THE ANTEBODY RESPGEQSE IN CGNVENTEDNAL AND GERMFREE ANNALS T0 HEATED AND UNHBJED WHOLE MILK ’a’hesis for the Degree of M. S. MECHEGAN STATE. unwary MYRON ESSEX; a v. M. 3.96? “Mr-.99- To attempt to determine if aavorely heated M1010 milk had retained immunogoniolty. conventional and gamm. free animal: ware sensitized with whole milk autoclaved for 30 minutes at 121 C. Rabbi“! were ifimunized with on. of the five antigens listed below: 1) unheated whole milk (UHWM), 2} whoio milk heatad for 13 minutes at 121 0 ‘83115’. 3} whole milk healzfid for 30 minute! at 121 G (3330’. 3) beta lactoglobulin (3L8). and 5) alpha lactalbumin (ALA). Conventional and germfraa rats Vera also Immunlzod with wags with and without Freund's adjuvant or gggdatgglg Egggugsgg vaccine. The interfacial precipitation test, and passivo cutaneous anaphylaxis (PCA) in guinea pigs and rats worn used to canning «11 Beta for antibody. It was dotorminod with both tun intarfaoial and Fflh Coats that WEBD had totainod immunosonicity for rabbits. Anti. bodies wore not detected in the rat aura. Antlsara produced to the @330 antigen reacted equally well with the W330, WEE-’15, and WM?! antigens. In. @333 antifiora reacted posit1VO17 with DLG, but negatively with ALA for both the interracial and PCA tests. suggosting ahnt BLG is a more heat stable antigen than ALA. T18 AVTIWCDY RESPOHfiK IV CUSVHfiTIOVEL AND 833%?953 AVIfilLS TD “WaTED AfiD UKUEATED WEOLE MILK By Myron Essex, D.V.M.‘ A'THESIS Submitted to Michigan State University in partial fulfillment of the requirements for the degree 9! MASTER OF SCIEflCE Department of HleroblOIOgy and Public Health 1967 r'- L4 I] K) (filial! : \zfixDO .AflfiatelEDSEHERTS I wish to express my gratitude to Dr. Clyde K. Smith. Departmonl of Veterinary Soloncu. Ohio State Agricultural Exporlmont Station. for his help and guidaneo during tho initlal phasb of thi: lnvontl- gntlon. 1 am also indebted to Dr. navld T. Clark. Department or nioroblology and Public Health. Mtohlgnn scat. Univerolty. for his vnluablo advice and nuslntanco during the oomplotlon phase of this lnvostigntlén. and in my wafo. Dr. Elisabeth J. Bloax.‘ Michigan bapnrtmohe of Health, for hat critical roilav and analysts at the manuscript. ' I glue wllhwto thank Mr} Gary P. Dardaa and Dr. Glenn L. Ehxlor for thclr helpful criticisms during the course of thlt investigation. 11 TABLE 0? COETEfiTS ACKNOWLEQQEHENTSooooIooonoooooooooooooooooooooooooooo LIST 0? FIQURES ARE TABLES-cooconcocoooooo-oooooooooo INTRODUCTIONoooouoooaoooooooooooooooootoo-0.00.000... LITERATURE RRVIEHOOIvttOtldiiiiitOODOOOiDOOOOOQUQOOOO ”11k as on Antigonoooooooooooooo-ooooooooooooooo Antibody Production in tho Rntooooo-oooooooooooo Th0 Germfroo “ago...noonooooooooooooooooooooooce HATERIALS AND HgTfiGnsooooocooooootoo-coonoooooooooooo AntigenSooooooone...cooooooooooooooo-ooaoooooooo Anlmalsoococooooooooooooooooooooocooooaooooooono Gormfroo ProcedHPOIooooooooo-ooooaoooooooooooooo Bleeding Techniques and Sara: Collootlonoooo-ooo Intorfaclal Tonto...on...cocooonooooooooooooooon Passive Cutaneous Anaphylaxllootoo00.00.000.000. Passive Cutaneous Anaphyloxla 1n the Guinea Platooooooooooooooooouoooooooooooooo Paoalvo Cntonoous Anaphylaxls‘ln the not... “EQULTSoo9000000000t0¢00050000000otoooototoo.¢¥¢0000. Interracial Tonto.oooooooooooooooo-oooooooooouoc Passive Cutaneous Annphyloxls la the Guinea Fla. Passivo Cutaneous Anaphylnxln in tho Ratoooooooo ”ISCUSSIOH-oooooaooooooooooooooooooooooooooooooooctcfi SUflMAflYoooooooooooooooooooooooooooooooooooooooooooooo LITERATUQE CITED-oooooooooooooooooooooooooooooooooooo ll! P330 11 l? .1 3 3 33 52 59 59 60 63 6h 66 57 67 68 yo 70 71 73 7b 79 81 llgure 1o Tabla 19 2. 3o 1!. 5. LIST '53" YT'C-THTZS N?) TAULT‘S filtrogonous compunonte of bovlno mllkoccooo..o fiajcr fractiona of bovine milk proteinaooooaoo Properties 0? rut fintibOfliflflcooaou001000.00... nay: for feeding ot injecting antigen and for collection of fiorum in gormrroo and ' conventional rats. first antigen was CiVen 0“ do? 1090ooooodoooooooooooonqooooocoo. Interracial tasks with rabbit antiooru produced against antigens UHNM, H315. W330. “LG. and ALAuooooooo-0.0.00uocoooooooicon-o... PCA activity In guinea pigs nslng rabbit Gfl¢158930uooooococoon-ocoo-ooooooooooooooooooo iv Page 9 10 66 70 72 IKTROIIUCTION Bocnuco of ito availability. inoxponnivoncoo. ond nntritivo vnlno. bovino milk hao bocomc o commonly uood food for tho human novbcrn. Bovine milk in not without fault. howovor. ond being n toroign protein to human beings it can indnco tho production of anti. bodioo which in turn can initinto o hypersensitivo otnto in the human infant. following the roccgnition of milk hyporoenoitivity. oovorcl disease syndrome. noro described in oooocintion with oorun antibody titoro dovoloping in rosponoo to bovino milk protoino. including the nnnpnylnctic 'cctodoath' syndrome doocribod by Parish ct cl. (1960). Soon after tho clinical recognition or milk hyporocnoitivity, ’hoot-dcnotnrcd' milk producto bo- camo popular on o oubotituto for nativo bovino milk in tho diot of tho hyporscnoitivo infant. Yet. those 'hootodonatnrod' milk products otton failed to allovinto tho symptoms of milk-allergy: Ccnoid. ornblc controversy nroso concerning tho iosuo cf whothor milk could actually bo hcnt donoturcd to tho oxtont that tho protoin fractions worn incapable of antigenicnlly stimulating the human infant. It was capocted tnnt because of the relatively undeveloped gastrointoctinel environment of the germ. {too animal. and the absence of intestinal micro- organisms. that tho germfroo animal would lend itself to n otudy involving the use of whole milk no an_ antigen. Thorefcro. the exporimcntel work reported in this thosio‘uno based on the belief that the germ. freo rut might be a suitable animal to use for study. ing orally administered milk as an antigen. LITtwsann QVV?VV 1% 5:3 £3. Antiénn Hypersensitivity to bovine wiik proteins in children was considered a possibility as early on 1916, when Schloss and Earthen reported their suspicion of permeation of two intestinal tracts of children by an. digested milk protein fractions. Another early consida oration was that of Park. who in 1920 described a clinical ease of hypersensitivity to cow's milk in a young child. Anderson and Sonics: (1923) suggested that cow's milk one cannhle of inducing an allergic state that one in some way associatee with nutritional disturb. encee in the human infant, noting that tho blood of most maraSmio infants contained precipitina to bovine milk. Merasmus in infancy in complicated by diarrhea. derangement of the intestinal bacterial flora. do. creased secretion of digestive enzymes, and other symptoms of general chronic gastroenteritis. Candi. tieno such as these in the infantile inteetine would seemingly facilitate nbnormel absorption of unaltered proteins (Gruskny end Cooke, 1955). In an attempt to correlate clinical milk hypersenettirity with tue presence of nnéifiedies, Andersen, Santana, and "yarn (10?5) selected nine ceildren heiqw fed hwfitfi all? 91% net knuun to have been exflnScd t0 bevino milk nnfl HuhaeQWOHtly £94 tWGSG children bevtne milk in vixco cf hucfin fillk. All nine soon dcvclefied domenstrahle preeiwitins ta beviae milk. Lippnrd, Schloaa, and Johfisgn (lfiflfii, ufling cqmfilefiont fixetien, éewowatreted the presence or unflifieeied cow's milk proteins in the bleed streane of nurmal infecfia anon after a bottle feedlfig. Liphcrfl (193?} enfgegtcd that the indiviaunl immune responfie might fllffcr in these efiildren chewing clinical symyters cf milk allfirry. Quite a wide range of clinical nymytona have been reported in essecietien with cow’s milk allergy. Sewn of those are vomiting. diarrfica. abdcminnl pain. asthma. rhinitis. failure to thrive, chronic ceuju, otitin media. melena. colic. irritability, eczema. hemoptysiu. anemia. cyanesis. shack. ufiper rccfiiratory symptoms. and flcath (Debuts, S bless. and Andersefi, 1925: Gruekey and Cache, 1953: nacmmen and Bees. 195?e: Crawford, Kerrigan. nrd Arnold. 1953: Cunther et al.. 1950: Pariah et 31., 1950: Helmet, Sears, and Kniker, 19523 Hantlnrton and Jcrzynkn. 1952: $111 and Cnombs. 1963: Geldmen et nlg. 1943a; ficlsen, Greene, and Streup. 19$}; nelson. 1953; Sewell ct ale. 1963: Huckley and Docs. 1955). Numeroua investigators have correlated data tram aeralogicul beats with the various symutams of cow's milk allergy. further, Specific diseases or disease conditione such as atepio dermatitis. celiee diaeaso. Aldrieh's synflrome, Lacffler‘s syndrOme. puleenery hemaaiderosis. pneumonia. unrlcr's cyndrome. congene ital heart disease. ulcerativo colitis. mongeloidism. and the cotadeath eyndrceo have been discussed on the basic of clinical and laboratory cute as being ease. ciated with hyperacnsitivity to milk (Krivit and Good, 1959: Gunther ct a1.. 1960; Reincr and Sears. 1950; Heincr ct al.. lafiz: Perish ct 31.. 1950: Truelove, 1961; Huntington and Jettynke, 1962; Gill and Coembs. 19633 Pctcrmcfl efid Good. 1953' 391503. 19$3: Rothberg and Farr, 1955; Withen, 1955. Boyd, 1956). Some of these arc more relatent than other: with respect to the current investigation, and only a few will be reviewed. Dubois. Schless, and Andersen {1925) indicated an association between cutaneous hypersensitivity and milk prccipitina in the more of normal and mares 10 infants. Freedman (1951). however. disagreed that 00". milk exerts any influence en the course of in. fantllc catama. Heincr ct a1.‘1952) and Immonen (lfiéjl attcmgted ta correlato a high incidence of :rocipttins to now'a milk and wheat gluten with the malabsorption aynfiramo of 001130 diseaaa. Sawcll at al. (1953) noted that ulthflrawal of milk and all milk products can be a Valuable therapeutic measure for treatment of intraota able diarrwea associated.vith some aastreintostlnal disorders. Artur hating thafi many ulcerative colitis patients improve nonsidorahly when cow’s milk is ex. eluded from the diet. Truclovo (lfifili reintroduced milk into the diet a! auroral at these patienta. In every instance this was followed by a frank attack of the disease. Aceording to Htlken (1255). seven times as many ulcerative colitis pationts have significant antibody titers to milk pratoins as dw narmal contra! subjects. Ho Speculation was made as to whether the absorption of milk proteins was a cause or a rasule of ulcerativa colitis. Using tha homagglutination techniqua. Peterson and Good (1953) reported that 67% of 330 patients with such candltions a» chronic recurrent pnanmania, Aldrich'a ayndrame, Murlor'a syndrome. and congenital heart disease had a aignifioant antibody titer to 069‘s milk. nothbrrg and Farr (1955) agreed that preoipitins to milk proteins appear mare frequently in the acra of children with chronic puImanary 6150330 t%nn in normal controls. flvlaon (IDGQ) found an unusually high incidence of hom3331utinins and precipltins to mi‘k proteins in the Barn of monroloid childron. Eoniolnids character. isttcally have a high anldonco of pneumonia, upper respiratory ayrptoms. awd 1r0n dcficiency anemia. Eilson, Hcinflr, an! Lnfivy (1953 detected higncr levels of-milk prcclpttins in patients with iron dcfictancy anemia than in normal nsntrol populatlnnsg It was nut poaalble to staie whather thasc precipitins were a caasa ar result of the iron deficiency anemia, although the suggeatiun Haw made that One form of nunnia might ho of a 5000n$ary nature. dapaufiing on pr1m&ry sensitizatlun with cow's fiilk. The coeqdeath syndromo is one of the max: highly publicized aiscaao atatws to be attributed ta milk hypersensitivity [fluutuar ct a1.. 1359; Pariah, Barrett, and Coombs. 19593 Parisa at al.. 13Gb: Gill and Ccombs. 