T H E AMERICAN JOURNAL OF CLINICAL PATHOLOGY Vol. 37, No. 5, pp. 470-474 May, 1962 Copyright © 1962 by The Williams & Wilkina Co. Printed in U.S.A. T H E ABSENCE OF E O S I N O P H I L S IN RATS INFECTED WITH RADIATED TRICHINELLA SPIRALIS VITO SCARDINO, M.D., AND HERMAN ZAIMAN, M.D. WITH THE TECHNICAL ASSISTANCE OF JUSTO DIAZ Department of Pathology, Albert Einstein College of Medicine, Yeshiva University, New York 61, New York The occurrence of eosinophilia in human and experimental trichinosis is well known and has recently been reviewed by Gould.1 Whether the eosinophilia is initiated by the maturing or adult nematodes, or both, within the intestine or by the second generation larvae remains unknown. Inasmuch as neither of these possibilities necessarily excludes the other, it is conceivable that both stages are eosinophilogenic. The experiments described here were designed to investigate the eosinophilic response of rats subjected to trichinous infections limited to the intestine. This is made possible by the fact that exposure of Trichinella spiralis larvae to appropriate doses of roentgen radiation eliminates their reproductive capacity. In the absence of a second generation, the infection is limited to the intestine. 4 ' 6 E X P E R I M E N T A L STUDY Procedures Holtzman rats, housed in individual cages, fed Purina Lab. Chow,* and given water ad libitum, were used in these experiments. Larvae for infection were procured from rats infected with Trichinella spiralis approximately 2 months earlier. The rats were sacrificed, skinned, and eviscerated. The carcasses were ground up and digested in a solution of 1 per cent pepsin and 0.5 per cent concentrated hydrochloric acid, which was continually agitated by bubbling air. After Received, October 25, 1961; accepted for publication February 7, 1962. Dr. Scardino was Chief Resident in Pathology, and he is presently Visiting Instructor in Pathology. Dr. Zaiman is Assistant Professor of Pathology (Parasitology). This work was supported by Grant No. E-2G12 from the National Institutes of Health. * Ralston-Purina Company, Saint Louis, Missouri. 470 digestion at 37 C. for 12 hr., the mixture was passed through a metal strainer (20 meshes per square inch). The larvae were washed with tap water several times by means of decantation. For inoculation, an appropriate volume of a suspension of worms (determined previously by dilution counts) was placed in 15-ml. centrifuge tubes. Having settled, the larvae were drawn into a tapered glass pipet fitted with a rubber bulb. The pipet was introduced deep into the esophagus of the anesthetized (ether) rat and the larvae deposited therein by means of compressing the rubber bulb. Radiation was provided by a 250-kv. Westinghouse Duocondex machine. The irradiation factors were as follows: 250 kv., 15 ma., a half-value layer of 1.5 mm. of Cu. The larvae were divided into aliquots and were placed 18.5 cm. from the source of the roentgen rays; they received the radiation at the rate of 785 r per min. Larvae were irradiated with either 12,000, 16,000, or 20,000 r of roentgen rays. The specific amounts will be indicated for each group. Nonirradiated larvae were also used for infection. Eosinophils were counted by means of a direct method, as follows: each rat was put in a small cylindrical metal cage; its tail was cut, the first drop of blood was wiped off, and subsequent drops of blood were drawn into a white blood cell pipet to mark 1. The pipet was then filled with diluting fluidf to mark 2. The pipet was shaken for 2 min. and permitted to settle for 3 min. 