פרסומים

SEVERAL studies were undertaken in order to reproduce in laboratory animals cardiac lesions which would resemble those appearing in human beings suffering from the sequelae of streptococcal infections (Schultz, 1936 ; Smith, Morgan and Mudd, 1940; Gross, Cooper and Philips, 1941; Robinson, 1947; Schultz, 1947; Murphy and Swift, 1949; Murphy, 1949; Clawson, 1950; Robinson, 1951; Murphy, 1952; Glaser, Thomas, Morse and Darnell, 1956). These studies describe the histopathological changes obtained in laboratory animals following inoculation by various routes of haemolytic streptococci, of their products and of a number of other micro-organisms. As to the mechanism involved in the production of cardiac lesions, two main theories have been proposed: (a)allergic phenomena,or production ofa uto- antibodies to the heart muscle (Rich and Gregory,1944; Rich,1946; Cavelty, 1947a and 1947b), (b) direct action of haemolytic streptococci and their toxins on the heart muscle (McLeod, 1953; Kellner and Robertson, 1954a and 1954b). Although both theories have been supported by some experimental evidence, the exact mechanism has not yet been clarified. This study describes the histo-pathological changes obtained in rabbits as a result of single intramyocardial injections of haemolytic streptococci and their cell-free extract, as well as of other bacterial species, both related and not related to haemolytic streptococci. The possible mechanism involved, and especially the role of trauma to the myocardium, in inducing cardiac lesions, is described.

IT has been recently shown that various strains of Streptococcus pyoqenes group A possess a cell-bound haemolysin (CBH) which can be released from the streptococcal cells into the surrounding medium by some surface active materials (Tween 40, Tween 80, Triton) by crystalline albumin, but not by sonlic energy (Ginsburg and Grossowicz, 1957 ; Ginsburg, 1958; Ginsburg and Grossowicz, 1959). This haemolytic factor was designated as streptolysin " D " (SLD) D signifying detergent. SLD is distinguished from streptolysin (SLO) streptolysin S (SLS) (Todd, 1938) and from the intracellular haemolysin (IH) described by Schwab (Schwab, 1956) on the bases of different substrate requirements for formation, sensitivity to U.N. irradiation and to sonic energy (Ginsburg, 1958; Ginsburg and Gros- sowicz, unpublished). Besides haemolysing RBC of various animal species both cell-free and cell- bounid SLD, are also capable of injuring and killing various mamimalian cells in vitro (Ehrlich ascites tumour cells, fibroblasts, amnion cells, leucocytes) (Gins- buirg, 1958 ; Ginsburg and Grossowicz, 1959). The purpose of the present study is to show that Ehrlich ascites tuilour cells damaged by different streptococcal haemolysins may be disintegrated bv various proteolytic enzymes which by themselves are not lethal

1) Defined media which allow heavy growth of 3 strains of group A streptococci have been developed. The medium consists of either a) 21 amino acids, glutamine, 6 vitamins, salts, purines, pyrimidines and glucose or b) 13 amino acids and 4 vitamins. 2) Cysteine is important both as an essential amino acid and as a reducing agent. As an amino acid only a small amount (10 μg ml) is needed and this can be substituted by an equivalent amount of cystine. As a reducing agent it can be replaced by ascorbic acid and less effectively by thiomalic or thioglycollic acids. Concentration of cysteine was critical for initiation of growth from small inocula. With less than 5 × 106 ml cells at least 350 μg ml cysteine HCl are needed for obtaining visible growth. 3) Pyridoxal was necessary in a medium of 13 amino acids and 3 vitamins (nicotinic acid, pantothenate, riboflavin) whereas in a complete medium (22 amino acids) no need for pyridoxal was found. Pyridoxal could be replaced by L- or DL-alanine.