1933: Boyd, 1935). The flora orih.duath, or cotndoath, ta usad wh¢a aha infant is found écaé aftar a night's 81969. with no apparent symgtauataloqy or prior $139156 condition. finiahor emu parent. phyaisian, nwr patholaa £139 can find Valid rousun far aha again, the only -u canaistent lesiana bein; pulmonary edema and congestion. F Tho pathologist‘fl repurt oftfin cfibfia acuto ifitorfliitial pneumonia er mechanical aflymyxia as Lain; the .arsu of death {Huntington and Jurzynka, 1952). There cot deaths mny account for over 20% of the mmrtality 1n oh11dron under one year (Johnstona and Lawy. 1956). Extensive bacteriological and virolegical fitndies havc been conducted on untapsy samples of lung tissue, but the Vast majority of thoaa attempts have‘baon unannoess. ful. Johnstono and any (1955). howovcr. hava reported lama succefis in isolation nttompts. and believe tfiat many of these deaths are due to lower respiratory tract tufeotions. Peterson and Good (1953} failed to detect sigaificant Ievala of preeipitini_1n scrum samylas from six cases a! tho orthodeath syndrome. indicating that the hypo hosts of Parish. as mantionod in the introduction, may not always Apply. Before farther canslderation is given to the way in which milk acts to induce nyyoracnsittvity. the composition of milk in regard to its antigenicity will be briefly mentioned. Milk can b0 datinod as the lacteal secretion of the mammary gland Intended for the'nourlshmcnt of young. To moot this requirement. milk must be. and indeed In, ono of the most complete foofls nvailab1e. The general composition of bovine milk 15 as follows: watar 37o20§¢ {at 3.80%. carbohydrates 3.95%. protain 3.35%. and minerals 0.?Ofi (Harrington, 1953). These figures vary considarahly with the breed. spacing. and the time elapsed since tho start of lactation within the individual. From the atandyoint of antigon1¢1ty 1n hctvrola ogoua species only the protein fraction is significant. Kan and Bowie (1951) break down the nitrogcnous componanta of batine milk in the manner dogorlbod in Figure lo 100 Parts Ritroganous Compound! I I 1 95fi’Proto£n(3.18 graml/IOO grams 5% Non Frotoln Nitrogen wholc milk) 73.55 Canola (2.53) 16.5% Rilh Serum Proteins (0:55, 35% float seabu ' 12.52% float Labno Pmtelno Protooaonpoptono (0.13) J {0.h2) 9.2-; Albumin: (0.31) 3.3% Globunns (0.11) Figaro 1. nitrogenous 00mponentfl of bovine milk. 10 The major fractions of bovine milk proteins and Some of their characteristics are listed according to Jonness at a1. (1955) in Table I. Table 1. £330: fractions of bovine milk proteins. Fraction from Approx. % of Melee. Prateig £313? ififilfifflj rtlk firotnggg_ wt: alpha casein casein 35.63 beta casein casein 19-23 23,000 gamma casein casein 3-? beta lactaylahulin lactalhumin 7.12 35,030 alpha lactalbumin laotnlhumin 3.15 15.130 blood serum albumin lactalbumin 0.7-1.3 €5,090 euxlobulin Inctoglobulln 0.8.1.7 1S0,000 psaudoauglohulin IGOtOfiIObulin 0.5‘105 130.050 Originally the milk proteins were separated only on differences in solubility. and werc classifted as casein. lactalbumin, and lnatoglobulin fractions (Jeanna: at a1.. 1955). A fourth fraction, designated ‘vrotaoao- peptonO.‘ was isolated by Rowland (1933). Casein is the pretax“ traction in nilk proctpi. tatad by acifilrylng raw skim milk to pH 3.5-3.7. It comprises 32% of the proteins, and consists of a mix- ture of five principal components: 1) alpha-Incaseln. 2) alpha-Zooascin, 3) hota casein. h) gamma cafietn, and 5) delta onsofin (Fries. 19$93p Those comnonanta exist in milk as complex particle; containing calcium and phosphate (Jenneaa at a1.. 1956; Brunnnr at 31., 1950; 11 Ian and ch10. 1951). Approxlmntcly 17% of the protein fraction of skim milk is the whey or milk aerum proteins. As cpv posed to casein. this fraction 1! soluble when will in ccldlflod to pH h.5-b.7. An additional one percent of the total protein 15 present in whole milk only. as the llpcprotcln designated as {at global. mambrano protcln (Jenna‘s at al.. 19363 Fries. 1959: “runner at alug‘1960lo Tho milk serum proteins are divided into heat ltablc and hock labile traction: on the basis of whether or not the protein can be rendered cold proclpltablo at pH b.6‘by previous boiling f6! 20 mlnutco. The “protons.- pcptonc' fraction ls that part that ls not rendered acid proclpltablo by prior balling. and 1‘ thus tormnd heat stable (Jcnnos: at al.. 19563 Brands: at 31.. 19508 Kon and Gavin. 1951). The boat labllo group of protelna which is rendered practpltahlc at p“ 5.6 by previous boiling is further classified into two fractions. tho albumin: and tho globullnau = One group at the heat labile milk serum proteins. the albUmins. rcprescnt the moct algnlfleant antigen- tron the standpoint of the Individual who 13 allergic to nllk.v The principal comccncnts of the albumin fraction arc alpha lactalbumln, beta-lolcctOglobulln, beta-2o lactoglobulln. serum albumin. and peroxidauo (Fries. 1959). The globullnn. although of major importance tron tho standpoint of lmmunlty within the lndlvldual. are of minor significancc as an nntlgcn, and are rep. resented as tho gamma glcbullns pseudocufllobulln and ouglcbulln (Janncsc 0% cl.. 1955! tries. 1959). Bloctrophorctlc analyse: hnvc revealed at least twelve dlltlnct antlgcnlc factors asscclatcd with bovine milk protclnc (Hanson aha Johanccn. 1959): 51: of those arc also relatcd to bovine blood scrum proteins (Hacson. 1959,. I Due to ac. antigenic complcxlty. Frlcc (1959) nontlona that milk chould not ho trontcd on a single cllcrgcn. but rather as 3 enable: of many allergens. Tho three proteins tnac are most significant as allcr. gens Ir. alpha lactalbunln. beta lactoglobulln. and canola. or loose: lmportancc la bcclnc ceéum albumln. Most ficdlctrlclana care. that come infants who are hypersensitive to cov'c milk can tolerate «cat'- mllk while other. cannot (ulll. 1939: Sayerstaln. 1960). Ono reason for this is that the casein fraction 1: I lmmuncloglcclly almost identical between the apoclos. but that the alpha lactclbumln, beta lactoglobulln. cud scrum albumin arc cpccicn specific (30113, 1911: “£11. 1939: irtos. 1959s Lao. 1953}. Thus. those individuals hypcracnsltltc to thc casein: of bovine milk cunld probably not tclorctc goat's allk. while thee. ladlvld. unis who are hypersensltlvo to thc Mont labllc milk l'lllflll‘ [i {If [.Illllll Ill! .n'l 1 i‘l viii!!! fl‘ 13 eeru- proteine would often be able to incorporate goat's milk into their diet without difficulty. It is generally assumed that an antigen must be introduced beyond the epithelial tissues of on animal before antibody production will be ntimulotod (Carpenter. 1965). Milk has been injected into neonates for or. perimentel purposes, however. it is obvious that o more subtle manner of sensitization must be involved in the prooeeo of natural induetion of hypersensitivity (Header. 1873; uaoenstadt and neijkensjoid.V1965). it leeet three methode for natural oeooitieation to milk proteins have been considorod in the post. and those. will be oioeueeod. The first poeeible route for sensitization, suggested by Rainer (1928). involves the passive trans. for of milk protein antigen across the placenta from the mother to the fetus. It is known that during preg- neney many women have e psychie crowing for certain (code. and the exceesive consumption of these foods. it they happen to be milk or milk products. could than lead to exoeeeive absorption of milk protein antigens (Rainer. 1957). Tnese protein antigens would then be transmitted to the fetue via the common circulatory syetem, end thue entigonioollr etimulote the fetus to produce antibody (flatner and Greenburgh, 1932: Rather, Crawford. and flynn. 1955}. It would seem that the 1h Validity of this theory aould depend on whether the human fetus could be deolerod immunologically competent. fieeeive maternalotetol circulatory traeemlesioo or maternally produced antibody has also been considered (Gunther et «1., 1959). The sooond possible route of aonsltisation ie aspiration of gastric contents. which in the non-breast fod infant would usually consist of bovine milk (Parish et 11.. 1960). Milk proteins present in the lung might then be nhsorbod earns: the alveolar membrane into the intoretitiol tissue and circulation with resulting entigonic stimulation (Nelson, 1955). In support or thin explanation are Peterson and 6004': (1963) finding! of substantially higher milk protein antibody titore in Children with anatomically dofoetlvo swallowing mechanisms than in normal children. The third and vrobobly firedomlnant route at tensitlzation to milk proteins is intoetinal absorp- tlon. Early investigation: by Mendel and Rookuood {1903) were lutorprotod as indieating that protein: oould be obsorbod intact from the intestine. They tied off a emotion of the intestinal tract. and demonstrated significant roduotion of e protein substance. odegtin, that had boon placed within the segment. Borgstrom ot al. (195?) domonstrotod that under normal conditions up to too poroont of the dietary 15' prototn reaches the bottom of tha small intestine with. out being disastcd. M1113 at 81. (1923) and Ratner and Gruéh1,(1933) beliavo that nndar normal conditions absorption of unaltered protein occurs with great reg. ulgrity. and that protains may enter tho blood stream from any part of tho bouoi. including the rectum. Three arttoric havo'boon proposed for oral sen. situation with milk prutalnu u the protein fractions must be in a native stato, uoluble. diniyzablo. and of loa‘molooulmt Uflightg 2) the intestinal tract malt bo‘ particularly permeable at tho eimo the food 1! tngcstod. and 3) the quantity ingnsted must be sufficient for absorption ta take place (Ratnar. 195?). Holland 0% nl. (1962) tuggastéd that the incidence 9f milk precipu itins in the blend of infant. could be associated uttfi increased exposure to antigon, inoronaad pcémoabllity at tho gut to protein, or variations in host response to phytiologio quantitlal of antigen. Park (1951) and Nelson (196%) have suggoscad the need for a genatia prodisgosltion to uyparsensltivaness before sensitization to milk proteins can occur. Tug lines of defense against tranSfllaaion of unaiterod procaine acres. the intestinal wail ara that protain foods are nurmaliy hydroXyncd by enzymatic digastion 1n tho.gnstruintaat1na1 tract. and that tho intestinal wall is usually thought to ho impcrmoablo to collaids.(flatner. 1?5?). The failure of thcso dcfcnsas may result {rum alteration of the intestinal wucoaa, permitting increased abaorption of undigestad prfitcin into the circulation (351503. lfififi). Those defenses may fail due to pathologto candittuns. devolonmantal anew. alien, malnutrition. convalescouco from diarrhaa, follow» lng gastratntaatinal diaturbanoes. or increascd pcrfi monbility in early infancy (Gruakay and Cooke, 19553 Immouen, lfiis), With ulaerative colitis patiants, 1n. eraasod absorption of antiganie protein tram the cut might occur far 3% least tun separate rsaaans: deprcsscd proteolytic activity in tho uppar gastrointestinal tract. or mare facile absorption of undigested pratcin by the inflamed colonic mucosa (Taylnr and Truclove. 1951). There in teascn to believe that two inte$tin31 enviranment of the germ tron animal is very mimilar to tha intestimal tract of tho newbnrn (Smith. 1955). This similarity is 1ar301y due to {no lack of an in. tostlnal bacterial flora. which tha convantianal animal acquires soon aftgr birth. This bacteria: flora 13 probably largely responsible far stimulating hifitOo logical chmngas 1n the rnall intestine that diaoauraga the further absorption at lmrxa moiacules (Lngorcrunts at n1., 1955; Smith. 1956}‘ Clark (193?) 1dantiflad orally ingested buvlne ‘gamma.filobu11n and ovalbumin in tho apieal cytonlasm 16 17 of the jejunum and ileum of rats and mice that had been fed theso proteins. Ha postulates that the coil takas in than» particles by pinocytonis, a process or invafia ination of the apinal 0011 mambrana to form vacuoles containing material from the intentinal lumen. Bight. ten days after birth. however. the columnar abaorptivo 0011. lost their ubiiity ta ingest pratains and colioids. this being the age at which rats and mice 1030 the ability to absorb antibodies from the intestin. in an immunologioaliy intact fora (Clark, 1959). Anatomical changes in th. columnar absorpiivo c011. acoampany thus. change. in function. Pérticloa absorbed by the epithelium of the small intastino can be picked up by tho intcutinai lymphatics. and transported to thc blood stream. Ingestion by no. lunnar absorptivo calla uppsars to bo a nonasoleativa machnnisn for faking in whatever happana to b. in the onvironnont. Laboiiod proteins absorbed in this manner can be recovered in tho biood within nin¢ty minutes trou.tho timo of oral ingeation (Clark. 1959). Farr. Dickanaon. and Smith {1960) (ed bovinc torus albumin ta rabbits in tha drinking water. and found that t 0.0025§ aolution for thirty days. or a 6.25% solution for one day an: able to élioit the pro. duction of a lufficiont antibody titer to b¢ detectable with the ammonium sulfat. teehnique. Antibody an: 18 detected as early es seven days otter the firet feeding of e 0.1% eolutien. Intravenous injection of e non. antigenie dose of 0.006 mg. of bovine serum albumin. however. resulted in e higher blood level of bovine serum albumin after seven day: than did the feeding of o 0.25% eolutien at any time. Thus it is expected that immunisation by the oral route in initiated by lymphoid tissue associated with the intestinal tract. where higher oonoentrotiono of bovine serum elbuoin are avail. able (rerr, Diokoneon. end Smith. 1960). These eenei. tired lymphoid cell: could then be transferred to other lites of antibody production each on the spleen and lymph nodes (Farr and Diekeneeu. 