicated is very slow. Under the ordinary circumstance of im vitro life without artificial provision for a circulation of fluid, tissue proliferation must take place almost from its beginning, inanacid medium. This constitutes a serious fault in the method of cultivation. The nature of the acids produced by the growing tissue has not been determined. Carbonic and lactic acids are presumably present in greatest quantity. That the amount of acid formed may be very considerable has been shown by titrating out the as yet unclotted blue plasma to the tint acquired by the tissue cultures. The acid does not affect methyl orange, but very occasionally it changes congo red toward violet, a change best seen 162 SCIENTIFIC PROCEEDINGS (54). in the interior of degenerating cells which have taken up the indi- cator. The violet change is not due to free carbon dioxide, for bubbling the gas through unclotted plasma containing congo red fails to bring about an alteration in color. The observations show that tissue cells can withstand much more considerable changes in the reaction of the medium round about than has been supposed; and that their growth in vitro may be very active in an acid medium. 101 (797) The location of the optic anlage in Amblystoma and the interpreta- tion of certain eye defects. By CHARLES R. STOCKARD. [From the Department of Anatomy, Cornell Medical College, New York City.] The early embryos of Amblystoma were operated upon so as to remove definite areas from the open medullary plate in order to determine the position of the materials which would give origin to the future eyes. Preliminary experiments of sticking and disturbing the cells in the anterior end of the medullary plate without actually remov- ing these cells did not prevent the subsequent development of the optic vesicles in an apparently normal manner. Cutting out rectangular pieces of the anterior part of the medullary plate, reversing the pieces and transplanting them merely caused the eyes to develop in misplaced positions. These two experiments demonstrate the fact that unless the future eye material is well removed by the operation the optic vesicles may form. This fact is important in considering the results of the following experi- ments. A general statement of the results of the experiments may be expressed as follows: Thirty embryos studied after various opera- tions in which lateral portions of the medullary plate were removed at slightly different developmental stages showed in twenty-four individuals, or eighty per cent. of the cases, subsequent develop- ment of both eyes, while only six specimens, or twenty per cent. LOCATION OF THE OpTIC ANALAGE IN AMBLYSTOMA. 163 of the cases, showed absence of the eye. In one case the presence of the eye was questionable, in five cases one eye and in one case both eyes were absent. The absence of the eyes in the latter cases was possibly due to the cut having been made in a more median position than was intended. Nine embryos studied after having been operated upon so as to remove a narrow median strip of cells from the anterior portion of the medullary plate showed in four cases, or about forty-five per cent. of the specimens, entire absence of eyes. In four other individuals the eyes were highly defective, one specimen having one poorly formed eye while the other was questionably present. In only one of the nine embryos did the eyes approach the normal condition, from this specimen an extremely narrow median piece had been cut out of the medullary plate. The optic anlage might have been sufficiently wide at the time of the operation to allow its median portion to be removed and yet enough material remain on either side of the cut to give origin to the two eyes. According to the views of several investigators the removal of this median material should have caused the cyclopean defect, yet it did not. In a more extended report of these experiments I shall show that cyclopia is not due to a coming together of lateral materials in the median plane, but to a failure of median material to spread laterally. Contrasting the results obtained after the lateral and median cuts mentioned above one must conclude that: The eye anlage in the medullary plate occupies an antero-median position as shown by the various abnormalities incurred when this region 1s cut away. The failure to injure the development of the eyes in the great majority of cases when the lateral portions of the medullary plate are removed by operation indicates further that the eye anlagen do not occupy lateral positions during this stage of development. Based upon these experiments and a study of a large number of eye abnormalities it is concluded that the cyclopean defect is a developmental arrest. The eye anlage fails to widen laterally so that only a single median growth center arises from which develops the ventro-median cyclopean eye. In normal cases the anlage widens and two more or less lateral growth centers become established and give rise to the ventro-lateral optic 164 SCIENTIFIC PROCEEDINGS (54). vesicles. The optic stalks, however, and later the optic nerves following the stalks as paths always lead back to the point of their median origin and the optic cross or chiasma is in the median plane, below and outside the brain tissue. The attainment of this position of the optic cross would seem mechanically impossible if the eyes arose from lateral medullary tissues since the optic fibers following the stalks would enter the brain laterally and would necessarily cross within the brain tissue, not below and outside as the nerves actually do. There is no medullary tissue other than future eye tissue be- tween the eye anlagen, therefore, Spemann and others are incorrect in assuming that cyclopia is due to a failure to develop of tissues between the eyes thus permitting the eye anlagen to slump towards the median plane and fuse. The defect is due to a failure or arrest in development of the eye material itself. 102 (798) The occurrence of betaine in the muscles of invertebrates. By D. WRIGHT WILSON. [From the Sheffield Laboratory of Physiological Chemistry, Yale University.] Betaine, or trimethylglycocoll, was isolated from the muscle tissue of two varieties of mollusc, Pecten irradians, the common scallop, and Sycotypus canaliculatus, the periwinkle. The tissues used were the adductor muscle of the Pecten and the large pedal muscle of the Sycotypus. The manner of treat- ment was the same in both cases. The muscles were finely ground, extracted with several changes of water and the concen- trated extract freed of colloidal material by precipitation with alcohol and by the regular Kutscher manipulation with tannin. The portion precipitated by phosphotungstic acid was fractioned by precipitation with silver nitrate and barium hydroxide and from the resulting filtrate, betaine was crystallized as the free base and hydrochloride. In both cases, the compound was identified by the melting points of the hydrochloride, picrate and chloroplatinate and by the analyses of the hydrochloride and chloroplatinate. STUDIES IN THyroiD ACTIVITY. 