THE CULTIVA'£ION OF' 1'HE TUBEitCLE BACILLUS ON ARTIFICIAL MJ!DJA By lIiltop.Mezoff Morris F. Shaffer Submitted in partial fulfillment of the requirements for the degree of BACHELOR OF SCIE~CE from the Massachusetts Institute of Technology 1930 Course VII Signature 0:1 A,",Uuva _ .. _ Certirioa~ion of Department ••••••••••••• 38 May 28~ 1930. Professor A. L. :Merrill~ Secretary of the Faculty~ Massaohusetts Institute of Teohnology, Cambr idge, Massaohusetts. Dear Professor Merrill: The follO\"ling thesis fulfillment is submitted as a partial of the requirements for the Degree of Baohelor of Soienoe. Respeotfully submitted, ACKNOWLEDGEMENT The authors wish to express their thanks and appreoiation for the assistanoe given them by Professor S. C. Presoott and Professor F. H. Slaok. They also wish to thank the various individuals who were kind enough to send them oultures of tuberole baoilli. PREFACE The story of the development of the title of the thesis may be of some intefest. Originally one of the authors had planned to do as a bachelor's thesis a series of experiments testing the efficienoy of pasturization in the destruotion of vitality of the tuberole bacillus under varying oonditions of time and temperature. Consideration of the matter by the tilO present authors lend to a deoision to do this work together; the subjeot ,vas oonsidered to be a favorable one, but the question of the development of suitable methods and .teohnique arose. During a lecture in the oourse in Publio Health Laboratory Methods, Dr. Slack had mentioned a new medium for the cultivation of the tubercle bacillus which had appeared fram the Denver National Jewish Tuberculosis Sanatorium. as well as the use of an egg meduum for this purpose whioh he felt would be of inte~est to the olass. The above referenoes made a distinot impression in the minds of the authors as well as an artiole whioh they ohanoed to read in the Journal of Infeotious Diseases. in this artiole by Nav.y and Soule~ the question of the respiration oharaoteristios and requirements of the tuberole bacillus had been oonsidered; valuable data and interesting theories were advanoed. As a result or the above combination of circwnstances, it was decided to modify the thesis subjeot to deal with the formulation of a new method for the isolation of tubercle baoilli fram various souroes. Before this could be done, hovfever, it was neoessary that the authors should have familiarity with the problam, the necessary technique, and the growth oharacteristics of the organism. It was finally decided that a preliminary study of the oultivation of the tuberole bacillus on artificial media would be necessary, and for the above reasons this subject v~s chosen for the thesis which follows. As .this work'was the initial intimate contact of the authors with this vast problem there will, perhaps be found muoh therein whioh will not be corroborated by further investigation. Nevertheless we feel that our objeotive, a oomprehensive investigation, by experiment and search of the literature, of the effects of physioal ohemical and biological forces on the growth oharacteristios of the tubercle baoillus, has been attained. 3. INTRODUC TION The problem of the cultivation whioh has occupied the attention experienced investigators of the tubercle bacillus of a large group of oapable and since the discovery as the causative agent of .tuber~osis .Although is one of this organism by Robert Koch in 1881. (1) in the present study no attempt was made to go beyond the consideratiQn of the gDav~h of the organism it may be interesting to delve into the motives which inspired many investigatmrs pling with this highly absorbing By cultivation media, question. of the mioroorganism, particularly it was hoped that much might be accomplished develpoment of measures in grap- on artificial tovmrd the for specific therapy and prophylaxis, perhaps even as successful as those in other fields. The hopes of workers have not thus far been realized with respect to specific therapy. attenuated Attempts ~t prophylactc or non-virulent immunization cultures obtained through the use of after continued of the organism on special types of artificial more ambitious, notably growth media have been much in the case of Calmette and his co-workers, through the use of B.C.G. Even here, hovvever, grave doubts have been cast upon the value of.the results early to hope for the eradication By stud~ of the physiology obtained, and it seems still too of the "white plague" by this means. of the organism, ~ore especially its nutritional and metabolic mationwould animals. ,the inoculation is glyoerophilic, if not actually subsequent Here the interesting of glycerol essential experiments of bodily resistance with a tendency near the site of maximum the organism grows better in the presence to the were performed that animal leads to a toward the formation glycerol concentration, as of this compound. at lowering the glyoerol content of the living tissuesl the other hand, have not been so sucoessful, ations are that diminished an inorease of resistance More recently, are favorable to on the part of the host. sinoe by direct cultivation of cultivation of the organisms it has been claimed that diagnosis (more rapidly, more accurately, of stained smears. on but here too the indic- glycerol concentrations the question guinea pig inoculation of that iSI fact developed into an experimental of tubercles Attempts that infor- it having been found that on baoillus desirably of the organism, on laboratory lowering For example, media the tuberole glycerol is extremely nutrition it vms believed be obtained which would be of value in the treatment cases of the disease. artificial requirements, has came to the fore, from infected materials can be made more expeditiously and more oheaply) than by the older method and more acourately than by the study 5. The work of investigators. in this field has resulted mulation of a large amount of valuable regard to the tubercle bacillus bacteriological Investigations understanding of its relationship Probably the most ~portant of the unusual difficulties of the cultivation media may possibly on artificial not alone with but also to other members world which have presented of cultivation. bacillus information in the acou- of tubercle lead to a better to other acid-fast direct utilization organisms. of facts gained from the study of the problem is in the oase of the work being done under the auspices Parke# Davis &; the cultivation composition. of the National Tuberculosis Co., and H. K. Mulford Company are now engaged in of the baoillus on media of defintely These media# acourately prepared were devised by E.R.Long of the University result of the oultivation of the organism o~ more Erlenmeyer knO'Ml and controlled# of Chioago. As a in large amounts (1000 flasks in a batch) the above groups hope to be able to learn something of the bacillus Association. of the nature of growth and the body ohemistry of Koch# since each batch is carefully ically; the fractions separated and determinations analyzed made. ohem- 6. HIS ',rORICAL Kooh. himself, was able in 1884, after many unsuooessful attempts. to grow the organism in pure culture by smearing orushed freshly caseous tubercles (from experimental animals) over coagulated. sterilized beef serum. He was also able to obtain scanty growth of the bacillus on sterile fluid serum, but vms unable to grow it on broth or on nutrient agar. He oonoluded that "it is not to be hoped that the cultivation of the tubercle baoillus is to play any important part in the study of the In disease.1t 1887, however, Nooard and Roux published in the Annals of the Pasteur Institute an article of fundamental importance, giving the results of their researches with the tubercle baoillus. These workers found that the addition of glycerin to various media suoh as broth" agar, or serum, in amounts varying from five to eight peroent" greatly enhanced the value of the media for the oultivation of the tubercle baoillus. The next year another investigator ~ A. D. Paw1owsky, also at the Pasteur Institute, described in the Annals of the Institute a method for the oultivation of the baoillus on glyoerin potato. 7. These discoveries gave marked impetus to the conduct of invest- igations on the growth of the organism and the next few years saw the various scientific media and enraptured journals almost flooded with accounts descriptions be obtained from their use. synthetic media oomposed large proportion oontinued Many of these artioles were devoted to the ohiefly of pure orystalline oonsiderable proliferation work~ partioularly of the causative A to the Later that oarried on during the seoond and third decades oentury seemed to indicate a more soientifio For each new medium whioh appeared, minor or important; to suit his fancy and reporting any comparative essential agent of tuberculosis. mental method of attack; and more aocurate modifioations, oampnunds. from all others in the statements to the elements whioh were absolutely of the twentieth results which might of these were not worked out with suffioient. oare~ as eaoh one differed pertaining of wonderful of experi- results were reported. there soon followed a myriad each investigator results of changing the media on this basis. In consequence, studies whioh might be made lost a great deal of their signif'icanoe. The use of egg media for carrying along transplants of tubercle bacilli by Dorset, Lubernau, Besredka of stook oultures and others resulted 8. in the use of a modified routine cultivation egg medium by Petroff of the organisms in 1915 for the from sputum. Subsequent workers made changes in the formula of Petro£f~ notably Williams, and Burdick, Despeignesl and Corper. Fiala, and Kallen. the other media which have reoeived considerable routine cultivation Among use in the of organisms from sputum as an aid to diag- nosis are the media of Petragnani and Sweany and Evanoff. The potato medium of Corper has been widely used and with good results. Qtii:;uresUsed. The following cultures" obtained through the courtesy of Dr. S. C. Presoott and various laoratories, were used at one time or another during the course of the research. 1. Tuberole baoillus, (a) human strain. Culture of the well-known H37; obtained fr~ the Mass. state Antitoxin Laboratory Hills, Mass. at Forest The original oulture oame on a glyoerol agar sla.nt. It is interesting to note that this widely used strain was isolated from sputum at Saranao Lake in 1905. nmv various substrains There are of this original strain. (1) Phipps strain- used at the Henry Phipps Institute. This is reported as only slightly virulent. (2) Novy strain-this was virulent four or five years ago, but is nmv innocuous as the result of very rapid grmvth and frequent transplanting under the oonditions it has been subjeoted, to whioh namely oultivation on glycerin agar medium and olosure 'with holed sealing wax. (3)Trudenu strain-used Chemical Laboratory at the Researoh and at Trudeau, N.Y. This is 10. This is fully virulent. (}~dd,S. and Furth,J Journal of ]mmunology--V.l3 No.5 May 1927) The culture obtained from the state Antitoxin Laboratory was not identified as belonging to any of these sub-strains, but inoculation of organisms from this culture into a guinea-pig demonstrated it to be virulent. (b) Culture of "54"j obtained from the Albany Medioal College, Albany, N.Y. The original culture arrived on a gentian-violet potato slant. This culture had a distinct yellow-orange ohromo-genicity. S ubse- quent oultivation demonstrated very rapid ~m'~h, while guinea pig inoculation showed it to be nonvirulent at the time. (c) Culture of n tiBet. j obtained from the New York State Agrioultural College, Cornell University, Ithaoa, N. Y. This oulture also arrived on a glyoerol agar slant. (d) Culture of tlG624"; obtained from the Miohigan State Antitoxin Laboratory at Lansing, Mioh. This oulture was originally on a potato plant. The labels on the oultures of "G624" bore the legend, "Isolated from Spinal Fluid". 11. (e) Culture of "S1800"; obtained from the MUlford Laboratories, philadelphia, Penn. The culture was growing on a glycerol agar slant. 2. Tuberole bacillus, bovine strain(a) Culture of "1689", also from the Mulford Laboratories. This culture, too, was grown on glycerol agar. (b) Culture of Q Traum271n; obtained from the New York State AgricUltural College, Cornell University, I~aoa, N.Y. This culture, also, arrived on a glycerol slant. The cultures arrived within a few days of one another and were plaoed in the refrigerator ~ediately upon arrival, until ready for use. In order to simplify the future processes of classification and indexing, the different cultures were coded as follows:nH37" was given oode letter H n II II Z n II 11 B n t1 11' n n II 081800 "169811 tI II It 0 G S It 11 11 D tlT271" n It ' II 11 T "5411 tIBe 2 ll 11002411 12. Following the code letter there appeared the record book a number, indioating on the labels and in the identity of the inooulation and the nature of the medium on which the inoculation was made. For example:- Ea. signified that the inoculation hUS made with a oulture or transplant of "H37t1, and reference to the record book would reveal the information that it was the eight inoculation the medium used was mediUm B (Hease's Agar). made, that Technique It seems worthwhile technique Employed to record here the most important methods of employed during the course of this work in order that some idea may be obtained as to their shortcomings as VIell as their value. J!!,ooulation: Fairly stiff inoculating us (Mezoff) preferred handle. a 12 guage platinum wire mounted One of in a special The free end of the wire was bent in the form of a loop 2 rom•. in diameter. mounted needles were used. The other(Shaffer) preferred in an aluminum ha.ndle; the nichrome cool after heating in the flamel a nichrome wire needle, while was stiffer and therefore slower to perhaps a trifle more suited for inoculations. For inoculating on solid media the inoculum was in all cases smeared as smoothly as possible(at ficul ty) over the surface of the medium. times with great dif. For inoculations liquid media the technique was somewhat modified~ when the inoo- ulum was to be floated on the surface of the medium. allowed to remain on the workbench; into The flask! 'was the plug or stopper vms removed, the opening flamed~ then the inoculation quickly made, on the side of the flash, above the level of the liquid. ~.Then the flask was slanted so that the liquid touched the inoculum, after which it was allowed to come to rest on the desk as before. 14. Then the plug was flamed together with the mouth of the flask and the plug returned. Every effort was made to prevent oontaminations which were a serious problem in some oases. In order to p~event des:sication of the media the £ollowing technique was adopted.1. The exposed ends of the cotton plugs whicholosed of the 1;ubeswere. flamedJ blowingJ .~and the flames -quickly extinguished the mouths by gentle dry :.the plugs pushed into the tubes until their upper surfa.oe was about one quarter prisms of paraffin. inch below the mouth of the tube. about in Then. reotangular thiok and slightly larger in area than the mouth of the tube having been prepared, these were p~essed firmly into the mouths of the tubes so that they were oompletely sealed. tube was thus o'ompletely sealed. a stif'f inoculating needle with a spatula tip was heated and introduced into the paraffin from the exterior thru the paraffin near the edge of the tube were madeJ Vihen the to create a small opening to the cotton. In some oases two holes in same cases only one hole. In still other cases, the tubes were not sealed with paraffin at al+J but merely e. with the cotton plug. of the medium. slow diffusion In such cases there was same tendency to dC3sication The holes in the paraffin were for the purpose of permitting and exohange of gasesJ while the rate of dehydration media was retarded. of the Absolute vmx seals were not used, since Novy points out that the use of absolute seals inhibits the gro~~h of the culture. 15. Oxygenation: For oxygenation was constructed~ of liquid media cultures, a special apparatus Fig. 1 . A tank of co.mpres~ed oxygen equipped with a reduction valve from the nozzle of which the oxygen was conduoted by means of ~ubber tubing through a hole in the top of the inoubator, to a hollow glass "oaken in the incubator. This glass cake had a single inlet, but a num- ber of outlets. From the outlets~ rubber tubing conducted the oxygen to the flasks. The flasks were ordinary Erlo.nmeger flasks, stopper.ed with two-hoied rubber stoppers~ A right angle glass bend running through the stopper, but not tOUChing the medium, the exterior. contamination served to conduct the gases to Both.bends were loosely plugged with cotton to prevent in so far as possi~le. The flasks, stopper and glass bends were sterilized together before using. In use, the oxygen passed through the rubber tubing into the incubator~ into the "handle" of the glass oake, through one of the prongs along rubber tubing into the flask, down into the medium, bUbbling up through, a portion of the oxygen dissolving me~ium during this period. in the The gaseous pressure at the surface of the mediUm was relieved by the second glass bend which conducted gases to the exterior. The flasks might also be arranged of one connected to the inlet of another, taining a high percentage in series, vdth the outlet so that the exoess gases (oon- of 0 ) might be utilized further. nozzle of the tank adjusted properly, the medium at the rate of l~2~3~4,5, of the inlet tube having a diameter With the oxygen could be bubbled through or more bubbles 1 seoond (the orifice of 5 mUll:,) so that the medium might 0" • be kept completely siderable saturated with dissolved periods of time. This method did not yield very good results in our work, but we recommended £ound it inoreased oxygen at 37 Cover con- its use to another worker (Tobie) who the growth and pigment production of B. violaceus several times, enabling the pigment and organisms to be produced throughout the medium instead of merely at the air-medium interface. 