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Kaiser Permanente Medical Group, Los Angeles, Calif. 90027
Abstract
In order to block the systemic Forssman anaphylactic reaction, guinea pig C3 activity had to be depleted by greater than 99% by using the C3 inactivator purified from cobra venom. When C3 functional hemolytic activity was greater than 200 units/ml (normal C3 activity = 20,000 to 160,000 units), guinea pigs uniformly died of anaphylaxis. Both the hemorrhagic reaction characteristic of Forssman cutaneous vasculitis and the reversed passive Arthus cutaneous vasculitis were suppressed when C3 activity was reduced to less than 1000 units/ml (approximately 1 to 3% of normal guinea pig C3 activity.) Using homozygous human C3-deficient serum from two separate patients, we studied bactericidal activity against E. coli 0111 and opsonic activity with Escherichia coli K-12, Staphylococcus aureus, and Staphylococcus albus. Serum bactericidal activity against E. coli 0111 was restored to normal with 50 units of human C3. A more pronounced opsonic defect was found with S. aureus and S. albus than with E. coli.
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