Number, size, and class of peripheral nerve fibers regenerating after crush, multiple crush, and graft

doi:10.1016/0006-8993(89)90306-5

Brain Research

Volume 500, Issues 1–2, 23 October 1989, Pages 131-138

https://doi.org/10.1016/0006-8993(89)90306-5 Get rights and content

Abstract

Morphometric characterization of fiber regeneration in a distal nerve after focal proximal nerve injury may provide useful clinical information and insights about underlying neurobiologic mechanisms. The myelinated (MF) and unmyelinated (UF) fibers of peroneal nerve of groups of mice were assessed 9 months after crush, graft, and multiple crush injury of the proximal sciatic nerve: number and size distribution of axon areas, myelin areas, and fiber diameters. After crush, number of regenerated MF and UF was almost identical to that of controls. Their size distribution had almost returned to normal. After graft and multiple crush, fiber number had returned to normal or was significantly increased beyond normal but there were only a few large fibers present. This may be explained by: (a) disproportionate regeneration of small-diameter compared to large-diameter classes of fibers; (b) misdirected regrowth of fibers, so that functional reinnervation was not established, resulting in failure of development or retrograde atrophy and degeneration; or (c) cellular alterations at the site of injury or in the distal nerve which inhibited neural outgrowth or elongation or did not inhibit outgrowth but retarded or prevented maturation. We conclude that explanation (b) is involved, and that there is some evidence favoring the roles of (a) and (c).

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Cited by (39)