165 103 (799) Studies in thyroid activity. I. THe CHEMICAL CONSTITUENTS OF THE THYROID GLAND. By E. C. KENDALL. [From the Pathological Department of St. Luke’s Hospital, New York City.| Interest in the chemical examination of the thyroid gland centers around the iodine-bearing compound. The first attempt made in this laboratory to separate and purify the iodine-bearing compound consisted in dialyzing under varying conditions. The entire gland was dissolved in sodium hydroxide and dialyzed from collodion sacs. With running tap water only ten per cent. of the total iodine would pass through the sac. At a temperature of 60 to 70° C, and under proper conditions of acidity, eighty per cent. of the iodine would pass through the sac. These experiments led to a study of the diffusibility of certain cleavage products of the thyroid. As this study of the chemical constituents of the thyroid is still being carried on, the details will be published later. The results, however, may be briefly described as follows: A new method of treatment has been found by which the com- plex proteins of the thyroid gland may be broken down into simpler constituents which have not been described by previous investi- gators. Among the products obtained uric acid and tryptophan in large amount are found. There are several non-iodine-bearing compounds. The iodine has been found to exist in two distinctly different compounds. These have been partially purified and a compound containing 23.3 per cent. of iodine in organic combina- tion has been separated. Of the non-iodine-bearing compounds two are of especial interest. One reduces silver, gold, and mercury in alkaline solution, and the other absorbs free iodine very readily. In all, twelve distinct chemical compounds have been separated. The properties of three of these show them to be still of high molecular weight and they may, by further treatment, be divided into still simpler compounds. 166 SCIENTIFIC PROCEEDINGS (54). 104 (800) Studies in thyroid activity. II. THe Speciric PHysioLoGicAL ACTIVITY OF CERTAIN CoN- STITUENTS OF THE THYROID GLAND. By E. C. KENDALL. [From the Pathological Department of St. Luke’s Hospital, New York City.] Investigations of the physiological activity of the thyroid gland have shown that the internal secretion of the gland serves many different functions. One or more of a series of symptoms accompany cases of thyroid deficiency. These symptoms are relieved by the administration of the thyroid gland of certain animals, as the sheep, hog, and ox. When this treatment is stopped the symptoms return. It would thus appear that the functions of the internal secretion of the thyroid may be fulfilled by furnishing the body with the constituents of the thyroid gland from another animal. The separation of the various chemical constituents briefly described above suggested the possibility of determining which constituents controlled the various symptoms occurring in cases of thyroid deficiency. The first step in the method of separation of the constituents results in two solutions. One of these contains about 60 per cent. of the total iodine and 9 per cent. of the nitrogen. This is desig- nated ‘“ Solution A.’”’ The other, called ‘“‘ Solution B,’’ contains 40 per cent. of the total iodine and 91 per cent. of the nitrogen. In order to establish the physiological activity of these solutions, experiments were carried out, first upon dogs, and then with cases of thyroid deficiency. The number of cases treated is insufficient to establish completely the physiological properties of these solutions, but the results based upon a series of experiments with two dogs extending over four months, with two typical cases of myxedema, and with three cretins, are as follows: Solution A was found: (1) to affect the nitrogen metabolism and hence the body weight and temperature; (2) to produce tachycardia; (3) to cause nervousness and tremor; (4) to relieve STUDIES IN THYROID ACTIVITY. 167 pain and great weakness felt in the back and certain sensations of cold felt on the head. Solution B was found: (1) to change the dry, scaly, rough skin to a soft and entirely normal condition, which allowed perspiration to take place; (2) to remove the soreness of bones and joints; (3) to prevent cramps and twitching of the muscles; (4) to have a marked effect on the mental activity, especially noticeable in cretins; (5) to relieve the hard, firm condition of the flesh, allowing it to become soft and pliable; (6) to prevent burning sensations which flash over the skin from one part of the body to another. Solutions A and B act independently of each other. Further- more, each of these solutions has been subdivided and the various constituents separated have continued to act independently. It would thus appear that each function of the thyroid gland is due to the specific physiological activity of the separate and distinct chemical constituents of the gland. Baumann claimed that iodothyrin is the active principle of the thyroid gland. It is evident that there is no one active principle of the thyroid gland, but that there are many, each with its own specific action. The separation of the various constituents makes it possible to treat cases of thyroid deficiency with those portions of the gland whose deficiency is indicated by the symptoms. Furthermore, it will be possible to standardize the active principles of the thyroid gland by a method based on chemical analysis. I wish to thank Dr. F. C. Wood and the attending physicians of St. Luke’s Hospital for the opportunity of carrying on this in- vestigation, and Mr. A. W. Thomas for assistance in the chemical laboratory. Further work is being carried on, both with the chemical separa- tion and identification of the various constituents and with the physiological activity of the same. 168 SCIENTIFIC PROCEEDINGS (54). 