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A M . ZOOLOGIST, 10:113-118 (1970). Amphibian Limb Regeneration and its Relation to Nerves CHARLES S. THORNTON Department of Zoology, Michigan State University, East Lansing, Michigan 48823 SYNOPSIS. Much circumstantial evidence points to a neurotrophic influence in amphibian limb regeneration. Although fine-structural observations of nerves in regenerating limbs have indicated the possibility that neurosecretory vesicles accumulate distally in these axons, there is no clear-cut demonstration available that these organelles are neurotropic. Evidence is accumulating that the neural influence in newt limb regeneration is transneuronal. There is also evidence that trophic substances other than those found in the nerve itself may be involved in the supporting limb regeneration. The characterization of the neurotrophic substance is considered a central task for students of regeneration in the future. THE ROLE OF THE NERVE True limb regeneration, as illustrated in the salamander, is dependent on the accumulation of a mass of mesenchymatous cells at the tip of the stump beneath the wound epithelium. These cells, the bluslemal cells, are derived from a limited dissociation ("dedifferentiation") of injured stump tissues, and the uniqueness of the phenomenon in the salamander's limb is that these cells do aggregate and proliferate to form a single rudiment, or blastema, from which the missing parts of the limb are reconstituted. In the mammal, or even in the adult frog, limb-stump tissues also undergo a limited "dedifferentiation," but relatively few such mesenchymatous cells are produced and they are utilized immediately for repair of the injured tissue that gave rise to them. They do not aggregate to form an apical blastema. Repair of tissues in the adult newt limb can apparently proceed in the absence of nerves, but the accumulation of a blastema can not. The importance of the nerves for newt limb regeneration was first recorded by Todd (1823) and much later by Schottc (1926) and others who concluded that the sympathetic innervation of the limb exerted an important control on regeneration. Singer (1952, for review) in an admirable series Supported by grants-in-aid from the National Science Foundation (GB-2618; GB-7748) and the National Institutes of Health (NB-04128). of studies, determined that the qualitative nature of the nerve was of little importance for newt limb regeneration, but that the number of nerves at the amputation surface was of critical significance. Indeed, he discovered that if the ratio of nerve fibers to amputation surface area fell below approximately 9 per (100 /x)2 regeneration failed. Furthermore, the neural influence is local. Thus Kamrin and Singer (1959) transplanted sensory ganglia of newts into young blastemata of denervated newt limb stumps and obtained continued regeneration despite the fact that no central nervous connection was available to the amputated limb. The neural influence is more critical for early stages of limb regeneration than for later ones. In Ambysloma larvae, denervalion of regenerating limbs inhibited continued regeneration if the neural deprivation occtirred before 9 days post-amputation (Schottc and Butler, 1944), or before 17 days in the adult newt (Singer and Craven, 1948). These critical phases of regeneration correspond with the initiation of the period of great blastemal growth. It is not surprising, therefore, that Singer and Craven (1948) found that denervation of the regenerating newt limb inhibited mitotic proliferation of the blastemal cells. Recently, Dresden (1969) has analyzed biochemically the effects of denervation of the paddle-stage blastema in the newt. He finds that denervation decreases markedly 113 114 CHARLES S. THORNTON the synthesis of RNA, DNA, and protein. ter of the axons in these fibers is signifiSynthesis of RNA decreases within 7 hours cantly greater, so that the total amount of after denervation and synthesis of DNA neuroplasm at the amputation surface in and protein is affected only after 24 hours. Xenopus limbs is equivalent to that of the Since these effects are obtained also in de- newt. As the authors point out, these renervated, but not in innervated, blastema- sults are interpretable in terms of an axonta cultured for 20 hours in vitro, Dresden fiow mechanism of TS transport. Since the suggests that they indicate a direct control original demonstration of axon flow by by the nerve on synthesis of DNA, RNA, Weiss and Hiscoe (1948), there have been and protein in the blastema. many confirmations and in a variety of Xhe mechanism of the "neurotrophic" animals (Weiss, 1969). Indeed, in the cat, effect in newt limb regeneration has been for example, there has been described both extensively investigated, particularly by a fast and a slow rate of axoplasmic flow Singer and his associates (Singer, 1960, (Ochs, Sabri, and Johnson, 1969), alfor review). An early theory that sympa- though the mechanisms responsible for thetic nerves were chiefly responsible for these rates of transport are unknown. the neurotrophic effect led Schotte (1926) Morphological evidence of a possible to apply various