Misdirection of regenerating motor axons after nerve injury and repair in the rat sciatic nerve model
2008, Experimental Neurology
Misdirection of regenerating axons is one of the factors that can explain the poor results often found after nerve injury and repair. In this study, we quantified the degree of misdirection and the effect on recovery of function after different types of nerve injury and repair in the rat sciatic nerve model; crush injury, direct coaptation, and autograft repair. Sequential tracing with retrograde labeling of the peroneal nerve before and 8 weeks after nerve injury and repair was performed to quantify the accuracy of motor axon regeneration. Digital video analysis of ankle motion was used to investigate the recovery of function. In addition, serial compound action potential recordings and nerve and muscle morphometry were performed. In our study, accuracy of motor axon regeneration was found to be limited; only 71% (± 4.9%) of the peroneal motoneurons were correctly directed 2 months after sciatic crush injury, 42% (± 4.2%) after direct coaptation, and 25% (± 6.6%) after autograft repair. Recovery of ankle motion was incomplete after all types of nerve injury and repair and demonstrated a disturbed balance of ankle plantar and dorsiflexion. The number of motoneurons from which axons had regenerated was not significantly different from normal. The number of myelinated axons was significantly increased distal to the site of injury. Misdirection of regenerating motor axons is a major factor in the poor recovery of nerves that innervate different muscles. The results of this study can be used as basis for developing new nerve repair techniques that may improve the accuracy of regeneration.
Facilitated sprouting in a peripheral nerve injury
2008, Neuroscience
Citation Excerpt :
Overall the findings indicate that just beyond crush zones, even if extensive and segmental, there is exuberant axon sprouting and that such sprouts mature and compete for more distal pathways to targets. The rise in distal sprouts from branching after injury has been previously highlighted, especially after more severe injuries (Mackinnon et al., 1991; Toft et al., 1988; Giannini et al., 1989; Lago and Navarro, 2006). The competition among these sprouts was highlighted by Witzel et al. (2005) after transection injuries.
During regeneration of injured peripheral nerves, local conditions may influence how regenerative axon sprouts emerge from parent axons. More extensive lesions might be expected to disrupt such growth. In this work, we discovered instead that long segmental crush injuries facilitate the growth and maturation of substantially more axon sprouts than do classical short crush injuries (20 mm length vs. 2 mm). At identical distances from the proximal site of axon interruption there was a 45% rise in the numbers of neurofilament labeled axons extending through a long segmental crush zone by 1 week. By 2 weeks, there was a 35% greater density of regenerating myelinated axons in long compared with short crush injuries just beyond (5 mm) the proximal injury site. Moreover, despite the larger numbers of axons, their maturity was identical and they were regular, parallel, associated with Schwann cells (SCs) and essentially indistinguishable between the injuries. Backlabeling with Fluorogold indicated that despite these differences, the axons arose from similar numbers of parent motor and sensory neurons. Neither injury was associated with ischemia. Both injuries were associated with rises in GFAP (glial acidic fibrillary protein) and p75 mRNAs, markers of SC plasticity but p75, GFAP and brain-derived neurotrophic factor mRNAs did not differ between the injuries. There was a higher local mRNA level of GAP43/B50 at 7 days following injury and a higher sonic hedgehog protein (Shh) mRNA at 24 h in long crush zones. GAP43/B50 protein and SHH protein both had prominent localization within regenerating axons.
Long segmental nerve trunk crush injuries do not impair regeneration but instead generate greater axon plasticity that results in larger numbers of mature myelinated axons. The changes occur without apparent change in SC activation, overall nerve architecture or nerve blood flow. While the mechanism is uncertain, the findings indicate that manipulation of the nerve microenvironment can induce substantial changes in regenerative sprouting.
Differential growth of axons from sensory and motor neurons through a regenerative electrode: A stereological, retrograde tracer, and functional study in the rat
2004, Neuroscience
Citation Excerpt :
The size of myelinated fibers regenerated distally to the sieve was much lower than normal, 89% of them being smaller than 5 μm. However, no conclusion may be derived from those measurements regarding the type of nerve fiber that they represent, since axons regenerated across a gap or a nerve graft never achieve their normal original size (Giannini et al., 1989; Le Beau et al., 1988), and may undergo late atrophy if they do not reinnervate target tissues. Significant differences were observed in the regenerative capacity of axons arising from different neuron types.
Polyimide regenerative electrodes (RE) constitute a promising neural interface to selectively stimulate regenerating fibers in injured nerves. The characteristics of the regeneration through an implanted RE, however, are only beginning to be established. It was recently shown that the number of myelinated fibers distal to the implant reached control values 7 months postimplant; however, the functional recovery remained substantially below normal [J Biomed Mater Res 60 (2002) 517]. In this study we sought to determine the magnitude, and possible selectivity, of axonal regeneration through the RE by counting sensory and motor neurons that were retrogradely labeled from double tracer deposits in the sciatic nerve. Adult rats had their right sciatic nerves transected, and the stumps were placed in silicone tubes; some simply were filled with saline (Tube group), and others held a RE in its center (RE group). Simultaneously, the proximal stump was exposed to Diamidino Yellow. Two months later the nerves were bilaterally excised distal to the implant, and exposed to Fast Blue. Electrophysiological recordings, and skin nociceptive responses confirmed previous findings of partial functional recovery. In controls, an average of 20,000 and 3080 neurons were labeled in L4–L5 dorsal root ganglia (with minor contributions from L3 and/or L6), and in the ventral horn of the lumbar spinal cord, respectively. In the regenerating side, 35% of the DRG neurons were double-labeled, without differences between groups. In contrast, only 7.5% of motoneurons were double-labeled in the RE group, vs. 21% in the Tube group. Moreover, smaller ganglion cells regenerated better than large neurons by a significant 13.8%. These results indicate that the RE is not an obstacle for the re-growth of sensory fibers, but partially hinders fiber regeneration from motoneurons. They also suggest that fine fibers may be at an advantage over large ones to regenerate through the RE.