105 (801) Further studies on muscle creatine. By M. S. FINE and V. C. Myers. [From the Laboratory of Pathological Chemistry, New York Post- Graduate Medical School and Hospital.) In an earlier communication,! attention was called to the constancy in the content of muscle creatine for normal animals of a given species, though distinctive for different animals. It was further pointed out that during starvation in the rabbit, the per- centage content of muscle creatine may show either an increase or a decrease, the latter depending in considerable part upon the rate and amount of creatine eliminated in the urine. These observations have been extended to rabbits which have been fed for varying periods upon carbohydrate—without fat or protein. Carbohydrate feeding greatly reduces the elimination of creatine in the urine, as previously observed, though the creatine content of the muscle does not materially differ from that found during a similar length of starvation. In other words, it may be markedly decreased during a long period of carbohydrate feeding. It seems probable that the action of the carbohydrate is simply one phase of the sparing action of carbohydrate on protein meta- bolism, in this case allowing sufficient time for the body to handle the creatine, 7. e., to oxidize it, or change it to creatinine. That creatine when fed or injected does not reappear in the urine in the form of creatinine, except in traces, or inlarge amount unchanged, unless given in considerable quantity, has been as- certained by a number of investigators. The possibility that this creatine, which remains unaccounted for, is stored up in the muscle has not been adequately studied. In four experiments on rabbits, the creatine content of the muscle, after repeated subcutaneous injections of creatine, has been found to be uniformly slightly above (4-7 per cent.) the normal amount. This would appear to indicate that a small amount of the injected creatine was deposited in the muscles, though insufficient to account for the creatine not eliminated in the urine either unchanged or in the form of creati- 1 Myers and Fine, Proc. Soc. Exp. BIOL. AND MED., October, 1912, X, pp. 10 and 12. NON-PROTEIN NITROGEN OF THE BLOOD IN NEPHRITIS. 169 nine. In two similar experiments with creatinine, there was apparently a slight increase in the creatine (total creatinine) con- centration of the muscle, which we are not prepared to discuss at this time. The possible influence of autolysis upon the content of muscle creatine and added creatine and creatinine is being investigated. 106 (802) The total non-protein nitrogen of the blood in nephritis and allied conditions. By CuFForD B. Farr, M.D., and J. Haroitp Austin, M.D. [From the John Herr Musser Department of Research Medicine, University of Pennsylvania, Philadelphia.| The following summary covers the results of our study of the non-protein nitrogen of the blood by Folin’s methods in a series of fifty-nine hospital patients. Our main concern has been with nephritis but we have examined the blood in many other conditions as opportunity offered. The patients group themselves into four divisions: I. Those showing no disturbance of renal function (17 cases). II. Those with marked cardio-vascular disease of some type, most of which showed urinary changes the result of renal congestion (II cases). III. Those showing nephritis (23 cases). IV. Those in which certain features would lead one to suspect nephritis, but in which the existence of nephritis is not borne out by other findings (8 cases). Our patients of Group I, suffering from a variety of acute and chronic diseases, but without evidence of disturbance of renal function, showed a total non-protein nitrogen in the blood varying from 16 to 43 milligrams per 100 c.c. From 50 to 60 per cent. of this was in the ammonia-urea fraction. In the patients with cardio-vascular disease with renal congestion, but without evidence of other renal lesion there was no increase of the non-protein nitrogen in the blood, nor alteration of the ammonia-urea per- centage, although albuminuria, casts and some impairment of the phenolsulphonephthalein elimination were usually present. 170 SCIENTIFIC PROCEEDINGS (54). In that type of chronic nephritis characterized by marked albuminuria, cylindruria and edema, there were similar findings. In that type of chronic nephritis associated with hypertension, the non-protein nitrogen was increased, ranging from 40 to 181 milli- grams per 100 c.c., and the percentage of the ammonia-urea fraction was usually higher than in non-nephritic cases. The nitrogen values in these patients were subject to rapid fluctuations in the course of a few days and clinical improvement was associated with a fall in the non-protein nitrogen content. Uremia was almost always accompanied by some increase of the non-protein nitrogen in the blood but no constant relation could be established between the degree of the increase and the tendency to uremia. We believe that this method of estimating the total non-protein nitrogen in the blood is a valuable aid in the clinical study of nephritis and that it can be carried out in any thoroughly equipped clinical laboratory. The error of the method is indicated by the duplicate analyses which were done in almost all cases and which showed an average discrepancy between duplicates of 1.6 milli- grams per 100 c.c. of blood. The urea method was in our hands less reliable, and large and inexplicable discrepancies occurred at times in our urea duplicates rendering repetition necessary and causing us to attach less importance to the urea figures. 107 (803) The toxicity of sodium tartrate with special reference to diet and tolerance. By W. SALANT and C. S. SMITH. [From the U. S. Department of Agriculture, Bureau of Animal Industry, Washington, D. C.] The toxicity of the sodium salts of dextro and levo tartaric acid was tested in experiments on frogsand rabbits. Both isomers were found equally toxic in these animals thus contradicting the earlier work of Chabrié! on the subject, who claimed that levo was more than twice as toxic as dextro tartaric acid. In experiments on rab- bits, diet proved to be an important factor in the determination of resistance to this substance. Animals which were fed oats or oats 1 Compt. Rend. Acad. Sc., 1893, Vol. 116, p. 1410. INFLUENCE OF PANCREATIC AND DUODENAL EXTRACTS. I7I and cabbage succumbed to a dose of 0.4 gm. of the salt per kilo when given by subcutaneous injection. Suppression of urine was usually observed on the first day and death occurred in six to seven days. In starvation, slightly smaller doses were fatal to some rabbits. The resistance was increased considerably when the diet was changed to carrots. Such animals stood 1.0 gm. per kilo by subcutaneous injection, while 1.2-1.5 gm. per kilo were toxic. A moderate degree of tolerance for tartrates was in- duced in animals which were fed oats and cabbage. By grad- ually increasing the dose, a large proportion (6 out of 9) of rabbits survived 0.8 gm. per kilo which is twice the fatal dose. Rabbits which were receiving carrots did not acquire tolerance for tar- trates. Sodium tartrate was much less toxic when given by mouth. 