17. Figvre i 18. Experiment I The use of glycerol agar in the cultivation bacillus may be traced baok to the earliest of the tubercle investigators. perhaps was due in large part to the simplicity of the medium. It is rather diffioult This of the oomposition to asoertain just who was the first to use glycerol but as far back as 1887 Nocard and Roux employed it in media(broth~ oent of glyoerol. agar~ or serum) containing (The question as to the necessity this medium is discussed for inaking transplants it will be remembered in Expt. 2) to maintain scouroes on glycerol agar. Glycerol agar is very useful the viability experiments, of the organism; the effect of various G624 were reoeived from This medium is also useful, due to its definite and simple oomposition~ to determine of glycerol in that all the cultures used exoepting and 1154" in this and the following various 5 to 8 per- in cuses where it is desired substances on the growth of the organism, .these substances being added to t he glycerol agar. Dostal in 1916 subjected pure cultures of tubercle bacilli to chemical influences. He added to the ordinary glycerol media 5 to 10 parts by weight of a glucoside, saponinum deprivatum Merck. LoeTIenstein in 1911 and later Lookemann worked with media oontaining inorganic salts plUS glycerol in order to determine elements for growth. simple the essential 19. Goodman and Moore found that the human tuberole bacillus equally well on culture tubes containing egg medium (Petroff's), regardless grows slants of glyoerol agar or of whether the tubes have been oapped with waxed cloth or with tin foil, seourely held in plaoe with rubber bands~ thus in~icating a ready acaess of atmospherio the folds of the tin foil, in spite of precautions air in to prevent this means of esca.pe of the carbon dioxide produced by the respirat:io n of the bacilli. With regard to the effeot of the medium on the chemicD.l oomposition of the bacillus" Long and Finner found that the glyoerol (in Long's synthetic medium) is regarded as u progenitor The lipin oontent promotes acid-fastness and yield" and of the waxy constituents is increased of the baoillus. only with high concentrations of glycerol. In order to obtain enough mater ial for later exper iments involving inoculations" ceived" and 10 determine to maintain the life of t he cultures rewhether or not the various erole bacilli used could be grown on the ordinary strains of tub- stock nutrient which three percent glycerin had been added, the procedure was performed. agar to given belcwl Primary transplants were made onto slants from the original cultures received of mediumA (3% glycerol agar) and obser- vations of' t he growth obtained. In sealing the tubes three methods were tri~d~ as foll~Ns: (a) Cotton plugs alone. (b) Cott.on plugs were flamed at the ends, extinguished" then pushed dOThn into the neck of the tubes. The mouths of t he tubes were then sealed with paraffin which was punctured ''lith the aid of an inoculating needle to give (l)paraffin (2) paraffin The tables seals with tvlO holes. (1-7) on the follovling pages conted.n the observations ma.deon tm transplants described. seals with one hole, and treated in the manner just The composition of' the mediumused is also given. As will be seen by inspection of t he tables nearly all the tubes showedsane signs of growth except in the case of 0624 a.nd 271. The failure of these trains, and bovine sources respectively of the tubes inoculated, isolated from spinal fluid" to shaw'grmvth in three-fourths may perhaps be attributed and condition of the original oulture; appearanoe when received by us. to the age they pr.esented a dessica ted On the other hand, strain 54 21. showed the presence of considerable growth in two weeks. Although the cultures required more time for exhibi:ing growth than we had anticipated, we were struck by the fact that for any given strain the cultures required unusually uniform length of time for exhibiting growth. In general the cultures required about seven or eight weeks before exgibiting considerable .gro~~h. The tJ~e of stopper does not seem to have affected the results very materially in any case. The appearance of the growths was fairly distinct for each strain, the chromogenicity varied from a light cream color to a fairly deep orange and in the case of H37 it will be noticed that there are ~vo types of colonies, smooth and ¥~inkled. MEDIUM A 3% Glyoerol Agar 1. To 1000 00. water (distilled) were added the following:- 30g. glyoerol 8g. Naol 23g. Difoo Baoto Nutrient Agar The ingredients were thoroughly dispersed in the water by boiling and stirring. 2. They were then made up to weight with h~t water, filtered and tubed; 10 co. to each tube. 3. The tubes were autoolaved pnunds pressure, 4. thirty minutes at fifteen then slanted and oooled. The pH. determined im.lJ1ediatelya.fter autoolaving, was 6.8. TABLE I ----- "s laoo 8trainn Date of Inooulation Date of first Appearance of grmvth Tube No. Type of stopper 85 P*-l hole .. Feb. 14 Mar. 28 Mar. 7 Apr. 16 Feb. 14 Mar. 28 n 11 87 II n " Sa It II It .. 89 " It II n n It II It II .. n It " " 86 S10 8n 812 813 It Approximate date of presence of considerable growth II II n n t' " 11 n *Paraffin Feb.24 n Feb. 14 II t, Feb. 5, 1930 Appearanoe growth of heaped up, wrinkled contaminated 1/=1.small, flat white 2. heaped up, cream colored • hea.ped up, wrinkled " " It Apr. 6 II II Mar. 28 " " Ma.r. 28 II II It *Possible dissociation II 24. TABLE 2 "1698" STRAIN Date of Inoculations Type of stopper Tube No. DS . DS cotton plug no p* 1 hole P -- Date of first Appearance of grovrth Mar. 14 D8 " 2 n II D9 " 11 n It n no growth n " Mar. 21 II II June 2 Dll D12 Apr. 2 .. " D10 Approximate date of presence of considerable grovrth " n D7 Feb. 5, 1930 Appearance growth white, heaped up n pale white heaped up " .wrinkled growth " n Apr. 24 white heaped up. wrinkled II .... vrink~ed grovrth very slight *Paraffin of 25. TABLE 3 Date of Inoculation Feb. 5, 1930 Type of stopp~r Tube No. % P--l hole GS t1 II n n n n GS G7 Ga Gg p--2 hole .,. It t1 " " May 21 Apr. 14 " II It It It U II " tt II " II n It appearance of gro'wth no growth (Uune 2) II II ~O Gll Approx ima. te date of presence of considerable growth Date of first' appearanoa of gro\vth creamy, heaped up v~inkled, button-shaped no growth (June 2) Apr. 4 May 21 creamy, heaped up wrinkled, button-shaped TABLE....4--_ 1154" SmA,IN Date of Inoculation Tube No. Z7 Type of stopper ootton plug no P* II Za Zg ZlO Zll Z12 Z13 Z14 Z15 Z16 Z17 Z18 P--l hole Da.te of first appearance of growth Jan. 31, 1930 Approximate date of presence of considerable appearance of gl'mvth growth Feb. 7 Feb. 14 Feb. 14 Feb. 21 Feb. 7 Feb. 14 large, spreading ora.nge, v~iru~led. " " large, sprem ing orange, sufface. It tI n It II II " " " II " " .. n It II II much surface gro1",i-th some sub-surface. It " spreading, orange vlTinkled II " tI II n n " It II It " 11 II n n " " " " " II It " .. II n TABLE 5 Be ST~rN. Date of Inoculation Tube No. B7 Type of stopper BJO Bll Bl2 B13 Approximate date of presence of' considerable growth 31, 1930 appearance of' growth. Mar. 14 Apr. 7 Mar. 7 Apr. 7 yell~v-brmvn heaped up wrinkled spreading. single large, knob-like P--1 hole Mar. 14 Apr. 7 large, spreading, n It It Mar. 21 11 " II no grovrth June 2 It It II Mar. 7 Apr. 7 large, spreading, up, 1',Tinkled. n n It Mar. 7 Apr. 14 ~~inkled, ;11=1. small, isolated, flat 2. lar ge, Ylr inlcled, heaped up. cotton plug no p* It II Ba Bg Date of first appearance of' grovrth Jan heaped up slight groytth hea.ped hea.ped up B14 P--2 hole no gro1.'rth June 2 B15 " " " lIar. 21 Apr. 24 B16 It B17 " no growth June 2 no growth June 2 Mar. 7 Apr. 14 v,Tinlc1ed, heaped up Mar. 7 Apr. 7 1'.Tinlcled,knob-like B18 Bl9 II " 11 n II II " II II II p*--Paraffin # possible dissociation ....TABLE ----6 liS7 STHAIN. Date of' Inoculations 'rype of Tube No. HIO stopper. cotton plug no 1'* II II !hl H]2 IllS H14 H1S P--l hole It It .. " at n n ! Role Approximate date of' presence of considerable growth Da.te of first appearance of gr01vth Feb. 14 Feb. 24 Feb. 14 n It Mar. 7 II II ~an. 3, 1930 Appeara.noe of groYrth heaped up, ~Tinkled colonies heaped up, ,"JTinkled It 11 1l.ar.14 Mar. 21' small, flat, white. spreading, YJTinkled, hefP ed up, oream-colored Mar. 14 Mar. 21 heaped up, \~Tinkled Feb. 14 :Mar. 7 1 white, flat surface 2 small, moist, separate" heaped up. H16 H17 I1.8 II 11 It II II It " " " II II 11 Feb. 24 tl II 11 II Feb. 14 " " " " " moist, heaped-up TABLE 7 ----_ ... -- "271" STRAIN Date of Inoculations Type of stopper Date of first Appeurance of growth cottonplug-no p* no groyrth June 2 Tube No. T4 TS P--l hole T7 II T8 Tg T10 T11 T12 T13 Tl~ T1S " " n .. .. n II " II It it Mar. 14 slight groyrth It at " 11 11 11 II It It It II It It It It u " " It It It P--2 hole no grovrth n It Mar. 14 °no gro-rrth June 2 T1S n II II It T17 " 11 at n It It n II T18 Appearance of grov'Jth " It TS Approximate date of presence of considerable grovrth ~an. 31, 1930 slight growth 30. Experiment II. The Ef£ect of Glycerol on the Grmvth of the Tubercle Bacillus. Although glycerol is used in nearly all media composed specifi- cally for the cultivation of the tubercle bacillus, the question as to the necessity for this substance and the concentrations in which it might be used still has some aspects of uncertainty. Kendall, Day and 1J{alkerin 1914 in their first study of acidfast bacteria make the following interesting statement, "This 'work is impor~ant from ano~her point of view.' Prior to the publication of these studies, investigators, almost without exception, assumed that tubercle bacilli could not be cultivated unless glycerol was present. to ste.te dogmatic&lly ificial cultivation in artificial media Some observers have gone so far us that glycerol l'iassine qua non for the artof these organisms. ioned above show definitely The observations ment- that the majority of strains of tuber- cle bacilli will develope, altho~gh much less luxurian~ly, plain nutrient broth. even in These organisms, therefore, are not obligate- :'ly glycerophlic." In a later study (1920) these authors suggest that the development of an acid reaction by human bacilli togeth- r er "'Ii th minimal deamination, as shovm by the decrease in the ammo- nia content of t he medium during the period of growth, is due lar.ge-ly to the utilization of the glycerol for the. energy requirements of the bacilli, yielding acid products in its breakdown, but shielding the protein constituents of the medium. That is, the latter 31. are broken do~n only as their nitrogen in bacillary substance, is needed for incorporation the glycerol sufficing for oonsumption to produce heat and energy. An interesting study was made by Vaudremer in 1921 of certain strains of tubercle bacilli which grew on potato or gelatin without glycerol, and not only on broth but in it. Three such strains one of bovine and two of human origin, are desoribed. cultivated in potato broth greu in twenty-four non~acid-f~st, hours at 37°0., TIere' Gram positive, and had a morphological to the bacterioides of legumes. The bacilli resemblance Their identjty with tubercle bacilli was sho~n by a return to acid-fastness after ten days on glycerolated potato, and by their agglutiho.tion by the scra of tuberculous nts. However they were avirulent. sard and, Vandremer patie- On the other hand, in 1922 Ges- grew tubercle bacilli in distilled vrater plus ";O~~ and tap water plus 5% of glycerol when a paper support TIas provided. Frouin and Guillaumie in 1923 found that in the absence of glye- cerine the human type of bacillus tenqs to alkalinize in these ,conditions the fat oontent diminishes the culture, but from 60 to 80 percent. In a 'subsequent paper they found that the salts of iron increase growth is media containing sugar and g.ycerine vrhatever be the re- action of the medium, but if glycerine sed in an acid and diminished iron. is lacking, grovlth is increa- in a neutral medium by the addition of Corper, Fiala and Kallon believe that on five percent glycerol agar, a good growth' of tubercle bacilli was obtained within a wide 32. range of reaotion of the. medium. showed that approximately glycerol peroentage Experimental: Another set of experiments equal results were given whether the of the medium wus 1,2 or 4 percent. This experiment was performed repeat, and if possible, to substantiate other workers. in order to the results of many The follo"'idngtables depict the effects prod- .uced by varying ooncentrations of glycerol on the rate and amou- nt of grmvth of the tubercle bacillus. The medium employed (Medium F.) did contain from 1% to 9% of glycerol. instances no glycercol vias added. is unfortunate In certain Incubation was at 37°0. that the cultures on this experiment severely frpm mold contamination. A repetition It suffered so of the experi- ment, although highly desired, was impossible due to lack of time. In the case of the cultures containing no glycerol growth wasJwith one uncertain containing exception, unattainable. glycerol contamination In cultures was so frequent that, with the exception of strain 54, no comparatiYe studies can be made. It wi~l be observed J~hat even the hiCi~(,:r conc:sntr~:_ions 01' r:lycQrol Vlere unable to inhitbit mold formation. In case of , strain 54, grovnh was rather profuse in media containing cerol in concentrations up to 7%. In concentrations growth occurred but in decreasing amount. gly-' above 7% MEDIUM B Glycerol Agar To 1000 cc. of distilled water was added 23g. of Baoto Nutrient Agar (dehydrated) together with 8g. of Nacl. brought to a boil and then filtered. The mixture was To the filtrate ~~s added glycerol in varying amounts" the mixtures were autoclaved at l5JJ: pressure for 25 minutasJ then slanted and cooled. The pH was determined colorimetrically while the mixtures were hot. Distilled water vms used in preparing the glycerol solutions. Fl--9co.agar- 1 OC. of 10% glycerol solution --pH-- 6J9 II II n n n It F4-- II II " F5-- tI 11 It Fe-- II " II F7-- It II F8-- " q F2-F3-- Fg-- II 11 20% " --pH-- 6,9 .. " It 30% It .1 --pH--6,8 n II 40% II " --pH-- 6,8 II 50% II " --pH-- 6.7 It .1 60/1 11 II -.. pH-- 6.7 q n 11 70% n n --pH-- 6.7 II II II " 80% II fJ --pH-- 6.6 n n II .1 90% n II --pH-- 6.5 .. 34. TABLE 8 Nutrient Agar without Glycerol Date of Inoculations Type of stopper Tube No. Date of first Appearance of growth Approximate date of presence of considerable grovrth 1'*--1 hole T32 It It It 11 II n n tI B31 II It It " " la " It n n It t1 It II tt n 11 n It ZSl ZS2 .. sparse, flat, yellow. Mar.7 " " " n II It II II no grov,-thin 7 weeks It It It U G31 " It It .. G 11 It II II II II It " DS2 " " 11 8S1 11 u 8 n It H3l Hs2 II .. " " 3 ta It n 11 11 II 5 It II n II " n It 11 at It 6 tI " n " It n t1 32 D3l 32 Appearance of grov;th. no growth in 10 "leeks T31 B32 Feb. 15, 1930 *Paraffin .. " It 11 (mold contamina.tion) u u 35. TABLE 9 (1% glydero1 nutrient agar) Date of Inoculation--Feb. Type of stopper Tube - No. T4l p*--2 hole Z4l It " n II H4l " tI H42 It " G It D Z42 II II Date of first Appearance of grovrth Approximate date of presence of considerable growth. D42 841 842 Appea.rance grov;th. of no growth in 10 weeks Mar. 7 Feb._:!5 tI n .. II It spreading, contaminated in 4 days II II II II n II II n " " II n II after 2 weeks n It n It II .. II It II tI It Apr. 15 II n yellow .. il 4l 4l 21, 1930 II Jij,ay 11 II n heaped up, v;'rinkled II II n 36. TABLE 10 ------ (2% glycerol nutrient agar) Date of Inoculations--Feb. Tube No. Date of first Appearance of groyrth. Type of stopper Approximate date of presence of considerable grmv'th p*--2 hole no grarrth in 10 'weeks ,. n It 11 B 11 II •• B44 It It It II II II II It It It .1 It II II It " G43 II It It It It G44 II II 11 II II II II II It n II II It It II 11 n It II II T~3 T44 43 Z43 Z44 D4) D44 S4S Sg n fI .. t1 II 1930 ---- Appearanoe of groYTth. II contBlinated by mold in 2 weeks .. It 11 oontaminated *Paraffin II Alar. 7 Feb. 25 ~3 H44 It II .. 21, by mold .. spreading yellow wrinkled .. II It 37. TABLE 11 ----:MEDIUM F3 ( 3% glycerol nutrient agar) Date of Inocu1ations--Feb. Type of stopper Tube No. T45 B45 Date of first Appearance of growth Approximate date of presence of considerable growth P*__2 hole contaminated at 11 It II II j) Appearance off grO'\\rth. by mold II II It II It u II It " n II II II It H4s II II It H46 II u I' II it at G45 " II It It II II .. " 11 n n n .. 