1961: Holland et ai.. 1962). Intestinal permeability is greater in the newborn. and iomonolegieeily oompetent oe11e_ef the newborn lie in the gut wall. making then quite to. toolihio to antigen: in the gut (Hinkie. Bong. and lost. 1951). Rothborg, Kraft. and tort (1966,1957) thawed that antibodies produced to either orally or parentereiiy administered bovine eermn albumin were qualitatively similar when tested by radioimmoneeieetropheresie. passive hemegglotinetion, zaneroeptoethenel treatment. detection of antibody in acetone density gradient fractions of serum, ammoniuo oulfate test. antigen precipitating capacity, and density gradient 19 ultraoontrifugetion. Soon otter the advent of commercially prepared eraporatod milk, it became evident to pefiiatricians that heat donnturation of milk proteins significantly reduced their antigenicity.. This loss of antigenicity we. I probably due to at least two factors! 1’ actual destruo- tien of the antigwnie portion of the molecule by host donoturation. and 2) increased susceptibility to eosyo motio breakdown in the gut with consequential reduction in protein available for intestinal absorption. Denaturetion of a protein implies any change in physical and chemical preporiios from the native state including especially the loss of solubility at the lone electric point for that protein. but else changes in electrophoretio mobility. and reduction of sulfhydryl groups (Mauro! and Scidelborger. 1951; Loreen and Rolleri. 19553 Seporstein and Anderson. 1962). These changes can be broeght about by e large variety of chem- ical and physical agents including ensymeo. irradiation. snide. alkaline. alcohol. soetono. sslts or heavy metals. dyes. hoot. light. and pressure (Rainer. 1957i Grogan and Crawforo. 1961). The stages of denaturetion are not necessarily all or none with many proteins. and some stages of thermal donaturntien are reversible. Denaturetion of native proteins often result. in lees or diminution of specific immunologic properties becaunn, due to their physical structure. coagulatod proteins arn delayed in fun gastrointestinal tract, thns giving morn time for enzymatic digestion (Levin nnfl Hayden. 1932; Rainer. 195?}. Also. as evidenced by the effects of trypsin on proteins in vitro. discs. tive anzymes are nor: effective per unit time on partially'donaturod pratoins than on native proteins (Wallonahnwronqe ann Koch. 1930). This rnsults in.a marked lass of ability for the milk protnina to anti. gnnically sensitize the indiviaual by thn oral-route (Rntncr and truchl. 1935). Denaturnd proteins may act as aimplo or nonpicx ‘ bantens. to block a reaction batwnon antibody and native antigen without proflucing a visibln rnnntion Superstein and Andarsnn, 1952). Same dnnntured proteins may act as antigen: to induce production of antibodies to the denaturad protein as wall as to the unaltered protein.l Haboob and Borelia (1965) found that the donatnration of bovine serum albumin in which the disulfido bonds ware broken resulted in.n loss of reactivity bntween antibody pronuced against the do- naturnd bovine serum albumin and undenatured bovina serum albumin. There 15 congidernblc diascnsion in the litora. tare regarding the issue of vhctfinr a heated protein Iantigen has retained sufficient stfangth and npncificity to act as an alinrgcn when orally ndministorrd. In the case of allorfir to bovine milk, curtain rascarchert fool that individuals hyperscns itivo to miik could tolurato-a boat denatured produce (Rainer. 19573 crawford, 1960. Crawford and Grogan. 1961; Hinklo. flung. and west. 1961). Oihor investigators. in contrast, boiiora thai donatnrod milk is not a safe oubotituto for milk in in. 41!. of hypersensitivo indivifiuala. and that instead Iuohproductn as any milk and moat base milks should be alod (Saporutoin and Anderson. 1962; Rainer. Sears. and Knikor. 19623 Ln: and Todd. 196k). Saporstoin and Anderson (1962) have suggested that the term heat do. unturod milk can b. nbandoned as a designation imply. inc nonoantigenioity or non.a11erganicity or the proteins in those products. Rainer and his asnoointes beiiaro that the unjoriiy of children hyparnonnitivo to milk can safely consume heat treated milk. and thnt 103; than on. {burth actually requiro n milk rubstituto (antnor, Grantord. and rlynn. 19563 Ratnor. 1957: Rather oi n1.. 1958.}. According to nntnor. the lack of a favorabl- responao to a host treated milk in this latter 251 in an. to n casein hypersensitivity. Superstein (1960) 'b-liovos that no evidence has been given for casein hypornenoitirity. and that suspected canes ware due to incorrect diagnosas and. with casein tune was contaminated with lactoglobulin or lactalbumln. It cannot he Gisputod that lncompicto purificurinn of tho milk protoin fractions hag resultad in man misleading conclusions. and early studies were carried out with Canola fractions contaminated with lactalbumin and 1ac€6310bulia. and lootalbumln fractions contA£lnated with lacioglobolin and serum albumin (Ratfior at 31.. 1958a; Cola and Laos. 1953). It would seem that txo newly acquired Specificity of in. antigon should be considered as woll as the original quantity of nativa protein remaining VHO" trying to determine the value of a heat denatured milk product for uao in tho diet of hypersensitive individ. null. Synthetic aolypoptidos of low molecular weight are antigenic in rabbits and guinea pigs. auggoating that severely denatured proteins could still be anti. gonio (Hooter. 19fi2. 1963; Hauror. Gorulot. and Pinonuok. 1953; Lavina. 1965a.b). To be considered also in the fact that the ability of a substance to act as on anti. son based on classical serologionl techniques of anti-‘ body detection is not necessarily indicative of tho ullorgonlé provortiOI of that substance (Hanson and ”museum, 1951). ‘ Turth (1925) noted that the heating of horse Larum or crystalline egg albumin to 169 C oroatod a new antigenic specificity. intisora obtainod by N b! injecting antigen heated to 103 C procifiitcted strong. 1} the antigen used in its pro notion, hut canned only weak procipitntlou of unficntod proioiu. Guitar (192?) found that tented whey proteins wore more reactiVO in animals annuitixod with hontod milk than in animal- lonaitisod with raw milk. Louis and Haydon (1932) found that boating altered some antigens so that anti- Iorn prodacad against them worn morn or less specific for the hentofl antagons. the soucnllofi cocLa-antigens. Included in this group was bovine silk that had been heated to 115 C for 15 minutes. ‘Hirntn and Suasdorf {1955) found that tho partial donnturntion of bovine sorum albumin created a non antigenic specificity. Wkon £11: partially donnturod bovinn scrum nlhumin was lujootod into rabbits. it resulted in higher nntibofiy titora and n larger number of rooctorn than did native bovine serum albumin when oach antigen was tostod with its homologous antiserum. Peters and Cootzl (1955) state that appreciable config. nrationnl changes can be induced in the bovino serum albumin molecule without markedly altering its antigen- ic prozeriioa, and that immunologic detorminanta an. reactivo in the nativo molooulo may be uncovered by manipulaticms Hf'xich do not break the {mythic c’mirl. (dromntngrnphy of a tryptic hydrolysnto of beta lacto. globulin by fling. Gusdon,.nnd fitnvitaky (1955) yielded 22.- 30700 active peptide haptans. These inhibited the hamngglntinatian. precipitation, and passivu outaneeua anaphylazia reactions in a beta lactoglobuiin anticbeta lactoglobulin system. Although it is usually accepted that casein is tho most heat stable protein in whole milk. considerable disagreement exists concerning the comparativo heat stability of the more heat labiio whey firoteins. Larson and Rolleri (1955) conciudcd that alpha lactaibumin was the moat boat atahiu a! tha whey proteins. Cravford and Grogun (1951}. Colitas~¥illiamo (1962). and Lu: and Todd (196%) maintain that alpha lactalbomin in the more heat labile, and that beta Inocogiobnlin in tho most heat stable of tha whey protein:. -Hanaon £1965), believe: that serum albumin in tha must beat stable or the serum proteins. Wells (1903) Itated that crystaiiino egg albumin and bovine mitt do not ioao their sensitizing power for anaphylaxil than heated tn 100 O for 30 minutes. Attempts by flutnar at .1. (19580) to orally sonoitiuo 'or ohnilongo guinoa pigs with hunt denatured milk were invariably unsuccessful. Lu: and Todd (1965) found that milk that had been haatcd to 235 I for 19 uinutos showed only slight difforonooa in antigenicity from unhantcd milk when hunted by the Prnuunitznfinstnor techniquo. Hiero.0uehterlony toohniqueu show that 25 heating causes a loss of precipitablltty with the native protein. but in this case such a loss is not necessarily Iquivalent to a loss of antigenicity or allergenlalty (Lu; and Todd. 196:»). In 1929. Cutter failed to detect any stgnttlcant difference: in the degree of anaphylaxis ollct$ed with casein: from pasteurinod OR*¢ommerciully available evaporated milk that had boon exposed to 220 r far 30 minutes or 200 f for 20 ntnntoa. nouiand (1937) boltcvod that danatnration of alpha lactalbumin and beta lactoo glébulin was complete in tire to ten minutes at 100 c. EWOIn. Anrand. and Hobart: (1961) found that paotanra {tatton canned nogllgiblc milk protein denaturntion. bu. antoalavtng at 250 I for 15 minutes denatured all tho who: protoinl. Ancarding to Hanson (1953) canotn can withntand 120 0 for at 1.39% 15 minutoa. and beta lactoglobultn 100 o for gt least 15 m£nucea. nausea and fiansaon (1961) using immunoo1ootrophorouia could not demonstrate the prasonoo of whey'proteinn from milk heatod to 120 c for 13 minutes. Batnor at :1. (1958b! on the basis of syutamio unaphylaxln touts. state that the allersanlolty of tlpha lactaIbumln was eliminated in a heat denatured milk product. and that even nasal» evidenced a degree of boat lablllty. cal. and Boo. (1963) claim that beta lactoglobulin in milk oxyosed to evaporation 1| 26 only partially denatured and still able to clicit.cna. phylaxis when guinea pigs are sensitized with unheated beta locioglobulin. Snporstcin (1969) found that both alpha loct. albumin and beta lactogicbclin in commercial evaporated milk products were ctill nntigcnically intact. In I later study. Sapcrctcin and Andcrcon (1962) concluded that hoot treatment had some affect on alpha lactclbunin, but did not reduce the antigenicity of casein or hot: lactoglobulin. Vith precipitation tests. milk products heated for ton minutes at llo O or 30 minutes at 99 c _ all gave positive precipitntcs with bctn lactcglcbulin. alpha lactclbumin and casein. Three hour heating at 99 c did not inactivctc thc alpha lnctalbumin. bot. lactcglobulin or coccin no tested by pan-ire cutanccul cnaphylcxic (Superstcin and Anderson. 1962). According to trio: (1957. 1959) allergy to ccw’c milk is not as frequent as uncritical cvnlnntion would makc it snow, and many disturbances induced by milk should not bc categorized as allcrgic in naturc. The only satisfactory way to diagnose milk allergy in to chow that symptoms arc alleviated with removal of milk from the dict. and that thcy return anon milk feedings are restored (Gold and Rubbing. 1965). Recorded incidenccn of clinical symptoms of dzow's milk allorjy in randomly selected children has varicd from 0.31 to 7.0fi (Cloin. 195a. 1952; Collins- Williams, l?fi£; Glaser, 1956; nachman anfi Docs, l?5?c}. finned on clinical symptoms; reportod incidences of ccncltlvity to cow‘a milk in allergic grouya varied from 5.0% in ngthmctics to 55% in allergic children undcr four years of ago (Davidson. l9$2x Fries. 1957’. In allcrgic patients under two years, tho lacidcnco of hypersensitivity to cov‘c milk is nigh, bcing proscnt in oyproximatcly one in three infants (Bockman and Docs, 1957b)¢ matnor ct at. (1953a) and CollincoWllliams (1962) attribute the greatest allcrgonicity to milk proteins to thc beta lactoglobulin fraction. Fries (19??) and Cole and Boos (1953) stoic that sensitization to milk is usually to tho lactclbumin fraction. Golénan ct a1. (lgfijo) orally challenged children known to ho allergic to milk with the milk grotoin fractions. Tho frcquoncioc of rcactionc tc‘tuc various fractions were: casein 57$. bcvinc scrum albumin 51%. beta lactca globulin 65¢, nna alpha lactalbumin 53?. Botcctablo antibody titers to bovine silk in both healthy nnl allergic infants arc concidnrahly more canman than clinical signs of milk ollcrgy. Tfic vrccipitation test. as performed by the gel diffusion or capillary tube technique. ccnsistcntly ~dctccts only tho high titorod scro. Tynntyufivc 23 percent of 170 normal and sick infants had precipitins ta oow‘o milk by tho 591 diffusion technique (Peterson and 606d. 1953). Prooipitlnr are more frequently found in sort of children 31th chronic pulmonary disease or iron deficiency antmla than_in normal centrolr. The incidouoo an dotarmlnad by 301 diffusion in irpn dotioiont infant. fad cov‘rmilk prior to diagnasla in. 75% to 80% (Hilton, Rainer, and Laney. 