5 gm. per kilo was found to be the minimum fatal dose. EXPERIMENTS ON CATs. Amounts which have been found to be fatal for rabbits did not produce any symptoms in cats. Subcutaneous injection of one gm. per kilo produced a slight diarrhea in some individuals, and had no effect whatever in others. 13 gm. per kilo proved fatal to one cat but was without action in another. Out of four cats which received 2 gm. per kilo three died, one survived. When sodium tartrate was given by mouth vomiting frequently occurred. In one case, however, when ten gm. per kilo were fed diarrhea was the only effect observed. 108 (804) The influence of pancreatic and duodenal extracts on the gly- cosuria and the respiratory metabolism of depancreatized dogs. By J. R. MuRLIN and B. KRAMER. [From the Physiological Laboratory of Cornell University Medical College, New York City.] Several dogs completely depancreatized by Hedon’s method and eliminating glucose and nitrogen in Minkowski’s ratio were treated by intravenous injection of pancreatic extract prepared by Knowlton and Starling’s method.! The urines collected in twenty-four hour periods exhibited an increase in the D: N ratio 1 Knowlton and Starling, Journ. of Physiol., 1912, XLV, p. 146. E72 SCIENTIFIC PROCEEDINGS (54). on the days immediately following. When the urine was collected in short periods after injection, a marked fall in the sugar output was witnessed lasting from four to ten hours but this was followed by a compensating rise which, in some instances, augmented the total for the twenty-four hour period, in others raised it only to the previous level. Much greater effects were obtained with a double extract of dog’s pancreas and duodenal mucosa. The following experiment (No. II) is typical. The effect, however, cannot be ascribed to the organic extract from either the pancreas or the duodenum for the same Ringer’s solution in which the tissues were extracted when made alkaline to about the same extent with Na,CO; gave an identical effect. Doc “Q.’’ OPERATED APRIL 17. Exp. II. Vol. | Glu- | Nitro- Ni Blood Date. Time. urine, | cose, gen, | D:N. | Glucose per trogen | sugar, cic; gm. gm. hour. per hour. per cent. 4/21/13 I2.15- 2.15 30 2.41 | 0.95 2.52 | 1.20 | 0.47 0.128 2.15— 4.15 50 2.40 | 1.09 | 2.20 1.20 0.54 5.00— 5.30 | 150 c.c. of pancreas and duodenum from 2 normal dogs inj. intravenously 4-15-— 6.15 ] 30 1.30 | 0.67 | 193° (0:65 0.35 6.15— 7.15 25 0.28 | 0.33 0.87 | 0.28 0.33 7-15— 8.15 26 0.41 | 0.45 | 0.89 0.41 0.45 0.148 8.15- 9.15 26 0.59 | 0.48 | 1.21 0.59 0.48 9.15-10.15 22 0.51 | 0.39 | 1.28 0.51 0.39 P.M. 4/22/13 | 10.15— 6.00 18,66 | 6.99 | 2.68 0.93 0.35 Exp. III. 4/24/13 2.19-4.19 22 | 0.54 | 3.08 0.82 0.27 | 4.26-5.15 150 c.c. Ringer’s Sol. +1%Naz2COs injected intravenously 4.19-6.19 60 1.65 | 0.64 | 2.55 | 0.82 0.32 | 6.19-8.19 24 0.46 | 0.52 | 0.88 0.23 0.26 | A.M. 4/24-25 | 8.19-1.19 90 | 2.41 | 0.59 1.62 0.48 0.29 The similarity in these two experiments on the same dog indicates that it is not a hormone which is responsible for the reduction in the sugar, and the increase in the percentage of sugar in the blood indicates that the reduced sugar elimination is in reality due to a change in the permeability of the kidney, as Wohlgemuth? has found it after ligation of the pancreatic ducts. That there is no effect on the combustion of sugar attending 2 Wohlgemuth, Berl. klin. Woch., February 24, 1913, p. 339. INFLUENCE OF PANCREATIC AND DUODENAL EXTRACTS. 173 the reduced elimination of that substance is proved by the following experiment on another dog place in the respiration calorimeter. Doc “S.”” OPERATED May 6. Glucose Nice: H Date. Time. in urine fare D:N. | COz O2, R.Q. oe Temp. per per gm. mg. duced. | of dog. HOUKS atranr! 5/9/13 9.45-10.45 8.62 | 9.22] 0.68 | 21.73 | 38.6 10.45-11.45 9.97 | 10.55 | 0.69 | 27.12 | 38.6 8.50-11.55 | 1.74 | 0.56 | 3.08 P.M. 12.35- 1.05 |150c.c. exts. of pancreas and duodenum from 2 normal dogs injected intravenously. 20 gms. glucose given per os. IT.55— 1.05 | 1.07 | 0.39 | 2.70 I.55- 2.55 13.60 | 14.13 | 0.70 39-6 2.55—- 3-55 11.84 | 11.78 | 0.73 3-55- 4-55 10.16 | 10.71 | 0.69 39-9 I.05- 5.05 0.45 1 Already in the first hour’s urine, including the period of injection, a marked decline in the sugar elimination is seen, showing that the typical effect on the excretion of sugar would have been produced, if glucose had not been fed. With 20 grams of glucose available, however, none, or an extremely small quantity at the most, was burned. The increase in respiratory metabolism the first two hours was due to restlessness of the dog. Other experiments after injection of pancreatic extract alone and after injection of normal dog’s blood likewise showed no effect on the respiratory quotient. Incidentally it has been found in the single experiment in the respiration calorimeter that the heat production in the depan- creatized dog was from 30 to 50 per cent. higher than the normal on the same dog determined one month earlier. This confirms the observations of Benedict and Joslin in severe cases of human diabetes.1 1 Benedict and Joslin, Carnegie Institution of Washington Publication No. 176. 174 SCIENTIFIC PROCEEDINGS (54). 