11 II tt tl II 845 11 II II " II II 846 " It 11 It II II B46 Z45 Z46 D45 D46 ~ *Paraffin Feb. 25 21, 1930 " II ep reading, Mar. 1 contaminated by mold yellow, I'irinkled 38. TABLE 12 (4% glycerol nutrient agar) Date of Inoculation--Feb. Tube No. Type of stopper T47 p*--2 hole - B47 Z47 H47 G47 D47 D48 847 848 Approximate date of presenoe of oonsiderable growth Date of first Appearance of gro'\'rth contaminated Appearance by mold 1l II u tl It 1I II n u II n " no groYlth in 10 weeks II II II It .. " n contaminated n II " It *Paraffin II It tI spreading, Feb. 28 Feb. 24 by mold oontaminated " II of grovrth • n " " 21, 1930 II II II II n by mold It It yelloVl wrinkled 39. TABLE 13 11EDIUH FS ( 5% glycerol nutrient agar) Date of Inoculations--Feb. Date of first' Tube Type of - stopper Z49 p*--2 hole No. H49 D49 849 " u " " It It Appearance of growth Approxima.te date of presence of considerable grm\-th contamilmted Appearance of GrO"\'rth by mold 11 n "11 n 11 n tI tI" u. 21, 1930 It MEDIUM FS (S% glycerol nutrient agar) Feb. 21, 1930 Date of Inoculations TSl BSl ZSl HSl H52 GSl DSl 851 ta tI Q t1 "n It II II " II II II " II It n It II II ... II II II tI u tI II n " n II *Faraffin contamina.ted by mold 1I Feb. 27 Mar. contami~ated 11 " 8 II slight grovtth by mold ~ II " 40. TABLE 14 ------MEDIUM (7% glycerol F 7 nutrient agar) Date of Inoculations--Mar. All contaminated 7, 1930 by mold except Strain54. Mar. l4---sparse growth diameter of gro1'tthis 5/a" growth is sharply limited~ oval in outline and granular. Ma.r.2l----diameter of grovrth is 3/4" appearance same as above no visible growth afte,r Mar. 21 MEDIUM Fa (s% glycerol nutrient agar) Date of Inoculations All contaminated MQr. 7, 1930 by mold except strain 54. iuar. 14 diameter of gro'wth 1/4" 11 n n 3/S" Mar. 21 no lurther'visible growth after this date. p*--2hole MEDIUM Fg (9 % glycerol nutrient Date All contaminated Zso agar) of Inocnlations Hare 7, J930 my mold except strain 54. Mar. l4--diameter of gro"Vtth1/411 :Mar. 2l--diameter of 'growth 3/Su appearance was similar to that of culture on S% glycerol nutrient agar. 41. TABLE 15 ----- MEDIUM FIO (10% glycerol nutrient agar) Date o£ ~oculations--Mar. 7, 1930 All contaminated my mold except strain 54 Mar. 14---diameter of grolvth 1/2u Mar. 21--tt It "3/4" no fUrther visible growth appearance vms imilar to that of cultures on 8% and ~% glycerol nutrient agar. 42. ~.?-men~.-! • Glyoerol Nutrient Broth Glyoerol nutrient broth has been used extensively where cultures in fluid media are required. It has been of great value in studies on the charges of the reaction of the medium produoed by growth of the bacillus and in studies dealing ~ith the products of the metabolism of the or gunism. Frothingham in 1918 studied the reaction of the medium by means of litmus bouillon containing 5% of glycerol and brom cresol purple bouillon containing 3% of glyoerol. Petroff (1918) in preparing a glycerol extract of tubercle bacillifQn antigen in complement fixation, cerol-beef-brothfor grew the organism in 4% gly- from 4-6 weeks until the whole surgace was com- letely covered ~ith a thick pellicle of tubercle Lacilli. Kendall, Day and Walker employed glycerol broth in their important series of articles dealing with the metabolism of the tubercle bacillus and other acid-fast or~~nism •• Ishimori (1924) compared the range of growth of saprophyti? acidfast bacilli and the reaction changes produc~ with that of lvarm and cold-blooded in glycerol-bouillon tubercle bacilli. Pure eaprophytic strains grew "\-vell in strongly alkaline as well as strongly acid-media, while the genuine warm blooded tubercle bacilli had narrO\Ver ranges of gro\vth. The reaction chanGes occurring grovrth were dependent on the hydrogen-ion in glycerol-bouillon concentration during the of the medium at the time of inoculation and upon the individual reaction also influenced markedly the inhibitory strain. The action of chemical substances. EXPERIMENTAL: On January 28~ 1930 an inoculation slant of T27l into a 250 cc. Erlenmeyer was made from the original flask containing 100 cc. of glycerol nutrient broth (Medium N) having pH of 6.8. On Feb. 15 the medium had become turbid, while the seeding, s which had increased in size, had fallen to the bottom of the medium. On Feb. 25 the following appearance was noted. The broth was turbid, and on the surface were a number of waxy patches and were (10-15 mm. in diameter.) ~ese latter covered almost the entire exposed surface of the liquid and some were on the sides of the 'flask. of the wafer-thin In the center " .... vaxy patches and resting on them ,\-yere oily-looking globules scattened over the surface. ish white (dull, waxy) and irregular The patches themselves were gray~ in contour. On Mar. 14 there uere no longer any patches on the surface, there was much sediment in the flask and the broth vms turbid. 44. MEDIUM C ~lyoerol i~trient Broth (Calmette--P.34) says that this may be prepared by adding 4 to 5% Calmette of glycerol to well-cleared broth. ordinary veal or beef peptone The medium is also rendered weakly alkaline to litmus as indioator. our Modifioation (Medium Dirao Bacto Nutrient Broth (oontains 3 parts beef extract and 5 parts peptone) 8.0 g. 50.0 g. Glycerol Distilled C.) 1000.0 cc. water The dehydrated broth was dissolved in water. It was then filtered and the glyoerol added with stirring; finally it was autoolaved at fifteen pounds pressure for -twenty minutes and was then rea~y for use. Erlenmeyer flasks, about 100 00. It was used in 300 oc. to the flask. The pH. was 6.8. 45. EXPERIMENT 4 Hess's medium This "experiment was carried out to determine Hess's medium (medium B) as a. "proprietary" of the tubercle bacillus, for it. Experiment for the growth in view of the claims which ha~e been made The same system of stoppering I. substrate the value of the tubes was used as in This medium showed considerable oat the bottom of the slants, whereas water of condensation the agar slants of Experiment Bhowed none. The procedure consisted original cultures of the various agar, and incubating in making transplants form the strains onto slants of Hess's at 3700. As is evident from the tabulated results on the following that pages/crowth, 'while present, was far from being as rapid as other investigators have reported. In the case of 0624 no gro~~h wus obtained but the strain also grew only with extreme difficulty other media used in the experiments behavior presented in this instance was not w1usual. here so that its on I 46. MEDIUM Hease's Medium 1. (Calmette---P.46) 5g. 30g. 5g. 109. 50c. Heyden Nutrose Glyoerol Sodium. Chlor ide Agar Normal solution of NaOH (orystallized at 28.6 per hundred) Distilled water OUr 1. D ~lOOOoo. Modifioation (Medium D~) The direotions called for a speoial preparation, whioh is prepared in ~rmany In under the nwme, "Nahrstoff Heydentt• our medium we utilized nutrose obtained £rom an unopened paokage of "Lion" Brand Nutrose whioh was several years old~ judging from appearanoes. The failure to obtain the desired growths in our experiments with this medium may be attributed in part to the deteriorated condition of this produot. 2. In following the directions given in Hiss and Zinsser 1s ..Text- book of Bacteriology" Vieused 109. of nutrose as they stated, rather than the 5g. whioh Calmette says are required. 3. Instead of using NaOH, 5ee. of e. 28% Sodium Carbonate 4. solution were employed. The nutrose, sodium ohloride, and sodium carbonate glyderol, agar solution were added to the water and. boiled for about ten minutes. 5. They were then filtered through cotton and tubed. 6. The medium 'was now autoclaved l~ pressure, twenty minutes at slanted and allowed to 0001. 48. 18 -_TABLE .... _-- strain Tube No. Dl u1898" Date of Inooulations- Type of Stopper ootton plug-no p* Date of first Appearanoe of Growth Approximate date of Presenoe of Considerable Gr'mrlh :Mar. 4 May 5 Feb. 5, 1930 AJ2pearanoe of Growth small,flat,separate n u II D2 o.P-l hole Mar. 7 Apr. 4 D3 P";2 Hole Mar. 7 Apr. 21 small, pale, white Mar. ! Apr. 14 thin, flat, spreading growth-in middle is moust,heaped-up, pinkish growth D4 strain II " n Date of InoQulations- S1890 S1 P-l hole 82 " 83 P-2 hollJ 84 II tt It " 11 II Feb. 14 n II Feb. 24 11 *Parnffin Apr. 2 It t" distinct,knob-like vvrinkled 11 Apr. 15 tt Feb. 5" 1930 tt II " II knob-like,heaped-up " " n n TABLE L7 ------- strain Tube No. Zl 115411 Date of Inoculations- Date of first Appearance of Growth Type of stopper cotton plug-no P* u ~ " Approximate date of' Presence of Considerable Growth Mar. Feb. 7 11 1 It n n It Jan. 31, 1930 Appearance of Growhh orange-yelloY; , spreading,wrink1ed II It Z3 P-l hole u It " " Z4 n n It " It n It Z5 " 2 " It It 11 U It It Z6 It n It It n " " n " strain 110024" Date of Inocu1ations- Gl P*-2 hole G2 11 .03 11 no grovvth June 2 tt eot~onn plug-no P *Paraffin 11 11 It 11 U II II 11 Feb. 5, 1930 50. TABLE 18 ------- strain ItTrc:.l.Un 271" Tube No. Type of stopper Tl 1>*-2 hole T2 It T3 cot-con plug-no p* strain 1 It Date of "first AppearArlee of Growth Approximate date of Presence of Considerable Growth Mar. 7 Liar. 7 BS n n n-! n Mar. 14 of Grovnh slight increase inoculation Date of Inoeulations- 1>*-2 hole Jan. 31, 1930 Appearance no gro'\irth June" 2 nEen B1 3m& Date of Inoculations- 11 u " "" of .. Jan. 31, 1930 Apr. 30 s-ma11,separate,f1at, " n It Apr. 15 sma11,moist,heaped-up hole n II Apr. 21 sma11,heaped~up Mar. 21 contaminated Mar. 21 1. sma11,i'lat, separate 2. heaped-uPJY~inkled BI n B6 cotton plug-no p* II * Paraffin n 7 Mar. 14 by mold 51. TABLE 19 strain Tube No. HI Date of Inoculations- "H37" Date of first Appearance of Gro'\'rth Type of stopper cotton plug-no p* II It H2 H3 P-l hole H4 It II tI H5 It 2 .. .HB n Z H7 It Approximate date of Presence of Considerable Growth Jan. 31, 1930 Appearance of Gro~~h Feb. 14 Mar. 21 Mar. 7 Apr. 2 II II Feb. 24 Mar. 21 tI it distinct,~Tinkled It It U II II 11 11 II tt tt tt n tt It 1 n It n n n H8 It tt II n It It tI II It H9 It It II It U It 11 It It *Paraff'in II tI slightly ,~inkled button-likeJ~Tinkled heaped-uPJ~Tinkled, spreading 52. Experiment 5 potato Extract Glycerol Agar. Media oontaining oultivation potato. or potato extracts used for the- of the tubercle bacillus are perhaps as well lcnovrn and for some purposes more useful than glycerol agar. the better knmm media in which potato plays an important part are those o£ Petragnani and o£ Petro££. Calmette and Guerin are using bile potato medium in the production avirulent ~vo of types of tubercle baoilli. Negre (1921) cla~ that bile-treated Calmette~ of supposedly Boquet and bacilli have been so mod- ified, that if replanted upon ordinary potato-glycerin-broth, they assume the normal appearance of tu?ercle bacilli, but never regain virulence incapable and remain of producing tubercles. In studying the nature of the gro\vth-promoting principle in the potato, Uyei came to.the conclusion maltose and dextrose that inositol (present in the potato) are metabolic sti- ) lnulants, stimulating the growth of tubercle bacilli only when these are present in large numbers, whilst soluble starch and dextrinJ~but stimulants, not glycogen are reproduction effect- ive when tubercle bacilli are present in any numbers. Corper and Uyei (1929) ~uggest that uhenever sired to take advantage potato inoorporated of the gro~~h-promoting it is de- properties of in a sol;d medium similar to an agar medium for growing pure transplants following of tubercle bacilli, that tl~ simple medium be considered. Mashed autoclaved Glycerol Agar-Agar Distilled HZ 0 Ar.loing and Dufourt potri.to found (abstr., A.H.T.)'ftthat tubercle baci lli from homogeneous human liquid cultures grown o~ pot- ato jelly assumed in twenty days remarkable filamentous shapes. At times these filaments were 15 or 20 times a~ long as normal bacilli, while again they formed a much subdivided mycelium. These filaments were only slightly acid-fast the gram stain well. lara ~ben transplanted Occasionally and did not take they appeared very granu- to the usual media they again assumed I,. normal shape and staining properties." EXPERIMENTAL Inoculations tubercle bacillus, were made, using all seven strains of the onto Medium E. Table 20 gives the results obtained. It is evident that about six to ten weeks were required before gro\vth occurred. Only UG624" did not present signs of growth at the end of ten ;veeks. MEDIUM E potato :1uice Agar 1. Five hundred grams of potatoes~ 30 minutes at l~ unpared. autoclaved previously pressure, were sliced into small pieces To this was added five hundred co. of distilled 'water. The mixture was shaken intermittently Then 500 00. for one hour. of water were again added, the mixture filtered, and made up to 1000 oc~ 2. To the above filtrate were added:Glyoerol 20g. Diroo Baoto Nutrient Agar The mixture was now thoroughly 109. dispersed with the aid of heat and fn tered through cotton. 3. It was then tubed, autoolaved thirty minutes at 15/1:pressure, slanted, and oooled. 4. The pH of the medium while hot (after autoolaving) was 6.2. 55. TABLE ZO ----Date of Inooulations-Feb. Type of s~opper Tube No~ :&21 6, 1930. Appearanoe .of growth .P* - 1 hole slight gr owth after 10 weeks. HZl It n n n tI It 6 II BZl It It n II It n It II n It tt large growth over sur.face and siders in 8 days. n tt II no grmvth in 10 weeks II U n n n tt Z21 021 DZl 621 slight growth a:rter S weeks. II *Paraffin II .. II It 56. EXPER D/lEN:r Glyoerinated Glyoerinated potato medium (suoh as the addition or Potato and its various modifioations dyestuffs) means we have for the cultivation is perhaps in some respects constitute some of the best of the tubercle bacillus. growth. potato for inoculation Also in using cultures purposes the grorTth can be scraped quite readily from the surface of the potato since An interesting obser- the latter presents a firm foundation. vation of Arloing and Malaitre baoilli is that colonies of tuberole (human, bovine, avian and fish) on potato media do not penetrate the interior of the media. Between the surface of the potato and the inner surface of the colonies there is a nebulous zone, ~here there are no bacilli and whioh is ent- irely blue-staining. The bacilli assume a frankly acid-fast aspect only in the most superficial layer of the oolonies • .'Bosson and Bnudy used glycerinated tubercle bacuilli After preliminary potato in isolating from sputum with v~ry satisfaotory treatment with 6% sulphu~ic of saliva were so~n on t~ycerinated ed oarefully It superior to potato extract glycerol agar in the matte:r;-of promoting on glycerinated g results. acid particles potato, and bouillon add- 57. EXPERIMENTAL Inoculations were ronde, ~sing all seven strains of tuberole bacillus, onto medium F.(Glycerinated The cultures with the exception satisfactory Pota~o). All of GS24 (See 1Rble 21) ~va grov~h on this medium; initiation of gro~~h in occurring~about three to five weeks. MEDIUM F Glycerinated potato (A. D. Fawlmvsky-Ann. de l'Inst. past. 1888, 2, P.302) 1. Semi-cylindrical seotions are cut out of large tubes by means o£ a punch. After the skin is removed :fromthe ends eaoh pieoe should be 5 to 6 cm. long and have a diameter oorresponding to that of the tubes. 2. The £reshly cut seotions should be quiok1y ~ersed in a dish containing a one percent solution of sodium oarbonate, where they are left to soak for one or two hours, then dried on a cloth and a single pieoe put in each test tube. 3. The test tubes should be oonstriotedat the junotion of the middle and lower thirds. These tubes should have been previously filled with broth, or 5% glyoerinated" physiological salt solution up to the constriotion level. 4 The tubes are plugged with ootton and sterilized once in the autoo olave for 30 minutes at 120 C. They are then sealed with steril- ized rubber caps to prevent evaporation. 59. Our Modification (Medium F .. ) 1. Whole potatoes were autoc1aved thirty minutes at fifteen pounds pressure. They were then cored into the form of oy1inders with the aid of a cork borer. From these cylinders slants were cut and distributed singly to test tubes. 2. To each tube a s.ma1l~ount of solution (containing 8.5g. of NaCl and 40g. glycerol in 1000 cc. water) vms added. 3. The tubes were autoclaved for thirty minutes at 15/1=pressure and cooled. Medium F.l To each of four of the above tubes four drops of .015% crystal violet were added. 60. TABLE 21 ------- Date of Inooulation-Feb. 5, 1930 No. Type of stopper Date of first Appearance of growth T22 P*--1 hole .Mar. 14 slight grovrth slight grovfth Tube - Approximate date of Presenoe of Considerable grOl'rth Appearanoe of growth B22 II II Feb.25 Apr. 11 flat, white Z22 II tl Feb. 10 Feb. 25 large spreading" orange , ye1lovl H22 n II Feb. 22 G22 " " no ,growth slight growth D22 .. u Feb. 25 Mar. 14 slight gro'Vrth 822 n J! Feb. 14 Apr. 4 slight grolvth 61. EXPEl{DJEN T 7 Gentian~violet potato -Juice The medium used in this experiment that of experimen~ gentian violet. is very similar to 5 with the exception that the latter lacks Since t4e cultures in both experiment 5 and 7 were inoculated on the same day it is possible to get some idea of the effect of the gen~ian violet on the growth of the organism. The use of dyes in preparing media to be specifically used for cultivating tubercle bacillus is chiefly for the pur- pose of isolating the latter fram contaminated materials, such as sputa, etc. Several dyes have found "a prominent place in work dealing with the above aspect of the subject. malachite Among these are green, gentian violet and crystal violet. the dyes used, if insufficient Nearly all concentration, are also capable of inhibiting the gro\vth of the tubercle bacillus, and therefore should be used with care. that crystalviolet Corper and Uyei (1929) recently found when incorporated in a medium of mashed potato and agar exerted a deleteriuos .effect on the growth of the tubercle bacilli. EXPER IMENTAL Inoculations were made, using all seven strains of the tubercle bacillus, onto medium ;" (Gentian-Violet-Potato-Juice Agar.) From a comparison of Table 22 with Table 20 it becomes apparant that gentian violet did not exert any very marked influence for againi~t the grov~h of the various strains. This satisfactory result may perhaps be due to a more uniform distribution of the dye than occurs in the case of potato slants impregnated with the dye. 63. :MEDIUM Gentian-Violet-potato-Juice 1. G Agar Five hundred grams of whole potatoes were broken into pieces about .one inch in diameter, with the skin included. 