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LIVE POLIO IRUS VACCINES

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Experimental Studies on Animals with Attenuated Poliovirus<br />

69<br />

were examined daily with special care regarding<br />

motor function and reflex behavior, particularly<br />

the patellar reflexes.<br />

Histological techniques. Brain and spinal<br />

cord were removed and fixed in 10 per cent<br />

formalin solution for histological examination.<br />

Paraffine blocks, staining according to Nissl, van<br />

Gieson, Heidenhain and with hematoxylin-eosin.<br />

The lumbar and cervical intumescence were imbedded<br />

in six blocks, from each block one section<br />

plane was examined. In the same manner three<br />

levels of the thoracic cord were examined, from<br />

the brain stem the upper and lower portion.<br />

Both sides of the precentral gyrus (apical portion)<br />

were examined. Grading of lesions from<br />

1 - 4+ and determination of the extent of<br />

lesions in the spinal cord were carried out according<br />

to the method of Melnick.<br />

Findings.<br />

(a) Observation of the animals: Following intracerebral<br />

inoculation traumatic disturbances<br />

occurred in three cases. During the further<br />

period of observation weakness of the extremities<br />

was found in none of the animals inoculated intracerebrally.<br />

Following intraspinal inoculation<br />

all of the animals, in which regular injections<br />

had been made into the lumbar cord, developed<br />

paralyses immediately after the inoculation, with<br />

an increase during the following 1-2 days in some<br />

cases. 'Essentially, these traumatic paralyses<br />

consisted in motor weakness of the flexor of feet<br />

and toes, more rarely of the legs. It proved<br />

difficult to distinguish these traumatic paralyses<br />

from those caused by the poliovirus. For this<br />

reason, motor weakness appearing within 48<br />

hours after injection was considered as being of<br />

traumatic origin, whereas paralyses developing<br />

subsequently were attributed to virus action.<br />

The latter lesions also consisted in motor weakness<br />

of the leg and foot musculature, more seldom<br />

of the upper leg and thigh; all degrees from<br />

slight paresis to complete paralysis were encountered.<br />

Slight paresis of the upper extremities<br />

were seen in four cases following I.S. inoculation<br />

with Type 1 Cox's strain.<br />

In general the motor weakness described<br />

reached maximum development about the 10th<br />

day after injection; the general condition of the<br />

animals remained good in all cases. The arrest<br />

of the process was occasionally manifested by a<br />

return of the patellar reflex. In one monkey<br />

(No. 99), inoculated with Type 2 Cox's strain,<br />

an ascending paralysis of Landry type followed<br />

I.S. injection of virus. The animal was sacrificed<br />

in moribund condition six days after inoculation.<br />

(b) Pathological anatomy: The quality of<br />

histologic alterations corresponded to those<br />

found in not too severe poliomyelitis with a destruction<br />

of nerve cells and inflammatory reaction.<br />

The slight extent of active neuronophagia<br />

may be attributed to the duration of the process.<br />

BLE 1.<br />

TYPE 1<br />

l<br />

Cox (6.5PFU/1.0)<br />

SABIN (6.7PFU/1.0)<br />

L.<br />

C.<br />

B.S.<br />

C.A. L.<br />

C.<br />

B.S.<br />

C.A.<br />

10 °<br />

10-1<br />

10-2<br />

3/3<br />

4/4<br />

5/5<br />

3<br />

3<br />

5<br />

3<br />

2<br />

1<br />

I.S. Inoculation<br />

0 5/5<br />

1 4/4<br />

1 3/3<br />

o<br />

o<br />

2<br />

o<br />

o<br />

1<br />

o<br />

o<br />

o<br />

10 °<br />

10-1<br />

10-2<br />

0/5<br />

0/5<br />

0/5<br />

o<br />

o<br />

o<br />

o<br />

0<br />

I.C. Inoculation<br />

0 0/4<br />

0 0/5<br />

0 0/5<br />

No. of menkeys with polio lesiens / No. of inoculatcd monkeys~~~~~~~~~~~~~<br />

No. of monkeys w·ith polio lesions / No. of inoculated monkeys<br />

o<br />

o<br />

o<br />

o<br />

o<br />

o<br />

o<br />

o<br />

o

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