PEASE DC: DEGENERATIVE CHANGES IN RAT DORSAL ROOTS DURING WALLERIAN DEGENERATION

Fate of ganglionic synapses and ganglion cell axons during normal and induced cell death

In order to understand the significance of cell death in the formation of neural circuits, it is necessary to determine whether before cell death neurons have (a) sent axons to the periphery; (b) reached the proper target organs; and (c) have established synaptic connections with them. Axon counts demonstrated that, after sending out initial axons, ciliary cells sprouted numerous collaterals at the time of peripheral synapse formation. Subsequently, large numbers of axons were lost from the nerves, slightly later than the onset of ganglion cell death. A secondary loss of collaterals later occurred unaccompanied by cell death. Measurements of conduction velocity and axon diameters indicated that all ganglion cell axons grew down the proper pathways from the start, but it was not possible to determine whether all axons had actually formed proper synapses. This was ascertained, however, in the ganglion itself where preganglionic fibres were shown to synapse selectively with all ganglion cells before cell death. During this period, degenerating preganglionic synapses were observed on normal cells. It can therefore be inferred that at least some preganglionics established proper synapses before dying and that a single synapse is not sufficient to prevent cell death. In this system neither preganglionic nor ganglionic cell death seems designed to remove improper connections but rather to remove cells that have not competed effectively for a sufficient number of synapses, resulting in a quantitative matching up of neuron numbers.

Regeneration of a transected peripheral nerve. An autoradiographic and electron microscopic study

The regeneration of transected peripheral nerves of mice was studied using autoradiographical and electron microscopical techniques. In general, maximal proliferation occurred between the 5th and 7th day after dissection and stopped when the cells emigrating from the proximal and distal stumps of the nerve started to contact one another. Special attention was paid to the reaction of the connective tissue cells of the endo-, epi- and perineurium. The perineurial cells seemed to dedifferentiate between the 3rd and 5th day after the transection and then started to proliferate into the defect. Labelled perineurial cells were completely absent, when the minifascicles were fully developed in the neuroma. The epineurial fibroblasts started to proliferate during the 1st day. Even 6 weeks after transection the multiplication rate was about ten fold that of the controls. The results are discussed with special reference to clinical nerve repair.

Phagocytes, lipid-removal and regression of atheroma

Reticuloendothelial (RE) phagocytes (macrophages and histiocytes) can be distinguished from locally-derived lipid-containing cells (e.g., arterial smooth muscle) or locally derived phagocytes (e.g., Schwann cells and microglia) by the demonstration of a diffuse catalase reaction in a proportion of these RE cells with a short incubation modification of the Novikoff-Golfischer diaminobenzidine histochemical methods. Even though only a proportion of an RE population is catalase-positive, the results accord with the majority of current opinion that most of the cells in atherosclerotic lesions are derived locally, whereas the phagocytes in lipid implants and xanthomas are of RE origin. The phagocytes in the peripheral nerve undergoing Wallerian degeneration appear to be of mixed RE and endogenous origin, whereas microglia around multiple sclerosis plaques seem to be derived locally. Lipid in lesions with RE phagocytes (subcutaneous lipid implants and xanthomas) is relatively rapidly resorbed, whereas lipid in lesions with few RE phagocytes (atherosclerosis) or phagocytes of endogenous origin (CNS degeneration) is more slowly resorbed or partly retained within the tissue. Wallerian degeneration in the peripheral nerve, with its mixed population of RE and endogenous phagocytes, occupies an intermediate position in the speed of lipid removal.