2. The potato pieces were shaken intermittently forty-five for minutes with 500cc. of physiological normal saline. The mixture was then filtered through towelling. 3. The filtrate VIas made up to 1000 cc. with distilled water. To this was added 23 g. Bacto Nutrient Agar and the mixture was brought to a boil. 4. To this were added 25 g. glycerol and 20 cc. of .0015% crystal (gentian) violet solution in 1" sodium carbonate solution. 5. 6. The boiling mixture was £il tered and tubed. autoclaving for thirty minutes at l~ (determined color~netrically After pressure, the pH, with brom thymol blue) vms 6.4. The tubes were than slanted and cooled. 64. TABLE 22 ----- Date of Inoculations--Feb. Tube No. Type of stopper Da.te of first Appearance of grovrth Approximate date of presence of' Considerable growth 6, 1930 Appearance of growth P*--1 hole no growth B23 11 11 .w.a.r. 7 Apr. 11 distinct, heaped up ""Tinkled. Z23 tt tI Feb • 14 Mar. 21 inkled hea.ped up, v.,rr .. It Feb. 19 11 II no gr017th D23 II It :Mar. 14 823 It " Feb. 25 T23 H23 G23 slight growth Apr. 11 heaped up, Yw-rinkled. 65. EXPEHD,1ENT 8 Potato-egg glycerol Medium Since potato media and egg media are so beneficial 'for the growth of the tubercle an attempt was made in this experiment deterime tne possibility of accentuating b the usual qualities each by comp.ning the princip~:,lingredients to of in one simple medium. This attempt was somewhat along the'lines of Petragnani's medium Bhich contains potato and egg as well as other substances but is rather different to prpare. (See Exp. 11). EXPEl{ DilEN TAL Inocul~~ions were'made in petri dishes prepared as described under Medium H. Uncontaminated tian-violet grov~h occurred only in the case of H37. did not~appear Gen- to inhibit the growth of this strain. The colonies were nutlerOUB and located mostly on the portion of the then. layer of corgu1ated egg Y;hieh overlay. the slice of potato. Growth was visible in about 12 days which is rather unusual when considered in the light of the length of time necessary in the case of other media on 'which H37 was inoculated. for growth 66. :MEDIUM 1. Three eggs were c1e~ed, H opened carefully, and the yolks separated from the whites. 2. The yolks and the whites were then placed in separate beakers containing 200cc. of 3% glycerol soln and stirred. 3. potatoes were then pared and sliced in in slices. slice was placed in a clean and sterile dish. A slice Over the potato slice was poured about 10cc. o~ egg yolk glycerol soln. 4. Sterilization was obtained by autoc1aving for 20 min. at l~ pressure. Medium H. (Our Modification.) 1. Eq.ta1 volumes of egg yolk glycerol soln. and egg white glycerol soln.were mixed thoroughly. 2.' Gentian-violet proportion 3. is added in sufficient amount to make a final of ,1:10,000. Continue as in (3) Medium H. 67. _ ..... _---TABLE 23 Da.te of Inoculation Petri dish . l.No. Type of stopper Date of .first Appearance of growth Approxima te date of Presenoe of Considerable Appearance growth May 15 H415 May 10 D415 no groyfth by June 4 8416 D416 May 10 contaminated May 15 of gr ovrth numerous, soattered, knoblike, v~inkled colonies. Glyoerol-gentian-vio1et-potato-egg-Medium H416 Apr. 29," 1930 H. scattered, ~Tinkled, up colonies •. heaped 68•. Exper iment 9 Experiments with Tissue Media Sinoe the natural habitat of t he tubercle bacillus body it can be readily seen that attempts is in the at cultivation of the organism should include media whioh simulate to a certain extent at least, the environment media containing in the body, such as animal tissues or tissue extracts. Kavlalski (1890), for example, found that a medium whioh contaned lung infusion, gelatin, egg white, as well as added salts would favor the "grav~h of the tubercle baoillus as 'well as otherndelicatell organisms. Ficker (1900) utilized brain tissue and brain infusion since his attempts at cultivation udder" with the use of lung, testiole, spleen, liver, pancreas, kidney and other organ tissues indicated the superiority of theurain as a nutritive medium. Similar:' results were obtained fram the brain tissues of horses, sheep, calves, cows, and humans. In their interesting study , A. Lumiere and L. Lumiere (1906) were able to obtain very rapid growth on pieces .of liver or spleen whioh after cooking for forty minutes and soaking in 6% glyoerol water were cut in pieces and sterilized were oorrobora~ed and elaborated in tubes at 120°0. upon by deVecchi Their results (1906) who found that other organs than liver and spleen were suitable for oultivation, but in varying degree. His best growths oocurred"on lung, 69. kidney and spleen, less favorable results with brain, liver, or, thymus, while poor cultures were obtained through the use of heart, pancreas, lymph, gland, or'muscle. Human organs were equ- ally good when compared with cattle organs, while cannine organs yielded even better gro\vth. Gioelli (1907) reported four days, no.matter. whether the bacilli were fram culture or tissue pulp, if the medium consisted of pieces of human placenta placed in S% glyoerin broth and sterilized von Szaboky (1907) cla~ed glycerin agar oontaining used, providing A medium grornhof gror~h after in plates or tubes. in one day if that oolonies developed lung infusion, peptone and gluoose were the reaction was between 0.5% alkaline-0.5% similar to the above, but oontaining B. tuberculosis acid. 16% sputum, enabled to be seen in ~vo days. Siebert (1909) making use of a horse meat infusion together with peptone and glyoerin, also reported favorable results. Frugoni (1910) rec- ommended the use of fresh rabbit lung or other tissue which after soaking for one hour in 6% glyoerine-in-physiologioal ution, was moistened Following by S% glyoerL~e bouillon teria including B. tuberculosis by Berkefeld filtration tivate complement. aotively and sterilized. the idea proposed by Gioelli, Wellmann cessfu1 in growing strictly parasitio (1912) was suo- or feebly saprophytio on a placenta infusion, and heating to 40-4100. porter(1917) saline sol- who determined of. organ extracts on tuberoulosis, bao- sterilL~ed for 2 d. to inacthe bacteriolytio found a oonsistent 70. relationship Aocordingly be~veen lipolytio aotively and tuberoulolytio pancreas extract exerted the most potent bactericidal. effeot, while the least effective was lung extraot. and lymphatic glands were strongly baoterioidal. such as brain# thyroid, pituitary pcw/er. spleen,- suprarenals, glands were bactericidal other organs bone marrovi, and to a lesser degree. skin extract whioh was fatty and cloudy in appearanoe exoeptionally rich in esterases which oontained than B. tuberoulosis. an unusually One human as well as proved to be extremely baoterioidal. Other aoid-fast baoilli were also baoteriolyzed although less susoeptible Liver, thymus by the above extraots Pig's lung extraot large amount of olein lipase and which had no effeot on tubercle baoilli, destroyed these other aoid-fast baoilli. More recently, Moureau and Gruvel (1926) obtained good grolvth with extracts of lungs, spleen and liver, prepared by treatment the tissues with glycerine-saline. of Liver juioe extraot prepared in this way gave growth which was slower and less abundant than that obtained through the use of lungs and spleen. (The reason for this may be seen fram the above) It was concluded, costly and somewhat complicated great advantage hewlever, that such media did not seem to present any over the media ordinarily used. 71. Exper irnent 9 In order to determine the suitability of tissue preparations and tissue extracts for the growth of the tUbercle bacillus the following experiment was performed. A bovine strain (1698) and a htunan strain Inocula tions were made fr om act ive growing cul tur es (H37) were used. of the organisms into tubes containing of tissue prepared as described inoculations was May 111 1930. were used-no paraffin. media employed, of reference the tussue extract or the pieces in the section on media. The date To stopper the tubes only cotton plugs The results obtained were uniform i.e., no growth was visible for all the in 15 weeks. For purposes the media used and. the tubes inooulated are given below: Table 24. a. or Liver tiswe H450 H45l D450 D451 b. Lung tissue H452 H453 D452 D453 o. Heart Musole tissue H454 H455 D454 D455 d. Spleen tissue H456 H457 D456 D457 e. Veal infusion H458 H459 D458 D459 f. Lung extraot broth H460 H461 D460 D461 g. Spleen Extract Broth H462 H463 D462 D463 h. H464 H465 D464 D465 Heart musole extract broth These results, while apparently of previous workers, contradicting the results may be explained on the basis tha.t the part- icular tissues used were unfavorable, although lung tissue and lung extracts have been used before with positive results. 73. l!EDIUM I. Tissue Media ( Lumierel A. & Lmniere, L. --0. R. de Soc. de-BioI. 1906, 60" p.568) 1. Pieoes of liver or spleen from ox or calf are oooked for forty minutes in an autoclave. 2., They are then cut up into square prisms, washed with distilled vre.ter,and immersed for one hour in 6% Glycerol water. 3. They are finally tubed in potato tubes and sterilized 15 min. o at 120 c. Our Modifioation (Medium I~ 1. Fresh heart, spleen, liver, and lung (of oalf) were used. 2. After autoolaving and 1l1,"ashing, the prisms 'which had been cut were immersed in 6% glycerol solution and kept for six days in the refrigerator. 3. To each tuba oontaining the tissue prism was added a small volume of the glyoerol solution in which they had been soaked. 4. Autoclaving was at l7:/f: pressure for 15 minutes. 74. Tissue Extracts 1. (Our Modification) The watery extraots obtained above by boiling the tissues with water for 40 minutes were placed in the refrigerator were then tubed separatelYJ Were autoclaved in the autoclave for 6 days. They 10ce. to each tube, and for 15 minutes at 15f/: pressure. They were then ready to be inoculated. 75. Exper iment 10. MEDIUM OF BESREDKA AND JUPILLE One of t he most interesting tubercle bacillus of the media for the cultivation is that of Bearedka and Jupille (1913). In this medium" as Calmette notes, grolvth appears deep in t he medium rather than at the surfaoe only. very definite Certain strains of tubercle bacillus shaw signs of grmvth within the first few days after planting. Bronfenbrenner (1917) in his work on complement losia found this medium to be excellent fixati on in tubercu- for the cultivation of organ- isms to be used for antigen. EXPERD.iENTAL To determine the value oft his medium tubercle bacillus containing inoculations for the cultivation were made in triplicate of tlB into tubes fifteen cc. each, using one human (H37) and one bovine (1698) strain. being considered The tubes were sealed TIith ootton plugs only paraffin unnecessary. No grolvth was visible o ation at 37 C. The relevant data will be found below. in any tube, even after fifteen ~eeks of incub- Table 25 strain Tubes. H37 H470 H471 H472 D470 1698 D47J. D472 76. MEDIUM J Bearedka's Medium (J.J.Bronfenbrenner, J.Lab. & Clin. Med. 1917, v, 3) 1. Each, white and yolk of egg are diluted with ten volumes of water and filtered through a hard paper (Chardin used by author). 2. The yolk solution is carefully clarified by the gradual addition of NaOH. Both solutions are auto- claved and kept separate. 3. Just before using, one mixes ten volumes of the sterile veal infusion (prepared without peptone, salt, or glycerol) with two volumes of the sterile egg white solution and one volume of the clarified egg yolk solution. 4. The mixture is placed in sterile tubes and used without further sterilization. 5. As this medium deteriorates on standing it should be made fresh eadh time. 6. Cettain strains of the tubercle bacillus show very definite gravf~hwithin the first fmv days after planting. 77. our 1. Modification (Medium J,) Instead of using hard Chardin filters we used the ordinary fluted filters used for biochemical work. 2. Both of the egg solutions~ after autoolaving, were kept separately in the refrigerator for ~vo weeks. 3. The steri1e veal infusion was prepared by placing in the icebox the following:1000cc. of distilled water to which was added one pound of finely-cut veal. After infusing for seventy-two hours, the fla.skcontaining the material was heated in a water-bath at 450 for one hour, then heated in an autoolave(door open) with streaming steam for 30 minutes. It vms then strained through clean towelling and placed in the refrigerator for four days. 4. ~ust before using~ two volumes of the sterile egg white solution were mixed with one co. of sterile egg yolk 8) lution and to this was added ten co. of veal infusion(sterilized an hour before for 25 minutes in the autoclave at l~ pressure) The above amounts were put in each of six tubes ~ which were then refrigerated for twenty-four hours before using. 78. Experiment Petraganils The medium of'Petragnani larly among European 11. Medium has found consider.able use, particu- investigators. This medium (petragnani, 1926) which contains not only glycerol and eggs but also grated potato and potato meal, is further distinguished green which is supposed to diminish micro-organisms. by the use of malachite over-growth Prongia (1927) has studied the effect of malachite green on pure cultures of tubercle bacilli; dye in concentrations organism, although development by contaminating of 0.05-0.3% gTOlvth of molds. than this it inhibits the The malachite Sonnenschein of the seems to favor the grov~h of the in higher concentration of many strains. the presence green also prevents (1928) advocates the the use of Petragn- 1 anls medium for the isolation of tubercle bacilli from milk. (1930) has found that Petragnan1s green is practically medium, Bang even without malachite equal to Lubenaus medium and far superior to that of Sweany and Evanoff. Malkam (1930) could find little dif- ference in the relative values of the Petroff and Petragnani for isolation of the tubercle bacilli. Blecl~an methods (1927) on the other hand concluded from his study of these two media that the medium of Petragnani was to be preferred, it yielding more numerous positive results and these appearing more' quickly. Lichtenstein(1928) of Petragnani, in a preliminary In confirmation oomparative Petroff, 'Dorset, Lubenau, of this .study using the media and Hahn found that . ~. Petroff's medium was of little or no value, while that of Petragnani vms distinctly Experimental: Buperio~ to the others. Four tubes each of petragnanis with H37 (human strain) and 1698 inoculation medium were inoculated (bovine strain) respectively. at 3700. the tubes were examined After from time to time for signs of grov~h. It will be seen from Table 26 that only one tube each of the ~vo strains, showed signs of grov~h. ensive. Even here the growth was not very ext- ~vo things are worth noticing in the above experiment. First, gro,vth occurred using both human and bovine strains of bacilli, which would tend to conform with the reQommendations of Sonnenschein (1928) since the tubercle bacilli found in milk are llltely to be of bovine origin. With Petroff's medium and that of Corper and Uyei no growth occurred with bovine strains although these results are not oonclu- sive since the number of tubes inoculated was small and the human strains themselves occurred showed poor growth. in any of the tubes oontaining Second, no contamination media which had inhibitory dyes, while tubes ,of other similar media which did not have inhibitory dyes added, were all to frequently oontaminated and even li- quified. The results obtained here are not as clear cut as they might be. Subsequent investigation by one of us has shovm that Petragnani's is exoellent for the isolation-and oultivation medium of tuberole baoulli 80. from sputum" being equal to the medium of Corper and Uyei whi!l.e a superior to the medium of Petroff. 81. Medium K. Medium of Petragnani (Lichtenstein~ o. --Centre f. Bakt. v.108 p.239) 1. Mix 150 cc. of milk, 6 grams of potato meal, and a piece of potato the size of an eff, chop~ed fine. 2. Place in a boiling waterbath and shake for ten minutes, then let stand in the vmter bath for one hour. o 50 c. and Cool to add four whole eggs, one egg yolk, 12 cc.of g~ycero1~ and 10 cc. of 2% malachite green solution. 3. Shake vigorously and filter through gauze. 4. Tube and sterilize at 80 C. for t1ventyminutes on three o consecutive days. Our Modifiea tion(Medium K) 1. We used 200 ec. of milk instead 150 ee. 2. We did not add the extra egg yolk oalled for in the directions. 3. Vie inspissated at 80 O. for one hour on three consecutive days, rather than for ~venty minutes. 