Part 11

Obviously, the main point to be gained in a dialyzer-experiment is the removal of the soluble products of digestion as soon as they are formed; but peptones are not rapidly diffusible, and the process, as noted under the head of gastric digestion, cannot be considered in any sense as yielding the same results as might be obtained in the living intestine. Still, the method offers a closer approach to the natural process than when carried on in a flask, and the results are of interest. Thus, Lea finds in the first place that in a dialyzer-digestion the proteid is more quickly dissolved, and that there is far less tendency for the formation of an insoluble antialbumid with its natural resistance to the ferment. Still, it is to be noticed that the amount of this antialbumid-residue formed by trypsin-proteolysis in a flask is mainly dependent upon the strength of the ferment solution, and the character of the proteid undergoing digestion. If the latter is in a fairly digestible form, and the enzyme solution reasonably active, then even the flask-digestion may show almost no residue of antialbumid. Yet there is at least a shade of difference in the two cases, which may be expressed by the statement that trypsin-proteolysis, as carried on in a dialyzer-tube, is prone to give less insoluble antialbumid than a corresponding digestion in a flask. Further, the amount of leucin and tyrosin formed in a flask-digestion is always greater than in a dialyzer-digestion, other conditions being equal. Naturally, these results help us very little in drawing any conclusions regarding the extent to which leucin and tyrosin may be formed in the intestine. They merely emphasize the fact that the withdrawal of a certain quantity of hemipeptone from the digestive mixture tends to reduce by so much the yield of leucin and tyrosin. It is hardly to be assumed, however, that the rate of withdrawal of peptone from the intestine can keep pace with its formation, especially when it is remembered that the proteid matter coming into the small intestine, owing to its preliminary treatment in the stomach, is in a comparatively digestible condition. Further, the pancreatic juice is a remarkably active fluid, and proteolysis under its influence must make rapid strides. I can easily conceive that proteolysis by trypsin, when carried on in a flask, may lead to the formation of much larger amounts of leucin and tyrosin, and of other bodies as well, than occurs in the natural process; but there is certainly no ground for the belief that leucin and tyrosin are wholly wanting in pancreatic proteolysis as it occurs in the intestine.

With a view to obtaining some positive evidence on this point I have tried a few experiments on animals, the results of which have convinced me that, in the case of dogs, at least, both leucin and tyrosin may be formed in natural pancreatic digestion in considerable quantities. Thus, in one experiment a good sized dog, kept without food for two days, was fed four hundred grammes of chopped lean beef at 8 A.M. At 2 P.M. the animal was killed and the intestine ligatured close to the pylorus. The lower end of the small intestine was likewise ligatured. The portion inclosed between the two ligatures was then removed from the body, and the contents of the intestine pressed and rinsed out with distilled water. In the stomach, was found a small amount of semi-digested matter weighing about fifty grammes. The material obtained from the intestine was strained through mull, the fluid rendered faintly acid with acetic acid, and heated to boiling. The clear filtrate from this precipitate was concentrated to a very small volume, and while still hot precipitated with a large amount of ninety-five per cent. alcohol. A small gummy precipitate resulted, which was thoroughly extracted with boiling alcohol and the washings added to the alcoholic filtrate. The precipitate contained some deuteroproteose and a small amount of true peptone.

The alcoholic fluids were evaporated to a small volume and set aside in a cool place. As a result, quite a separation of leucin and tyrosin occurred in the characteristic crystalline forms. No attempt was made to effect a quantitative separation of the two bodies, but the mixed precipitate finally obtained weighed, after recrystallization, over three-fourths of a gramme. Leucin was plainly in excess, but considerable tyrosin must have been left in the alcoholic precipitate, owing to its greater insolubility in this menstruum. This experiment is almost a counterpart of one reported by Lea,[197] and like his indicates that both leucin and tyrosin may be formed in not inconsiderable quantities by pancreatic proteolysis as it occurs in the intestine. This being so, one is naturally called on to explain “the physiological significance of a process which at first sight appears to result in a degradation of the potential energy of proteids, under conditions such that the energy set free can be of little use to the economy.”[198] But it is quite possible, as Lea has suggested, that these amido-bodies have an important part to play in some of the synthetical or other processes of the organism, and that their formation is consequently necessary for the well-being of the body. Whether this is so or not, we may well consider the formation of these amido-acids in pancreatic proteolysis as a means of quickly ridding the body of any excess of ingested proteid food, with the least possible expenditure of energy on the part of the system. This has always seemed to me the probable purpose of the profound changes which the pancreatic ferment is capable of inducing.

[197] Journal of Physiology, vol. xi, p. 255.

[198] Lea: loc. cit.