109 (805) The carbon dioxide and oxygen content of the blood after ligation of the abdominal aorta and the inferior vena cava. By J. R. Muruin, L. EDELMANN and R. C. GILEs. [From the Physiological Laboratory of Cornell University Medical College, New York City.] Respiration experiments on normal and depancreatized anaes- thetized animals after ligation of the abdominal aorta and the inferior vena cava! and on normal animals after exclusion of the liver by joining the portal vein to the inferior vena cava? show an increase in the respiratory quotient, which is interpreted by the v. Noorden school to demonstrate the combustion of sugar in the depancreatized animal and the dependence of the normal animal upon the liver for its ability to burn protein and fat. These experiments, however, were not accompanied by analyses of the blood gases. It is possible that the higher respiratory quotient after shortening of the circulating stream might be due to an interference with the oxygen absorption (passive congestion of the lungs) or to increased elimination of carbon dioxide by more rapid circulation of the blood through the lungs. Preliminary to some respiration experiments on depancreatized dogs in which we are seeking the explanation of the altered res- piratory quotient, we have made a number of experiments on normal dogs analyzing the carotid blood before and after simul- taneous clamping of the abdominal aorta and the inferior vena cava. The results follow: : : Oz per cent. COz per cent. Pulse per min. | Resp. per min. auniggae 2 lood. Dog | J E : Clamp: Date. | No. |S2| a 3 3 3 4 (4 3 z on. § Bs | o 5 = & = +>) & +2) i= I i=] 2) r=] 3 a 3 a 3 a 3 a a 5) a is) Z D a oD I9t3 3/22 I} 8] 108 I40 36 30 14.73 | 14.83 | 43.16 | 22.53 | 30 min. 4/10 II | 12 66 102 35 I2 16.40 | 16.45 | 38.35 | 37-47 | 23 min. 4/19 | III} 9} 132 I2I 66 77 18.88 | 16.39 | 39.42 | 24.28 | 1 hr. 5/10 | IVir1o! 108 120 33 15 I2.62 | 10.90 | 57.06 | 34.16! 1 hr. 1 Porjes, O., Biochem. Zeitschr., 1910, XXVII, p. 131; Porjes and Salomon, zdem, p- 143. 2 Verzar, idem, 1912, XXXIV, p. 52. INFLUENCE OF CERTAIN DiETS UPON TUMORS. 175 Chloretone anaesthesia was used. In the case of the last dog which eliminated about 80 c.c. of CO, per minute, it may be estimated that a reduction from 57 to 34 per cent. would remove from the body in the course of one hour, about 800 c.c. of CO: or enough to raise the R. Q. from 0.75 to 0.88. It cannot be assumed as Porges has done that the blood gases, under the circumstances, would reach an equilibrium within 10-15 minutes, for with the circulation diminished to one half and the heart beating at its normal rate, or higher, the blood would pour through the lungs twice as often and would continue to lose carbon dioxide until the tension in all the tissues became very much reduced. In dog II the compensation in the rate of respiration was almost sufficient to prevent loss of CO:. 110 (806) On the influence of certain diets upon the growth of experimental tumors. By J. E. Sweet, E. P. CorSON-WHITE and G. J. SAxon. [From the Laboratory of the American Oncologic Hospital, Philadelphia, Pa.] The study of the experimental tumors of animals has brought forward numerous interesting observations upon the variation in susceptibility of animals of the same species obtained from different sources, to a given tumor strain, as well as variation in the rate of growth of the transplanted tumors. We have undertaken the study of the relation of certain diets to tumor growth and wish to briefly report the results obtained with a diet based upon the work of Mendel and Osborne. In their studies of the effect of feeding with pure vegetable proteins they encountered numerous combinations which effectively prevented growth, the animal meanwhile appearing in good health. This seemed to us to offer a most interesting opportunity to study the behavior of the tumor cell under these conditions; in other words, regardless of whatever the cause of cancer may be, can an inoculable tumor grow in a host which is apparently incapable of normal cell growth? This report, while based on a small series as tumor experi- ments go, shows a result so uniform and striking that its con- 176 SCIENTIFIC PROCEEDINGS (54). sideration would seem justified. In these series we have made use of white mice, having by preliminary observations determined that a diet made up on the basis of Mendel and Osborne’s work, of a combination of glutenin and gliadin, would effectively retard the growth of young white mice. One series of fifty mice inoculated with the tumor obtained through the courtesy of Dr. Rous, of the Rockefeller Institute, gave twenty-three tumors out of twenty-five mice on a normal control diet, but only four out of twenty-five on a vegetable protein diet, of which three tumors later dis- appeared. In another series of fifty males, all again inoculated with the same tumor, eighteen out of twenty-five on normal diet developed tumors, with three out of twenty-five on a vegetable protein diet; a third series of fifty females gave fifteen tumors out of twenty-five on normal diet with seven out of twenty-five on a vegetable protein diet. Expressed in percentage, 75 per cent. of seventy-five mice developed a tumor under normal conditions; 19 per cent. of seventy-five mice developed a tumor when fed on a vegetable protein diet, and further the tumors in the latter series at thirty days were hardly larger than the tumors in the normal fed mice at ten days. By referring to the work of Mendel and Osborne it will be seen that it is not a question of starvation in the ordinary sense of the word nor of anemia, but that the most probable conclusion is that the tumor cell is subject to the same laws of growth as is the normal somatic cell. I1I (807) On the inhibitory action cf certain anilin dyes upon bacterial development. By CHARLES E. Simon, B.A., M.D., assisted by MartHa A. Woop, M.D. The triamino triphenyl methanes possess a well-marked in- hibitory power over the development of certain pathogenic organisms, notably staphylococci, streptococci, pneumococci and meningococci, besides the anthrax bacillus and actinomyces. This is quite pronounced, even in a dilution of 1 : 100,000. The common pathogenic bacilli are not affected by the dyes in question, in this concentration. ANILIN DyEs AND BACTERIAL DEVELOPMENT. 177 The inhibitory effect is referable to the underlying chromo- phoric group, and the presence of the basic auxochromic groups. If the basicity of the dye is diminished by the replacement of the basic by acid auxochromic groups, or if such groups are introduced in addition to the basic groups, the inhibitory effect is destroyed. Of the other classes of anilin dyes an inhibitory effect is pro- duced only by those which contain the chromophonic radicles: R R i Nee Cre Se and i MN —F5 \p7 NS and here also, only by those which contain basic auxochromic radicles. Acid dyes possess no inhibitory properties. The most active inhibitory dyes are the triamino triphenyl methanes, while the indamins, the oxazins, the thiazins and azins are on the whole less active in this respect. The inhibitory effect does not depend upon the color of the dye, as there are violet acid dyes which are non-inhibitory, and red basic dyes which are markedly inhibitory; similarly there are green dyes which are active and others which are inactive in this respect. The essential common factor evidently is the absence of acid and the presence of basic auxochromic groups. Not all representatives of the sensitive groups of organisms