82. TABLE 26 Petragnani's Medium Date of Inoculations-May Tube No. Type of' stopper Date of first Appearance of Grmv-th H P----2Hole no H412 It n 411 H4l3 H414 D411 D412 D413 D414 II 11 It Approzimate Date of Presence of Considerable Growth gro'wth " by It 11, 1930 Appearanoe of Groyrth 4 June It at May 15 slight growth " It no growth by II It n n .. n It It II no n II 11 June 4 II :May 15 slight growth growih .. by " June II 4 Experiment 12. Petroff's Medium (Gentian violet-egg Since the publication infUsion medium) by Petroff in 1915 of his method for the isolation of tubercle bacilli from sputum, the medium which bears his name has been used rather widely, particularly to its interesting composition, in this country. Due other workers have made studies of the medium and have sUbsquently used it with their crrm modifications. One of the first to publish on Petroff's method WuS Keilty (1915) who found the medium to be of value. Burdick(1916) The studies of Williams and seemed to them at least to underate of using dilute solutions of egg yolk-and orating agar. satisfactory egg white and of incorp- Corper, Fiala, and Kollen fusion vms not absolutely the desirability (1918) found that veal in- essential to the medium and that equally results Were obtained by the substitution of beef extract, peptone, and sodium chloride in place of the veal infusion. Limousin (1921) used half the quantities advocated by Petroff" for preparing the veal infusion; he also insisted on the necessity for absolutely aseptio precautions used half of the quantities throughout. recommended Despeignes (1922) also by Petroff and sterilized the beef infusion by heating 8 days at 55-570 for one hour eaoh day. Bleohman tests using the medium of Petragnani (1927) in a series of comparative as well as that of Petroff, found the medium of Petragnani to be more favorable to the gno~~h and a gre~ter number of positive 84. results. Corper and Uyei{1928--l929) during the studies on their new medium, also conducted a comparative study on using Petroff's medium. They found that their method of isolation using H2SO4 was superior to the NaOH method, that their medium was more satisfactory than Pet~ roff's and that the medium of Petroff actually exercised hibitory it unEit for contin- effect on tubercle bacilli, rendering ued cultivation of the o~ganizm. Mal kani (1929) however nslight in- in a comp- arative study involving the methods of Corper and Petroff frond that the differenoe in resulocs depended on the reagent used for isolation. iiith the use of NaOH, Petroff's medium yielded slightly better results than that of Corper while the use of H2S0~ was advantageous Corper's medium. The fact that occasionally colonies appeared for on Pet- roff's medium using the NaDH method, while under the swme conditions no colonies were to be found in Corper's medium and vice versa, this author explained on the basis of S ~nd RU strains, suying that one strain fav- ored the alkaline condi -cions while the other did not. the same author (Malkani 1930) after comparing (using Luuenaus medium) Petragnani great difference La ter, hovveverI the methods of Hohn and Petroff, found that there was no in the values of the three methods used. EXPERIMEN TAL: Inoculations bacilli, in duplicate, ~vo bovine and medium and incubated at 370• ~~O using four different strains of tubercle human, were made onto slants of Petroff's They were observed from time to time for 85. evidences of groy~h. It will be seen from Table 27 that Petroff's medium did not prove especially favorable to the gro\vth of the tubercle bacillus. Three strains failed to show any grovrth at all after six 'lleeksl while the inoculations time. made with H37 showed o~ly slight growth at this It seems quite li::ely that the gen cian violet which is used to inhibit sporerforming deleterious constituents possible contaminants exercises a somev-;hat effect on the tubercle bacilli as well since the other of the medium are knovin to be extremely the gro\Tth of this organism. favorable to 86. MEDIUM L Petroff IS !ldedium (Petroff, S. A. - J. Exper. ~ed. 1915, 21, p.38) 1. An infusion is prepared from 500g. of beef or veal in 500 cc. of water oontaning 15% glycerol. The meat is left for 24 hours in a cool place to macerate, after which it is squeezed in a sterile press and the infusion oollected in a sterile beaker. 2. The shells of several clean eggs are sterilized by a ten minute immersion in 70% alcohol. They are broken in a sterile beaker, the yolks and whites well mixed by shaking and filtered in a funnel through sterile gauze. 3. A one percent alcoholic solution of gentian violet is prepared. 4. For use, add one part of meat juice to tviO parts of egg mixture by volume. proportion Add the gentian violet solution to make a final of 1;10,000. tUbe and inspissate Mix the three ingredients well, and in an inolined position for three quarters of an hour on three successive days. 87. Note:Calmette and egg mixture in his book recommends the use of meat infusion in the ratio of part for part. He also believes o slants should be kept ~t 85 C o hardened, but should be at 75 C. for one hour only that on the first day the inspissated until completely on each of the two days. The gentian violet may also be added to the meat extract before mixing with the eggs, in the ratio of 1 cc. of 1% alcoholic extract of gentian violet to each 100 cc. of extract. our 1. Modification ( Medium L) o The meat vms infused in the 25 F. eleotrio refrigerator for 72 hours. 2. We used meat extraot and egg mixture in the proportion part meat juice to 2 parts egg mixture. 3. The tubes 'Were inspissated a's follows:- o 1st day---2 hours at 90 C o 2nd "----1 hour at 82 C o 3rd It l hour at 82 c. of one 88. TABLE 27 Petroffls ""edium (Gentian-Violet Egg) Date of lnoculation-Apri1 29, 1930 Type of stopper Tube No. - H406 H407 1'*----2 hole n It .. T405 T406 S404 6 Date of first Appearance of Gromh Approximate Date of Presenoe of Considerable Grmvth slight grow'th May 15 n " " " no growth by June 4 II II n " " II 11 II II U It " " u " II n It II n It It " II " II at n II n 405 D404 D405 U II n • Para£fin " Appearance of Grovrth. .. II 89. EXPERIMENT 13 Medium of Corper and U,ei in 1927 appe~red the first published reports on the new medium of Co~perand Uyei. These authors having found the medium of Petroff unsat- isfactory and having noted the value of potato media for cultivation of tubercle bacilli as reported by earlier workers, decided to incorporate the advantages of the tv/O. The choice vms a happy one. The experL~entresults al~which they obtained led them to the conclusion that their medium was considerably superior to that of Petroff and that the use of sulphuric acid for the preliminary treatment in destroying contaminants was to be preferred to Petroffls sodium hydroxide method. Malkani (1929and 1930) found that the superiority claimed for the new medium '\'w'nS not so g,Teat; also, that the reagent used to treat the sputum was of signi~icance determining the presence or absence of grov~h on cultures. in Corper's claims that the new method ~~s superior to the older methods of diagnosis such as guinea pug inoculation and the examination of stained smears, were borne out to some extent by the results of Cunningham and Cummings (1930). These investigators found that the culture method ~us at least the equal of the smear examination positives obtained. They found furthermore, in total number of that a n~~ber of positives were obtained on culture which were negative on the examination smears. They concluded that conatmination of of cultures was avoided, the method of diagnosis by culture was.:a valuable aid and should be used in laboratories. 90. EXPERIMENTAL Three tubes of Corper-Uyei medium wene inoculated with H37, two tubes with Be and S1800 respectively, and after being incubated at 370 were observed from time to time for signs of gro~~h. It will be seen fram the table which follows (Table 28) that the Oc two strains Be and 81800 failed to show any grovrth 'Whatsoever on this medium~ ~ven after six weeks. One of the tubes inomulated with HZ? showed slight grol7th in three weeks, which did not increase very greatly in size however, even after six weeks. Her~, too, then apparently to restrain the gentian violet" present the gro~~h of laboratory is sufficient cultures of the tubercle bacillus. 91. MEDIUM M Corper's Medium (Oorper & Uyei~-J. Lab. & Olin. Med. 1928, 13IP.476) 1. Large olean potatoes free from surface defeots are OU"I:; into cylinders about three inohes in length and five inohes in diameterl using far this purpose a cork borer. They are then halved longitudinally. 2. As soon as they are cut these potato cylinders are soaked in one peroent sodium carbonate solution containing freshly added gentian violet in concentration 3. of 0.003%. After soaking from one to ~vo hours, they are gently Wiped with a clean towel to free them from excess of fluid and are then introduoed into a sterile culture tube (6~)' oontaining 1~ cc. of 5% glyoerol bouillon. 4. They are plugged with ootton and then sterilized clave at 1~ in an auto- pressure for at least thirty minutes, after which they are ready for use. 92. our 1. Modi.f'ication (Medium M) lVe placed in each tube to which the potato slant had been added 1 cc. of a 6% aqueous solution of glycerol. 2. We halved the potato cylinders diagonally, giving us two slants from each cylinder. 3. We soaked the slants in the gentian violet solution for thirty minutes instead of two hours. 93. TABLE 28 CorporIs ~edium (Cr~stal-Violet potato glycerol water) Date of Inooulations-April 29,1930 Date of first Appearanoe of Grovrth Tube No. Type of stopper 1I.408 1>*--2 110le - Approximate date of presenoe of Considerable Gro'wth May 15 slight grolvth Q Q no growth by June 4 11 It n 11 II II n n n It u " It n Q n II n 8408 II It n It II .11 8409 It II n II n n H 409 H4l0 B408 ~409 *Paraffin II Appearanoe of'Growth EXPERDEENT 14 Dorset's Medium The use of slants made of coagulated whole eggs for the cultivation of the tubercle bacillus has been thoroughly of the original paper by M. torset transplanting being recommended in many laboratories, particularly in mos~ of the standard texts. in Europe as well. salt solution to bejadded The medium which is made and has been adopted with minor Abel(19l2) to the eggs. recmmnends (1916) adds 6.0 cc. of water containing Lubenau (1907) has modified of glycerol bouillon. physiological Bro"n and Smit4 (1910) use 24% distilled water rather than the 10% recowmended volume). in this country, whole eggs to which a small volume of distilled water is added, is simple, easily prepared, modifications The use of such a medium for stock cultures of tubercle bacilli is very satisfactory and has found wide-uue of well~mixed (1902). tested since the publication by Dorset. Soparka 5% glycerol for each egg (72 cc. the medium through the addition Hohn (1929) claims to have improved upon th~s latter medium through the addition of 2% Haematin The medium has also been utilized (hemoglobin solution). for the isolation and cultivation of tubercle bamilli from tuberculous~ material. Lichtenstein (1928) found it to be super ior to the medfu m of Petroff, but imf?erior to that of Petragnani. satisfactory contamination, Harada (1929) found that Uorset's medium vms quite and vnlen 0.05% malachite green had been added to dimin~sh .it was not inferior" to the Petragnd.ni med:ium. 95. Experimental (a) Dorset's medi~~ ~ without glycer6l. Inoculations were made onto tubes of Dorset1s medium using two human strains (H37 and S1800) and ~'iO bovine strains (T273 and 1698). The cultures were incubated at 3700. It will be seen from Table 29 that this medium did not serve as a favorable medium for the continued tubercle bacillus. Considerable where from mold con~ination, gro~~h of our strains of the trouw~e was experienced but eliminating here, as else- these, it will be seen .that in none of the tubes of each strain \yhich remained uncontaminated was there any growth. (b) Dorset's ~edium ~ 3% glycerol Inoculations were made in duplicate onto tubes of our modification of Dorset's medium containing 3% glycerol, using the strains mentioned above. It is evident from Table 30 that contamination occurred frequently .in this series as well, but the tubes which remanned uncontaminated showed more favorable result~. showed a slight but definite Thus one tube each of both human strains groY~h as denoted by an increase in size, as did 'one tube of the bovine strain 1698. This i~ in partial conform- ity with the findings of many workers who report that the human strain ~ows best on media containing glycerol, while the bovine strain grOYJS better on media lacking glycerola_-.-. Perhaps the single tube containing 96. bovine organisms showed growth which took plaoe in spite of , rather than beoause of, the glycerol. Furthermore this strain has sho~n gro~~h on o5h~~ media containing glycerol, so that it may be regarded as a s~rain of bovine origin which by development on artificial media has become adapted to its environment" to the extent of being able to utilize the glycerol. 97. Dor set •s Egg. Medium ( Dorset, M. -- !mer. Med. 1902, 3, p.555) 1. Hens eggs are carefully scrubbed with a brush in boiled ,vater and then immersed for some minutes in a 5% carbolio acid solution. 2. They are next taken be~~een two sheets of sterile blotting paper, the two ends named and a hole made in each with pointed flamed forceps. 3. By means of a rubber tube containing sterile cotton as a filter, the ex> ntents of,the eggs are blown into a previously weighed sterile Erlenmeyer flask. The egg should be blown from the upper or air chamber end. 4. A quantity of water equal to 10% of the weight of the egg iS,next added to the flask, which is shaken to assure a homogeneous mixture of the yolk and white and the water, care being taken to avoid air bubbles. 6. The whole is then put through sterile heavy,muslin in a funnel and the filtered mass portioned out a aseptically in test tubes. 6. The tubes are coagulated by being put in a thermostat in.an o inclined position, at 70 c. for tv/ohours. 98. o They are then left in the incubator at 37 C. for 3 days in oraer to detect any contamination. sealed and kept in a vertical Our 1. Modification Finally they are position until us~d. (Medium The eggs were thoroughly washed, N) then innnersed in 70% alcohol for 10 minutes. 2. The eggs were broken into a beaker and for each 100 cc. of egg, 20 co. of water was added. The egg and water were then mixed as th<r oughly as possible J the production at the same time avoiding of air bubbles. 3. The mixture was strained through sterile cheesecloth, tubed 4. in 10 cc. portions, and coagulated in a slanted position. o The tubes were kept at 90 C. for 2 hours the first day to bring about coagulation. They were then put in the incubo ator at 37 C. for 24 hours to deteot contamination; the second o day they were heated in an electric oven at 82 C. for 1 hour o and inoubated at 37 C. for 24'hours; on the third day they . 0 were again heated at 82 o 37 c. for 24 hours. c. for 1 hour and then incubated at Glyoerinated Egg Slants (Our Modification) Dorset's egg medium'(modified) was prepared as abovel exoept that for eaoh 100 oerol". 00. of egg volume there was add:; The fi1 tered# tubed mixture was inspissated to bring about sterilization. 00. of gly- as above 100. TABLE 29 Dorset's Medium (no glycerin) Date of Inooulation April 29, 1930 Type of stopper Tube No. Date of first Appearanoe of growth Approximate' date of presenoe of oonsiderable growth 1i.400 1>*-2 hole contaminated n II H40l Ii402 T 400 T401 T402 8400 8401 11 D40l .n no growth by June n tI oontaminated " " " n " n n II at '" D400 It II II n It *Faraffin no growth by June 4 4 oontaminated no grovvth by June 4 contamina-ted no growth by June 4 Appearance of growth 101. TABLE 30 Dor set I s Medium & 3% G1yoer in Date of Inoculation April 29, 1930 Tube No. Type of stopper H403 F*-2ho1e H404 n n It II II It !r405 T403 T404 8402 8403 D402 D n tI II U It tI It *Paraffin .. Approximate date of presence of considera.ble groyrth Appearance of growth contaminated at alight growth May 15 contaminated n " n 403 Date of first appearance of grovrth It :May alight growth 15 contaminated May 15 slight growth 102. Experiment 15 The following experiments, experiment, which is in reality a series of use involves the~of various media which have as a com- mon, base 3% glycerol agar. (See medium Although To this base various substances T ) were added to give a consentration of 1%. the substances vary greatly they are all included here in order to simplify the presentation. 