Alcoholic neuropathy. An electron-microscopic study

The sural nerves of 6 patients with different signs of alcoholic neuropathy were studied qualitatively and quantitatively by electron microscopy. Myelinated and unmyelinated fibres showed degenerative changes of the Wallerian type. Concomitant involvement of the myelin appears to be secondary to axonal lesions. Regenerative processes, although frequently observed, did not balance the destruction of fibres in the degenerative phase. Quantitative studies indicated a reduced number of myelinated fibres and decreased percentage of the area covered in cross-section by myelinated and unmyelinated axons. The histograms of myelinated fibres showed a shift to the left of the peak of large and small fibres and an increased number of small-sized fibres. Similarly the histograms of unmyelinated fibres showed a shift to the left and a bimodal distribution with an increased number of small-sized fibres. Imbalance in degenerative and regenerative processes seems to be the basis of the chronic partial denervation observed in the nerves of alcoholic patients in this study.

Investigation of cranial and other nerves in the mouse with muscular dystrophy

In the muscular dystrophic mouse mutant there is an absence of Schwann cells over circumscribed lengths of all cranial nerves except for II (I was not examined) and the lesion involves the sympathetic system. Where present, Schwann cells do not produce myelin of normal thickness. The lesion is similar to that described for the spinal roots. Causation is discussed.

Degeneration of sensory and motor axons in transplanted segments of a crustacean peripheral nerve

Segments of sensory and motor axons 0.3-0.5 mm in length were taken from crayfish peripheral limb nerves and transplanted into the abdominal cavity of the same animal. Transplanted sensory axons showed relatively few ultra-structural changes after one week, many had undergone complete lysis within two weeks, and almost all degenerated within three weeks. Transplanted motor axons appeared normal after one week, except for some hypertrophy of their surrounding glial sheaths. After two weeks, glial sheaths were grossly hypertrophied around motor axons; axonal mitochondria had increased in number and many had migrated from the periphery to the centre of the axon. The axonal membranes of all motor axons were still intact after three weeks, although most were no longer continuous after four weeks. By five weeks, all axonal material had completely disintegrated. These data suggest that axonal synthetic processes in crayfish sensory (and presumably motor) axons can maintain the axons relatively intact for 7-14 days and that transfer of substances form hypertrophied glial cells to motor axons may account for the longer survival times of transplanted motor axons.

The ultrastructure of Wallerian degeneration in the severed optic nerve of the newt (Triturus viridescens)

Wallerian degeneration in the severed newt's (Triturus viridescens) optic nerve is complete between the 10-14th post operative day (p.o.d.). Consequently, the newt optic nerve displays one of the most rapid degenerative responses yet reported for the central nervous system of vertebrates. In most cases it also exhibits the speed of degenerative phenomenon in the vertebrate peripheral nervous system. The degeneration of unmyelinated axons is most rapid and is completed by 2-3 p.o.d., compared to myelinated axons, most of which degenerate between 2-10 p.o.d. Myelin ring formation (vesicular transformation) is the principal form of lamellar breakdown and occurs in a highly organized manner which can be clearly staged. The glial cell response to Wallerian degneration is two-fold: cytoplasmic hypertrophy and myelin-lytic. Glial hypertrophy subsides by the 10-14 p.o.d. with the ingrowth of numerous regenerating nerve fibers. The myelin-lytic response accounts for most of the myelin destruction. Leukocyte-like and microglia-like cells also participate in myelin breakdown but to a lesser degree.

Electron microscopy of trypsin-digested peripheral nerve myelin

Sciatic nerves from mice were removed and soaked in either PBS (phosphate buffered saline) or PBS plus I% trypsin (Sigma Type III) for various periods of time. Specimens were soaked at either room temperature or 37-degrees C at pH's ranging from 7.5 to 8.0. The epineural and perineural sheaths were split to allow the trypsin to penetrate the nerve. Tissue was prepared for electron microscopy by fixation in cacodylate buffered formaldehyde-glutaraldehyde solutions, post-fixed in OSO4 and embedded in Epon 812 or in glutaraldehyde-urea resin without osmication. After four h incubation at 37-degrees C or eight h at room temperature, the basement membranes of the Schwann cells became fragmented and detached and the myelin intraperiod band lost some density. After 18 h, myelin with swollen intraperiod bands displaying a loss of electron density and split main period bands was noted adjacent to normal myelin. Other areas had been transformed into vesicles indicating that the membranes of these vesicles appeared to have been derived from the detachment of both the intraperiod and main period bands within the myelin. Evidence is presented for the presence of trypsin digestable proteins in both the main period and intraperiod bands of peripheral nervouse system myelin.