are equally influenced by the dyes in question, nor even by a single dye, nor are the different groups affected to the same extent. Certain dyes will inhibit the growth of all the different sensitive groups, while the effect of others is less extensive. The inhibitory action of the dyes in question is most readily explained on the assumption that the susceptible organisms combine with the dyes by means of corresponding nutriceptors, but are unable to cause the cleavage of the anchored molecules, the death of the organism resulting from interference with its normal nutritional (sc. reproductive) functions. Upon this basis a directly toxic effect on the part of the dye need not be assumed. It isin accord with the validity of this hypothesis that dye-resistant strains of susceptable groups exist in nature as such, or may be produced artificially. This was accomplished in the case of certain hay bacilli, staphylococci and streptococci. Upon this 178 SCIENTIFIC PROCEEDINGS (54). basis adaptation of this order would be due to the production of receptors different from those found in dye susceptible strains, by which the nutrition (sc. reproduction) of the organism could be carried on, and which either possesses no affinity for the dye in question or through which the organism can bring about its cleavage. A limited number of observations would suggest that in the treatment of certain infections, with staphylococci and streptococci more especially, certain dyes might be used to ad- vantage. In two cases of erysipelas the repeated local application of the concentrated solution of dahlia seemed to restrict the exten- sion of the infection. 112 (808) Waxy degeneration of muscle in venom intoxication. By RICHARD M. PEaRcE, M.D. [From the John Herr Musser Department of Research Medicine University of Pennsylvania, Philadelphia.] In connection with the discussion by Beneke! and Wells? of waxy degeneration of muscle occurring in anaphylactic poisoning, and especially in view of Beneke’s reference to the action of ‘‘ brasilianischen Schlangengift ”’ (Crotalus terrificus) the following notes on waxy degeneration in the rabbit following the intravenous injection of the venom of Crotalus adamanteus may be of interest. In the course of three series’? of experiments on a total of about 45 rabbits it was noted that the intravenous injection of venom was followed in three instances by waxy degeneration so well-marked as to be evident macroscopically. In two of the 1 Beneke, R., ‘‘Ueber den Kernikterus der Neugeborenen,’’ Miinch. med. Wochenschr., 1912, LIX, 387; ‘‘Ueber Muskelveranderungen bei akuten Ver- giftungen mit Klapperschlangengift sowie bei Anaphylaxie,’’ Minch. med. Woch., 1912, LIX, 729; Beneke, R., and Steinschneider, E., ‘‘Zur Kenntnis der anaphylak- tischen Giftwirkungen,’’ Centralb. f. allg. Path. u. path. Anat., 1912, XXIII, 529. 2 Wells, H. Gideon, ‘‘Anaphylaxie und Wachsartige Degeneration der Muskeln,” Centralb. f. allg. Path. u. path. Anat., 1912, XIII, 945. 3 Pearce, R. M., ‘‘An Experimental Study of the Relative Importance of Renal Injury, Vascular Injury and Plethoric Hydremia in the Production of Edema,” Arch. f. Int. Med., 1909, III, 422; ‘‘An Experimental Glomerular Lesion Caused by Venom (Crotalus Adamanteus), Jour. Exper. Med., 1909, XI, 532; ‘“Experimental Studies of the Influence of Crotalus Venom on the Kidney,’’ Jour. Exper. Med., in press. EFFECT OF ANIMAL ExTRACTS UPON THYROID GLAND. 179 animals, attention was called to the lesion by the presence of pale opaque focal area in the psoas mucsle. Microscopical examination of these areas showed that the muscle fibers were irregular in shape, had lost their nuclei and striation and presented the typical hyaline appearance of Zenker’s degeneration as it occurs in man. In these animals the adjacent tissue showed no hemorrhage, exudate or evidence of connective tissue reaction. The animals died after 18 and 35 days respectively, the first having received 8 injections and the second 7 injections of venom in doses varying from 0.5 to 2 milligrams. A third rabbit died on the 38th day after the first injection, having received nine injections, the last on the 23d day. At autopsy mottled hemorrhages were seen in the rectus and psoas muscles and about these hemorrhages, the peculiar opaque, whitish appearance of hyaline degeneration. Upon microscopical ex- amination, the picture was identical with that of true Zenker’s degeneration. Irregular, swollen, vacuolated and varicose, hyaline fibers, more or less fractured, without nuclei and invaded by leucocytes occupied large irregular areas. Inthe midst of these fibers were foci of hemorrhage and throughout an infiltration of polymorphonuclear leucocytes, while about the necrotic areas were wide bands of granulation tissue which sent prolongations between the bundles of muscle fibers. In such areas the surviving fibers frequently showed multiple nuclei. Whether or not these lesions have fundamentally a common relation with those caused by anaphylactic poisons is of course a matter of doubt. It seems wise, however, to add, in support of Beneke’s experience with the venom of Crotalus terrificus, these observations on the effect of the venom of Crotalus adamanteus. 113 (809) Note on the effect of animal extracts upon the volume of the thyroid gland. By Isaac OTT, M.D., and Joun C. Scott, M.D. The volume of the thyroid was registered by an oncometer and a modified piston recorder. The arterial tension was also noted. The animals used were dogs, etherized and with a small dose of 180 SCIENTIFIC PROCEEDINGS (54). morphia per jugular. Infundibulin per jugular had the most powerful action in reducing the volume of the thyroid, although at times there was a preliminary momentary increase. Adrenalin, after a temporary increase, produced a decrement in the volume. An infusion of the fresh ovary of a pregnant cat augmented the size of the thyroid, a fact noted by Hallion. Mammary, corpus luteum, thyroid, placenta, iodine and parathyroid extracts also increased the volume. The anterior part of the pituitary decreased the volume. 