1952). Gunther at :1. (1960) found that 95% of 286 rerun sampler takon from normal infants had hamagglu- tinin titorl fiptn 1090 with a mode 9f 6“. Similar lamploo from hoalthy adult. and newborn infants boftra uxpoaura to bovino milk uhouad titers of rare to tour for the moat part. but samples from infant! aorou to 97 rock. old had tit-rs of two to 128 with a nann of 16 to 32. Supersteiu at :1. (1963} and Collinsnwilliamu and Salama {1965) feund similar pnttornn of homagglug tininl for normal children. childrun allargio t0 milk. and allergic children that were not illargie to milk. Those finding. disagrvo with than. of Gunther 0t :1. (1962) and Parish at :1. (195a: that high hemagglntinin titers to milk proteins are correlated with suscepti¢ bility to anaphylaxit in infantr. Poternan and Goad (1963) found that 67% Of 283 sarum samples from both healthy and diseasod children had a milk protain haaagglutinin titer of ten or more. The highest titer. 29 of hemagglutlnins were obtained from the acra of significantly disabled children, All sera with hem. agglutination titnra over 1,230 had proclplttns also,. but most aura shaving hemagqutinating activity in low titers only did not have precipitlfis. Skin testing techniques did not correlate with either hemnaglutination or precipttin titers. giving negatlvotests with earn showing the highemt positive in vitro titers by hamagglutinatton or precipitation, and aura with lower homagglutinin or precipitln titer. ocoaaionally giving positiva skin taste (Patnraon and Good. 1953). Antibody specific for bovine serum albumin by the ammonium sulfate technique was in no way related to positive skin tests for milk or haviné aerwm albumin (Rothbarg and rarr. 1952). flatner. Crawford. and Flynn (1955) and Goldman at 31. (1953b) report that strongly positive skin tests with purified mtlk protains have considerablo diagnostic valua- annthar at 619 (1950), using tha homaggluflnation technique. Found antlbofiy ageoiflo to casein. “thfi. 1actalbum1n.'and bovine serum albumin in the serum of normal infants. no untibodf was found specific tt bots lactoglobulin. In contrast, Peterson and Good (1953) found precipttlnn to all milk protein fractions except casein 1n narmul and allergic children. In thaao Itud108. the most common antibody to a milk protein fraction was anti-Leta lactogiohulin. Using tau axmonium sulfate teat, Rothbar; and Farr (1952) found circulating antibody to bovine aarum albumin in serum sample: from 73% 9f the cuildren and 17$ of the adult: tasted. Thirtyuscven perccnt of the children and saven yeroonc of the adults had antlhofiy to alpha lac‘fialbumin.‘ Truss... althou:_i§h tf'xcre 5.8 com-11:1.- eraaly mora alpha lactalbumin than bovine serum albumtn in bovine milk. the bovine serum albumin aoumed to not as a more efficient antigen. However, it should alga be considarodthut bavina serum albumin would be present in any beef censumod. whereas alpha lactnlbumin would not (Farr. 9393. Groups of healthy and fiisaasnd children showed no diffrrences in incidenco of antibodies to havino aarum albumin or alyha lactalbumin (flothberg and Farr, 1365). It was concluded that when an immediate type of hypersensitivity was associated with the prosonco of circulating antibady. tRmt antibaey is necessary but not alona sufficient ta cauac gyrwtums on ro~GXposure to the antigen. Other factars such as Variatian of tfle tyye of antlbndy produced. and organ auflceptibtlity and reactl?ity, permeability of the blaod gut barrier. and 4030 of antigen or raucxposure a1! determine whether an individual will have an untaward reactign. The possibility of'n cross raaciion between 31 antibody produced against bovine milk protein antigens, aspcclally bovine serum albumin. and other heterologous antigens has been ¢on51dcred by $31519 (1952). «01319 and MoConahcy (1962). and nothbcrg and Farr (1985}. Ho sharod antigenicity wan detected between bovine corn. albumin and other antigens to which the penulntion might be Iroquantly expo-ed; such as oralbumtn. polio vaccine. influanza vaccine, tetanus toxoid, diphtheria. ana portussta vaccinc; In vivo reactions between rabbit antiobovtng serum albumin and ten crass reacting mammalian ulbumina were capable of producing systemic anaphylaxts, passive cutaneous anaphylaxis. and the Arthun phenomenon in sensitized guinea pigs. When fidual amounts of precipitating rabbit antlnbovlna serum albumin were used to passively sensitxno the animals. sum. of the cross ruaoting albumin: produced as never. symptoms as the homologous bovine aurun albumin when a sufficiant amount of antigen was usod in the challenge dos. (E61510. 1962). Saperstoln It .1. (1953) concluded that the passive cutaneous anmphylaxiu test was more Valid than tannad 0011 homagglutinatian‘techniques. double gel diffusion. or akin testing techniques for determining tltorc of milk protein antibodies in the zeta of allergio‘ohildren. Hinden. Reid. and Farr (1955) studied the 31 relative sensitivity of several uerological tests for their respoctlvu unpacity to detect circulating anti. body to bovine serum albumin in human aura. Those studied were douhlo gel diffusion, homagglutination, Prnuanitz~fiustnnr. passive cutaneous anapbylaxla. syueomto annphylaxis. radioimmunoelectraphoresls. spontaneous precipitatlan. and the ammonium aulfato tent. The only consistently positifu tests for detection or antibody worn the ammonium aulfato and radiotmmunoelectrophoreats techniquos. Seventy-fit. percent or the sera were posltlvo by hemagglutinatlon. and 50% were positive by spontanaous practpltntlon. The remaining tests were considerably less sensitive in this atudy. 33 aptnwig ”gel-“347M. :31 13 :32 3.33. Tha r28 hws ta b3 cansidcrod n wosr afitibofiy nro¢ ducer When exyofied to commonly usafl nntisaua “r cwni vanéional matfioés (339(01. 1951; (abut and mayor, 1951; Bancvttx and T?apnfi1, 1355). Althauffi this wank rasnonao becomes especially eviaant when trying to induca ana- phylaaia in this egjcics, rats are also reiatively poor producers of precipitins and agglutinins (Lipton, Stano. and Frennd, 1955a wimcbright and titan. 1952: Cody and Coda, 1953). Anaphylaxis in also difficult to produce in the mouse, aitfiougfi this species is unually not as unrcactive as the rat (Kind, 1937). This réaigtanco to anayhylazia is prabahly aaaocfiatcd with the fact that both the rat and mouse are extremely tolerant to the effoctc of histamine. being unaffected by a done at least fit. hundred times as large as that which will kill the guinoz pig (Drill. 1958). Doapito the difficulties involved, early workers Parker and Parker (1923). Deliauny (1930), and Hochwaid and Rackenann (1926) reported ouocoas in attempt: to produna anmphyiaxis in rats. flare recently, a vifia variety of techniquoa have boon cmploynd far inoroaaing the rat's ability to respond to sensitization and nubsoquont challenge with foreign proteins. Tfioso inoluda hypoyhyaootamy. fasting. insulin induced hypo. glyoomia. tha adminiatration of aacarbio acid. thyroid hormones. zymosan, Rrucella abortua vaccine. Pround‘n adJuvant, Bogdoto;12 gogtusstg'calla. and nqrdetoLLg Bertgggig vaccine (Buchwald and Raokomann. 19363 Parfantjov and Goodlino. 1938; Halkiel and nargis. 1952a.b; new: and Code. 1953: Kind. 1957i Sanyal and Host. 1958: Spencer and Host. 1952; Hanna. 1953; Adamkiovios. Sacra. and Ventura. 1963; ninaghi and Bonacorrat. 1963b)- A partial list of tho protein antigens used in fin. 1ucoosafu1 antigenic sensitisation of rat. Include: human serum. hora. iorum. egg albumin. bovine serum ti. bumin. human lorum albumin. human gamma globulin. bovine gammn_giobultn. fibrinogen. the flagella! antigen from Salmggglgg as . and the 0011 oxtrnat from W 2ra$§§cng§g (Hoohvald and Rackcmann. 19363 Sanyal and East. 1958] Uta-bright and Fitch. 1962: Binaght and Bonaaerraf, 1963a; Vilaon. Bionenatock. and Bloch. 1966). Hot: (196ha) found that egg albumin was 3 nor. offeetivo antigen than human serum albuwln. rat gamma globulin. horlo gamma globulin, human gamma glob. ulin. or having gamma globulin for ch; profiuctioh of antibody in the rat an hosted by the passive cutaneous «naphylnxln and homagwlutinatlad tochnlquos. - Various route. of antigen injection have been umployod 1n the rat. including intraporttoneal. sub. cutaneous. intravenous. and intramuscular routes (Eota. 19533}. Using ton microgram $0555 of antigen, Einebright and Fitch (1952) found negligible differences betwnon the offectlvcnosa of intr‘yeritonoal. intravo¢ nous. and subcutaneous routes of injection for tfie primary production 6f aggluttnins to the particulate a flagellnr antigen of Salmone typhosa in normal and aplonoctomizod rats. With a amaller dose of antigen,‘ 0.001 utorngaml. tho intravenous or Lntrnperitonenl routes were more effective than the subcutaneous route. Rota (1953) reported that sensitization by the intra. peritoneal route is more effectivo than the suboutanaoua rout. for producing must 0011 disruption and tha appear; anco 5f detectablo blasma histamine. Binazhi and Bonacorraf (196kb). Mata (1963c). and Binaghl. oettgen, and Bonncorraf (1966) report that subcutaneous injection or antigen into the footpnd, along with Freund’o edjn- want or Bordetclla gortussi: organisms is the most effective proceduro for the productinn of rat anaphy. lactic antibody. I Tho twu most common methods of nensitlnlng rat. for the production of anapuylaotio antibody includes the injection of the antigen; 3) with Bordetolga aggtugslg organisms or vaccine. or b) with campleto tround'. ndjuvant. ' Rats immunised with bovine serum albumin and complete Freund'a adjuvant produce high precipitin k.) u J 36;. titers. watch Ligtcn, Stone, and Frocnfi (133$) believe to be correlated with ausccptihility to Lygtemic aha“ phylflctio death. Mata {18533) fannd that two rat pro- duced a high titer of hang: lutinatlng antibody when lnjoctcd witfi ton milligrams of ca; albumin with com. plots Frcund's-cdjuvant intramusculcrly chry wcck for two month: plus two injections of alum precipitatcd ogg albumin intramusculcrly at a two sock interval. This cams proceduro rosaltcd in no dctoctablo passive cutan. sons annphyloxls antibody titer. Hunos (1953) reported that susceptthility to fatal anachylaxis in mice was equally cnhanccd whether complete Frocnd's cdjuvant or Bordcselgg goggp§§ig ccEII were used with a large dosc of onttgcn; but with c small deco of ontigcn. Frcund's adjuvant was more effective. nincghi and Bonacorrcf (19653) concluded that for the production of antibody demonstrating activity by the pacsivo cutaneous can. phylaxls test. the use of pertussis vaccine as an ad. Juvant resulted in an earlier primary response than did the use of tround's sdjuvcnt. By tho eleventh day, scrum titers of antibody. as measured by the passive cutaneous ancphylcxis tact, were essentially equal. shothcr pertussis vaccino or trauma“: cdjuvanc had boon Omplcycdo Probably the most widely acccptcd tccnniquc for inducing ancphylaxis¢ or tho production of nnaphylsotto 37 type of {:1:.-;3.?.-m’-y 3.11 t‘w rat. or mum), is £313 mminlu- tratirm of "-:‘r:"~-€;a711_:1 {firtmvig cells or VAC-31.118 with tfie antlfien. Rico injrctod witfi pcr£u2315 vaccine are more susceptlhlo to histamine. serotonin, pfisaivo and activa anaphylaxls, the gram negative bactvrixl vhcolnes. and infection with living bacteria: althnugh in Chase 03535 the mousa 13 ”wt in a debilitated confiltlon (Klnd. 1953,. nepause histamine and serotanln are the usual mediators of anaphylaxia in wany species; this has led to the 1nvfilid assumption that increased sensitivity t9 these compounds in the rat and mouse is rcspodsltle for increased SHfiCEUtlbllity to anaptylaxts. Acoarding to sanyal and Refit (1953) the paécntlating action of ‘EfirdfltflTln gertzsgts vaccine in the enhancement of and. phylaxia could be due to: l) increas d antlbOdy formation. 2) increased production and rdlaasg of tha amines. or 3) increased tissuo aensltivlty to tha amines. King (1958) has hascd the aohsillting prepertias of £3- ggrtusglg oh two assumptionsf 1) that sensitivity to hlstamlno. serotonin. anaphylaxls. and endotoxins is due to a defect in steroid metabolism. and 2) tfint in. creased susceptibility to the lethal offsets of endo- toxins. aflath1&318, peptanca, and other agonts 1: due to the rolanse of histamine and gorotanin. Th9 action of‘2, nertwssis on steroid metabolism may be cnfiancemont 33 of destruction of these compounds or the ability to lncroa o tioono rooulromonts for tho stora‘fls. E, portnsols also olthor elicits a hypoglycemic response by the animal, or orovonfis tho dovolonoont of compon. notary hypoilyoomla (Pieroni and Levine, 19fl7). Runes and Bergman (1966) and Ploroni, Broderik. and Levine (1965) have-ouccossfully characterized the histamine sensitizing factor of‘fip nortuooig. A: a result, an entirely now theory has amorgod regarding the ability of‘g, pertussis to enhance nnaphyloxts in rodent. (Lnulor at 31.. 1965; Keller. 1955). Rumorous invostigatora nova domanotrotod that.§, Egrtusgil does ploy a sfigntfloont role in blocking adrenorgtc receptors. than interfering with the action of epinephrine (Gozy and Kate. 19623,b; norgmon and Munoz, 1965; gone: and Borgamn. 