Effects of calcium ion concentration on the degeneration of amputated axons in tissue culture

Light and electron microscope studies were conducted on the nature of the degenerative changes in amputated nerve fibers of cultured rat sensory ganglia and on the effects of media with differing calcium concentrations upon these changes. With glucose-enriched Eagle's media (MEM) containing 1.6 mM calcium, the amputated myelinated and unmyelinated axons undergo a progressive granular disintegration of their axoplasm with collapse and fragmentation of myelin sheaths between 6 and 24 h after transection. With MEM containing only 25-50 microM calcium, the granular axoplasmic degeneration does not occur in transected fibers and they retain their longitudinal continuity and segmental myelin ensheathment for at least 48 h. Addition of 6 mM EGTA to MEM (reducing the estimated Ca(++) below 0.3 microM) results in the structural preservation of both microtubules and neurofilaments within transected axons. A transient focal swelling of amputated axons occurs, however, in cultures with normal and reduced calcium. These observations suggest that an alteration in the permeability of the axolemma is a crucial initiating event leading to axonal degenerative changes distal to nerve transection. The loss of microtubules and neurofilaments and the associated granular alterations of the axoplasm in transected fibers appears to result from the influx of calcium into the axoplasm.

The effect of acrylamide on the peripheral nervous system of the baboon

In the baboon, acrylamide produces a clinical illness characterized by weakness and ataxia of the limbs, weakness of bulbar muscles, and finally tetraplegia. Histological examination shows extensive involvement of peripheral nerves, the main histological change being a Wallerian type of degeneration affecting the distal ends of the largest diameter nerve fibres. The phenomenon of `dying back' has been demonstrated in single teased fibres. Changes also occur in the paranodal myelin; these are not necessarily associated with degeneration of the axon, since intercalated segments and extension of myelin from neighbouring internodes are present in recovering animals. Demyelination of whole internodes is rare. Paranodal changes may be found a few millimetres proximal to complete degeneration, but may also occur on fibres which are otherwise normal in the length examined. The mechanism of the paranodal changes is uncertain, but they may indicate a secondary response of the Schwann cell to a primary change in the axon.

Observations on a transient phase of focal swelling in degenerating unmyelinated nerve fibers

This study describes the nature and time-course of a swelling phase during the degeneration of unmyelinated nerve fibers, as observed in highly organized cultures of rodent sensory ganglia. Observations were made on nerve fascicles after they were cut and during nutritional deprivation. About 12 hr after nerve transection, large, clear vacuoles appear throughout fascicles distal to the cut. These vacuoles are most numerous at 24 hr and then gradually subside; after 48 hr, only small granules mark the severed fascicles. Electron microscopy shows that the vacuoles are, in fact, massive focal dilations of unmyelinated axons. Similar focal dilations in unmyelinated axons are observed if cultures are not refed for 5-7 days; under these conditions glucose concentrations fall below 20 mg/100 ml and degenerative changes begin to appear in neuronal somas. If the gas-tight assembly is opened and the culture refed, there is rapid disappearance of axonal dilations (usually within 1 hr) and recovery of many of the damaged neurons. Cooling (4 degrees C) prevents this reversal, suggesting that an active process is involved. It is postulated that the swellings result from the failure of active axolemmal ion-pumping mechanisms prior to loss of selective permeability in the axon membrane. The reasons for the focal nature of the swellings is unknown. A literature review indicates that a phase of focal swelling has frequently been observed during the degeneration of unmyelinated nerve fibers in vivo.