114 (810) The relation of external temperature to hibernation. By SUTHERLAND SIMPSON. [From the Physiological Laboratory, Medical College, Cornell University, Ithaca, N. Y.] In a former communication! to this society it was shown that the absence of food is an important factor in determining the onset of hibernation in the woodchuck (Marmotta monax). In the present note attention is drawn to the fact that the cause of the awakening of these animals from their torpid condition in the early spring is not a rise in the temperature of their surroundings. A colony of woodchucks was kept in artificial burrows a little over four feet? below the surface of the ground, as already de- scribed.? At the bottom of one of these burrows, the oil bulb of a Friez thermograph was placed, and connected with the recording clock-drum contained in a box at the top. All the burrows were packed with dry straw, while the one containing the bulb was shut off from the central court, to prevent the woodchucks having access to it. A continuous record of the temperature at this depth has been kept from January I, 1912, till the present time. It shows that the lowest temperature is reached late in March or early in April— just about the time when the hibernating woodchucks are begin- ning to wake up. There is no appreciable rise in temperature 1The Food Factor in Hibernation, Proc. Soc. EXPER. BIOL. AND MED., Vol. 9 (April 17, 1912), p. 92. 2 Accurate measurement shows the burrows to be a few inches over four feet below the surface and not five feet as formerly stated. 3 Loc. cit. ANAPHYLAXIS IN IMMUNE ANIMALS. 181 till well on in April. The diurnal variation, so marked at the surface, is almost completely abolished at this level, all the year round, and this is a circumstance which greatly favors animals with an imperfectly developed heat regulating mechanism, such as the woodchuck possesses. Records of the air temperature taken at the Ithaca station of the U. S. Weather Bureau, situated about half a mile from the burrows, show that in 1912 the coldest month of the year was January, and in 1913, February, the average mean temperatures for the first four months being as follows: Jan. Feb. March. April. VONCIA Sit oe Kanto ays T63c) he 21.4 28.8 44.5 TODS ene: cccteee suse AVG PY 1B, 2302 36.8 48.1 Notwithstanding the fact that the weather in these four months was much milder in 1913 than in 1912, the temperature at the depth of four feet, in March and April 1913, as indicated by the thermograph, was about 2° F. lower than in the corresponding months of 1912. The snowfall, however, was greater in I912 than in 1913 and this will probably explain the apparent anomaly. Jan. Feb. March. April. Snowfall in inches, 1912... .9.0 6.7 13.3 0.5 Snowfall in inches, 1913... .2.1 5.0 2.9 0.8 In 1912, although the air was intensely cold, the comparatively thick layer of snow effectively retarded the radiation of heat from the surface of the ground. It is interesting to note, then, that the woodchuck awakes from the hibernating state and becomes active just about the time the temperature of its surroundings has reached the lowest point for the year, and it would appear that some cause other than the temperature or carbon dioxide factor is at work to bring this result about. I15 (811) Anaphylaxis in immune animals. By RICHARD WEIL, M.D. [From Cornell University Medical School.| In his general review of anaphylaxis, Besredka! stated that an injection of horse serum into guinea pigs produced hypersensitiza- 1 Kraus and Levaditi’s ‘‘Handbook,”’ Ig1t, p. 248. 182 SCIENTIFIC PROCEEDINGS (54). tion, only if minute doses were employed. ‘‘ The preliminary injection of more than .02 cubic centimeter is attended by an uncertain result.’’ Similar statements abound in the literature. The great majority of the experiments on which these conclusions are founded have employed either the intracerebral or the intra- peritoneal route for the intoxicating injections. If, however, the second injection is made intravenously, the results are entirely different. With this method, it can be shown that a preliminary injection of as much as five cubic centimeters of horse, or other serum, is invariably followed by a typical anaphylactic state, in which death is produced by the second injection of an amount of the same serum, which, for normal animals, is absolutely in- nocuous. If guinea pigs are given repeated large injections, e. g., 3 c.c. of horse serum, on three or four successive days, the total amounting to nine or twelve cubic centimeters, exactly the same result follows. Finally, if spaced injections are employed, as in the procedure followed for purposes of immunization, again the animals become typically anaphylactic. There are, however, certain differences in the behavior of animals sensitized, on the one hand, by means of minute, and, on the other, by very massive injections of serum. In the former, the minimal lethal dose is often no greater than .005 cubic centimeter of horse serum. In the latter, it is often one hundred times this amount. Again, after a small injection, anaphylaxis frequently does not develop for three weeks; after massive injections, it may generally be demonstrated in ten or twelve days. These differences are trace- able simply to the effects exercised upon antibody production by small, as compared with large doses of antigen. With the former, the antibodies are produced slowly and in small number; with the latter, rapidly and in large number. Thus, in the case of guinea pigs sensitized by small doses, it is generally necessary to use the entire amount of blood obtainable by exsanguination in order to sensitize another normal pig. After large injections, however, one tenth of the total blood may suffice for this result. It is probably on account of the larger amount of circulating antibody that guinea pigs sensitized by large doses require a larger toxic injection. THE PARATHYROIDS AND PREGNANCY. 183 116 (812) The parathyroids and pregnancy. By A. J. CARLSON. [From the Hull Physiological Laboratory, University of Chicago.] A number of investigators have found, especially in dogs, that pregnancy seems to augment the symptoms of parathyroid tetany, and may transform latent tetany into acute tetany in cases of partial thyroidectomy.! The parathyroids must become func- tional in the fetus a considerable time before birth, because there is no record of parathyroid tetany (acute or latent) in prematurely born infants. In view of the fact that in late pregnancy the pan- creas of the fetus seems to be able to compensate for the total extirpation of the pancreas of the mother to such an extent that this operation is not followed by the usual diabetes,? an investigation of the other organs of internal secretion with reference to the passage of the hormones from the blood of the fetus to the blood of the mother seemed desirable. Accordingly, in the spring and summer of 1912, thyroid-parathyroidectomy was made in 16 dogs and 11 cats in late pregnancy, that is, within one to three weeks of term. RESULTS. 