The thymol turbidity test (TTT) is a non-specific reaction, which gives results above normal in a variety of diseases (Stillerman, 1948). Chronic infection, for instance syphilis, is one of the conditions associated with increased thymol turbidity (TT) of serum (Weiss, 1969; Menke, 1975).Factors contributing to the TT are discussed by Reinhold (1960). The free lipids of serurm play a part, but proteins have also been found to react with the thymol reagent (Kunkel and Hoagland, 1947;Franklin, 1959).Electrophoresis shows that the proteins precipitated by the thymol reagent behave like the beta and gamma proteins. The addition of gamma globulins to normal serum is followed by an increase in TT, and the removal of these proteins from positive TTT sera is followed by a negative reaction (Kunkel and Hoagland, 1947).As Franklin (1959) has shown, basic fractions of the gamma region are important in the reaction. Although negative when tested alone, these fractions affect the TT when tested in the presence of lipoproteins. Hartmatn, Viallet, and Fauvert (1963) described the so-called 'starter mechanism' of IgM. The addition of IgM myeloma proteins to normal serum was followed by an increase in TT, an effect which was not observed with IgG. However, when both IgM and IgG were added, the increase was larger than could be expected from the amount of IgM alone. These results indicate that some of the immunoglobulins play a part in the TTT. Since we were interested in the course of immunological events taking place after infection with T. pallidum, we investigated some of the factors contributing to the increased thymol turbidity in syphilis. In the experiments described in this communication, we studied the action of IgG isolated from syphilitic sera in the TTT.
Material aind methodsAll the chemicals used were of analytical reagent grade. Antisera were obtained from the Central Laboratory of the Dutch Red Cross (Amsterdam, The Netherlands) and Received for publication August 30, 1974 Nordic (Tilburg, The Netherlands). Sera from syphilitic subjects were used either at once or after storage at -700C. for varying lengths of time. In all cases the diagnosis was confirmed by a positive darlfield examination and/or a positive Treponema pallidum immobilization (TPI) reaction. The TTT was performed by diluting 0-1 ml. of serum with 6 ml. of thymol reagent pH = 7-55 to 7 60 (Baker, Deventer, The Netherlands).After 30 min. the turbidity was read on a Vitatron spectrophotometer at 637 nm. Protein content was measured by the biuret reaction, using Lab-Trol (Dade, Miami, Florida, USA) as a standard.Zone electrophoresis in Pevikon blocks was performed according to the method of Bocci (1964) in barbitalbarbital sodium buffer, pH = 8-6, ,u 0-05, in blocks measuring 36 x 16 x 1 cm. 7 to 8 ml. serum from a syphilitic patient was dialysed in barbiturate buffer and applied to the block in a groove 12 cm. from the cathodal end. A voltage gradient of 3 3 V/cm. was applied to the block.After passage of current for 28 hrs, the block was divide...