The primary object of both gastric and pancreatic proteolysis is to render the proteid foods more easily available for the needs of the economy, viz., to aid in their absorption and consequent distribution to the master tissues and organs of the body. This is doubtless fully accomplished by the formation of the so-called primary and secondary products of proteolysis, _i. e._, the proteoses and peptones which are, comparatively, not far removed from the mother-proteid, except in solubility and other minor points. In the ferment trypsin, however, we have a special agent endowed with the power of carrying on the hydrolytic cleavage to a point where exceedingly simple bodies result, and through whose agency any excess of proteid material in the intestinal canal may be quickly broken down into a row of products easily removed from the system. It is to be remembered, however, that the very nature of the proteid molecule precludes the possibility of anything like a complete decomposition into crystalline or other simple products. Full fifty per cent. of the peptone formed must be antipeptone, which cannot be further changed by trypsin under any circumstances, so that, whether the amount of proteid in the intestine be large or small, or whether it is exposed for a longer or shorter period to trypsin-proteolysis, there will always be a fairly large amount for absorption. This may well be considered as one of the reasons for the peculiar structure of the proteid molecule, the anti-group being always available for the direct nutrition of the body, while the representatives of the hemi-group, especially when proteid is present in excess, can be quickly and readily broken down into simple products. In other words, the direct formation of these simple bodies in the intestine furnishes a short path to urea, thus leading to the rapid elimination of any excess of proteid material.

We may well attribute to the epithelial cells of the intestine the power, under normal circumstances, of regulating and controlling, even though indirectly, the order of events in the intestine. Just as the so-called secreting cells of the _tubuli uriniferi_ may lose for a time their power to pick out from the blood material destined for the urine, being clogged or exhausted by continued effort, so the epithelial cells of the intestine, which play such an important part in the absorption of proteid matters from the alimentary tract, may, in the presence of an excess of proteid matter, become temporarily exhausted, and, refusing passage to the proteoses and peptone formed by proteolysis, render possible further hydrolytic cleavage into leucin, tyrosin, lysatin, etc.; bodies which, by one method or another, can be readily transformed into urea. At the same time, as already stated, it seems more than probable that some formation of these amido-acids always occurs in the intestine, and that these bodies have some specific part to play in the normal processes of metabolism going on in the body. The more one studies the processes of nutrition in general, the more one is impressed with the view that there is a purpose in everything, and that the formation of even such bodies as leucin and tyrosin may be connected with hidden processes, the key to which has not yet been found. We see an analogous case, perhaps, in the action of the inorganic salts in nutrition, some of which, at least, neither undergo change themselves nor induce changes in other substances, and yet we know their presence is indispensable for keeping up the normal rhythm of the nutritional processes of the body.

ABSORPTION OF THE MAIN PRODUCTS OF PROTEOLYSIS.

In ordinary proteolytic action, both in the stomach and intestine, it is very apparent that the primary products of proteolysis, the proteoses and peptones, are the chief products formed, and that under normal circumstances the greater portion of the proteid food finds its way from the alimentary canal into the blood, after transformation into one or more of these two classes of products. At the same time, it must be borne in mind that even the acid-albumin formed by pepsin-hydrochloric acid may be absorbed without undergoing further change. The view once held, that the rate of absorption from the alimentary tract stands in close relation to the diffusibility of the products formed, and that non-diffusible substances are incapable of absorption, is no longer tenable. Absorption from the intestine is to be considered rather as a process involving the vital activity of the epithelial cells of the intestinal mucous membrane, where chemical affinities and other like factors play an important part in determining the rate and order of transference through the intestinal walls into the blood and lymph. Thus, we have abundant evidence that native proteids which have not undergone proteolysis may be absorbed from the intestine, at least to a certain extent, provided they have been dissolved; _i. e._, converted into acid-albumin, or alkali-albuminate, by the gastric or pancreatic juice. We have a practical demonstration of this possibility in the early experiments of Voit and Bauer,[199] as well as in many later ones that need not be mentioned here. Further, the recent experiments of Huber[200] have given us quantitative data on the rate of absorption of fluid egg-albumin when introduced into the large intestine in the form of a clyster, showing that even fairly large amounts of a natural proteid may be absorbed without undergoing proteolysis if mixed with a neutral salt, like sodium chloride. To be sure, the rate of absorption is greatly increased when the albumin has been peptonized, but still absorption of the native proteid is possible without the agency of proteolytic enzymes. When, however, large amounts of egg-albumin are introduced into the intestine, albuminuria may result, as you very well know.

[199] Ueber die Aufsaugung im Dick und Dünndarm, Zeitschr. f. Biol., Band 5, p. 562.

[200] Ueber den Nährwerth der Eierklystiere, Arch. f. klin. Med., Band 47, p. 495.