1965; Keller. 1965). If this theory is accepted. the onhonoomont of onaphylootlo shook by odrouoleotomy could be oXplalnod on tho basis of loss of tho adrenal medulla. rather than the loan of the odronal cortex. Sanyol and float {1953) noted that too: days oftor treatment with £9 ggxggssgg'vacclno, rots woro five times more sensitive to histamine. and by the tenth to twelfth day wore three timoa more sensitive to sore. tonln. This information lod those investigator: to support tho theory that the potentloting octlon of pertussis vaccine is dquto the induction of increased -I~ tlfifiUU saw itivlty to 22933 ruiusx. Tunas-(1,53) and Mata (19555), haxfivnr. flirahrcr, an? Liixtain that futinwin: srnaieizafisn, 11cr0;2 4 sgdnltivl?y to rna¢ phyluxts la still présfint at a tine V203 hygfrsofisitlvlty to histnmtnc e21 serotonin fins diSZFQGTTCd. In afidition, tho adginistrction of antifilstarines 11d anti-scratanin ¢OMP31ndQ could not fully prntect rats from anaghylactlo éaath. Recent work mjyports the theory that tVo most 1m~ portant actinn of H. nvrtnzwfig in sensitizing tfla rat n W'— '— to annpfiyiaxis is the enhancement of anapuylaotzc anti. bofly produchian. Althoqgh tfla mechanism by ”314% partussia organiums anhunco tho production of anaphy- lactic antibady is still thonrized, the fact that passtvo transfer of the indwcoi hypntaonsttivity 13 p033 hla with serum or puriflad antibody r3193 out the possibility that pertussis organisms ware only modifying the physiological responsn of the animals to tfie mediators involved in annphylaxts (nlnagfit uni Bcnacorruf, 1963a). Munoz (1963) £901: thit two main mochanism by which E, pfirtgjgjg_1ncrcascs nuaccptih11tty of nice to activcly induced mnnpfiyiaxis is by stimuIating thu anti. body response to the sensitizing ancigrn. That portucsla vaccine enhances the firoduction of agglutinina in mic. hAI boon demonstrated by Kind (195?). However. unlike othar phenomena induced with partusuis vaccine. the ' ho agglutinin response coouro only when pertussis vaccine is administered at the some timo and by tho same route as the antigen. noon (1963a) boliovoa that 5;. mrtugsgs vaccino in the rat enhance. tho produofiion of on anti. body typo different from the prooipitin. having an affinity for tho mast cell. Sollidoy. Rowloy. and titan (1967) state thotwg, Eggtugsgl vaocino onhanoos tho antibody resounso in tho rat by inducing proliferation of tho antibody forming 0011.. raehor than by affecting the antigen or the initial antibody rosponoo by tho immunooompotont coils olroady present. Nata (196kb) concluded that onophyloxil in rot. in a result of a mixed rooocion in which both immodioto and delayed hypersensitivity are present. and that' actively sensitised rats are fully susceptible only when both immediate and delayed hypersensitivity or. fully ootabliohod. Anophylootio shook in tho rat can uauully only ho produood botwoon the tenth and trout!- firsi days after sensitisation. Sonya! and root (1958) found the twelfth day to bo tho most successful for producing severe ahaphylaxis. When the ronotion to fatal. death usually occurs several hours attor antigen injection (Mata, 1953b). fiyntomio anayhylaxio in tho rat is a progressive oiroulatory oollonse with the small intestine as the target organ (Sunyol and Host. 1958). With sovero In anaphylaxls. the first nymptoms soon in tha rat are rufflnd hair. loss or reaction to painful stimuli. falling of blood prosanro. and Iowerlng of body tompnr— nturo. hcao are fallofibd by wankness. cyanosia.' IOVQrO proatration. viophthalmoa, convulsions, and. ofton death. This 3330 ganeral syndroma 18 seén in rats following the injection of anapuylatoxin. a toxic principle produced by incubation of certain antigen. antibody complexes in normal rat serum (fiata, 1959). once oonsitisatton has occurred [at tfie devel. 0pmont of systemic anayhylaxis in the rat. tfia I0§0r1ty of shock can fie depresacd with such procedures as splodootomy, thymoutomy. or the administration of antihlotamines. anti-5-hydroxytryp8awinns, unfl gluoo. cortloolds (Spanner and vast. 1952; Cody and Cudo, 1953’. Thompson (1955) reported that anaphylaxis and histamine shock arc depressed during tha {all season} Although the roasan for this is unknowfl. this phanom. anon 1! probably afisociated'with mbalances in fiulfur metabolism»(Perora and flangar. 19S5). Active cutaneous nnnpuylaxis has alao boon preo' duccd in the rat. by injecting bovine serum albumin and complete Freund'a adjuvant. Far vroducing the cutaneous type of anayhylaxis. ghocklng doses of diluted antigen are repartodly more affectivo than highly concentrated doses of antigan. The #2 histOpathological changes in the sltns of int¢nso skin reactions were similar to these seew in the Arthus reaction of the rabbit (Lipton, fitoae, and Freund. 1955’. Both passive cutaneous and passive systemte aha. phylaxls have alga been suaoéssfully praducod in the rai KRota, 1962). Reports on the value of‘fl, Eartu§sig for use in passive anaphylaxia havo been contradictory and confusing. ’ Attempts to prnduoo passive systemic anaphylaxis in rats. using sarum from rats sensitized with antigen and fly pertusaig organisms have been largely unsuccops. tul (Mata, 1961g'Blnagh1 and nonuoorraf. 1953a). Coulson and Stein‘(1965), houflver, successfully produced passive systemic anaphylaxis in rat; uatfig rat antisgra produced by inoculation of agg albumin emulsified in Freund'a adJuvant into the footpad with an additional intra. poritonaal injection of.3, pggtnssig organisms. Sanyal and Vast (1958) report that passive transfer of rabbit or rat antibody into rats that had received an injmotion of fly Ecgguggts vaccine twelve days before resulted in susceptibility to ansphylaxis.' flats (1962) disagrees. stating that pretreatment of tha acrum recipient with 39 gortusagg does not influence either passiva nnnphy. laxic. or tum anaphylactoid reaction induced by the injection of soluble unttfiannantibady oomplcxas. 33 Passive cutaneous nnnphylaxis has bnon proiuced in rats using rat, rabbit, and human antlkody (Ovary. 1952: Hota, 19§3a| Sonnctag and flarcns, 1953; Lovett. Movat. and Wardlav, lgfifi), While avary (1952) reports that a positive passive cutanoowa nnaphylnxis reaction can be obtained for only a few hnwrs after injection of antibody in tho gkin, Binaghi and ncnaoorraf (1953a) raport that sensitization was maximal at sixteen hours. and positive {cautions persisted for many days without significant change. Tue rat serum titers of passive cutaneows anaphy. laxis antibody are rarely very high. although Wilson. Biononstock. and filoch (1956) obtained titers up to ona to one thousand using thnggfirnQfiylgg.bra11 en‘ a3 the antigen. Connall and Sfierman (1955) report that tfio titer of hamngglutinating antibody in rat serum is directly correlated with the ability to induce pnésivo cutaneous nnaphylaxls. but that the titer of skin sen- altiaing antibody bears no relation to the capacity of a Icrum sample to induce passive cutaneous anaphylfixisu Oettgon. flinaght, and nenacerraf (19?5) rcpurtad hat treatment of rats with cortisone or diethylstll. boatorol resulted in increasad serum conooncratlon of anaphylnctic antibody. Recent findings by Mata (195%, 1951, 1952) and Keller (1957) hnvo stressed the importance of the mast cell in producing anaphylaxls in tha rat. Tissue mast cells show qualitatively similar alterations in all types of shack. suggesting twat t;eso cells and damage or dcétructlon of them is assoolated with histamine liberatlen (Riley. 1953). Histamine and serotonin. two ccupoundg tkought to b. important in the shock syndrome, are found in high. out cohocntratlon 1n the mast cells. and rfilfiaflfid into” the extracellular fluid following tho action of a ohymotrypsiuollkc enzyme upon the mast cells (Rota, 1953: Keller and Hanger, 1953; austen at 31.. 1955). Though antihistamines protect rats against anaphylacelo shack. they do not prevent mast cell disruptian and the reloasa of hiatamlne. Plasxa histamine normally reaches a maximum five minutes after injection of antigen (flota, 1957); I Binaghl and Bcnacerraf (lfifiha) found that when tissues from actively sensitised rats were incubatfid with labeled spacific antigen, the ugtako of antigen was much higher for tissue: from animals in which mast cell damaga could be induced than for tissue: from sensitized animals not showing mast cell damage or from normal untreated animals. yuan mesontory from normal rats was annsitiaed in vitro with anaphylactlo anti. body, auhscquont Contact WitJ {we antigen predacod extanslva mast cell damamo with extrusion of the granules. ’35 .- D Both pasfilva extantuufi anagkylnais and acnsiuézmti n p of mesamtert gzva aLailar rcmalbs in l air of ‘fcci on mast cells. Altfiough unaphylaxis in éhu mouse saiws similar in many respects to annphylaxis 1n the rut. Sinkinder ‘19fl31 fanla that tpa mdflt cell plays na essuntial role ln mouse unughylnxis. Further. tissues cantnining the most mast cells ura nnt necessarily the $133103 showing aha greatest histOpathological arrests following ana- phylactlo shock. Accorfiing to Rota (19533) seasitizatinn to ana‘ phylaxia in tha rat involves the prodxction of two dl3tinct1y diffcrent bygo» of antibody. The first type 13 the classical vraeigiiin; and tho second tyye is an antibody 3131 an affinity for mast cells which is termed mast cell lytlo antibody, mast cell annuitizlag antln H r. ‘r". r— J '5‘ U 'u body. reaginio antibady, or rat anaphylaotie ar’ In this tucsifi. the term rat raagin will ha usad. The rat praclpitating and reagiuio types of anti. bodies have many important contrasting characteristics (Bonacorraf flfid Rabat. 1089; n ta. 1961; meta. 19533,¢3 Blnaghl at 31.. 19533 Ovary. Bloch, anfl Banacerruf. 19543 Stanworth and Kufins. 1975). The most impartant at these ara listed in Tabla 2. i:- Cd Table 2. Frown. \, (:3 0: rah}; aatth_I.-.:z-;Ticvs. 1) ya; gfnclyitgg circulating tyre of Lnilhody sedimentation canstant usually 73 unlike human 3?in sensitizlng untihodion ruadlly detectable with in vltro techniques stable at 55 C for 30 Linuamg passive cutaneous anaphylaxis reactions inaneod with this antibody lnat fur anly a fnw hours antihistamines have no affect on ahlllty to produce {massive cutmmous anghyl 3213‘; clear increased after multiple antigen injections Fround'a adjuvant most effective for I713". OC'L 1.1011053 produce no annaroat mast cell damage and histzzzwlzw relomae usually a gamma-Enalobulln 53,-" 7. 3’0 :3: A": n m a cytoyhillc type of antibudy sedimentation constant greater than 75 similar to human skin mmsltlsflng antibody detectable only by in viva techniques dcatroycd by 55 C for 30 minutes passive cutaneous anap“ylaxin reactions induced with this an;lhaay last for seweral in; 3 an1;1h13tanilnas aboliz;h aEJlllty to produce pnsslvc Cutnnaous nnaphylaxia titer docraascd attvr multiplo antigen injectlans ndjuvant Bordnbella pertu53;;,mogt offectlvo for proluciiou produoo mast cell damage and histamiao release probably a gammacluglobulin or a betaaz. ;,lo!;ulfi.n 1‘? Lonacone (1932) was the first to suspect the possibility of an antibody other than the proclpltln as being rosponslbla for anaphylaxls in tha rat. Kallaway (1930) dléagrecd, maintaining that tfie lntcr. action of precipitating antibody fixed to amoatk muscle cells and Specific anayhylactia antlficn was rnaponllblo for annphylaxls tn the rat uterus. While many investigators have reported that rat antlsorum is ineffective for paaalvo sanslttaatian or rat tissuns. otwers have successfully produced this —roaotlon. Much of the discrepancy 10 due to the pron domlnunt type of nntlbofiy present in the acra used for 9053170 Icnaltlnation. which in turn depends on the typo of ndjuvant and method of antigen injection used for production of the antiserum. Thus. rats receiving maltlplo injections of the antigen emulalflcd in complete Frcund's udjuvant would be expected to have a high titer of preclpltlns. but a lower titer of rousing. Conversely. rats receiving a atnxlo injection of adtlgon plua‘g, pgrtusgi: vaccine or organisms would be expected to have a hlgh titer of ranging. and a law titer of preclpltlns. For some unknown reason, aultlplo injections of antigcn results in tHe appear- nno. of a factor ln scrum that is able to reverse an already established sensitization for the productlan of ronglnle antibody (Esta. 1953h). Also. mast coll h8 damage and histamino release can be expected to occur only when rats have boon sonsitiscd with a single injection of antigen plus‘fip gcgtngsig (Hots, 1961). flota (lOStc) uses three criteri. to estimate the content of rat remain in a givon scrum sample! 1) histamine index a the percentage of niotcmino re. locscd in a given uyatcm of rat mcoontory and antigen following addition of the antiscrum to be tested. 