The readiness with which immune bodies could be demonstrated in human subjects following the injection of the specific carbohydrate of the Type VIII pneumococcus (1) offered an opportunity to study, in man, the effect of dosage and of the route of injection upon antibody production with a carbohydrate antigen. Although numerous investigators have made similar studies with whole bacterial antigens in lower animals and in man, no data are available concerning the comparative antigenic activity, in man, of purified bacterial fractions given in different amounts or by different routes. (3). The intracutaneous injections were made in 0.1 cc. amounts. All other injections were in 1.0 cc. amounts except the 5.0 mgm. doses, which were given in a volume of 1.25 cc. No local or general reactions followed any of the injections.
RESULTSIn Table I, in the previous communication (1), there are tabulated the homologous type-specific antibody titers of each of the bloods obtained from subjects who received 1.0 mgm. of the Type VIII carbohydrate subcutaneously. The results of the studies of the individual sera in the remainder of the subjects now under consideration corresponded, in a general way, to those shown in that table. For the sake of brevity, and because the major interest in this paper lies in a comparison of the antigenic effects that variations in the dose and route of injection have upon the development of antibodies, only the antibody titers of the sera obtained before injection and the ones showing the maximum titers after injection in each subject will be noted. These titers in each of the individuals receiving various doses of the carbohydrates of the Type VIII pneumococcus by the intravenous, subcutaneous or intracutaneous route are shown in Table I. The maximum accretions in titer of agglutinins and mouse protective antibodies are represented graphically in Figures 1 and 2, respectively, in such a way as to make possible a comparison of the antibody response to each of the various doses. While the number of subjects in each group is small, the trends are apparent and worth noting.The results of the studies, shown in the table and figures, may be summarized briefly: 1. Each of the doses tested, which ranged from 5.0 mgm. to 0.001 mgm. intravenously, from 1.0 mgm. to 0.001 mgm. subcutaneously, and from 0.15 mgm. to 0.0001 mgm. intracutaneously, stimulated in some subjects an appreciable titer of the homologous type-specific antibody. 2. In general, regardless of the route of injection, when decreasing 833