Moreover, it is well known that the proteids of muscle-tissue, in the form of syntonin, may be absorbed from the large intestine without undergoing further hydration. When introduced into the rectum of a hungry dog, the excretion of urea may be at once increased and the animal brought into a condition of nitrogenous equilibrium; absorption taking place from a portion of the large intestine, where proteolysis is never known to occur.[201]

[201] Eichhorst: Ueber die Resorption der Albuminate im Dickdarm, Pflüger’s Archiv f. Physiol., Band 4, p. 570.

Again, Neumeister[202] has shown that the direct introduction of syntonin, alkali-albuminate, crystalline phytovitellin, as well as pure serum-albumin, into the blood of the jugular vein is not attended with the appearance of albumin in the urine. On the contrary, the proteid matter so introduced appears to be assimilated and utilized for the needs of the organism. Evidently, then, these substances are not to be considered as foreign bodies, for if so the kidneys would undoubtedly make some effort to remove them from the circulation. It is to be noted, however, that all native proteids are not assimilated in this manner, as casein,[203] gelatin,[204] and especially egg-albumin. Thus, J. C. Lehman,[205] working under Kühne’s direction, observed that the injection of a carefully filtered solution of egg-albumin into the veins of a dog was always accompanied by albuminuria, while similar injections of Lieberkühn’s sodium albuminate, or of syntonin from frog’s muscle, failed to show any such result.

[202] Zur Physiologie der Eiweissresorption und zur Lehre von den Peptonen, Zeitschr. f. Biol., Band 27, p. 309.

[203] Neumeister: Sitzungsber. der Physik. med. Gesellsch. zu Würzburg, 1889, p. 73.

[204] F. Klug: Pflüger’s Archiv f. Physiol., Band 48, p. 122.

[205] Virchow’s Archiv, Band 30, p. 593.

While these observations tend to show that some native proteids may be absorbed from the alimentary tract without previously undergoing proteolysis, it is not to be understood that any considerable quantity is so absorbed under normal circumstances. Doubtless, when small amounts of proteid food are taken, its denaturalization by the primary action of the gastric or pancreatic juice, viz., its conversion into syntonin or alkali-albuminate, may be sufficient to insure its partial absorption, but digestive proteolysis is unquestionably a necessary preliminary to any general absorption, and there can be no manner of doubt that the greater portion of the proteid food is absorbed as proteoses and peptone. Peptones, as we have seen, are possessed of a higher endosmotic equivalent than the proteoses, but we need to keep continually in mind the possibility that the selective power of the epithelial cells of the intestinal mucosa may lead to as rapid transference of the proteoses as of the more diffusible peptones. It is not to be understood by this, however, that diffusibility is of no consequence in determining the rate of absorption. Surely, everything else being equal, the more diffusible the substance the more rapid will be its passage from the intestine into the blood-current. The more the process of absorption is studied, however, the more clearly do we see its dependence upon the functional power of the living epithelial cells, a fact which plainly emphasizes the physiological nature of the process.

Further, as already stated, absorption of proteid food-stuffs, or their products, from the alimentary tract, is, under ordinary circumstances at least, limited to the intestine; from the stomach there is comparatively little absorbed, and if necessary we might advance this fact as an important argument against the theory of general absorption of proteids in the form of acid-albumin. Even such indifferent fluids as water, or physiological salt solution, are absorbed with extreme slowness from the stomach;[206] this organ showing very little ability to take up water even when the blood-vessels are dilated, as after the ingestion of food.

[206] J. S. Edkins: The Absorption of Water in the Alimentary Canal. Journal of Physiol., vol. 13, p. 445.

This brings us to a very important point in connection with the utilization by the system of the ordinary products of proteolysis. The latter, as we have seen, are mainly proteoses and peptones, and yet all the evidence points clearly to the fact that these substances are never present, at least in any quantity, in the blood or lymph, even when digestive proteolysis is at its height. Further, the very nature of the proteoses and peptones, their marked physiological action when they are introduced directly into the circulating blood, their rapid excretion, either as proteoses or peptones, by the kidneys when so introduced,[207] all indicate that they are foreign substances, totally out of their natural environment when introduced into the blood-current. And yet we very well know that proteoses especially are possessed of high nutritive qualities; they are abundantly able to support animal life. Thus, Politzer[208] found by feeding experiments with heteroalbumose, dysalbumose, and protoalbumose, that these bodies taken into the stomach have the same nutritive value as meat. Various feeding experiments with proteoses from different sources, carried out in my laboratory on young dogs, have shown conclusively that for short periods of time, at least, these hydrolytic cleavage products are fully as capable of sustaining the nitrogenous equilibrium of the body as the proteids from which they are derived. In fact, the results obtained favor the view that the proteoses, weight for weight, possess a higher nutritive value than fresh beef.[209] It may be questionable, however, whether such a result would follow in experiments conducted over longer periods of time, but of this we may be certain, that the proteoses formed in the alimentary tract can be absorbed and utilized by the system without their exerting any toxic action whatever.