103. MEDIUM 0 Glyoerol Agar plus Additional 1. Substanoes A 3% glyoerol agar medium ... vas prepared by mixing 23.0' g. Baoto Nutrient Agar 8.0 g. NaOl H~O (distilled) 1000.0 ~o. Glyo er 01 2. the following:- 30.0 g. It was then The mixture was brought to a.boil a.nd filtered. tubed, 9 cc. per tube, .and to eaoh tube was added a 10% mixture of various substances added mixture were thoroughly (given below). shaken, and then autoolaved at 1~ pressure for 20 minutes, 3. The mixtures substance were prepared slanted and allowed by weighing shaking the tubes to suspend the materials H2O, and thoroughly in the ~uter. were: '.suspended, 1 00. of suspension from the original tube into the tubes containing This gave a lilOO diluti9n or a to doole out 1 gram of the (see below) and adding 9 co. of the materials The agfr and 1% oonoentration ~ban was pipetted glycerol agar. of the sub- stanoe in the agar. 4.10% suspensions ared,- in water of the following oompounds were prep- 104. a. b. o. d. e. gelatin orcinol vanillin asparagin oreatinine & oreatine f. leucine g. hemoglobin h. oholesterin i. sodium glycerophosphate j. sodium taurooholate k. culcium saocharate 1. atroping sUlphate m. brucine n. casein o. egg albumin p. pepsin q. pancreatin r. glycocoll s. alloxanthin t. oxgall u. sodium sulphindigotate v. sodium benzene sUlphonate Three tubes of each compound were made. 105. Exper iment l5a. This experiment was carried out to determine the effect on the grovnh of the tubercle bacillus of certain amino acids and closely related compounds. Glycine The value of the more common amino acids for cultivation of the tubercle bacillus has been more or less thoroughly investigated by workers since the isolation of the organism. Proskauer ~nd Beck (1894) found that glycine was of distinct value in the growth of the organism a.lthough not as good as a combination amino acids such as leucine and tyrosine. Armand-Delille, of et al (1913) obtained very good grpwth in a synthetic medium containing not only salts, glucose and glycine, but also glycocoll and arginnine. TIherry (1914) found it to be slightly favorable to growth as did Long (1924- 1925~. Kardo (1924-1925) found tha.t _. when amino acids alone formed the only source of'both nitrogen and carbon, the organisms yielded little or no growth. If oalate was used as a second source of carbon, growth took place in media containing glycine, but better with alanin, leucine, or asparGgin, ulthough there wa.s considerable variation different strains employed. in this respect among the It ~ill be seen from Table 31 that good grov~h resulted when glycine was added to the medium. results of previous investigators The are thus borne out 'inthis case. 106. Leucine In their comprehensive study Proskaur and Beck determined that leucine was favorable in promoting the growth of the organism under study. Even better results were obtained when it vms rein- forced by another amino-acid such as alanine or tyrosine. Accord- ing to h~erry (1914) leucine was better than glycine, while superior to both was alanine. Similar results were obtained by Long (1922). Kondo (1925) also reported the superiority of leucine over glycine and tyrosine. EXPERIMENTAL Three tubes of leucine glycerol agar were inoculated with H37 and after the usual sealing procedure were inubated at 3700. After 4 weeks there appeared small isolated pinkish 1~inkled onies, which reached their maximum development results, which indicate that the.leucine favorable to growth, contradict investigators. col- in six weeks. These used was not particularly the results obtained by the other 107. in his bas~l solution when he wished to study carbon so~rces suitKendal1~ Day and Walker able for B. tuberculosis. utilized asparagin, realizing its desira~ility as did Calmette, Massol and Breton(1909) Lowenstein in culture media, and ~~erry (1927) has introduced of the tubercle Be.sancon (1920) reconnnends the use of asparagin, glycerol asparagin ies on the acid-fastness solution. bacillus used a solution containing'asparagin, (1922)~ of the tubercle as did Borrel, de The medium of Long (1925) which has been used in growing cultures for the determination chemical composition growth-promoting admitting as in Goris (1920) in his stud- and chemical composition Coulon, Boez and Quimaud and this compound into an egg ~edium which is used for. the isolation Frouin's (1914). (1913) in his basal solution included asparagi~ more recently Lowenstein bacillus. (1914) also of the of the tubercle bacillus makes use of the qualities of asparagine the value of asparagin, Henley (1930) while attempted to find a substitute for it in the f9rm. of ammonium malate, because of the expense of asparagine EXPERL'.'1EN TAL Inoculations of l~~ asparagin- in triplicate using H~7 were made into tubes 3?; glycerol agar.. After being paraffin,,:,2hole sealed, these tubes' were incubated at 3700. good grolvth 1~S obtained in 4-6 weeks. As sho,v.nin Table 31 The colonies were heaped up and wrinkled and somewhat larger than those in the 3% glycerol 108. agar control tubes. These experiments agin has a somewhat benefioial valuel earlier workers. indicate that the asparconfirming the results of 109. TABLE 31 ------- Compound -- H292 H293 H294 Date of first Appearance of growth Type of stopper Tube No. Date of Inoculations glyc ine 1'* - 2 hole }{iAY 7 Approximate date of Presence of considerable grovtth. May 15 Apr. 11, Appearance 'VYr 1930 of grovrth ink 1 ed, heaped up II " II It It II n II II It U tl Q It II II II It .. II II It Compound--leucine H248 H249 H250 small isolated colonies tt II II II tt It Campound--asparagin H243 H244 H245 n " It " It It It It II It n tl " n " " h9aped up~ wrinkled. 110. Exper iment lSh. Bile and Bile Salts. Several investigators have noted the unusual effect of bile or bile salts on the gro\vth and characteristics bacillus. of the tubercle Calmette and Guerin (1908) using their glycerin-bile po- tato were able to cultivate a strain of tubercle bacillus which was apparently ylactic entirely non-virulent ~unization believed and which has been used ~6~'proph- . under the name that the deminution B.e.G. in virulence L~rson and Montauk vms caused by the bile which lmvered the surface tension and thus increased of the or@anisms rendering them more permeable easily subject to the action of the antibodies the host. the. "we.tting" and therefore more and phagocytes Model (19'9) in his work with capillary-active tances which decreased of the or@anism (1923) of subs- surface tension, could inhibit the growth if the tension were d-iminished below 0.700. order to check these results the following experiments In were prep- ared using whole bile (de,nydrated) and sod~um taurocholate, a' bile salt. EXPER IMENTAL (a) Whole Bile. One percent whole bile bovineiwas added to glycerin agar, three tubes of this medium were inoculated with H37 and incubated at 37 0C. It will be seen in Table 32 that 111. the bile in" ooncentration of 1.100 had a distinot effeot upon the organism, completely not only agrees with the results presumptive evidence gro\vth. of other workers, in favor of Calmette's be used to distinguish baoilli; inhibiting inhibitory ~lis but is also claim that bile may bovine from hiUaan strains of tuberole the basis for this being that human strains will grow in human bile while bovine strains are inhibited; similarly bovine strains oan grow in bovine. (b) Sodium taurocholate. The following results were obtained use of 1% sodium tuarocholate-glyoerin at 3~C. an inhibitory effeot on the tubercle not as prolifio agar, inoculated with H37 . and inoubated through the The sodium tuarooholnte bacillus, had somewhat sinoe growth was as in the oontrol, glycerin-agar, tubes. ition was not oomplete, of Inhib- however and it seems probable that the Bub- stance or substances which enable the differentiation of human and bovine strains to be made in bile media, are not identioal with sodium taurooholate. 112. TABLE 32 ----- Compound-Na No. H258 H259 P*--2 hole n It It II D_a_t_e_o_f_I_n_o_cu_1_a_t_1._" o_n_s_A ...p_r_._1_1 ..... ,_1_9_30 Date of forst Appearance of growth Type of stopper Tube H257 tau_r_o_c_h_o_la_t_e Approximate date of Presence of Considerable growth slight May 15 .. It Compound--Oxga1l II U no growth It II U It n II ~80 11281 H282 It It Appearance of growth It u .. U _ gr oy;th 1l3~ Experiment 15c. Cholesterol The influence of cholesterol bacillus on the gro1vth of the tubercle o features. On the one hand, Sh~pe presents cert,ainintcresting (1928) claimed that cholesterol prolonged the life of guinea pigs in- oculated with yirulent ~uman typ~ tubercle bacilli. Model (1929) 'found that cho1esterin bacillus, vnli~e Lominski On the other hand favored the grov~h of the tubercle. (1930) added lecithin and cholesterin to glyoerin potato to favor the grolvth of the or~nism. Some hmvever. apparently contradictory The value of the cholesterol inea pigs experimentailY terol itselfl L~fected ergosterol to free cholesterol). reconciling the results the life of gu- (from which it is albeing closely con- the animals to maintain More difficult of Model and Lominski. of th~ capillary activity be explained, due not to the choles- Ergosterol nected with vitamin D. may influence health and so resist the disease. in prolonging is probably but to the associated most impossible results"may is the problem of Model determinations i of both l69~hen and cholesterin him that the two have a mutually antagonistic their effect. have sho1vu Lecithin, which lowers the surface tension of the medium due to its capillary activity, inhibits grov~h, cholesterin uble, has no capillary activity which is very nearly insol- and tends to favor growth. If both 114. are present, the cholesterin so favors growth. tends to absorb the lecithin and This antt1.g;onismis also shown in hemolysis. Yilly Lominski should add l€;(}i-then to the potato, therefore, to us, at least, somewhat uncertain. EXPER n.:1ENTAL Three tubes of Glycerin agar to which a 1% cholesterol suspension had been added, were inoculated with H37, sealed with paraffin and incubated. cholesterin It will be seen from Table 33 that the present, slight though its solubility might be, still exercised a very considerable gro.vth of the culture. degree of favorable effect on the This is in accordance with the results of both Mqdel and Lominski. Pancreatin The enz~ne.pancreatin has been reported ature as having a strongly bacterioidal baoillius. effect on the tubercle porter (1917)- found it to De the most strongly bact- ericidal offall the tissue extracts. di~inution in the liter- of virulence Giese (1921) reported of tubercle bacilli when exposed to pan- creas tissue, while Day and Gibbs (1930) reported that the bacilli were killed by pancreatic dissolution juice but that there seemed to be no of the cell bodies or loss of acid fastness. fect of "pa.ncreatin" or the substances yme after inactivation The ef- associated with this enz- by autoclaving,.~ on the growth of B. tuber- culosis was studied here. 115. EXPERIMENTAL Three tubes were prepared by adding 1% commercial pancreatin to glycerol agar, then autoclaving and slanting. were inoculated with H37 and incubated at 370C. These Excellent growth was obtained in these tubes as well be seen from ':(able33. This , of course is not due to the pancreatin, which was inactivated by the heating, but probably to the substances with which the enzyme was associated. Pepsin Pepsin has not been reported as having any appreciable bactericidal powers TIhen applied to tubercle bacilli; the action of tissue and gland extracts in destroying these bacteria has been ascribed to their lipolytic ferments rather than to any proteolyj~ic powers they may contro.n. The effect of "pepsin" protein was here determined. EXPEl{ IMEN 'l'AL Three tubes of glycerin a~rwere melted and to them added one perc~nt pepsin; after sterilization (resulting in inactivation in the autoclave of the enzyme) the tubes were slant- ed and when from inoculated 'with H37 after incubation at 37°0. It appears that the substances with which the proteolytic is associated excerise no deleterious enzyme effect and under the cond- itiona recorded above Table 33, actually favoraole to grovrth of the or ganism. 116. TABLE :g5. ------- ,Date of Inoculations 'Compound--cholesterol r1Ube, Type of stopper - No. p*--2 hole n It .. Date of first Appearance of growth Approximate date of Presenoe of' Considerable groylth May 1, May n n 15 Aprl _1_1~1_1_9_3_0 _ Appearanoe of grolvth 801ft luxuriant~ moist, lv.rinkled. 11 It Compound--pancreatin It It :May 4 May 15 It n II II It .n u It It It " It tt n It II It II It n II u " It It It It 11 11 It ~89 H290 ~91 cons idera ble , heaped up, wrinkled. Compound--Pepsin H286 H287 H288 117.Experiment l5d. Creatine and Creatinine Tuberculosis of ~he kidney .is not infrequent. organ where creatin and creatinine are constantly what is the effect of these substanoes Armand-Delille being excreted upon the invading aganty at al (1913) in9lude creatine they: say has the grea.test advantages In this in a medium which in'growth of the tuberole bacillus. EXPERIMENTAL (a) Creatine One tube oontaining cerin agar" "vas inoculated .with H37. the result:- The creatine exercises on the organism and aotually 1% creatine added to glyIncubation at 370C gave no unfavorable effect up- seems to aid grov~h, sinoe the oolonies were large and flourishing. (b) Crea.tinine One tube of 1% oreatinine-glycerine likewise inoculated with H37 and ~ncubated 34, this oo~ound • As seen in Table also appears to ~e favorable vation and growth of the organism." agar was to the culti- 118. TABLE 34 .... --------- Campound--Creatin Tube No. Type of stopper Date of first Appearance of growth Approximate date of presence of Considerable growth Ma.y 15 p*--2 hole Appearance of growth considerable, hea.ped up Compound--cr_e_a_t_in_in u v~inkled _ It II It ---------~--------- ----- " 119. Experiment 15 e. Proteins The tubercle ba.cillus is often found in tissues villerethere are only very small concentrations of protein de(STadeation: products such as peptones and amino a.cids, compared viith the intestine. thermore, many investigators fur- have gro~n the tubercle bacillus on media which contain proteins of various types such as tissues, tissue extracts, egg media, gelatin, casein, hematin, etc., It is often cla~ned, on the other hand that most bacteria are unable to attack pure proteins unless certian other substances are presnet to aid the organisms ounds. in their struggle to vrrest food from these complex comp- Just how valuable these proteins are l1e have tried to det- ermine here in a preliminary fashion, altho much careful work is necessary',vi th the aid of pure products before the problem can be satisfactoryily answered. 120. Egg Albumin The value of egg albwp.in in growing the tubercle baci llus has been proven many times through the use of media contai ning egg yolk and whole eggs. Deycke containing (1895) made use of a glycerol agar alkali albuminate (from veal) with good results. zancon and Griffon (1903) used egg yolk glyoerin agar. bers of 1yorkers who have used whole eggs is legion. used egg yolk again having left out even glycerol. medium to be.excellent sputum. for cultivation Be- The num- Herrold (19~il) He found this of tubercle bacilli from He reconnnended the OlIlissionof egg white fran egg media since it seemed to be unfavorable illus as well as other organisms. has been determined to growth of the tubercle bacThis is not surprising since it that egg Yihite contains a subst''.nce~ilyzozyme which has general bactericidal properties. EXPERIMENTAL 1% egg albumin was added to glycerin agar, which was inoculated with H37. sults recorded Incubation in Table 35. source o£ nutrient material at 37°0. for 6 weeks gave the reThe egg albumin serves as a distinct for the grov~h of the tubercle bacillus. 121. Casein Marpmann(190S) has utilized a flour oasein agar which helped obtain rapid growth ?f the organism which we are here stddying. Likewise Valleti (1913) utilized a whey agar for the very rapid development of the tubercle bacillus. EXPERIMEI'ITAL One per cent casein was added to glyoerin agar. medi~ was inooulated with H37 and incubated. This The cultures showed good growth, 7able 35, but not muoh superior to that obtained with the control 3 per cent glycerin agar tubes apparently the oasein is not readily attacked the oonditions of this experiment. by the organism under 122. Gelatin Gelatin, which has been widely used in general bacteriology has been utilized erculosis as well. by investi@ators Matsuschits in his study of the differences mammalian textbook in the field of tub- (1899) made use of gelatin media in growth cultures types of B. tuberculosis. Klimmer gives the formula for a glycerol avian and (1923) in his glelatin medium which is said to be satisfactory. EXPERD.iEHTAL Three tubes of gelatin glycerol amar were inoculated H37 and after sealing were incubated well on the above medium Apparently the organism, grows the colonies are dry and darker than the protein has modified resulting The organism (Table 35) but the type of growth is dif- ferent from most cultures; usual. o at 37 C. with the cell chemisty in the changed appearance. of 123. HemoElobin (1927) Breyer and Vollum (1931) and a number Lowenstein of others have found that tubercle bacilli are almost always present in the blood-stream disease. of experimental aniw~ls and humans ill with the Do the or ganism in the blood stream ta.ke their .nourish- ment f~om the surrounding such as hemoglobin fluid? Can they utilize complex proteins in their nutrituion? Hohn (1929) believes He has found that 2% hemotin they can. 3% added to Lubenaus medium favors growth, a.ltho hematin In order to check this point the following favorable. is not so experiment was carried out6- EXPERIMENTAL One percent suspension agar and the whole autoclaved. at the sur;race of the agar. agar surface, also directly of hemoBlobin 1vas added to glycerin The hemoglobin Inoeulations formed a solid button of H37 were made onto the onto the hemoglobin button, Incubation was at 3700. Results:~:o of the three tubes so inoculated One interesting feature was the observation that colonies ercle bacilli were found to be growing directly hemoglobin, shoTIed good gro,vth of tub- on the knobs of even where they were not in contact with the surface of the agar. "Apparently the organisms oglobin in their metabolism. are able to use the hem- 124. TABLE. 35 ---- Oompound--e,;::;:g-==g:...-a_lb_um_~_'n D_a_t_e_o_f_In_o_c_u_l_a_t_i_o_n ......... A.... p_r_._l_l",_19_3_0 _ Tube Type of stopper - No.!.; HZ75 HZ 76 Date of .first Appearance of grovrth 1'* - Z hole Ma.y 1 • It It It It n 11 Approximate date of Presence of Consideralbe growth May 15 n Appearance wrinkled of grovvth heaped up It " conta1r\ina.ted Hz77 Compound--Oasein 11 n n II May 7 ... :May 15 distinct heaped wrinll:led contaminated. Compound--gelatin H297 HZ98 H299 II 11 n 11 t1 tt It It tt n 11 tt " tt May 1 Ma.Y 15 dry, hea ped up 1hTinkled. up 125. Illicperiment 15 f. Sodium Glycerophosphate Buadrnn (1910) proposed the use of a glycerophosphate medium for the successful cultivation of B. tuberculosis" -on the theery that many of the most impor~ant compoUnds body contain the glycerinphosphate from this-glycerophasphate in the linkage and in the hope that the t~bercle bacillus would be abl~ to :synthesize compounds necessary included the glycerophosphates and potassium based- to its growth. of sodimn, calcium, magnesium in definite guantities, albwnose, and other nutrients. His medium together with glycerin, This medium Vias so desirable that growth would take place even if glycerin were omitted, providing the sodium glycerophosphate concentration were in- creased. EXPERIMENTAL As usual. three tubes of sodium glycerophosphate agar were inoculated with H37, sealed and incubated. after six weeks incubation may be seen in Table 36. quite considerable and the glycerophosphate aid the organism, as Baudrau contended. glycerin The Eesults Growth TIas did indeed seem to 126. Calcuim saccharate Although the tubercle sucrose in its metabolism, substitution bacillus apparently cannot utilize it seemed ~orthTIhile to see whether of a salt of this compound such as calciUm the saccharate, might not have a bene..l'icialeffect on groy;th. EXPER DEENTAL. Thr:::;e tubes of calcuim saccharat:3-glycerin oculated with H37 sealed with paraffin weeks' at 370C. the results, recorded a(S'arViere in- and incubated. After six in Table 36, were observed. It will be noted from the above that the calcium saccharate an inhibitiory effect. on the grolvth of the organism, some sparing action of the glycerin metabolism. growth was in contrast had probably having This inhibition of to the control tubes of glycerin agar 'which showed good grmvth at the end of the sa~. period. 