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' I 4 6 8 10 12 14 16 18 2 0 2 2 2 4 2 6 2 8 3 0 3 2 3 5 3 7 3 9 4 1 4 3 4 5 49 52 54 56 59 DAYS FIG. 1. Levels of circulating eosinophils per cubic millimeter of tail blood in adult rats infected with 6000 nonirradiated or irradiated (roentgen rays) Trichinella spiralis larvae. eter were filled. T h e total number of eosinophils in each of the 9 large squares in both chambers was counted and the average number multiplied by 200 and divided by 18. I n reality, they were simply multiplied by 11, which is equivalent to 200 divided by 18. T h e results were reported in cubic millimeters of blood. I n order to determine the n u m b e r of muscle larvae present in any rat, its skinned, eviscerated carcass was digested in pepsin and hydrochloric acid, as outlined above. T h e volume of the water containing the total number of washed worms released by digestion was brought to 500 ml., and counts were made on aliquots. T h e mean number of larvae observed per millimeter was multiplied by 500, in order to determine the total number of larvae present. When few larvae were found in a digest, the number and size of the aliquots searched were increased and appropriate factors were used for multiplication. sham infection consisting of 2 ml. of t a p water per os. Each of the nits in group B was infected with 0000 nonirradiated larvae. T h e rats in groups C, D , and E each received 6000 irradiated larvae. Larvae given to rats in group C received 12,000 r, those used to inoculate group 1) received 16,000 r, and those used for infection of group E received 20,000 r. Eosinophils were counted at frequent intervals. A prcinfection count was made and recorded as day zero. From the 3rd to the 28th day of infection, eosinophil counts were made on a daily basis. Thereafter, they wero made with less frequency but usually on alternate days with few exceptions. These can readily be determined by reference to Table 1. T h e experiment was terminated 59 days after infection. All surviving animals were sacrificed, skinned, eviscerated, and digested; and the total number of worms present in their musculature was determined. Protocol RESULTS Twenty-five young adult rats, each weighing 200 or more Gm., were divided into 5 equal groups, each consisting of 4 males and 1 female. Each rat in group A received a The eosinophil counts are listed in Table 1 and Figure J. 7'jxamination of the data revealed the following: 1. A conspicuous cosinophilia was dc- May 1962 TRICHINELLA SPIRALIS TABLE 2 T H E N U M B E R O F LARVAE R E C O V E R E D BY M E A N S OF D I G E S T I O N O F CARCASSES OF R A T S INOCULATED P E R Os W I T H 6000 T B I C H I N E L L A LARVAE SUBJECTED TO V A R I O U S D O S E S O F R O E N T G E N RAYS Rat Number A-l A-2 A-3 A-4 A-5 B-1 B-2 B-3 B-4 B-5 Number of Larvae Recovered 0 0 0 0 0 220,000 250,000 620,000 > Average 75,000 294,000 325,000 473 INFECTION 3. Those rats which were infected by larvae irradiated with 20,000 r did indeed develop an eosinophilia which was first noted on the 14th day, and peaked twice with an intervening trough. The peak eosinophil counts were 1310 (tolls per cu. mm. on the 15th day and 1135 cells per cu. mm. on day 23. Table 2 records the number of larvae recovered by means of digestion of the rat carcasses at the conclusion of the experiment. From the table it is readily apparent that those groups which harbored no muscle larvae revealed no eosinophilia. It is also apparent that radiation at 20,000 r did not guarantee reproductive sterilization of the Trichinella used to infect the rats in group E. DISCUSSION C-1 C-2 C-3 C-4 C-5 0 0 0 0 0 D-l D-2 D-3 D-4 D-5 0 0 0 0 0 E-1 E-2 E-3 E-4 E-5 15,000' 500 3,500 Average 200 4140 1,500 veloped by those rats which were infected with nonradiated larvae. Starting on the 5th or 6th day of infection, the eosinophil counts rose to an average peak of 3840 cells per cu. mm. on the 10th day of infection. Thereafter, it declined in an irregular fashion to reach preinfection levels on the 59th day of infection. A second peak of 2300 cells was observed on the 32nd day of infection. 