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Prom The Laboratory of Biological Chemistry of Columbia University, at The College of Physicians and Surgeons, New York
Prom The Laboratory of Biological Chemistry of Columbia University, at The College of Physicians and Surgeons, New York
ISIDOR GREENWALD
I. INTRODUCTION
Phenol and the cresols have been used as antiseptics for many
years. They are not suitable intestinal antiseptics, however,
because, being quite soluble, they are readily absorbed from the
stomach and, in any but very diKite solutions, are extremely
corrosive. Their external use, also, is dangerous. Absorption
of phenol or a cresol from a large area is apt to result in severe
intoxication and the application of aqueous solutions in dressings,
etc., to the extremities is frequently followed by gangrene. Con-
sequently, these substances are used externally to a much smaller
extent than was formerly the case and are employed internally
chiefly in the form of compounds such as salol. Such compounds
are but sparingly soluble in water and are not materially decom-
posed in the stomach. They are gradually broken down in the
intestine, where they yield the active constituents. These are
produced in such low concentrations as to be almost non-irritant.
Of the three isomeric cresols and phenol, meta-cresol is the
least toxic. This has been reported by a number of observers.
Thus, Tollens gives the data summarized on the next page.
II. EXPERIMENTAL
TABLE I
Hydrolysis of meta-cresol acetate in 0.5 per cent HC1 solution, 1 per cent Na2CO3
solution and di8tilled water
Cubic centimeters of acid or alkalin solution required to neutralize 10 cc. of
the liquid
hours
0 (Control) 7.1 11.0 none
1 7.1 10.6 none
2 7.4 10.4 none
3 7.3 10.2 none
5 7.3 10.1 none
8 7.5 9.8 none
24 7.7 9.6 none
31 8.05 9.6 none
51 8.3 9.3 none
75 8.6 9.0 none
120 8.8 9.2 none
Days
6 9.0 9.2 none
8 9.4 8.8 none
10 9.6 8.7 none
14 12.8 8.5 none
17 13.1 8.3 none
22 8.3 slight
30 0.3
35 0.3
193 0.8
232 0.8
254 1.8
4Completely dissolved.
Antiseptic Action
each containing 100 cc. of such broth, to which had been added,
respectively, .0.04 and 0.08 cc. of meta-cresol acetate, there was
no appreciable bacterial growth after two months in the incubator.
In another series of experiments 0.06 cc. added to 100 cc. of pep-
tone broth checked the multiplication of bacteria to such a degree
that prior to the fifth day of incubation, there was no evidence
of film formation. Under these conditions 0.08 cc. prevented
putrefaction indefinitely.
Comparative tests were made with meta-cresol. It was found
that 0.07 cc. in 100 cc. of peptone broth checked putrefaction for
five days and 0.1 cc. prevented it indefinitely. In this respect,
therefore, meta-cresol was found to be as active as the free cresol.
The broth that had been preserved with meta-cresol acetate
did not give a test for cresol with ferric chloride. Apparently,
then, the antiseptic properties of the acetate were not due to its
decomposition into acetic acid and meta-cresol.
Urine to which a little meta-cresol acetate had been added did
not decompose. The acetate, however, was slowly hydrolyzed,
the acidity of the urine increasing slightly from day to day.
Effects on Animals
TABLE III
on dogs
META-CRE8OL ACETATE META-CRESOL
7On account of the great danger of producing oil embolism care was taken to
introduce slowly only very small doses of the oily liquid at each injection.
Gibbs and Hare: Archiv. f. Phys., Suppi. Band., 1889, p. 271.
522 ISIDOR GREENWALD
twelve hours and the feet were found to be unaffected. There was
no inflammation whatever. Two days later, under cocain anes-
thesia, two longitudinal incisions, about two inches long, were
made in the skin of the back of the neck. On the following day
one of the wounds was covered with a cotton compress saturated
with meta-cresol acetate, and the other with dry absorbent cotton.
This treatment of the wounds was repeated daily for three days.
As it was very difficult to keep the compresses in position their
use was then discontinued and the treated wound was painted with
meta-cresol acetate three or four times a day on four successive
days. At no time did the dog appear to be annoyed by the ace-
tate and the two wounds .healed with equal rapidity.
Subcutaneous injection. Subcutaneous injections of meta-cresol
acetate were very well borne by dogs. In one animal, weigh-
ing 7.5 kilos, the injection of 3.5 grams of undiluted meta-cresol
acetate, and also, later, of 5 cc. of olive oil solution containing
3.14 grams of the acetate, was followed by only slight transient
local reaction. Another dog, weighing 8.5 kilos, received 6.29
grams of meta-cresol acetate. The swelling that followed did
not disappear but softened and, after puncture three days later,
100 cc. of bloody pus were removed. The skin about the point
of puncture was very thin and an open wound soon resulted, but
the dog kept this clean and it healed rapidly.
Excretion and effects on metabolism. Jonescu9 found that of 4
grams of meta-cresol, given in four daily doses to a dog weighing
11.96 kilos, none was excreted in the feces and only 1.768 grams
or 46.5 per cent in the urine. In another experiment in which
1 gram of meta-cresol was given on each of three successive days,
the same dog excreted in the urine 1.505 gram, or 50.17 per cent
of the amount administered. Similar results were obtained in
this work with meta-cresol acetate.
A dog weighing 4.19 kilos was kept upon a daily diet of 75
grams of hashed meat (prepared and preserved as described by
GiesIo), 20 grams of cracker meal, 15 grams of lard, 5 grams of
bone ash and 175 cc. of water. The dog was fed at 9 a.m., but
a little of the meat was reserved until noon when it was given
with an empty gelatin capsule (control). After the dog had been
kept on the above diet for eight days the collection of urine and
feces was begun. The excreta for four days were obtained. On
the fifth day a gelatin capsule containing 0.512 gram of meta-
cresol was given two hours after feeding. . Nothing unusual was
noticed within the next ninety minutes, but on the following
morning the urine was found to be contaminated with vomit.
This day’s urine was discarded. During the next four days the
dog received 2.0488 grams of meta-cresol acetate, equivalent to
1.475 grams of meta-cresol, in four approximately equal daily
doses, which were given in gelatin capsules in meat three hours
after feeding.
The feces of this period were treated with boiling H2S04 solu-
tion and the volatile matter distilled from the mixture. No phe-
nols could be detected in the distillate. The urines of each
period were combined and analyzed. The analytic methods
which were employed are indicated in the following summary.
was first tried with solutions of pure meta-cresol and found to give ac-
curate results.
TABLE IV
kilos grams grams gram gram gram gram gram per centper ceis per cent
Fore period.... 4.2 12.5 11.24 0.6& 0.492 0.462 0.247 0.014 + .89.91 71.83 93.78
Meta-cresol ace-
tate period. . 4.2 11.95 10.23 0.629 0.479 0.206 1.175 0.674 : 85.61 76.12 43.00
may be noted that in these urines, Tollens’ colorimetric method gave results
indicating a glycuronic acid content of at least 6.25 and 7.75 grams respectively.
A number of normal dog urines were found to give the reaction in correspondingly
high dilution. Apparently, then, the test may be more delicate than Tollens
supposed or, as is much more probable, some dog urines contain a substance which
either is not, precipitated by basic lead acetate and ammonium hydroxid or does
not yield furol on boiling with 12 per cent HCI solution, but which does give Tol-
lens’ test for glycuroriic acid.
“ K#{252}l.z:
Z. f. Biologic, 1890, xxvii, p. 247.
528 ISIDOR GREENWALD