1. Dogs.—Eight out of the fifteen dogs died in acute tetany within 12 to 24 hours after the parathyroidectomy. In no case was there evidence of labor. Three dogs developed tetany after 36 hours, one dying in tetany on the third day, and the other two on the fourth day without any signs of labor. Two dogs gave birth to the young on the second day and developed tetany symp- toms on the third and fourth days respectively. These two died in tetany and depression on the eighth day. One dog had moderately strong tetany on the second and third days after the operation. On the 4th and 5th days there was no tetany, but one pup was born on each of these days. The dog died in depression on the 6th day. Five pups were found in the uterus. One of the pups was engaged, but the uterine contractions 1 The literature is reviewed by Biedl, ‘‘Innere Sekretion,”’ 1913, I, p. 83. 2 Carlson and Drennan, Am. Jour. of Physiol., 1911, XXVIII, p. 391. 184 SCIENTIFIC PROCEEDINGS (54). had evidently been too feeble or incoordinated for the delivery. Two dogs showed no signs of tetany at any time, one of the dogs giving birth to the young on the 6th day, and the other on the 9th day following the parathyroidectomy. Three weeks later the dogs were killed and a search made for accessory parathyroids; none were found. The development of acute and fatal tetany within 24 hours after parathyroidectomy is very exceptional in male and non- pregnant female dogs. It does occur, however, especially after hemorrhage or prolonged anaesthesia. It would therefore seem that late pregnancy in dogs accelerates and intensifies the para- thyroid tetany in the majority of cases. This may, however, be only an addition effect (latent eclampsia + parathyroid tetany). 2. Cats.—Ten out of the eleven pregnant cats developed fatal tetany. The slight difference between pregnant and non-pregnant cats is shown by the following comparison: Parathyroid tetany ; average figures for: 20 males and non-pregnant females. 10 females in late pregnancy. Maximum...... 72 hours 48 hours First tetany symptoms4 Minimum....... 5 hours 24 hours ii {sii = cea Sheree 28 hours 30 hours Maximum...... 168 hours 175 hours Deathy Minimum....... 24 hours 75 hours | sine CA eye ae 78 hours 120 hours It is obvious that advanced pregnancy in cats does not accelerate or intensify the symptoms of parathyroid tetany. On the contrary the pregnant cats live a little longer and the excitation symptoms are less severe than in the case of the non-pregnant controls. But the depression seemed greater in the pregnant animals. If the fetal parathyroids are in any way capable of functioning for the mother, this action is so slight that it cannot be demonstrated on the present short series of experimental animals. It is premature to speculate on the cause of the above difference in the relation of pregnancy to parathyroids in cats and dogs before more data are at hand on other species. PHYSIOLOGICAL STATE OF THYROID OF MOTHER AND FETUS. 185 117 (813) The correlation between the physiological state of the thyroid of the mother and of the fetus. (PRELIMINARY NOTE.) By A. J. CARLSON. [From the Hull Physiological Laboratory of the University of Chicago.| The starting point of this investigation was some observations (incidental to other work on the thyroids) that pups born of mothers having active hyperplasia of the thyroids seemed to have much larger thyroids than the pups born of mothers with normal thyroids or with colloid goiters. The size of the thyroid in pups from mothers with marked thyroid hyperplasia is in many cases so great that they produce the distortion of the neck similar to goiter in adults. These pups are apparently born with goiter. The work was begun in the spring of 1912, and so far data have been obtained on mother and offsprings in the case of 16 cats and 14 dogs; the work is being continued and extended to other species. It is well known that goiter (active hyperplasia and colloid) is prevalent in dogs in the Great Lakes region of United States, while in cats in the same region goiter is practically unknown. The goiter of the newborn of mothers with thyroid hyperplasia may be (1) primarily hereditary, that is, due to defects in the germ plasm, or (2) it may be due to some temporary metabolic disturbance in the mother,—toxins or abnormal concentration of normal products of metabolism, acting alike both on the maternal and on the fetal thyroid. If the fetal goiter is due primarily to the constitution of the ovum rather than to the maternal environ- ment during intrauterine life, we would expect the goitre to persist in varying degrees after birth. We would also expect to meet with fetal goiter in the case of mothers with colloid goiters, because the colloid state appears to be preceded by active hyperplasia. On the other hand, if the fetal goiter is due primarily to some intoxica- tion or temporarily altered metabolism of the mother, acting alike on the fetal and on the maternal thyroid so as to produce 186 SCIENTIFIC PROCEEDINGS (54). hyperplasia, there ought to be no fetal goiters in the case of mothers with normal thyroid or with colloid goiters; and the fetal goiters of mothers with active hyperplasia ought to diminish after birth. 1. Results in Dogs.—During intrauterine life the body in- creases in weight faster than the thyroid gland so that the ratio of the weight of the thyroid to the body weight becomes gradually larger. But in the case of mothers with normal (or nearly normal) thyroids, the ratio of thyroid to body weight is always greater in the mother than in the pups; in the case of mothers with colloid glands the ratio may be greater in the pups than in the mother while in the case of mothers with thyroid hyperplasia the ratio may be the same, or it may be higher or lower, depending on the degree of hyperplasia of the maternal thyroid. The newborn of mothers with active hyperplasia have invari- ably much larger thyroids than the pups of normal mothers, but the thyroids of the former do not exhibit any greater degree of differentiation toward adult structure. It would thus seem that the conditions causing thyroid hyperplasia in the mother lead in the fetus to excessive growth of the thyroid rather than to specific thyroid differentiation. In the case of mothers with colloid goiter the thyroids of the pups are on the whole of the same size as in the pups born of normal mothers. A few thyroid ratios may be cited for illustra- tion. Ratio of thyroid to body weight. Mother. Pups. WV, Normal! thyroid\rt.y 11a rie eicreniele I-6,600 I-—3,000 XX. |Colloidigoiter: