and that in a compound substance each elementary substance
entering into the compound molecule has chemical affinities,
most of which may be satisfied by finding a suitable
mate. Ehrlich assumes that the very complex chemical
substances which form the living cells have many unsatisfied
chemical affinities, and that it is due to this that
molecules of substances adapted for food can enter
the cells and unite with them; but there must be some
coincidence of molecular structure to enable the union
to take place, the comparison being made of the fitting
of a key into a lock. The toxines—that
produced by the diphtheria bacillus being the best
example—are substances whose molecular
structure enables them to combine with the cells of
the body, the combination being effected through certain
chemical affinities belonging to the cells termed
receptors.
Unless the living cells have receptors which will enable
the combination with the toxine to take place, no
effect can be produced by the toxine and the cells
are not injured. This is the case in an animal
naturally immune to the action of the diphtheria bacillus
or its toxines. In the case of the susceptible
animal the receptors of the cells of the different
organs combine with the toxine to a greater or less
extent, which explains the fact that different degrees
of injury are produced in the different tissues; the
toxine of tetanus, or lockjaw, for example, combines
by preference with the nervous tissue, that of diphtheria
with the lymphatic tissue. It is known that in
accordance with the general law of injury and repair,
a loss in any part of the body stimulates the tissue
of the same kind to new growth and the loss is thus
repaired; it is assumed that the cell receptors which
combine with the toxine are lost for the cell which
then produces them in excess. The receptors so
produced pass into the blood, where they combine with
the toxine which has been absorbed; the combination
is a stable one, and the toxine is thus prevented from
combining with the tissue cells. The antitoxine
which is formed during the disease, and the production
of which in the horse can be enormously stimulated
by the injection of toxine, represents merely the
excess of cell receptors, and when the serum of the
horse containing them is injected in a case of diphtheria
the same combination takes place as in the case of
receptors provided by the patient. In the case
of the destruction of bacteria in the blood by the
action of amboceptor and complement, the amboceptor
must be able to combine with both the bacterial cell
and the complement which brings about its destruction,
and just as antitoxine is formed so new amboceptors
may be formed.
Few hypotheses have been advanced in science which
are more ingenious, in better accord with the facts,
have had greater importance in enabling the student
to grasp the intricacies of an obscure problem, and
which have had an equal influence in stimulating research.
The immunity which results from disease in accordance
with this theory, is due not to conditions preventing
the entrance of organisms into the body, but to greater
aptitude on the part of the cells to produce these
protective substances having once learned to do so.
An individual need not practise for many years, having
once learned them, those combinations of muscular
action used in swimming; but the habit at once returns
when he falls into the water.