[207] Franz Hofmeister: Ueber das Schicksal des Peptons im Blute, Zeitschr. f. physiol. Chem., Band 5, p. 125.

[208] Ueber den Nährwerth einiger Verdauungsproducte des Eiweisses, Pflüger’s Archiv f. Physiol., Band 37, p. 301.

[209] Compare Hildebrandt, Zur Frage nach dem Nährwerth der Albumosen, Zeitschr. f. physiol. Chem., Band 18, p. 120.

Consequently, we are forced to the conclusion that these primary products of proteolysis, so important in the nutrition of the animal body, must undergo some change during the process of absorption, by which they are converted into new bodies, less toxic in their nature, and better adapted for the direct nutritional needs of the organism. The same statement applies likewise to peptones.

The fact that peptones are not discoverable in the blood and lymph, even during or after active digestion, was practically ascertained years ago by such well-known workers as Maly, Adamkiewicz, and others. The natural supposition following this observation was that the products of proteolysis underwent some change in the hepatic cells; but this view was soon shown to be untenable by examination of the portal blood, which was found to be as free from peptone as the blood of the hepatic vein. Neumeister,[210] using the more modern methods of work and with the wider knowledge gained during these latter years, has shown conclusively that proteoses and peptones are never present in the blood, even when these substances are contained in the intestine in fairly large amounts. I can corroborate these statements from the results of my own experiments in this direction. Thus, I have taken a dog in full digestion, fed with an abundance of meat, and collecting the blood from the carotid artery have made a careful examination for peptone, by the following method: The blood was allowed to flow directly into a dilute solution of ammonium sulphate, sufficiently strong to prevent coagulation, and then shaken with ether to rupture the red blood-corpuscles. The solution, freed from ether, was next saturated with crystals of ammonium sulphate, by which the proteid matter was completely precipitated. The clear filtrate was then concentrated somewhat, the excess of the ammonium salt removed by filtration, and the filtrate carefully tested for peptone by addition of a large volume of a saturated solution of potassium hydroxide and a few drops of a dilute solution of cupric sulphate. The test was wholly negative, although the intestine of the animal showed the presence of both peptone and proteoses. This result, as I have said, is simply confirmatory of work done by others in this direction, notably Neumeister, and illustrates the statement that peptones are not to be found in the circulating blood, even after a full proteid diet. In this connection it is to be remembered that we have abundant proof of the rapid disappearance of both proteoses and peptones[211] from the intestine, either by absorption or otherwise. They certainly disappear, and, as we have seen, are not to be found in the blood. Further, Neumeister has confirmed the original observation of Schmidt-Mulheim,[212] that both chyle and lymph are practically free from proteoses and peptone, thus again forcing us to the conclusion that the primary products of proteolysis must undergo change prior to their passage into the blood or lymph.

[210] Ueber die Einführhrung der Albumosen und Peptone in den Organismus, Zeitschr. f. Biol., Band 24, p. 277.

[211] Rohmann: Ueber Secretion und Resorption im Dünndarm, Pflüger’s Archiv f. Physiol., Band 41, p. 440.

[212] Du Bois-Reymond’s Archiv f. Physiol., p. 33, 1880.

Many observations lend favor to the view that a transformation of some kind takes place in the intestine itself, not indeed in the lumen of the tube, but somewhere in the walls, through which the peptones must pass before reaching the blood. Thus, peptones placed in contact with pieces of the isolated, though still living, intestine, after a time completely disappear from view,[213] so completely that no reaction can be obtained even by the most delicate of tests. In support of this statement I may cite the results of several of my own experiments which certainly furnish evidence that true peptones undergo profound alteration by simple contact with the living mucous membrane of the small intestine. The method employed was similar to that made use of some years ago in a study of the influence of peptone on the post-mortem formation of sugar in the liver.[214] A large, well-nourished rabbit was killed by severing the carotid artery and the blood collected and defibrinated. Of this, 50 c. c. were mixed with an equal volume of 0.5 per cent. salt solution containing 1.25 grammes of pure amphopeptone, prepared from egg-albumin, the mixture obviously containing 1.25 per cent. of peptone. The fluid was transferred to a large, roomy flask, provided with a stopper having two holes, in one of which was fitted a long glass tube reaching below the fluid. The flask, with its contents, was then placed in a suitable water-bath at a temperature of 40° C.

[213] Salvioli: Eine neue Methode für die Untersuchung der Functionen des Dünndarms, Du Bois-Reymond’s Archiv f. Physiol., 1880. Supplement Band, p. 112. Neumeister: Zur Physiologie der Eiweissresorption und zur Lehre von den Peptonen, Zeitschr. f. Biol., Band 27, p. 324.

[214] Chittenden and Lambert: Studies in Physiol. Chem., Yale Univer., vol. i., p. 171.