127. ~--- ....TABLE Compound---N'a glycerophosphate No. Il'ypeof stopper H254 p*--2 hole Tube H255 36 Date of Inoculations Apr. 11, 1930 Date of first' Appearance of grovrth Approximate date of Presence of Considerable growth Appearance May 7 May 15 distinct, ~Tinkled It It U. It n It It It of growth It II It ~56 Compound--Ca saccharate II It It II It It It n It n It n H260 H261 H262 May 15 slight growth 127. E.."'Cper iment 15 g. Valnillin The effect of vanillin, finds consideraole a natural product and cne which use in homes, on the continued devepoment of the organism should be interesting. EXPERIMENTAL Three tubes of 1% vanillin-glycerin agar ~ere inoculated with H37 sealed and placed in the 37°C incubator. After six weeks the results recorded in Table 37 were noted: Vanillin in the concentration used therefore appears to exhibit a decided inhibitory effect nUllifying properties of the glycerin. the beneficial 128. Orcina1 Lewis (1917) found that a concentration of orcein of 1:1000,000 was the greatest which would permit gro'ath of the or~~nism. It was desired to check these results and to obs~r- ve the effect of this benzene derivated on grov/th, so the following experhlent was prepared. EXPERIUENTAL Three tubes of glycerin agar containing l7~ orcinal were inoculated TIith HS7 and incubated at 37°C after suitable sealing with paraffin. From Table 37 it "will be seen that the orcinal completely inhibited the gTowth of the organism, confirming the earlier work of Lewis. 129. Sodium Benzene Sulphonate This benzene derivative which is more soluble in aquous solutions then benzene, due to the sulfonation and subsequent substitutoions with sodium, should indicate some of the propcO"Gives of substances such as benzene. For this reaS.Ollthe following was performed:- EXPERIMENTl\.L Three tubes of 1% sodium benzene sulfonate glycerin agar were prepared and inoculated with H37. They were set aside in the 3700 incubator and observed from time to time. The sodium benzene sulfonate has a slight inhibitory effect (Table 37) since the growth was less then.that with the control tubes containing glycerin agar. However, some slight growth did occur as sho~n by the small isolated colonies. 130. Sodium sulfindigotate Another dompound which should be interesting since, it is a derivation of indigo whose solubility is the above is increased by the sulfonation which has taken place and the presence of the eodium. To determine its effect, the experiment below was carried out. EXPERIMENTAL TI~ee tubes of glycerin a6~r to which 1 percent of sodium sulphindigotate had bee~ added were inoculated with H37 and incu- ba tad a.t 378. The medium Vias green at the be ginning of the expert iment. In the tvlO cases (Table 37) where the sulgindigotate been converted to the colorless or leuco-form interfered with, as attested by comparison control. One tube which remained pound had not been completely oYJed inhibition due to oxidation of growth. growth ~as not of the tubes with',the greenish shO\iing that the can- changed to the colorless form, sh- Since the change of color is probably or reduction it will be seen from the above that whereas a compound in one state of oxidation may influence of the tubercle bacillus in one way, in a different idation the effectma.y interesting grov~h stat,e of ox- be the opposite •. It is probable that,sim- ilar results would be obtained with other organisms. extremely had It would,be to make a study of a large number of com- 131. pounds in va~ious states of oxidation or reduction and their effect upon bacterial metabolism; such a study would be of considerable s~gnificance in explaining the facts of metabolism. 132. TABLE 37 ------ _V~a~n~1~.1~1~1~.n~~~~~~~~~~~~D~a~t~e~o~r~I~n~o_c_u~1ation Apr. 11, 1930. Tube No. Type of stopper hole Date of first Appeararrce of groyrth Appearance of grov~h no gl"o1vth H234 1'*--2 H2~)5 .. 11 " 11 .n n H236 Approxirnate date of Presence of Considerable growth Compound--Orcinol H231 H232 H233 11 tl II II It tI n tl " Compcund--Na H272 H273 H274 benzene SUlphonate n tl u tl U U 11 It II " " 11 tI U Oompound--Na May 22 small isolated colonies sulfindigotate i H269 H270 H271 " " II tt II tt I:i~y 7 May 15 decolorized, distinct n 11 u. n .. n It " 133. Experiment 15H. Alkaloids The effect of alkaloids on the various tissues of higher forms o£ life has been studied quite extensively. effect of these compounds on the microscopic The forms hOTIever, has not been nearly as extensive altho the results should be equally interesting A. Brucine EXPER IllliN 'l'AL 1% brucine was added to each of three tubes of glycerin agar, which were then inoculated with H37 and incubated at 37°0 After 15 vveeks at this temperature the results recorded in of 1:100 completely in- Table 38 were noted. Brucine in a concentration hibits the growth of the tubercle bacillus, as sho~n above. B. Atropine sulfate Using the same methods and technique glycerin agar containing 1% atropine three tUbes of sulfate were inocul ated with H37 and inoubated as may be seen in Table 38. results similar to those with brucine were obtained. the above that the presence of alkaloids It appears fram in conoentration of 134. 1:106 exerts a markedly. deleterious of the tubercle baci~luB. effect on the gro1vth 135. TABLE 38 ------Compound--Brucine Date of Inoculations Date" of first Appearance of growth Tube No. Type of stopper H266 1>*--2 hole H26'7 It tI n H268 It It ... n H264 It H265 tt no growth I) Compound--Atropine H263 Approximate date of Presence of Considerable grmvth .. It sulphate. no grovvth It It Apr. 11, 1930 Appearance of growth 136. EXPERIMENT 16. As in exper~ent 15 the media used in this experiment as a base 3% glycerol agar. However the added substances sist entirely of carbohydrates, tration.of have oon- which are present in a concen- 1%. Dextrose The value of dextrose as a substitute an aid to 'the growth of B. tuberculosis investigation by a number of workers~ found that in media containing organisms for glycerol or as has been the ~ubject of Proskuterand Beck (1894) both glycerin and glucose, the grew profusely, while when the glycerin was absent no grov~h occurred. DubQis (1896) utilized blood serum medium and obtained good growth. a glucose-glycerin Matsuschita found that good growth resulted on a medium containing glucose glycerol, peptone and gelatin, while on a glycerol-free peptone and agar the mammalian. types of tubercle bacilli poqrly. Avian types however, meter. after 6 days grmvth. concluded glucose without in the metabolism organic sources for cultivation. (1914) were able, to conclude Novy and Soule (1926) grew Calmette, Massol and Breton (1909) of nitrogen were not very satisfactory no part apparently glucose showed colonies of'l.5 rom. dia- that media contclning Day~ and Walker (1899) Kendall that "dextrose plays of the tubercle ba.cillus." felt that while glucose might BUppoEt the 137. growth of some strains, it was not the equal of glycerol. (1929) found that dextrose was satisfactory of oertain strains where it favored ~ount. This was confirmed.by used four strains. Henley for the cultivation growth both in rate and total the work of Merrill (1931) who Two of these (a bovine strain and one of the human strains, ,M) failed to show growth; one strain (H37) showed slow ut~lization of the glucose, while one saprophytic,strain f~irly well on a medium containing grew glucose but no glycerol. EXPERIMENTAL Inoculations tubercle were made i:o.duplicate using g s~ains of human bacilli (H37 and Be) and one bovine strain (1698) onto slants of glycerol agar containing 1% glucose. stoprerd with cot.ton and paraffin-2 holes. The tubes were As will be seen from Table 39 none of the tubes shov/ed any gro./th after eight .y/eeks. Levulose Pro~lcauer and Beck (1894) found that media containing ulose but'no glycerol gave evidence B. tuberculosi8.»~erry KH2P04 \7US Merrill rophytic medium, present" of some support of grov~h of (1914) using a medium salts" water and levulose" containing found that luxuriant mineral growth resulted if but there was no gro\vth if it was omitted. (1931) obtained results which indicated strain of four which he employed, confirming lev- Kond(o (1925). would that only the sapgrow on levulose 138. (See Table 39) Inoculations were made into tubes of levulose-glycerol using the same strains as for dextrose, were in duplicate by error. H3~ Be, agar, and 1698; these excpt H37-for which only one tube was inoculated, Incubation at 37°0 for eight weeks failed to demonstrate growth in any case. All tubes were paraffin-sealed with 2 holes. III. Laotose Froskauer bacillus and Beok (1894) were unable to grow the tubercle in media con~ning present.- Merrill lactose, unless glyoerol ~~s also (1930) ~RThffiNTAL Duplicate inoculations, using the same strains (H37-1698, B e) were made in tubes of lactose glycerin agar, these were par- affin sealed and incubated at 3700, but failed to show growth in. any case after eight weeks, except in one tube of 1698 (D224) where a distinct grov~h was noticed by May 15, 1930. Apparently this culture could utilize lactose, but it was able to grow in spite of the presence of the glycerol and lactose. IV. Galactose Merrill tuberculosis (1931) stated that of his four cultures of B. only one the saprophytic on a glactose medium. strain, was able to grow The other three strains grew not at all. 139. EX.P:&"{IMENTAL :. Of all the inoculations mentioned in duplicate berore~ not one ,vas positive glycerol-galactose agar at 3~C actose is not utilized using the three strains after incubation for eight weeks. by the or@anism sparing action, altho this experiment of the Apparently and may actually is not conclusive gal- have a and shouid be repeated. V.Raffinose The failure of raffinose in satisfying to serve as a substitute the carbohydrate metabolism tuberole bacillus ,vas indioated likewise including obt&ned by Proskauer and Beck. of the Merrill negative results with all four of his strains, the saprophytic EXPER]1~NrfAL requirements for glycerin strain. (See Table 39) 'rubes of raffinose glycerinu{S'ar'lNere inoculated ( 2 tubes each with H37 and B e, strains of'B. tuberc~losis three tubes with 1698). for eight weeks at 3-rOC, with three Although paraffin sealed and incubated groYvth failed to". ppear in any tube. VI.Rhamnose Vie are unable to !ind any record of work upon the utility of rhamnose as an adequate of the tubercle baeillus. supply of carbon for the metabolism 140. EXPERIMENTAL Tubes of~lose glycerin broth were inoculated, Ylith'H37 and B e and one tube with 1698. paraffin,. After sealing with 2-holed incubation at 37°0 'was curried out. any tube even after eight weeks incubation. trwotubes each No grovrth occurred in 141. VIII. Mannose by tubercle bacilli, as det- 1~nnoBe vms not assimilable ermined in 1894 by the exper~ents of Proskauer further work has been done with mannose, cover. A number -of investigators, determine 60 and Beck. far as we can dis- hO"r'lever,have attempted the nutrit-,brevalue of mannitol called), a closely related compound. No (or mannite, _Thus Proskauer to as it is and Beck (1894) found this compound, too, to be of no avail. Similar results were ob.tained by Kendall, Day and Walker (1914) Kondo (1925) obtained negative results, as did Merrill all but his saprophytic (1931) with strain. EXPffi IMENT.4.L ~{O tubes each of mannose strains of B. tuberculosis glyoerin agar inoculated with three (H37, Be, 1698). These were paraffin- sealed in the usual vmy and incubated at 370c. After eight vveeks no growth was evident in any tube •. IX •.'Maltose Froskauer and Beck (1894) believed maltose part in the metabolism of the.tubercle absenoe of glycerin media containing sustain the groY~h of B. tuberculosis. bacillus to play no since in the maltose were unable to Merrill(1931) concurred in this opinion since none of his four strains of tubercle bacilli would grow in his medium to which maltose ~ut from which glyoerin was lacking. had been added 142. EXPERIMEUTAL ~vo tubes each of three strains of B. tuberculosis 1698) were prepared by inoculation No groWth observed l~S into maltose-glycerin agar. in any tube after eight weeks, the tubes having first been paraffin~sealedowith incubated at 37°0. (HS7, Be, ~flO holes and subsequently These results bear out the work ,of the prev- ious investigators. x. Arabinose As indicated previously sugars, particularly very little work has been done with the oS-carbon sugars. Kondo(1925) hovvever, found that arabinose was of little value to the tubercle bacillus. He obtained the impression that a slight increase in size of ino• ° culation took place on the first transplant onto arabinose-cont- aining medium, but could not carry out futther transplants this. (1931) found that only his saprophytic Merrill would growin a medium containing arabinose from strain but no glycerin. EXPERIMENTAL 'l\YO tubes each were inoculated with the three strains of B. tuberculosis used in this series of experiments, a 1% arabinose paraffin -3% glycerin agar. the medium being The tubes weee sealed ~ith in the customary way, then incubated a~ 3700. After eight weeks incubation no growth nas observed in any tube. 143. XI.Dextrin Since the tubercle bacillus potato'medium contmning considered whether fares so well on starch and a high percentage of starch, it was or not the organism could grow on a medium con- taining lower homologues of the same group, such as dextrin. subject has n~t been reported in the l~terature, This except by Pros- kauer and Beck(1894) who noted slight gtowth in media oontaining it. EXPERIMEN'fAL ~10 tubes each were inooulated onto dextrin-glyoerin agar, using the three strains of B. tub erctilosis as previously. tubes were paraffin-sealed and inoubated at 37°0. All One tube was oontamina ted by mold, while the others shmved no evidenoes of gro:.., ; YJth even after eight weeks incubation. XII.Salioin Merrill metabolism (1931) found that salicin was of no value in the of the tuberole baoillus able to grow on a medium oontaining sinoe none of his oultures were salicin but no glycerin. wise Model (1929) who worked with various oapillary-active including salioin found that those whioh depressed Like- substanoes the surface ten- sion of the medium below 0.700 were able to irulibit the growth of B. tuberculosis. Saloin which '.~eaklyoapillary grov~h, but not com\rletely inhibit it. active slowed the (See lable 39) EXPERIMENTAL Three tubes of 1% salicin-3% glycerol agar were inoculated Viere incubated at 3700• with H3? and after" be~ng paraffin-sealed" After eight weeks" two of the tubes failed to sho\"1any growth while the third gave evidence of slight, though distinct gro\vth. We believe that the culture was able to utilize the glycerol of the medium, but could not attack the salicin; furthermore, the salicin exerted slight inhibitory effect on the organisms, since the growth was not as prolific as that on the control 3% glycerol agar. XIII. Saponin Dostal (1916) reported an interesting ure of B. tuberculosis after cultivation media la"st its acid fastness, consistenoy1ike case in ~hich his cu1t- on saponin-containing became( f}'easy bUtryous) €>;,.:.a4.+la~t" in sarc~nae" and grewO~~;;i~l~ficial m~dia in a few days in the form of tender transparent layers. Schmurer (1922) in an endeavor to repeat this work was unable to do so and concluded that the results obtained by Dostal were due to a contamination of the subtilis-mesentericus group. EXPERD~~NTAL.(See Table 39) Of three tubes" containing 1% sapon~n - 3% glycerol agar in- oculated with H37 and incubated at 37°0., after being sealed with paraffin- 2 ho'es, one was contaminated, sho~ed slight growth, consisting was in contrast to the vigorous while the other ~~O of small isolated colonies. This growth on the control tubes con- 145. taining three peroent glyoerin aga.r. It seems to .indica.te that the culture oould utilize the glyoerol of the medium for its metabolism but that the' saponin exerted a slight degree of irulibition upon the growth. XIV. Inulin Merrill (1931) noted t~t none of his four strains of tuberole bacillus Vias able to grow on a medium whioh oontained ~1ulin but was glycerol-free~ bearing out the observations of 'Proskauer and Beck.(1894) EXPER]Jw~NTAL One tube of inulin glycerol agar was inoculated with H37 and after proper paraffin-sealing, weeks. was incubated at 3700 for 8 No growth was visible at the end of this period. n..Inosite No work has. thus far been reported of'inosite to the tubercle bacillus it ording to T.B.JohnsonA~s on the availability for its metabolism. one of the chemical constituents Accof the organism. EXPERIMENTAL(See Table 39) One tube of inosite-glycerin agar was inooulated with HS7 and inoubated at 37°0 for 8 weeks after being paraffin-sealed. No evidenoes of grov~h TIere observed during or at the end of this period. 