02/11/2011
The accomplishments of the Institute's members
[edit] Roux's cure against diphtheria and studies on syphilis
Production of antiserum at the Pasteur Institute in Paris
Not long after the Institute’s inauguration, Roux, now less occupied in the fight against rabies, resumes in a new lab and with the help of a new addition, Yersin, his experiments on diphtheria. This disease used to kill every year thousands of children: commonly called “croup” because it creates fake membranes in the small patient’s throat, therefore killing him by suffocation, deserves to be called “Horrible monster, sparrow hawk of the shadows” by Victor Hugo in his “Art of being a grandfather”. The painter Albert Gustaf Aristides Edelfelt has drawn a famous painting portraying Pasteur in his laboratory while he is trying to cure this illness that was handled at the times through procedures that were just as cruel as the illness itself.
Roux and Yersin grow the bacillus that causes it and study, thanks to various experiments they do on rabbits, its pathogenic power and symptoms, like the paralysis of the respiratory muscles[8]. It is this last consequence of the diphtheria that provides the two researchers with a valuable clue of the nature of the disease since it is caused by an intoxication due to a toxin introduced into the organism by the bacillus, that while secreting this particular venom is able to multiply itself: they are therefore inclined to think that the bacillus owes its virulence to the toxin. After filtrating the microbial culture of the Corynebacterium diphtheriae and injecting it into the lab animals, they are able to observe all the typical signs of the sickness. Roux and Yersin establish that they are dealing with a new type of bacillus, not only able to proliferate and abundantly reproduce itself, but also capable of spreading at the same time a powerful venom and they deduce that it can play the role of antigen, that is if they can overcome the delicate moment of its injection, made especially dangerous by the toxin[9]. Some German researchers have also discovered the diphtheria toxin and are trying to immunize some guinea pigs through the use of a vaccine: one of them, Von Behring, Robert Koch's student states that he was able to weaken small doses of the toxin. Nonetheless Roux is not convinced by this result since no one knows the collateral effects of the procedure and prefers to use serotherapy since more than one lab research- like the one accomplished by Charles Richet- demonstrated that the serum of an animal vaccinated against the disease includes the antibodies needed to defeat it. The antidiphtheria serum which is able to agglutinate the bacteria and neutralize the toxin is supplied by a horse inoculated with the viral germs and it is separated from the blood drawn from the horses’ jugular vein. Like it happened for his teacher with the antirabies vaccine, Roux will need to test the effectiveness of the product he elaborated and endure all the stress and ethical dilemmas that the first use of such a risky but also groundbreaking procedure implies. To test the serum two groups of children are chosen from two different hospitals: in the first one, which receives the serum, 338 out of 449 children survive, in the latter one, treated with the custom therapies, only 204 out of 520 do. Once the results are made public by “Figaro`” newspaper a subscription is opened to raise the money needed to provide the Institute the amount of horses necessary to produce enough serum to satisfy the national demand[10].
After Duclaux’s death, Roux takes his place as head of the Institute and the last research he carries out is the one on syphilis, a dangerous disease because of its immediate effects and the hereditary ripercussions that result from it. Despite Fournier’s considerable work Van Swieten’s liquid mercury is still the only known cure, although its results are doubtful and uncertain. The search for a stronger remedy against this disease is made more difficult because most animals are immune to it: it is thus not possible to experiment possible cures and study their likely side effects[11]. The sexually transmittable Treponema pallidum ( the syphlis germ), detected by two german biologists, Schaudinne and Hoffmann, affects only the human race – where it resides in s***m, ulceration and cancers that it is able to cause- and, as it will be later discovered, some anthropoid apes, especially chimpanzees. Both Roux and Metchnikoff, consequently to the discovery that this type of ape can be contaminated with the illness, contributed with their research in creating a vaccine ( while Bordet and Wasserman elaborate a solution that is able to expose the germ’s presence in human blood): even though it is not yet a completely reliable solution it represents a noteworthy evolution compared to the previous medicines used against syphilis[12].