2) moat coll indo: - tho percentogc of most coll: damaged cftcr the addition of antigen following incu- bation of rot moaontory with tho unknown antiserum, and 3) passive cutaneous cncphylaxil titer . the high. out dilution of ontisorum able to induce passive cutaneous cnnphylcxin in rat: ocvonty~tvc hours after antiserum inJootion. Since precipitating antibody does not induce passive cutaneous cnophylcxis after lcvcntyntwc hours, thin reaction is considorcd specific for rcczinic antibody. Binnghi and noncccrraf (19533.b) concluded that only a minor fraction of the circulating antibody of tho rot possesses nnophylactic proportion, but that the vcry low serum titer of the rennin can't be taken as an indication of tho lcvol of its synthesis if one concidcra that this antibody probably has a high affinity for certain rat tissues. Scrum titers of significance may only be found after those tissues ”9 or. loturotod. sensitisotton to rot roaginio antibody can be 60:00:04 ono olnuto after incubation of the tissue with antloorum. Reagins can persist in skin for at least on. month, the time of porslltonoo being related dirootly to the amount at antibody injectod. Nonspecific gamma globulin: hovo on inhibitory effect on passive Ionotttsotton.1ndnood with rat roogln. but considerably not. gamma globulin is necessary to produce this offoot than to noodod for passive outanooua onaphylnxla in tho guinoa pig with rabbit antibody (onunt, HaIDorn. and Binaghi. 1959). Rat coaxial. antibody to unotoblo in ooruuw booauno exposure at room temperature for a (OUVhouro. or at h o for several days roanltod in n oonploto loan of onaphylootlo activity. A: with most typo. of antibody, curtain 1nd1v1duoi rain are oonoid. orably not. prone to producing roogino than othora. Roagtnio ontibodioo in rat. were shown to bo lutormodioto in molooulor size. nod: noting between the 70 and 190 globaltna to nor; from both singly and multiply injected animals (Jonas and 0511710. 1967). I! t. possible that the rufi roagin may exist as a polymer of 7. component: (Binnghl 0% a1.. 1953). ElootrOPhorotlooliy. tot ronain migrates with the fast immunoglobullnl. but does not seem to be related to tithe: the IgG or tho 13A rat immun03lobu11fls (Janos 50 and 0311719. 195?). 'fiota (1955) noted that although splonoctomiaed rats responded with vory much diminishofl production of other typos of antibody. their production of rousinic untibofly was aimilar to that of nonusploneccomizod animals. This suggested that tho aploen plays little or no rolo in tho proéuctton of rat teasinic antibody. The rat roagin appoars to have proncrtioa similar to the human reagln and to too skin sensitizing anti; body produced by tho dog (Gottson. Binaghi, and'fionacorraf, 1955; Schwartomann and Rockoy. 1955). All are prosont 1n scrum in only trace amounts as compared with the concentration of gammauzoantibody, all unpoar to remain attached to tissues for extended period: without loss of sonoitizing properties, and all aro'hoat labile. Those roaginic antibodies also produoc their reactions in their own species only. It has not boon ponoiblc to passivoly aonsitlzo the skin of rats with human rcagins (Einaghi ct a1.. 195%; Ovary, filoch, and Bonaccrrof. 1953). The rat and huwan reagina both have andimontaticn conotants greater than ?3. In contrast with tho-rat ranginic antibody, tho guinea pig anuphylactic antibody exists in high con- oontraticns in scrum, is hoot stable. and has a sedimentation constant of 7s. The guinea pig antibody docs not attach to tissues for as long a period of 51 time as rat or human remainic antibody (fiinaghl ct «1.. 195’” . not antiserum has boon tnoffoctivo 1n passivoly sensitizing gulnoa pig tissooa for general annphyloxis. passive cutaneous anapfiylaxis. the Schultzafialo reaction, and mast'coll degranulation in Vitro (flunghray and Mata. 1959; Binagui anfl flcuacorraf, IQCha). Antigen 1abclod with 1131 showed thnt antibody adsorbed on guinea pig masontory could combine equally well with antigen, whotncr the antibody came from rabbit or rat. although tho unuphylactio rosyonno foiled fio tonult (Humphrey and Meta. 1959). Meta (lflfiha) has reported successful pasaivo transmission of rat rousinic antibody to the mouse. 2:32. Scmzi‘rem u The histarical aSpQOca of anatohiolcgy hava bean adequately roviawed hy noyniera (195?) and Lackey (1951). The gormfree animal may be defined as an animal reared in tha absence of damonstrahla living bacterial, myco. 19310. protozoan. and macrOQaragitic associates accord. 1H3 to tha test procedures routinely Onoloycd. Suffla clont studies havo not been canuuctod with pleura. pneumonia-1tke-organiems, rickettsta. and viruses to dacido whether they should be included in the list of organisms known to be absent from the onvironnont of he garmfroe animal (Hostmann and aardon, 1930). no- cause of the many varied and cumbersome techniques needed for isolation and identirlaazion of the many known group: of viruses. and the possibility of the ncrmfrao U preaenca of as yet anidantificd viruses, animals are not likely to he provon virus-free for a long period of €150. Althou;h coma an mals, such as chickens. grow Just as $911 undcr germfreo conditiona as under con- ventionnI canditioua. this is not so with the rat. Kormal growth 16 $11_ht1y rotérded in this $900165 when reared under germfree conditions (39rdon, 1959). Animals raised under garmfroo conditians can be considered to have much 1&33 contact with antigenic materials than animal: rul5nd 1a a nwrmal environment. 53 although a complete lack of contaat with antigenic materials such as {and cnnatitnonfs, dead bacteria, flust canstltuants, and viruses cannwe ha excluded (Thorbcckn. 1959). Lagercrantz et a1. (1955) found tfint antigenic material of flintary erfigin in tke gastrointestinal tract of man an} conventional rats was capable of in» hibiting tho pafislvo hanagglutinatlcn reaction between tho nnttrentc intestinal material invgorwfrce rats and two homologans antiserum to this material. In contrasfi. tho intentlnal antigenic mntnrlnl from garmfree rats was not canahla of inhibiting the rmactlon between dietary antigen from conventional rats or ran and hamologoufi antl3¢rn tram thaea aawn canvcutional rats or flan, tfius indiflafiing that although antlgfinlc matarl. a1 is present in the gut af aarmfrea rats, there 18 still additional antigenic material preacnt in tho intestinal contents of cowventlonal rats or man. Lodinnvn, Jouja, and Lana (19$?) rcnort that newborn human infants rcociva mxtcrnnlly predicad duct. badges against fiscfinrinfiia cal and otfinr intestinal bacteria across the placanta. If thlg is the case with lower animals. thoso ocsnrenn darivod gmrnfreo animals would be expected to have highar levels of antibody against the intaatinal bacteria than wowld those garmfraa animal3 born to garmfreo parants. 5’: Excluding the ocean. the intestinal tissue in gormfroe animale weighs less than a oomparablo section in conventional animals (Gordon. 1959: Smith. 1955). Thie ie largely due to e decrease of lymphoid tissue and moisture content of the intestinal tissue in germ- free animals. In some inetancce the liver weighs lees in gcrmfrce animale than in conventional cnimnle. but the adrenal glands ere often heavier in gcrmfree rate than in conventional rote. The organ: normally free from bacteria in normal life ere similar in eiee in germfree or conventional animals. whereas the organs normally in contact with haeterie ere reduced in also in gcrmfree animals. with the exception of the cocoa which ie enlarged in germfreo rodents. although not in germfree chickens (Gordon. 1959). Adult gormfroe rate have e five to seven fold increane in cecal weight over conVentionel rote (Woetmann and Brucknoruxardoee. 1959). decal enlarge- ment in germtroe rote start: during the eooond week of life. end reachoe the degrce of dietoneion soon in edule germfree rate by tho twenty-fifth any. Upon ex. poeore of the garntroe rat to e normal mieroflere, the cocoa shrinks to normal eiee within e few veeke (Gordon. 1959). Hoetmnnn end Bruckner-Kardoee (1959) suspect the enlargement of the ocean to be due to the absence of stimulation by the normal intestinal organisms rather than duo to a nutritional imbalance. In other epocloe. especially tho guinea pig and rabbit, it is euepoctod that tho enlarged cocum has on adverse effoct on reproduction duo to ovarian degeneration and physical obstruction. In all epoclce investigated, on undordovclcgcd immunological dofcnee system is proscnt under gormfrce conditions (Miyakeve. 1959a Vcetmann and Gordon. 1950). 1&0 gormfroc state it choraotoriscd by a low number of roticuloondothelial cello. and a decrease in lymphoid tieeze. especially in arch organs that in conventional enimcle harbor or are in close association with an ebundont bacterial flora. such as the intestinal tract (Jostmann and Gordon. 1950). In conventional animals. lymphoid tissue actively concerned with defense against invading bacteria or other antigens gives rise to secondary nodules. The cells in the secondary nodule! probably do not produce any antibody, but give rise to reactive nodules. which are areas of basophilic bloat cells or plusnncytio cells. The baeophlllc blast coil: or placmncytlc cello edjnoont to the lymphoid nodules probably produco the antibody (Thorbocke et 31.. 1957! Thorbccko, 1959: Gordon and Wootmnnn. 1950: 3011 and Fancy. 19Sfi)o Although rarely eoen in gcrmfroc animals. reactive nodules have been observed in tho lymphatic tissue of 56 germfree rats (Emith. 1966). Plasma cells are found in the spleen. moecnteric lymph nodee. and the mucoeel lining of the intestine of gormfree rats, but usually only in lmnll numhvrs ee compared to conventional or exagormfree rate (Thorbccke. 1959). Conventional mice reportedly have three times as many bloat cello and potential antibody forming cells as germfree mice (Olson and Vostmann, 1965, 19653). Yet otter stimulation with the antigens human gamma globulin and Salmonella tzdhggg vaccine. germfroe mice aunt‘s proportionally greater increase in the production of pleemacytic cells. bleet cells, and large lymphocytes than do conventional mice. indicating that these cells are probably less committed in gormfree animals due to s lock of previous antigenic stimulation (Glenn and ertmnnn. 19553). Although immunologic activity may be retarded in gormfree animals as compared to conventional animals. the production of specific antibody following antigenic stimulation is still evident (Olson end Icetmonn. 1965). Boson. Hokinodan. and walburg (1966) claim that growth of the spleen and the primary antibody forming potcn. tiel of spleen cello is the some in conventional and germtree animals. They concluded toot orpcsure to neturelly occurring antigens, excluding those each on food that acrmtrce animals would have contact with. 57 is not a prerequisite for normal developcont of the immune potential. Lerner (1963) reported that follow- ing injection of gormfroo and conventional guinea pig with ovalbumin. the gcrmfroe animal: produced high levole of circulating antibody, nna showed considerable hypertrophy of lympi'xoid tissue. Although the serum of gcrmrrcc rats contains the some major antigenic components as the serum of conven. tional rote. certain conetituonts. especially those of low mobility. are present in such small amounts tnnt detection of them is difficult, ovon with tho moot sensitive precipitation methods. Gormfroo rot gaoma globuline show a relatively hixh mobility. and injection of gormfroe rat sorum into rabbits cocoon production of the entire spectrum of anti-gamma antibody othereiee found in rabbit anti-conventional rat scrum (Grabar. Couroon, and Woetmann. 1962). In gcrmfroo animals. eopoololly tho rat. the eerum fractions alphauzuglobulin. beta globulin. and gamma globulin are lower than in the conventional animal. Therefore. all three of these fractions could be rogardod no poeeibly harboring antibacterial enti. bodice. When tho gormfroe rat is exnoeod to e conten- tionel flora. an antibody titer to many of the intee. tlnol organisms oooure in about two nooks. and this is rougnly paralleled by e riac in beta globulin. V! (23 The lower cantcnt of immune globulin: 1n the serum of germfraa animals-18 compensated for witfi a higher albumin content, resulting in a similar total serum protein contant for garmfree and conventional animals (Wastmann and Gordon, 1950: Asofshy, 1955: Asofsky. Iknri, and Hylton, 1956). Vostmann (195?) reported that hifiher levels of serum gamma Llohulinn are present in germfraa rats fed milk than in garmfroo rats fad other diets. Smith (1955) has noted twat germfrea lambs and coats immune- logtcally respond to orally udmtntstergd sterile bovine milk. Coatcs and G‘Donoghuo (1957) found that infant germfrea rabbits given bovine milk in tha dint often manifested an anaphylaetic type of allergic raactian shortly after each feeding. The diet was sterlllned by ultra high temperatura heat treatment for short periods. a process whiah resulted in little 103' of nutrient‘value. and prnbably also a angliglblo loss of the milk's ability to function as an antigen. T51! allergic condition seemed similar t0 tho”cot-doath* syndrome described in human infants. N .35.??? RI 3L3 AW D METRE-SI} 3 Ant S. If en 5‘.