Abstract
In a previous communication 1 on the nucleotide content of pathologic human whole blood, it was stated that the correlations between nucleotide nitrogen and the percentage of hemoglobin and the red blood corpuscle count are high in all of the conditions which were studied, except in leukemia. In the latter case there is no relationship between the nucleotide nitrogen and the number of red blood corpuscles, but there is a significant positive correlation between the nucleotide nitrogen content of the whole blood and the number of white blood cells. In other words, it would seem that the high values for nucleotide nitrogen observed in leukemia must be associated in some way with the increased white cell count. Under conditions where the number and volume of the red blood corpuscles in comparison with the white blood cells maintain the usual level, the amount of nucleotide which is present in the white blood cell is masked completely by the larger quantity of nucleotide which is confined to the red blood corpuscles.
Insofar as we are aware, there is only one analysis of the nucleotide content of the leucocytes published in the literature. Buell and Perkins 2 reported negative results for the nucleotide content of the lymphocytes taken from the thoracic duct of the dog. It therefore seemed desirable to attempt the separation of the white blood cells from the red blood corpuscles in those cases of leukemia in which small quantities of blood would give a quantity of white cells sufficient for the quantitative analysis of the nucleotide content.
The following procedure was used for the separation of the red blood corpuscles from the white blood cells. Five millimeter glass tubing was cut the size of ordinary hematocrit tubes and sealed at one end. The blood was introduced into the tubes with a syringe which had been fitted with a long needle. The tubes containing the blood were then centrifuged for 25 minutes at approximately 2500 r.p.m. After the centrifugation, the tubes contained 3 separate and distinct layers, corresponding to red blood corpuscles, white blood cells with a few enmeshed red corpuscles, and plasma. The length of each layer in the 5 mm. tubes varies from one inch or more, dependent upon the relative volume of the red blood corpuscles and the white blood cells. The tubes were broken, with the aid of a file and gentle pressure, at the juncture between red corpuscles and white cells and also at the juncture between white cells and plasma. The cells or plasma were then aspirated from each section. If carefully done, quite an efficient separation of the three fractions may be effected. After the separation, the total volume of each cell fraction was determined, and Ringer's solution was added until the volume in each case (determined by hematocrit) was the same as that occupied by the fraction as it appeared in the original sample of whole blood.
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