May 5, 1930 | WILLIAM S. TILLETTE, M.D., AND THOMAS FRANCIS, JR., M.D.
The study by Tillet and Francis describes the serological reactions of a non-protein somatic fraction (Fraction C) derived from pneumococci. This fraction is chemically distinct from the type-specific capsular polysaccharide and the non-type-specific somatic nucleoprotein. Fraction C is a carbohydrate common to pneumococci and is not protein in nature. The study shows that sera from patients with pneumococcus pneumonia react with Fraction C in high dilutions, indicating the presence of anti-C precipitins. These precipitins are present during the acute stage of the disease and disappear a few days after recovery. The reaction is not specific to pneumococcus infection, as sera from other diseases, such as streptococcus and staphylococcus infections, and acute rheumatic fever, also showed reactions with Fraction C. The study also found that type-specific antibodies are absent during the acute illness and first appear at the time of crisis, while precipitins for Fraction C are present during the febrile stage. Antiprotein antibodies do not vary much during the illness. The results suggest that the reactivity of a patient's serum with Fraction C may be related to the presence of Gram-positive cocci as the causative agent. The study highlights the complexity of the immune response to bacterial infections and the different courses of various antibodies during the progression of pneumococcus pneumonia. The findings indicate that the immune system responds to different components of the causative organism at different stages of the disease. The study also suggests that the reactivity of a patient's serum with Fraction C is not specific to pneumococcus infection, but may be related to the presence of Gram-positive cocci as the causative agent. The results suggest a possible broad relationship among certain bacterial infections.The study by Tillet and Francis describes the serological reactions of a non-protein somatic fraction (Fraction C) derived from pneumococci. This fraction is chemically distinct from the type-specific capsular polysaccharide and the non-type-specific somatic nucleoprotein. Fraction C is a carbohydrate common to pneumococci and is not protein in nature. The study shows that sera from patients with pneumococcus pneumonia react with Fraction C in high dilutions, indicating the presence of anti-C precipitins. These precipitins are present during the acute stage of the disease and disappear a few days after recovery. The reaction is not specific to pneumococcus infection, as sera from other diseases, such as streptococcus and staphylococcus infections, and acute rheumatic fever, also showed reactions with Fraction C. The study also found that type-specific antibodies are absent during the acute illness and first appear at the time of crisis, while precipitins for Fraction C are present during the febrile stage. Antiprotein antibodies do not vary much during the illness. The results suggest that the reactivity of a patient's serum with Fraction C may be related to the presence of Gram-positive cocci as the causative agent. The study highlights the complexity of the immune response to bacterial infections and the different courses of various antibodies during the progression of pneumococcus pneumonia. The findings indicate that the immune system responds to different components of the causative organism at different stages of the disease. The study also suggests that the reactivity of a patient's serum with Fraction C is not specific to pneumococcus infection, but may be related to the presence of Gram-positive cocci as the causative agent. The results suggest a possible broad relationship among certain bacterial infections.