- Tha antigens cmyloyed ware whole paahaurtzod homogenized milk. bata lactuglobulin1 (HLG). and alpha lacta.humin2 {ALA}. All the antigens were of bovine origin. The whale milk was usea as an tntigon without heating beyond the original pastourtsatlon pruoess (UHWH). and after autoclavtng nt 121 C for Humans (was) and 30 minatai (man! u 15 pound. pressure in glass two liter Squat. Pak flasks). Incomplete Frcund's ndjuvanch and Bordoggllg aggtuasis vaccine, were used to onhanoa the effective. nos: of the whole milk as an antigen. _. L- 1. Nutritional Biochomtoali corp-o Cleveland. Ohio 2. Nutritional Bioch¢mlcnls Carp., Clevaland, 0310 3. American Storiltaor 00.. Erie. Pennsylvania 8. Dirac Laboratorias. Dotroit. Michigan 5. Hlohlgan Department of Health. Lanstng, Htohlgan 59 60 An ma Adult convontlonol How Zonland white rabbits. and adult conventional and adult gormfroo rats of the Fischvr strain were usod in this study- Tho rabbits wore allotod into 31: groups of two ouch, groups fiI-RVI. and the rabbit. were troutod at throo to {our day intervals in the foltouing manner: Group Ri- goouintrnmusculur injections of 3.0 m1 Group RII- Ton intramuscular injections of 3.0 m1 E315 Group REIIu Ton intramuscular injections of 3.0 at W333 Group nzv. Eight intramuscular injections of 15?.) ":3; “LG suspended in 3.0 m1 stun-110 physiological oalino solution Group RV. Sovon intramuscular tnjoottona of 150 mg ALA suspended in 3.9 m1 Itortlo physiological aaltno solution Group RVIu Controls. no treatment The germfroo rats were purchased as uoanltngss. and roared in plastic isolator. until a weight of 200 to 300 gm was reached. at which ttuo they were used for the oxporimont. The germfroo rut. were red Purina 50.3007. 3 Special diet dosignod to contain additional hoot labile ingredients. so that after storiltaatlon ‘ AZ. 6. .Tho Charles River Breeding Laboratorios. Brookltno. .xassachusettu 7. Purina Laboratorloo. St. Louis. Missouri 61 he reoclting diet will be nutritionally the some as Purina Laboratory Chen. The principal protein used to supply the amino acids ie soybean meal. The germfreo rate vere ellotod into groups £1.MIV according to the treatment receivndt Group MI. Seven gormfree rote ted wnao es the only source of fluid for a period of 62 days. at which time the experiment was terminated Group M11. Seven germfree rate given subcutoneone injections of 1.0 ml unzo at {our to It: day intervals. with each receiving e total of eight to ten injectione Group MIII- Si: gormfree eontrol rats receiving no treatment Group HIV. root germfree rote. each given e einglo intranetitoneel injection of 1.0 m1 W330, and at the same time e eingle incroperitoneal injection of 1.0 ml gerontollg Egrtuesig vaccine The conventional vets need for the experiment were born and raised in a conventional environment. but were second and third generation descendante of exogermfreo parents originally obtained from the eame eeuree an the weanling germfree rote. Tfieee rate were fed Purine Laboratory Chews. The conventional rate were elleted into six groups Hv-nx. “‘fl 8. Purina Laboratories. St. Louie. Missouri Group Group Group Group Group Group t NV- MVIu 1VIIe MVIII. MIX"- 62 Six conventional rats subjected to the same treatment as two gormfree rate in group MI Sovon conventional rote subjected to the same treatment an the gormfree rate in group R11 Fourteen conventional control rate receiving no treatment Five conventional rats receiving the same treatment as the gormfreo rate in group NI? rive conventional rats receiving 3 einnle intramuscular injection of 1.0 mi EH30. and a single intraperitoneel injection of 1.0 ml Egrdotoils gorSuggig vaccine Five conventional rate receiving e single intrnperitenoel injection of 1.0 m1 W%30 emulsified in 1.0 m1 incomplete Fround‘e adjuvont In every instance. the only milk preparation used for all etuoiee. with both conventional and germ. free rate. won fiMBQ. 53 Gorafrec Progedure: The general procedures so described by Allen (1963) and Heroes (196%) were used for establishment and maintenance of the isoletors. Plastic film isolators. similar to those described by Trexler and, Reynolds (1957). measuring 2% in x 2% in X 36 in vere used. Roch isolator contained two or three plastic cages with two to four rate per cage. Hater. diet. bedding. one other supplies were sterilized by eutea oleving in stainless steel drone at 121 c and 15 pounds pressure before being transferred into the isolatoreb An aqueous solution of 2.0% perooetio sold9 and 0.15 lseoonollo, an alkyl aryl oulfonote. woe needles the disinfectant for sterilisation or the plastic transfer chambers used to connect the stainless eteel supplying drums with the germfree isolators. Drinking water was sterilised in two liter volumes by eutoeloring ' st 121 C and 15 pounds pressure for 30 minutes. The general proceoure used for determination of germfreo status was tent of Wagner (1959}: Animals were checked for bacterial contamination each time the isolator system was supplied. which was every two to four weeks. and again just prior to termination of __ ‘ .‘Z‘. 9. Rocco Chemical 60.. Buffalo. Rev York 10. .Notionel Aniline Division of Allied Chemical Corp.. Row York. Row York the experimnnt. Tubes of liquid t“ioglyoollato medium 325511 were inoculated with fecal samples and then incubated at 25 C. 37 C, and 55 C for three weeks. Glass slides were smeared with the focal sgccimono and stained by Gram'u techniqge. Thom: slides were then thorouehly examined for the presence of beetoria using the oil immersion lens of a light microscope. eohnimx as glooding 5nd ggélecgégn‘gg'Sorum The rabbits were bled by inoiaing the dorsomodial artery of the our no loss than three days after the. last previous injection of antigen. Each rabbit received seven to ion antigen injections at intervals of several days. From each rabbit. 25-50 ml of blood were collected a minimum of six times. at approximately four day intervals. ‘ho blood was allowed to clot. and the resulting serum was clarified by low ageod centri. fugntion. The serum we: then stored at .13 C. All rats were bled from the venous plexus located caudal to the eye by puncturing the medial canthus of the orbit with a Pasteur pipette. From the original technique describod by Riley (1960) for bleeding mice. several rodificntiono were used to facilitate tho bleeding of germfroo rats in isolator: and conventional "” 4 ll. Difeo Laboratories. Detroit. Fiohigan 55 rats outside of isolazors. Snvaral minutes hcfare #ha hloedtng procedure. the rats Hora given n tranquilizing dose of 23 mgfkg sodium pentobarbttal intrnpnritanoatlylzg During the biaeding process the rat was hntd 1n QLQ left hand with.the hona of tho rat toward tWO flour. and with the thumb and index fififfi? of the left hand being poattianad to pinch off the jugular rain. The rats var. helfi in this ponittan to increase roman: pressure in the area of the orbit. Sawplos of fozr to 51! m1 of blood could bu taken from adult rats withcuc undue risk for the life of the animal. Gain: this techniquo, up to saven serial b1ond aneclmcns Hera taken from oach rat. The rats rocaiving antigen warn bind-at least five days after tWeiprovlous nntiaan injactlon. Table 3 lists tHa days when additional tnjactions of ‘antigon were gi?en and wfien bland was 001:0ntnd for ouch group. h; A A...‘ A M *w-vwv— 12. Halatala Jenscn~8nlsbcry Laboratories. Kansas City. Hianourt 66 Table 3. Days for feeding or injecting antigen and for collection of oorum in gcrmtroo and convontionol rats. on day 1. First antlgon was given 95223 W gnjeotmn (day) Serum ggllooeiog (any) MI oral antigen only“ 18. 23. 30. 35, #6. continuous 53. 6h xx: 1. h. 7. 10. 17. 21. 2%. 29. 33. 50. 25, 31 so. 62 ”III OOfltrOI 1. 7. 13. 20. 31.33 HIV 1 7o 12 RV oral untigon only- 18. 23, 28, 33, #5, continuous 57. 59 av: 1. h, 7. 10. 23. 13. 23. 28. 33. us. NVII control 1. 5 11. 16, 23. 39. £5 MVIII 1 7. 12 MIX 1 7. 12 Fix 1 7. 12 Eggozfaogg3 Toss At loost one serum sample from each animal was loroonod for prooivlbins with the interfacial toot. Too proceduro according to Compboll at al. (1953) was followod. The antigen. omployod wore UHWfi, Hal}. UMBO, unheated BLG. and unheated ALA. For uso 1n the tutor. facial test the antigens UHWH. W315, and WMJO wore adjusted to contain 0.033 mg/ml protein antigen and {A V ELG and ALA were adjusted to contain 0.3033 malnl protein antigen. Undilutod and tenfold dilutions of rabbit anti. torn from at least one of the last three bleeding: were tested with tfio interfactal test. Undilutod samples of tho lost sora preparod from the last blood. ingo of rats in group: MI-HII! and groups HV5MVII not. .130 tasted. For rats in group: ”IV. MViII. Eli. and MI. samploa taken on days seven and twolvo were tested. Posgtgg ggtahooug no In: For tho passive cutaneous onophylaxil (PCA) toato, ho proooduroa described by Ovary (1953). and Ovary and our (1953) were followod with minor mat. ficotiono. £95 1.3 m m 533 tour hundred to flvo hundred ‘grom albino gulnoo pigs were used for testing at least on. serum specimen tron ovary rabbit and rat uood in tho experiment. Ono day before the PCA test. the hair on the onttro back of the guinea pig was clipped. and a depllatory agent!) was applxod. A total volqmo of __ 4_ M ”I. 13o Sargon. Crookes-Barnoa Co.. wayno. New Jersey 0.65 ml of undiluted antiserum was injected intro. cutaneously in each of at: sites on the back of the animal with a 27 gauge noodle. For challengo, 5.0 mg Evans blue <1on1‘ and 33.3 mg of protein nntigon in a singlo 2.0 m1 VOIUmo woro givon intravenously in tho sophonous vein. 36 reactions were road 15 minutoa after challenge. At least one of the 13;: three sora collected from each of tho rabbits in groups RI-RVI was hosted with five undiluted antigen. (UHWM. Wfils. WEBB, ELG. ond ALA). For the guinea pig PC‘ tests using rabbit sort, o three hour incubation period was employed. Tho last oorum sample takon from each of the rat. in groups “I‘M!!! and HYBMVII. and samples taken on day: seven and tvolvo from groups HIV and $711!. ‘HX was tooted for POL activity in guinea 9138. A11 Dora were used undiluted, and only the ontigono Uflwfl and 3330 voro used for challenge. Incubation periods of three hour: and 16 hours were used. mm fig EM Conventional rota of tho Fischer strain weighing 200 gm were also usod for tho PEA toot. The proceduro for PflA as doocrlbod for tho guinea pig was followed with thooo exceptions: 1) tho rat was nubjootod .7 “:w‘“ 15. Hathooon Scientific Inc.. Detroit. Michigan 69 to light pontobarhital anesthesia. a dose of 23 mJ/kg, 'whtlo tho intraoatanooua injections of antisera were givon, 2) for ohallongo. o doao of 3.75 mg Ewans blue dyo and 15.5 mg milk protein antigoo woro given intro. vonoualy’in tho tail vein. 3) only a three hour incubation period was used. and #) only UBVM and VMEO voro used on challengo antigens. flabbie aoro from each rabbit in groups at and fill! (those rabbit: which recoivod UHWH and EH30) cor. tostod by the PCA test in tho rot.‘ Only tho rabbit antlnora that had already given positive reactions on tho interracial toot and the Pan test in tho guinoa pig: wore used. 1 Soto from terminal bleeding: of at loast two rats in each of tho groups Mlofix wore also tootod for PCA activity in tno rot. RESULT3 lntorfaoga} m The results of thointorfaoial hosts with rabbit ontlaora aro shown in Table 3. Table 3. Interracial tent. with rabblt anttlorn pro- duced against antigens UHWM. W315. wuao. me. find A”. Anti-eta Antigens Group Dilution UHHM VH1} U330 BLD AL‘ RI 0" o o o o o (untic 10 o o o o o onyx) IRI! U! o o o o o ‘antio 10 9 O O o o VKIS’ R!!! U! o o o o . (anti. 10 4 O O I. u 0 am) R11‘ 01 o o o o . (antto 10 O O o O 0 8L0) RV ' UN 0 Q o a o (anti. 10 O o a ~ 0 9 Au) ‘Undtlutod In a few instances only one of the two rahbtts within the group roaotod poottivoly when two sorum was diluted tenfold, although both reacted positively yo 71 fihon the serum woo undlluted, .In those cases a posltlvo roootlon for that group la recorded in Table 3 for tho tenfold dilution. It should be noted in Table 5 that WM39 rotalnod sufficient nntigonlclty to sensitize rabbits for the production of proclpltins. Further. thoso preolpltina roootod with oltfior W330, W313, or unwu nntlgon in vltro- Antluora produced by injecting WMJO had no dotoctohlo ontlbody to ALA antigen in tho lntorfoolal toot. Ton. fold dilutions of WMBO antisoro did not react with 8L0 ontlgon. but undllntod 9330 ontlaora did. The rat ontlscro wore invariably nogatlvo for .proolpltlns with tho interracial toot. P333170 gutonooug Ananhzzaaga m the galnog m The results of tho PCA toot ln gulnoo 9153 using rabbit ontiaora aro shown ln Table 5. Only those roaotlona shoving o well dlfforontlntod deposition at tho blue dye vlth 1 diameter or at lease 3/16 in not. considered positive. 