Observations have been made on the rabbit sciatic nerve distal
to
a transection, with survival periods of up
to 26 mo and prevention of reinnervation. It was confirmed that the
nerve becomes compartmented by
fibroblast processes and that a zone of fine collagen fibrils develops
around the Schwann cell columns that
constitute the Büngner bands. The Schwann cells become progressively
more atrophic but after 6 mo of
denervation still expressed low affinity p75 nerve growth factor receptor
(NGFR), the latest stage at which
this was examined. NGFR was also expressed by the processes of the
fibroblasts producing the endoneurial
compartmentation. By 26 mo after transection the site of previous
nerve fibres was indicated by sharply
demarcated domains of approximately circular outline in transverse
section consisting of densely packed
longitudinally oriented collagen fibrils. Some of these domains
still possessed centrally situated Schwann cells
or residual basal lamina but many were acellular. The central
collagen fibrils in these domains were of
smaller diameter than those situated peripherally but were of
larger size than those that form around the
Büngner bands during wallerian degeneration. The peripherally
located fibrils in the domains were of the
same calibre as for normal endoneurial collagen. The collagen
domains were encircled by fibroblast
processes or at times enclosed in a perineurial cell ensheathment.
Long-standing axonal loss therefore leads
to a striking reorganisation of the internal architecture of
peripheral nerve trunks. The findings may be
relevant for the interpretation of the appearances in chronic
peripheral neuropathies in man.