Identification of myelinated motor and sensory axons in a regenerating mixed nerve
2000, Journal of Hand Surgery
Citation Excerpt :
The recovery rate at 12 weeks was 1.1. These results are almost in agreement with some previous reports.1,10,11,37 At 2 weeks the number of CA-positive axons corresponded to over two thirds of the total number of axons; it was already 80% of that of CA-positive axons at 12 weeks.
The common peroneal nerves of Wistar rats were transected and repaired to compare the sequential changes in the numbers of regenerating motor and sensory myelinated axons in a single mixed nerve. At sequential intervals (2, 4, and 12 weeks) after nerve repair, 3 kinds of staining were performed: cholinesterase staining (Karnovsky's staining) for motor axons, carbonic anhydrase staining for sensory axons, and antineurofilament immunohistochemical staining for all axons. At 2 weeks there was a large number of carbonic anhydrase-positive axons (600 ± 98; mean ± SD) and cholinesterase-positive axons were occasionally seen. Subsequently, there was a striking increase of cholinesterase-positive myelinated axons, reaching to 302 ± 50 at 12 weeks. The results suggest that the myelimated sensory axons regenerate faster in the early stage of nerve regeneration and that regeneration of the myelinated motor axons is prominent in the subsequent stage. (J Hand Surg 2000;25A:104–111. Copyright © 2000 by the American Society for Surgery of the Hand.)
Axonal regeneration of sensory nerves is delayed by continuous intrathecal infusion of nerve growth factor
1997, Neuroscience
While it is well established that nerve growth factor is growth promoting for sensory neurons in culture, it is unclear whether it serves such a function in vivo. In fact, our previous studies led to the hypothesis that nerve growth factor could actually impair axonal regeneration by reducing the neuronal cell body response to injury. In the present study, the consequence of continuous intrathecal infusion of nerve growth factor on regeneration of sensory neurons was examined in rats given a bilateral sciatic nerve crush. Rats received nerve growth factor (125 ng/h) as a continuous infusion into the subarachnoid space of the lumbar spinal cord via an osmotic minipump (Alzet); controls received cytochrome C. At seven or 10 days, the pump was removed and L4 or L5 dorsal root ganglion exposed and injected with 50 μCi of [³H]leucine. Animals were killed 24 h later, the sciatic nerves removed, cut into 3 mm segments and the radioactivity in each segment determined by liquid scintillation spectrophotometry. Maximal regeneration distances (determined from the front of the resultant transport curves) were similarly reduced (by approximately 6 mm) in nerve growth factor-infused compared to cytochrome C-infused rats. Thus, regeneration rates (determined between eight and 11 days) were unaltered by nerve growth factor infusion; regeneration rates from cytochrome C-infused and nerve growth factor-infused animals were 2.8 mm/day and 3.1 mm/day, respectively. However, nerve growth factor significantly (P<0.005) increased the delay to onset for regeneration by two days.
Taken together, the present study demonstrates that nerve growth factor delays the onset of regeneration without affecting the rate of regeneration. The results implicate the involvement of at least two signals in the regulation of axonal regeneration in dorsal root ganglion neurons. It is suggested that the loss of nerve growth factor serves as an early, induction signal regulating the onset of regeneration and that a second, unidentified signal independently serves to maintain regeneration.
Recovery of chorda tympani nerve function following injury
1996, Experimental Neurology
The chorda tympani (CT) nerve carries taste information from the anterior tongue to the brain stem. Injury to the chorda tympani may result in loss or distortion of taste information. This study examined changes occurring in the hamster peripheral taste system during recovery from injury. The hamster chorda tympani nerve was crushed in the middle ear and the animals were allowed to survive from 2 to 16 weeks. At 2 weeks, CT fibers had degenerated distal to the crush site. Up to 16 weeks after crush, there were 67% fewer myelinated fibers in regenerated nerves than in controls. The mean area of the Ca²⁺-ATPase-stained core of the fungiform taste buds was significantly smaller than in controls 2 weeks after injury, but recovered to control values by 4 weeks. Electrophysiological responses to taste stimuli were recorded from the chorda tympani distal to the injury. No responses were seen after 2 weeks; weak and unstable responses were seen after 3 weeks. By 4–8 weeks, relative responses to taste stimuli were similar to control responses, but the variability of the responses to sucrose was significantly greater than that in controls. The frequency of responses to the water rinse following taste stimuli, particularly sucrose, was also greater in the regenerated nerves. The abnormal electrophysiological responses to sucrose may be the result of the differential rate of return of fiber types and/or the transduction mechanisms. In some ways, recovery of the peripheral gustatory system after damage to the chorda tympani nerve recapitulates the later stages of taste bud development.

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Number, size, and class of peripheral nerve fibers regenerating after crush, multiple crush, and graft

Abstract

J. Neurol. Sci.

J. Neurol. Sci.

Exp. Neurol.

Exp. Neurol.

Exp. Neurol.

Brain Research

Neurosci. Lett.

Brain Research

Brain Research

Brain Research

Brain Research

Brain Research

Maturation of regenerating nerve fibres with various peripheral connexions

J. Anat.

Cutaneous sensation after nerve-division

Q. J. Exp. Physiol.

Regeneration of peripheral unmyelinated nerves. Fate of the axonal sprouts which develop after injury

J. Anat.

Axons guidance and the patterning of neuronal projections in vertebrates

Science