قراءة كتاب On Digestive Proteolysis Being the Cartwright Lectures for 1894

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On Digestive Proteolysis
Being the Cartwright Lectures for 1894

On Digestive Proteolysis Being the Cartwright Lectures for 1894

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دار النشر: Project Gutenberg
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upon an accurate determination of the exact changes in chemical composition which accompany each step in the proteolytic process. How otherwise can we hope to attain a proper appreciation of the real points of difference between bodies so closely related as those composing the large group of proteids and albuminoids? Surely, in no other way can we measure the nature or extent of the changes involved in the various phases of proteolysis than by a thorough study of chemical composition and constitution, as well as of chemical reactions and general properties.

In the early history of physiology there was, quite naturally, little or no thought given to the nature of proteolytic changes. The gastric juice, as one of the first digestive fluids to be studied, was recognized as a kind of universal solvent for all varieties of food-stuffs, and this even long before anything was known regarding its composition, but beyond this point knowledge did not extend. Active study of the gastric juice, as you well know, dates from 1783, when the brilliant Italian investigator Spallanzani commenced his work on digestion. The names of Carminati, Werner and Montégre1 are also associated with various phases of work and speculation in this early history of the subject, especially those which pertained to the possible presence of acid in the stomach juices. In 1824, however, Prout showed conclusively that gastric juice was truly acid, and, moreover, that the acidity was due to the presence of free hydrochloric acid, and not to an organic acid. Still, many observations failed to show the presence of an acid fluid in the stomach, and it was not until Tiedemann and Gmelin’s2 masterly researches were published that the cause of this discrepancy was made clear. It was then seen that the secretion of an acid gastric juice was dependent upon stimulation or irritation of the mucous membrane of the stomach, and that so long as the stomach was free from food or other matter capable of stimulating the mucosa, it contained very little fluid, and that neutral or very slightly acid in reaction. These early observers also recorded the fact that the amount or strength of acid increased with the outpouring of the secretion, incidental to natural or artificial stimulation, thus giving a hint of the now well-known fact that any and every secretion may show variations in composition incidental to the character and extent of the stimulation which calls it forth.

The period between 1825 and 1833 was characterized especially by the presentation of the many results bearing on gastric digestion obtained by Dr. Beaumont on Alexis St. Martin, followed a little later, in 1842, by a long period of experimenta­tion by many physiologists, as Blondlot,3 Bassow,4 Bardeleben,5 Bernard,6 Bidder and Schmidt,7 and many others on methods of establishing gastric fistulæ on animals, by which many interesting results were accumulated regarding the physiology of gastric digestion. Up to 1834, however, there was no adequate explanation offered of the solvent power of the stomach juice; aside from the presence of hydrochloric acid, nothing could be discovered by the earlier chemists to account for the remarkable digestive action. Eberle,8 however, attributed to the mucous membrane of the stomach a catalytic action, and claimed that it only needed the presence of a small piece of the stomach mucosa with weak hydrochloric acid for the manifestation of solvent or digestive power. It remained for Schwann,9 to show the true explanation of this phenomenon, and although he was unable to make a complete separation of the active principle which he plainly believed existed, he gave to it the name of pepsin. Wassmann, Pappenheim,10 Valentin, and later Elsässer,11 all endeavored to obtain the substance in a pure form, and Wassmann,12 in 1839, surely succeeded in obtaining a very active preparation of the ferment—one capable of exerting marked digestive action when mixed with a little dilute acid. Thus, a true understanding of the general nature of gastric juice was finally arrived at, and the cause of its digestive power was rightfully attributed to the presence of the ferment pepsin and the dilute acid. Further, the analysis of human gastric juice made by Berzelius,13 in 1834, showed that the secretion contains very little solid matter (1.26 per cent.), thus calling attention to the fact that the digestive power of this fluid is out of all proportion to the amount of pepsin, or even to the amount of total solid matter present, and consequently paving the way for a general appreciation of the peculiar nature of the dominant body, i.e., the pepsin.

The original conception regarding the manner in which gastric juice exerts its solvent power on proteid foods was apparently limited to simple solution; chemical solution if you choose, brought about by catalytic action, but without any hint as to the possible nature of the soluble products formed. Mialhe,14 however, recognized the fact

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