This study was performed to determine the mechanism whereby hypertonic sucrose inhibits the immune bactericidal reaction. Other investigators had postulated that the initial attack of complement (C) on the cell wall was followed with lysozyme-containing whole serum by an enzymatic reaction upon the peptidoglycan substrate resulting in cell death. In the absence of serum lysozyme, secondary lethal changes might occur from damage to the cell's inner membrane as a result of osmotic forces in the presence of a defective cell wall. Hypertonic sucrose giving rise to plasmolysis and protection of the inner membrane was presumed to differentially inhibit the immune response mediated by lysozyme-free serum. The experimental results observed in this investigation have indicated, however, that the inhibitory effect of sucrose upon the bactericidal reaction may be explained simply by its anticomplementary effect and not by any effect on the bacterial cell. This view was supported by the following observations: (i) the comparability of the inhibitory effect of sucrose upon the immune hemolytic and bactericidal reactions, (ii) the comparable percentage loss in bactericidal activity of whole serum and lysozyme-free serum resulting from hypertonic sucrose, (iii) bactericidal antibody titrations were relatively unaffected and C titrations markedly inhibited by sucrose, (iv) the inhibitory effect of sucrose on the bactericidal reaction was unaffected by prior growth of the organism in the presence of sucrose, (v) the kinetics of the bactericidal reactivity of lysozyme-free serum in hypertonic sucrose, compared with whole serum, did not reveal a prolonged lag phase with lysozyme-free serum, but simply diminished reactivity at all times. These observations are compatible with the view that the C attack upon the outer surface of gram-negative bacteria, which plays a part in the cell's permeability control, may account for cell death. In this regard, the immune bactericidal reaction is quite comparable to the lysis of red cells or nucleated cells by C despite the lack of overt lysis in bacteria, probably because of their underlying supporting structures.
