“…It is assumed that the substance in B. pertussis cells responsible for these undesirable reactions is pertussigen [pertussis 341 J. J. MUNOZ M. G. PEACOCK toxin (Ptx)], but it is also believed that Ptx is needed to produce effective vaccines (32,33). In mice, Ptx induces a pronounced leukocytosis, increases susceptibility to histamine and other vasoactive amines, enhances production of antibodies to antigens given with it, promotes delayed type hypersensitivity and autoimmunity, increases production of the IgE class of immunoglobulins, and susceptibility to anaphylaxis (22)(23)(24)(25)(26)(27)46). Ptx is also lethal to mice in doses greater than 500 ng (23).…”