There are various observations to indicate that under appropriate conditions of in vitro cultivation, attenuation of virulent tubercle bacilli may be achieved.The BCG strain of tubercle bacillus, originally a virulent bacillus of the bovine type, provides a classical example of in v/tro attenuation after prolonged cultivation on a glycerol-potato-bile medium (1). Similar reductions of bacillary virulence have also been accomplished by cultivation of virulent forms at low hydrogen ion concentrations (2, 3) and by growth beneath the surface of fluid media (4-6).Although naturally occurring in ~/vo attenuation of virulent tubercle bacilli has been reported, particularly in association with lupus (7), it has been the general experience of investigators that experimental attenuation of virulent tubercle bacilli by in v/vo methods was unsuccessful; even prolonged growth of mammalian tubercle bacilli in the bodies of cold-blooded animals has not resulted in any significant reduction of virulence (8).As virulent tubercle bacilli which gain access into animal tissues are largely phagocytosed by mononudear cells, it seemed a reasonable assumption that if destruction of bacilli or alteration of bacillary virulence were to occur, a propitious time for this would be during growth of bacilli in these cells. An earlier paper (9) has shown that passage of virulent tubercle bacilli in an immune system (monocytes of BCG-immunized rabbits cultivated in homologous immune serum medium) resulted in decreased capacity of bacilli to induce degeneration of normal monocytes.The present paper reports the decreased capacity of tubercle bacilli to cause death of mice following passage of virulent bacilli in normal systems (normal monocytes maintained in normal serum medium) as well as in immune systems; it also describes certain other changes in the behavior of passaged bacilli.
Materials and MettwdsDetailed descriptions of procedures and materials not previously used are presented below; those which were employed in earlier studies (9--11) are briefly described herein.Monocytes.--Normal adult rabbits and rabbits injected intradermaliy with viable BCG