2. The number of eosinophils counted in the tail blood of those rats which received sham infections (group A) or infection with larvae subjected to 12,000 r (group C) or 16,000 r (group D) remained fairly stable around preinfection levels. At no time did they demonstrate a clear-cut eosinophilia. The infectivity of the nonradiated larvae was demonstrated by the recovery of an average of 294,000 muscle larvae from each of the rats in group B. Conversely, the fact that no larvae were recovered from the carcasses of the rats in groups C and D demonstrated that sterilization had indeed been achieved by radiation of the larvae used for infecting these animals. It was especially disconcerting to recover muscle larvae from the rats in group E, inasmuch as the larvae used to infect these rats were supposed to have been subjected to the highest radiation dosage used. Inasmuch as it is inconceivable that increased radiation would have less sterilizing effect than smaller doses, a breach in technic was implied. The fact that eosinophilia failed to develop in those rats which harbored no muscle trichiiiellac suggested that the second generation larvae were of special significance in initiating the eosinophilic response of its host, the rat. It was particularly significant that the onset of eosinophilia, as here recorded, closely coincided with the known onset of migration 2 ' 3 by the second generation larvae. Coincidence in time, however, is not proof of a cause and effect relation. Moreover, Pollay and associates6 have reported eosinophilia in rats as early as 3 days after infection. The possibility that qualitative or quanti- 474 Vol. 37 SCARDINO AND ZAIMAN tative damage, or both, was done to eosinophilogenic centers of the intestinal nematode has not been ruled out. Inasmuch as a potent immune response is stimulated by infection with irradiated Trichinella*-6 the data suggest that the immune response may not be dependent on a rise in the eosinophils found in tail blood. tingeva un culmine de 3 cellulas per mm 3 le 14te die, e postea illo declinava in un maniera irregular. Nulle eosinophilia esseva demonstrate in simile rattos, similemente inficite con le mesme numero de trichincllas, quando istos habeva essite sterilisate per medio de radiation roentgen. SUMMARY REFERENCES Infection of young adult rats with 6000 nonirradiated Trichinella spiralis larvae initiated an eosinophilia which was first demonstrated on the 5th or 6th day of infection. This reached a peak of 3840 cells per cu. mm. on the 14th day and thereafter declined in an irregular manner. No eosinophilia was demonstrated in similar rats, each of which was infected with the same number of trichinellae reproductively sterilized by means of roentgen radiation. 1. GOULD, S. E . : Trichinosis. Springfield, 111.: Charles C Thomas, 1945, pp. 154-164. 2. G O U L D , S. E . , G O M B E R G , H . J . , B E T H E L L , F . H . , V I L L E L L A , J . B . , AND H E R T Z , C. S.: S t u d i e s on Trichinella spiralis. I I . Time of initial recovery of larvae of Trichinella spiralis from blood of experimental animals. Am. J . P a t h . , 3 1 : 933-963, 1955. 3. L E V I N , A. J . : Recovery of Trichinella spiralis larvae in early stages of infection. J . P a r a sitol., 27: 107-113, 1941. 4. L E V I N , A. J . , AND E V A N S , T . C . : Use of r o e n t g e n radiation in locating a n origin of host r e sistance t o Trichinella spiralis infections. J . Parasitol., 28: 477-483, 1942. 5. P O L L A Y , M . , W E I N , B . , AND H A R T M A N N , H . A . : STJMMARlO IN INTERLINGTTA Le infection de juvene rattos adulte con innoculationes de 6000 nonirradiate larvas de Trichinella spiralis initiava un eosinophilia que esseva primo demonstrate le 5te o 6te die del infection. Le eosinophilia at- Effect of A C T H upon artificially induced trichinosis in rats with special reference t o eosinophilia. Proc. Soc. Exper. Biol. & Med., 86: 577-580, 1954. 6. ZAIMAN, H . , H O W A R D , R . G., AND M I L L E R , C . J . : I m m u n e response in r a t s infected w i t h Trichinella spiralis larvae subjected t o roentgen radiation. Am. J . T r o p . Med., 10: 215-219, 1961.
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