72 Table 5. FDA activity in guinea 9135 using rabbit antisera. Antlsera Antigens Group Haws VMIS wage “LG ALA RI 0 e o e e ‘6” t‘- UHVM) R11 9 O O O o ‘Bfltio 415) R111 9 o 0 e - ‘Bfltto Hugo) RI? 9 e e e, 0 (anti. I 8L6) R? e e . . e (anti. ALA} Table 5 shows that sufficient activity remained in U%15 and WM}? antigens to sensitize rabbits for antibody production. These results coincide with the results obtained with the Interracial test. The alpha lactalbumin cantained in the HMBO antigen seems to b. severely altered by the thirty minute heat treatment as evidenced by failure of the VH3“ antigen to produce detectable antibody to this component when tested 81th the ALA antigen. A. with the interfacial test. the rat antisera were invariably negative for PCA activity in guinea pigs. 9assive Cutaneons Lg She Rafi Only the rabbit antisera from graup RI. the anti. UHWH aera. showed any possibility of reacting ponitivoly.’ and this reaction was quite diffuse and indistinct shun compared with the clearly interpretable Pin reactions obtained when using the same corn in guinea pigs. All the rat sore tested were again negative. DISCUSSION The result: of this stony clearly snow that whole milk subjected to severe heat treatment remains antigenic. Thin was demonstrated in rabbits using whole milk that had been autoclaveo for 30 minutes at e temperature of 121 c. Tues. reeulte are in agree. ment with those of Lu: and Todd (196%) end Separatein and Anderson (1962), but do not support the result. of Retner et el. (1958b.o) end Crawford (1953). It is difficult to compare these publications with toe - reeultl presented here. because most of the work in. waiving the antigenicity of heated milk is based on eyetemic anophylaxie in guinea p13: or clinical skin test: in hypersensitive human patientl. The results presented here offer no eupport to the hypothesis originated by Burth (1925) that the heating of a milk protein createe a new antigenic specificity which in turn will produce antibody epeoific for the heated antigen. Hy results indicate that anti.wn30 sore reacted at least as well with the UHWH antigen as with the H330 antigen. It is realized that although the two liter volume. of milk were heated in on autoclave for 7h 75 15 or 30 minutes at 121 C and 15 pounds firessuro, the actual temperature in the center of the flank probably did not reach 121 C for the entire 15 or 33 minute time period. This is expected booouoo sterility checks showed the two liter Volumes of milk wore not sterile until heatod for 25 a 23 minutes at this temporoturc and presoxre. Since smaller volumes of milk could be sterilized by autoclavina for only eight to ten minutes at 121 c and 15 pounds pressure. it is expecta. ed that the actual effective heat treatwont on the milk protein antigens was considerably less than 121 C for 15 or 30 minutos. It must also be considered that if it took longer for the two liter volume of milk to reach and maintain a temperature of 121 C. than logically it must also take longer {or this volume to cool down to room temperature after removal from the autoclave. Addi. ticncl denaturotion of the protein antigen would then take place during the cooling period. It is expected that the antigenicity of at least two of the milk proteins. beta lootoglobulin and alpha loctalbumin vac considerahiy reduced as indicated by the interracial test. The entinwujo serum from only one rabbit reacted positively with 3L0. and neither of tho wx30.anttsorn reacted with ALAe 76 Both the intnrfncial test and tha PCA test indicate that the anti-W330 Born possessed mars activity for tho BLG antigen than for ALA. Those results'agree with those of Crawford and Grogun (1961). Collins«w1111nma (1952). and Lu: and Todd (1953) in that BLG is more heat stable than ALA. It in expeofiu ad that the more heat stable casein would play a significant part in the total amount of undanaturod protein reraintng in the H330 antigen. Failure to detect antibody In tha conventional and germfrea rats esposod to UM3O could be explained on the basis of on. or several pannibilltiest'l) that tho UHSO did not retain sufficient antigenicity for the rats to elicit the productien of antibody: 2) that proolpltating antibody was produced but was precant in nueh low quantitIOI that the antibody could not b. detectea with the relatively insenstttva interfactat and PCA techniques. whereas it a more sonaittvo technique such as rudioimmunoolactrophoresta or tanned coll hamagglutinntion had been employed, antibody would have been detected: and 3) that a rnzginia type of antibody was produced. but because of its cyto» philio nature was not detactablo with the in vitro or paxclvo recipient testao If the first mentioned possibility was reaponsiblo for the absence of dptoetable antibody in rats. it must ba.aasumod that 77 tha rat would require a larger dose of effectivo unmigcn for antibody stimulation than did the rahbit, since the rabbit readily produced precipitins to the 'VM3Oo The fact that severely heated milk (wage: is still antigenic suggests that heat denatured milk prod. 'uotn for use in the diet of milk hypersensitive ififants in highly questionable. Besglto the probabilltf that conlidorabio donnturation of the milk proteins may tnko place upon heating. it is evident tfiat a alight dogrto of antigenicity romains. This antigenicity could be crucial in circumstances wharo the shocking dose of ‘ antigen is provided to a milk hypersontitivo human infant potentially sngnnptibie to the 'cotodoath' syndrOmOo Gormfroo animals offer many aGVantagoc o'er conventional animals for curtain types of immuno. losical investigation. and in some instance: the germ» fro. :nimnl is almost a naceasity for obtaining valid ranultu. Unfortunately. the tat and mouse. which or. rolativaly easily raarcd under cernfroo conditionn. are poor aubjectu from the standpoint of humoral antibody production. In contrast, the rabbit in a gcod producer of precipitina. and the guinea pig an excellent chute. for nnaphylaxis testing, but both of those animals I are very difficult to rear under gormfreo conditions. Thus. the question concerning tho intestinal absorption of antigen. and antigenicity of milk in gurmfrco animals ro aims largely unanswered. 78 S“ 311"? 331’ live groups of conventional rabbits were immunised with five antigens: 1) unheated whole milk (UHHN). 2) uholc milk heated for 15 minutes at 121 C (VMIS). 3) whole milk heated for 30 minute. at 121 c (VHBO). 3} beta lnctoglobulln (8L0). and 5) alpha lactalbumin (ALA). Each group received only one of the five antigens. After several antigen tnjccttcnu, 111 groups had specific serum antibodion to tn. antigen injected, whcn tested with the interfacial and passive cutaneous cnaphylaxls tasks. In ndditlcn. =ho UMIS and WfiBO antigen: cross-precipitated tha ”HUN anticcra. and the UHWN antigen also cross-precipitntcd tho VH1} and VMBO nntlsorao The BLO protein was less severely donntured by heat than the ALA antigen. becauso the UMJO antinorc reacted pcsltivcly with 8L0. but negatively with ALA for both the interraciai and passive cutaneous annphy- 13:13 tests. Passive sensitization of the conventional rat with rabbit anti-VMBO sore and rabbit anti-unwu car. van unsuccessful. Actlvc sensttlxation of the garmfrcc or conventional rat using v.30 was also unsuccossfulo 79 80 Several methods were employed in attempting to sensitiso the rats. These included varying the route of nntigcn injection as well as tho use of Freund'a incomplctc ndjuvant and Barficggza§ Ecgtgggig vaccina. LITERATUHR CITED ‘dwt.'1.‘. 7.3.. ng. 8.0“. .nd J. veritur‘. 196”. Glyccmic stats. and tho horse rerun and egg whit. cncphylactio chock in rats. J. Immunol. 92l3~7o Alton. L.B. 1963. The cffccta of orally administered enterococci on certain plasma enzyme lovcll and antibody titers of Ironic. gnotobtctlc. and can. vontionnl chickona. 8.5. tnesie. ulcfiignn fitate University». E... Lansing. ' Anderson' A.F.. and O.H. Schlcsc. 1923. Allergy to can a milk in infants with nutritional disorders: a preliminary report. Amoro J. Dis. Child. 25: #51-h7b. Anderson. A.F., 0.x. Schloss. and c. Hyera. 1925. The intestinal absorption of antigenic protein by ncrwal infants. Proc. Soc. Exptl. Biol. Med. 238180.182. Anarchy. R. 1965. Immunoglcbulin formation by lymphoid tinauca from gormfrcc mica. Federation Prcc. 2b: 502. A.0:'ky. R0. N.S.Ikari. ”d 51.33. “fltafig 1966. Immu- noglcbulin uynthosis in gormrreo mice. Federation Proc. 25:537. Austcn. K.F.. K.J. Dicch. A.R. Bakcr, and 0.6. Arnnaon. 1965. In vitro sensitization of rat peritoneal mast cells by rat annphylactlo antibody. Fedora. tion Proc. 23'250. BflOhmafl. 3.0., and 5.0. “0.5. 195?a. Rilk allergy: 1. Observations on incidenco and symptOms in 'wcil' babies. Pediatrics 20:393-399. Buchman. K.D.. and 5.0. mace. 1957b. Milk allergy: ll. Qbscrvaticns on incidonco and symptoms of allcrqy tc milk in allergic infants. Poiiatrics 20 8309.507. 81 82 Bonovitc. J.. and I.L.‘Trcponi. 1965. Antibody pro- duction in rot: and nice. rodorotion Proo. 2U3179. Bcnocorrof, 3., and B.A. Robot. 19b9. A quantitativc ltudy of possirc onnphylaxil in the guinea pig. V. The latcnt poriod in passive onaphyloxic and its rclotion to tho doc. of rabbit onticvolbumin. J. Immunol. 62.517.522. Borgmon. R.K.. and J. Manon. 1965. Possible mode of action of Bordotcllg nortussig histamino tonal-- ticing factor. .Fodcroticn Proc. 2bzhhb. Bincghi. R.A.. and a. Senna-trot. 19633. Thu pro- auction of onaphyloctic antibody in tho rot. J. Immunol. 923920.926. Binoghi. R.A., ond B.‘Bonocorrof. 196hb. Proportion of rat nnnphyloctic antibody. todorotion Proo. 2303030 Ennoghi, R.A.. 8. Ecnaccrrot. K.J. Bloch. and 1.“. Kouriloky. 1963. Proportioc of rot onuphylcctic antibody. Jo Immuncl. 923927.933. Binoghi. n.A.. H.f. Oottgon. and B. Bonucorrof. 1955. Anophyioctic antibody in the young rot. Intornati. Arch. Allergy 293105.111. Bing. D.H.. J.P. Guidon. and A.B. Stovitsky. 1955. Tho ontigonio dctorminontc of bovine loctogiobulin A. Fodoroticn Proc. 250612. 810531. 0.. 8.1. Halpcrn. and R.A. Binoghi. 1959. Tho competitivc cffoct of normal scrum proteins from varicul animal species on antibody fixation in poooivo cutaneous onophylaxio in the guinea pig. Jo lmmunol. 82'2150218‘ Borgotrom, 8.. A. Dchlquict, G. Lundh, and J. Svaoll. 1957. Studio. on intootinol digestion and oboorpticn in tho human. J. Clin. Invest. 36: 1321¢15350 m.m‘. ”0". T. NuIHOdan. ‘nd “.3. Ualbur'g. 1966. A comparative study of tho immuno potential of gormfroo and conventional mice. Federation Prcc. 25'5370 33 Boyd, w.c. 1966. Fundamentals of immunology. 5th Ode. De hale Intel-science Publishers. 31.7.. DJ. Brown. J.I.. L.V. 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Cow's milk allergy in intents and children. Intornatl. Arch. Allergy 138235.255. Castes. H.E.. and J. O'Donoghue. 1967. Milk allergy in infant gormfroo rabbits. Rotors 2139307.338. Cody, D.T.. and 6.7. Code. 1963. Protection against anaphylaxls in tho rat by removal of tho spleen and thymus. J. Allergy 35:520-325. Cole. 3.0., and 8.6. been. 1963. Allorgenio proper- ties of milk nod milk protoins. A etudy of eno- phyloxie in glinoe pigs. J. Pediatrics 63: 256-253. Colline.Willlnme. C. 1956. The incidence of milk allergy in pediatric practice. J. Pediatrics has 39057e Collins-Williams. C. 1953. Cow's with allergy in infants and children. Internntl. Arch. Allergy 20133.59e afillifl’nwllliflMQ. Cs. 85d Y. Sfllfififl. 1953s A laboratory study on the diagnosis of milk allergy. lnternatl. Arch. Allergy 37:110.128. Connell. J.T.. and w.n. Sherman. 1955. Rnlntionship of passive cutaneous enephylesis to antibodies in the sornn of roguend hey favor patients after injection treatment. J. 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Cone. 1953. Anapnylantic rrnctions and concentrations of ontibofly in rats and rabbits: effects of aérennlectemy and of ndninis. tretion of cortisone. J. Immunol. 70:199e206. 35 Urill, V.A. 195?. P”&tm;£910£y in menicinu. 2nd ed., p. 625. Ecflrnn Hill Book Co. Inc.. H.Y.. fl.Y. Uuhois. R.U.. 0.fi. bchlosn, and A.F. finderaan. 1925. The development of cutaneous hypersensitironoss following the intestinal absorption of antigenic protein. PFOO. $03. Esptl. B101. Med. 231‘750‘83. Elnbtflcer’ J."... 3ng wfll‘er. ”if: 5:.1‘. x0180“. lqsu. Inc role of the wait cell in enaphylssis in the mouse. J. Immunoi. 93i155o175. Farr. R.S. 195 e A snecific binding canocity between normal human serum enm beef albumin. Federation Free. 13:556. Farr. fi.s., and w. Bickcnson. 1961. The transfer of antibody producing capacity from intestinal to other lymphatic tissue. tedereticn Prec. 20:25. Farr. R.S.. W. Dickenson. and K. Smith. 1950. 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