146. XVI. Esculin Although this interesting other fields of bacteriology glucoside has £ound use in such as the study of th colon- typhoid gray, we are unable to find any reference to its use in as a sUbstitute for glycerol in serving as a source o£ carbon for the metabolism of the .tubercle bacillus. EXPERIMENTAL One tube of esculin-glycerol after suitable paraffin-sealing agar was inoculated with H37 and incubation at 370C, it was observed from time to time for siQ'ls of g:rov;th. No growth occurred after eight weeks incubation. 147. MEDIUM P Sugar Glyoerol Agar 1. A 3% glyoerol agar was prepa.red in the usual 1vay by adding to 1000 co. H20 (distilled) Nael 2. Baoto agar 23.0 g. Glycerol 30.0 g. The hot mixture::was £il tared. eaoh tube (oontaining 1 3. 8.0 g. 00. 9 of a 10% solution 00. It Vias then tubed, and to of' glyoerol agar) was added of' a sugar (see below) The tubes were shaken to mix the ingredients~ then autoclaved f'or 25 minutes at 1~ in wat~r. and were pressure, slanted and then allowed to cool. 4. The solutions of' sugars were prepared of a sugar and adding this weight by weighing to 9 00. of H20 in a test tube, shaking and heating where necessary the sugars. 10% solutions prepared. to dissolve Then 1 co. of' the solution was pipetted the tubes oontaining 5. out 1 g. into the hot agar mixture. in water o£ the follmving substances were 148. a. dextrose b. lactose c. maltose d. levulose e. arabinose f. xylose g. galactose h. mannose i. dextrin j. rhamnose k. raffinose 1. Saponin. m. Esculin n. Sa1:lcin o. Inulin p. Inosite From three to six tubes of each sugar medium were prepared. 149. !tPerimeni; The effect of carbohydrates on the growth of the tuberole bacillus. (tedium T.) Date of Inoculation--Mar.22, 1930 Dextrose • H21l" H212 B2l1 B2l2 D21l D2l2 Levulose H219 B2l9 B220 D2l9 D220 c Lactose Galactose Raffinose Rhamnose H223 H224 B223 B224 D223 D224 H2l3 H214 B213 B214 D2l3 D2l4 H221 H222 B221 B222 D221 D222 D225 H209 H210 B209 B2l0 D209 D2l0 Xylose Mannose H207 H208 B207 B208 D207 H205 H203 H206 B205 B206 D205 D206 1I204 ! Ma.tose - . B203 B204 D203 D204 --- -- Arabinose L1f2l7 H218 B217 B218 D2l7 D2l8 Saponin Inulin Inosite Esculin H237 0 H202 - H20l H295 - H238 H239 .I. Dextrin Salicin H215 c H216 B215 B216 D215 D216 H283 H284 11285 --- 1 1 c----oontamination No groynh by May 15~ 1930--indicates negative results. 1 --Distinct growth by May l5~ 1930 151 152. EXPERIMENT 17 In this experiment several well-known liquid media were used and an attempt was made to determine the presence of any relation bet~.;eendegree o£ oxygenation of the culture and the grovlth of the tubercle bacillus. it was necessary to construct section (see/\on technicpe). For the latter purpose the apparatus sho~n in Figure 1 153. (s) Strain H37 1. Using qlycerin nutrient broth Flask numbers---HI08---HlOl---Hl13 On Mar. a inoculations were made from 3% glycerol agar slant of' HS7 into two 250 cc. Erlenmeyer sks containing broth each. oxygenated fla- 150 cc. of 3% glycerin nutrient Incubation was at 3700. continuously Flasks were (2 bubbles per second) from blar. 28 to Apr~ 4. They 'were then allowed to "rest" until Apr. 11, when oxygenation 1'l~'..s begun agairi and carried on at the previous rate until May 1. \'lth On May 15 there ViaS still no sign of gro- and the results were interpreted 2. Calmette-Massol-Breton as negative. Medium. Flask numbers---Hl02---HI06---Hl07 Inoculation containing on Mar. 21 of' 300 cc. Erlenmeyer 150 cc. of the above medium. at 37°0 and oxygenated beginning Mar. 28. 4~ Hl02 and H107 had become cont~inated HI06 was oxygenated tinuously By May flask Incubated On Apr. by mold. from Apr. 11, to May 1 con- (at the rate of 2 bubbles per second). 15 there "VIereyet no. signs of growth and the results were interpreted as negative. 154. 3. Medium of Tiffeneau and Marie. Flasks numbers---HlOSe--Hlll Inoculation containing on Mar. of ~vo 500 cc. Erlenmeyer 200 cc. of' the above-named ation at 370C. HIOS oxygenated Hlll oxygentaed Apr. 11- May 1. medium. continuously bles per second) from Apr. 11-Uay 1. May 15. flasks Incub( 2 bub- No gro'wth by from Mar. 2l~Apr. 4 and from No sign of growth by Me.y 15. 4. Medium of Koch Flasks ntimbers---Hl04---Hll2 Inoculation on l~r. 21 of of Koch's medium. flasks containing 150 cc. Both were incubated at 370C. from Mar. 21 to Apr. 11 without were oxygenated tviO any apparent grovrth. They from Apr. 11- May 1 continuously. By N~Y 15 there was still no sign of growth. 5. Medium of Proskauer and Beck. Flasks numbers---HllO Inooulation containing on Mar. 21 of one 300 co. Erlenmeyer 150 co. of the medium of Froskauer Incubated at 380e. and oxygenated Allowed and Beck. from Mur. 21-Apr. 4. to inouba te until Apr. 11 when oxygenation again connnenced and continued until May 1. however, no sign of growth bY flask May 25. 1'las TIlere was 155. 6. Beck's Medium Flask numbers---H105---H109 Inoculation on Mar. 21 of two 300 cc. Erlenmeyer flasks containing 150 cc. each of Beck's medimn. These were oxygenated from Apr. - ~y being incubated at 37°0. 1 while There was, however, no growth by May 15. (b) Strain S1800 1. Using Nut:ient Glycerin Broth SleB On Mar. 8 one flask (150 cc. Erlenmeyer) contain- ing about 80 cc. of glycerin nutrient broth was oxygenated for 10 minutes with oxygen from the tank at the rate of 5 bubbles per second~ this was inoculated a seeding of SIBOO. flask was then oxygenated Into The once more by bubbling oxygen through for 10 min. at the same rate as previously. It was finally shaken vigorously plaoed in the 37°0., incubator. On 1~r. and 14 it ~~s oxygenated again for one hour at the previous ,rate and ~~s then returned to the incubator. experiment was terminated by the contamination of a mold growth on Mar. 21. The 156. 2. Medium of Calmette-Masso1-Breton Flask number---S10l On Mar.8 one Erlenmeyer flask (300 cc. capacity) con- taining about 150 cc. of medium of Calmette-MassolBreton Yffisoxygenated for about 15 minutes using a tank of oxygen and bubbling it through at the rate of about 4 bubbles per second. Into this was in- oculated a seeding of Strain S1800 then oxygenated The flask was once mare by bubbling at 5 bubbles per second for ten minutes and after being thoroughly On Mar. 13 it shaken was placed in the incubator. e was removed and a\rated 1 hour at 5 bubbles per sec- ond , then reincubated. taminated On Mar. 14 it w~s found con- by mold. 3. Koch's Medium Flask number---Sl04 On Mar. 8 a 500 cc. Erlenmeyer flask con&aining 200 cc. of Kock's medium was oxygenated for five min- utes at the rate of 5 bubbles per second. was inoculated reoxygenate~ thoroughly strain S1800 Into this The flask after being for ten min. at the previous rate and shaken ~RS placed in the Incubator. 1~r. 13 and Mar. 14 it h~S and one hour respectively and returned On aerated for fifteen min. at. the rate mentioned to the incubator. On above Mar. 21 it was oxyg- genated at one bubble per second continuously 4 while in the incubator. about until Apr. After incubation without 157. oxygenation until Apr. 11 it 1ms re-oxygen- ated from Apr. 11 to May 1. 1here was no sign of growth by May 25. 4. Beok's Medium. On Mar. 8 a 250 cc. Erlenmeyer ing about 150 co •.of Beck IS flask contain- meditun was oxygen- ated £or about 10 min. at a rate of 4 bubbles per second. S1800- Into this TIas inoculated The £lask TIas then re-oxygenated ten minutes at 5 bubbles per second. then shaken a ndplaced for It was in the incubator. Mar. 13 it was oxygenated On Mar. 14 it oxygenated continued. one hour at the above Mar. 21 it was oxygenated continuously at one bubble per second until Apr. 4. Apr. 4 to May 11 it was oxygenated From continuous- ly at a rate of one bubble per second. was no growth by May 25. On 15 minutes at 5 bu- bbles per seoond and incubation tate. strain There 158. MEDIUM Q Kooh's Medium Asparagin 5.0 g. KH2P04 5.0 g. Glycerol MgS0 20.0 g. 1.5 g. 4 Na citrate 2.0 g. NaOH 2.5 g. Distilled These substances H2O 1000. ° oc. are added to the distilled The solution is filtered, and is ready for use. autoclaved water and dissolved. 20 minutes at l5.W pressure 159. MEDIUM R Beck's Medium (Calmette--p.34) 1. Beck uses 100 cc. of serum ~from horse, ox, or swine) which he adds to 900 cc. of water and heats to boiling for one hour ( in an unbolted 2. 3. After filtration &utoclave). he adds the following to the clear fluid:- Cit rate of magnesia 2.5g. Asparagin 2.0g. Glycerol 20.0g. He then autoclaves the mixture once more for 15 to 20 minutes at 112°0. and filters. The broth is portioned out in flat-bottomed of 2 cm. flasks containing fluid to a depth The flasks are then plugged with cotton and sterilized for half an hour in the autoclave 4. After cooling, the flasks are ready to be inoculated. Our 1. 0 at l20 C. Modification (Medium R;) Bacto Loeffler's Blood Serum (Digestive ferments Co.) (containing 3 parts blood serum and 1 part dextrose broth) 8.0 g. 160. MgS04 1.0 g. Na citrate 2.0 g. Glycerol Distilled 20.0 g. 1000.0 oc. ~O 2.0 g. Asparagin 2. The dehydrated serum was added to t he water:".the mixture boiled ten minutes and filtered. the MgSO , Na oitrate, 4 3. To the filtrate was added glyoerol, and asparagine After shaking to dissolve the salts, the mixture was autoclaved 20 minutes at 15/1=pressure • .4. The medium was portioned out into flat-bottomed flasks to a depth of about autoclaved S/an• The flasks were then again at 15//=for 25 minutes. were ready for use. Erlenmeyer The oooled and 161. MEDIUM S Medium of Froskauer & Beck K2C03 3.5 g. (NH4) H2P04 2.5 g. MgS04 2.5 g. 20.0 g. Glycerol Distilled H2O 1000.0 cc. The salts are dissolved in water; the glycerol is added and the whole autoclaved. It is allowed to cool. (Autoclaving for 20 minutes at l5f/:pressure). Medium of Tii'feneau & Marie. K~P04 5.0 g. MgS04 2.5 g. Mannite 6.0 g. (NH.4) 2804 2.0 g. Glycerol 15.0 g. Distilled H2O 1000.0 cc. The salts are dissolved in the water; the sugar is added and dissolved; the glycerol is added finally with stirringJ and the completed medium is autoolaved at 15lfpressure for 20 minutes. It is then allowed to cool. 163. Medium u. Medium of Massol# Breton# and Calmette. Na2C0 3 1.0 g. FeS04 0.040 g. MgS04 '0.050 g. K3P04 1.0 g. NaCl 8.5 g. Glucose 10.0 g. Glyoerol 40.0 g. Witte's Peptone (Diroo used) 10.0 g. Distilled H2O 1000.0 co. The salts are disolved in water# then the glucose and peptone are added. Finally# the glycerol is dissolved. and autoclaved to cool. for 20 minutes at l~ The medium is filtered pressure. It is then allowed 164. SUMMARY In an effort to correlate, in so far as the date would permit, the results of the experiments (Table 40) was constructed. presented here, the following The nUmerals table signify the number of weeks required for any given strain to present groY~h on any particular given medium. Zero denotes failure to produce growth. It is evident from the tabulated record that the length of time required for growth to appear exception in any given strain varied ( with the of strain "54") considerably with the type of medium used. H37 appears to have given grolTth in the majority four or five weeks. in one week. negative results with the exception Strain S1800 an exceedingly seven weeks depending in about Strain "54" gave fairly good growth in nearly all the media on which it 'was cultivated uniformly of instances virulent organism on the medium used. Strain G624 gave of 3% glycerol agar. grew in about ~~O to Strain 1698 grew on most media in five weeks but on egg media growth odcurred in two instances within a week or the time of inoculation. were required for T27l to exhibit grovlth. About six weeks or more 165. TABLE 40 Medium - H37 54 Be 0624 S1800 1698 T27l 3% Glycerol /I.gar 6 1 6 9 2 5 6 Percents of Glycerol no glycerol 0 3 0 0 0 0 0 '1% at 2% u 3% 4% n 5% 6°! /0 7% 8% 9% 10% 7 1 1 1 1 II " tt 0 0 1 1 1 1 n n II n 1 Glyoerol Nutrient Broth. Potato Extract G1ycerol Agar 3 10 1 10 0 6 6 10 potato 3 1 3 0 8 5 5 Gentian-Violet-potato Juice .Agar 4 1 2 0 3 5 ° potato-egg-glycerol medium 2 0 0 Petragnani's 1 Glycerinated medium Corper's medium 1 Petroff '.smedium 2 Dorset's medium (no glycerol 0 (3% glycerol 1 0 1 1 0 0 0 0 0 0 0 1 0 1 166. 6 Medium Carbohydrates Dextrose Levulose Lactose Galactose Haf'finose Rhamnose Xylose Mannose Maltose Arabinose Dextrin Salicin Saponin Inulin Inosite Esculin H37 54 Be 0024 S1800 0 0 0 ~ 0 0 0 0 0 0 0 .7 0 0 0 0 0 0 7 0 0 0 T271 0 0 7 0 0 0 0 1698 0 0 0 0 0 0 0 0 0 0 0 0 0 Protein substances Egg albumin Casein Gelatin Amino acids Gly~ine Leucine Asparagin 4 4 4 Tissue and tissue extracts 0 0 {] 0 0 0 0 Hesse's medium 7 1 6 0 2 4 5 Creatin 2 Cteatinin 2 3 4 3 167. 1,;edium li37 Cholesterol 3 Pancreatin 3 Pepsin 3 Na glycerophosphate 4 Ca s£:ccharate 5 Na taurocholate 5 6xgall 0 Alkaloids Brucine Atropine sUlphate 0 0 Benzene derivatives Vanillin Urcinol Na benzene sulphonate Na sulfindigotate 0 0 6 G 4 Medium of Besredka and Jupille 0 Increased oxygen Glycerol nutrient broth Calmette-MassolBreton Tiffeneau and Marie Koch's medium proskauer and Beck Beck's medium 0 0 0 0 0 0 54 Be 0024 S1800 1698 1271 168. CONCLUSIONS 1. A oamp~hensive investigation of the ohemical, physical and biological forces which may influence the cultivation of the tubercle bacilli on artificial media is presented. 2. Koch's pessimistic pr.ophecy n that it is not to be hoped that the cultivation of the tubercle bacillus is to plny any very important part in the s~dy of ,the diseasell has not been fulfilled in the light of investigations of the past fifty years. 3. No medium has as yet developed which can be described as definitely superior to all others for the cultivation of the tubercle bacillus. Such a condition is perhaps hardly to be hoped for since the numerous factors involved~erder a complete study an impossibility. 4. The most promising media for the rapid and certain cultivation of the tubercle bacillus are those in which glycerol, eggs, or potato, predominate. 5. For certain definite purposes some- media seem to be more suitable than others. (see below) 6. Glyoerol agar or glycerol broth may be used for the initial cultivation of tubercle bacilli from various sou~ rces. The best concentrations of glycerol are probably those fram 3 to 6%. Higher concentrations may inhibit growth. 7. potato media are useful in making serial cultures and for storing the organism. 8. Egg media are very goo4 for obtaining initial growth after suitable preliminary treatment to destroy contaminants. 9. potato and egg combinations offer interesting and should be investimated further. possibilities 10. Mineral salts, if not in too high a concentration and in the"presence of glycerin, may aid grov~h. Phosphorus, sUlphur, potassium and magnesiun are ingispensable to the growth of B. tuberculosis. 169. 11. Carbohydrates as a ru1e~ do not exert a beneficial on the growth of the tuberole baoillus. action 12. Tissue media have not, with some exceptions, valuable results. 13. ~ in media are useful for inhibiting gro1vth of extra.neous or ganisms but care should be taken that in preparing the medium lethal concentrations for the tubercle bacillus are not produced in any portion, particularly the surface of the medium. 14. The optimal temperature for CUltivating bacillus of mammals is 38°C. 15. An important phase of the oul tiva tion of the tubercle b~cil1us is the prevention of dehydration of the medium. 16. A sufficient supply of 03Ygenmust, as a rule, be supplied the organism. However, continuous oxygenation of the culture is probably useless or even worse. 17. A ooncentration of carbon dioxide of 5.5% definitely hibits gro.vth of the tubercle bacillus. 18. The best reaction o~ a medium for good ~'ov~h depends on the type of organism to be inoCUlated; the human type appears to thrive best in an acid medium, whereas the bovine type probably prefers an alkeline environment. 19. Substances capable of lowering the suface tension, if not toxic in themselves, usually aid the gro\vth of B. tuberculosis. 20. Culture tubes when exposed to sunlight passing through the glass are sterilized in 1 to hours. Precautions should therefore be taken to prevent prolonged exposure. 21. The most rapid growth usually occurs where there is a continuous suo cession of transplants on the same medium. 22. The acid-fast characteristics may be altered ~ grov~h on media contai ning cod-liver oil or those lacking glycerol. yielded any the tubercle in- Ii 170. tubercle bacillus may be maintained potato or egg media, but transplants three or four weeks on fresh media. decreases or perhaps destroys the .bacilli. The solid culture media, potato, sustain the virulence of the than do the fluid media. 23. The virulence of the by grovTth on glycerol should be made every Grov~h on potato-bile virulence of tubercle particularly glycerol baoillus much better 24. The ohemical composition of B. tuberculosis can be ascertained to a large extent by cultivation on media of definite chemical composition. 25. Only from oultures on fluid media can tuberculin be prepared and the soluble excretory poisons of the bacillUS studied. 26. For isolation purposes, cultivation on artificial media may in time entirely displace the guinea pig inoculation In isolation work, the more inoculations that method. are made the better are the chances of securing groY~h and avoiding false negatives. Contamination, however, is still a factor to be dealt with in spite of the faot that considerable success has already been attained in combatting the difficulty_ 171. BIBLIOGRAPHY Alasandrini, Alilaire, A.: Culture of tubercle baoillus using glycerin potato medium. Policlinioo Sez. prate 866~ 1926. et Fernbaoh: Quelques obsevations sur la culture du baoille tuberouleux en milieu non glycerine. C. R. Aoad. des Sci. 171: 375, 1920. Allen, S. 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