drugs associated with met- neurosecretory material in nerve fibers of abolism of sympathetic nerves, but without regenerating amphibian limbs is suggestive success. Taban (1955) also failed to in- but not fully convincing. Inoue (1960) duce regeneration in denervated limbs by describes vesicles of 300A to 600A in axons injecting acetylcholine and other neurody- of the regenerating newt limb but is namic substances. Singer (1960), ap- doubtful that these are neurosecretory proaching the problem from the other di- granules. Hay (1960) also describes vesirection, infused into regenerating limbs a cles of 300A to 1000A in diameter which variety of substances known to block the accumulate in the end bulbs of nerve fibers acetylcholine mechanism—atropine, pro- penetrating the apical epidermal cap of caine hydrochloride, tetraethylammonium regenerating larval limbs of Ambystoma. hydroxide—and stopped further regener- She speculates, within the limits of her ation. The toxicity of the concentrations data, that "the morphology of these nerves used, however, caused him to doubt the invites interpretation in terms of a trophspecificity of their action on regeneration. ic neurosecretory material which is manuThe nature of the trophic substance (TS) factured in the perikaryon, travels down still remains unknown. Whatever its the nerve fiber in the endoplasmic reticunature, Singer (1965) proposes that TS is lum and, when released, stimulates epiderproduced in great abundance in the neu- mal hyperplasia" (page 314). Van Arsdall ron primarily to maintain its great mass of and Lentz (1968) also have described vesiactive neuroplasm, but that significant cles, (1000-2500A in diameter) filled with a amounts spill over onto other tissues which moderately dense material, which are then come to depend on the nerve for found in nerve fibers of regenerating limbs their own regenerative activity. of newts. These same nerve fibers conThe transport of TS to the limb tissues tained material which stained with aldeis by way of sensory as well as motor nerve hyde fuchsin, a classical stain for neurosefibers. More important than the quality of cretory granules. Staining of the nerve the nerve is the size of the axon. Singer, fibers in the blastema was observed from Rzehak, and Maier (1967), for example, 14 to 28 days postamputation, a stage of have shown that although the number of regeneration, however, (Singer and Cravnerve fibers present in regenerating limbs en, 1948), when the blastema is losing its of Xenopus is below the threshold level dependence on nerves. characteristic of the newt limb, the diameIn my laboratory, some particularly in- REGENERATION1 OF LIMBS O 10 15 20 25 30 35 DAYS AFTER AMPUTATION FIG. 1. Comparison of mean lengths o£ limb regenerates distal to the level of amputation for five groups of Ambystoma mexicanum larvae (n=55). These groups consisted of amputation of: A. one forelimb; B. one forelimb and one hindlimb; C. one hindlimb; D. both hindlimbs; E. both forelimbs. Measurements of length were made with an optical micrometer (1 micrometer unit = 0.15mm). In animals with both forelimbs and those with both hindlimbs amputated, just the forelimb regenerate was measured. At 35 days after amputation a one-way analysis of variance and new multiple range test showed that there was a significant difference (P<0.05) between the upper three groups on the graph (denoted by solid lines) and the lower two groups (denoted by dashed lines). teresting experiments by Charles Tweedle (I969a,b) further illuminate the mechanisms of interaction between nerves and regeneration of limbs. His work began with an investigation of how amputation of one limb might affect the rate and morphogenesis of regeneration of a second limb in the adult newt. Surprisingly, it was found that amputation of two limbs caused a significantly slower rate of regeneration than is found after amputation of one limb, but only if the two limbs removed were contralateral (Fig. 1). It would seem, therefore, that the amount of tissue removed did not significantly affect the rate of regeneration but that from where it was removed did. In seeking an explanation, Tweedle recalled the early experiments of Detwiler (1936, for review) in which extirpation of the contralateral limb discs in salamander embryos caused a greater hypoplasia of the 115 associated sensory ganglia than did removal of a single limb disc. He, therefore, investigated the effects on nerve cell bodies in the brachial sensory ganglia (as well as in spinal motor horns) of amputating one and two forelimbs in adult newts and in axolotl larvae. Nuclei of these neurons showed typical chromatolytic changes after amputation of one forelimb. Of particular interest, however, was the fact that neurons in the opposite brachial ganglia (and motor horns) also showed chromatolytic effects, although not as severe. Chromatolysis in neurons of brachial ganglia (and motor horns) was more intense and lasted longer when both forelimbs were amputated. It is known that synthesis of RNA increases in chromatolytic neurons (Cole, 1968). Tweedle, therefore, injected Hsuridine intraperitoneally into adult newts with (a) no limbs amputated; or (b) with one forelimb amputated; or (c) with two forelimbs amputated. Newts with one forelimb amputated exhibited statistically more uptake of H3-uridine in motor horn and sensory ganglionic neurons of both sides of the spinal cord than did unamputated controls; newts with both forelimbs amputated incorporated significantly more label still, and for a longer period of time. These results pointed to a transneuronal effect whereby a greater degree of chromatolysis accompanied amputation of both forelimbs. This increased nerve reaction is thought to lessen the normal trophic ability of the nerve and thus bring about a slower rate of regeneration in the limbs. Evidence for a transneuronal effect was further strengthened when Tweedle was able to demonstrate, by the method of Fink and Heimer (1967), that degeneration of nerve fibers could be seen in the motor horns of both sides of the brachial spinal cord for 7 days after the amputation of one forelimb. Furthermore, amputation of both aneurogenic forelimbs in Ambystoma larvae resulted in rates of regeneration statistically indistinguishable from those found in amputated, single aneurogenic forelimbs. In these cases a 116 CHARLES S. THORNTON iransneuronal effect is eliminated since the spinal cord was removed in the tailbud embryonic stage. Suggestive as the data may be, morphological and experimental studies have nevertheless failed to demonstrate incontrovertibly a mechanism for a neurotrophic control of limb regeneration. 1 find it surprising, therefore, that more attention has not been given to Overton's (1950; 1955) interesting discovery that a protein found in spinal cord stimulates dramatic growth of the tail fin epidermis in Ambystomn larvae. This system surely needs further analysis and may provide insights into the neurotrophic mechanism of regeneration which have eluded us so far. THE ROLE OF NON-NEURAL LIMB TISSUES Under the impact of new evidence that nerves are not always needed for regeneration, the original neurotrophic theory of regeneration has recently undergone considerable refinement (Singer, 1965). Thus, Yntema (\9b9a,b; 1962), Thornton and Steen (1962), Steen and Thornton (1963), and Thornton and Tassava (1969) have described regeneration, under a variety of conditions, of aneurogenic limbs produced by excising the neural tube of tailbud embryos of Ambystoma macula turn. To account for this apparently decisive negation of the neurotrophic theory of regeneration, Singer (1965) proposed the possibility that the trophic substance (TS) was not necessarily limited to the neuron but that in embryos other cell types could also manufacture it. During ontogeny, he suggested, the neuron synthesizes much more TS than other cells and the excess, bathing the limb tissues, quenches the production of TS in them, so that they come to depend on this neural supply for their own growth. One can, therefore, visualize a type of feedback of end-product in which the abundant neural TS gradually inhibits synthesis of TS in non-neural limb tissues by repressing specific biochemical mechanisms. If such a repression is involved, then one might expect that pro- longed denervation of the limb might result in a return of TS-synthesis in nonneural tissues no longer under neural inhibition. This has not been found in denervated adult newt limbs (see Powell, 1969). Perhaps the long-continued functioning of limb nerves during ontogeny and later development and growth produces such a strong inhibition that interventions in addition to simple nerve withdrawal are needed to reactivate synthesis of TS in the non-neural tissues. The experiments of Singer and Mutterperl (1963) point to this possibility. They found that limb segments grafted auloplastically to the back of adult newts would regenerate with subthreshold numbers of nerve fibers. It was suggested that the trauma of transplantation either reduced the tissue threshold to neural TS or that the tissues were induced, by the traumatization, to manufacture some TS themselves. Therefore, the question arises: Will a shorter term of innervation allow limbs, subsequently denervated, to recuperate the ability to regenerate after simple amputation? The aneurogenic limb system provides an excellent means of examining this possibility. During ontogeny, nerves are absent in the limb, yet nerves can be introduced naturally by orthotopic transplantation of the aneurogenic limb to normal larvae, when brachial nerves may then invade the graft. This new innervation can be withdrawn at will and the effect of this on regeneration observed (Thornton, 1968, 1969). Aneurogenic, 4-digit forelimbs can be transplanted in place of forelimbs of normal larvae quite successfully (Thornton and Tassava, 1969). After healing is complete, amputated graft-forelimbs regenerate normally, whether allowed to become innervated or not. Indeed the newly introduced brachial nerves seem not to influence the rate of regeneration in the formerly aneurogenic forelimbs. Of particular interest, however, is the fact that the grafted, formerly aneurogenic limbs, become dependent on their new nerves for regeneration. Thus, when brachial nerves are al- 117 REGENERATION OF LIMBS lowed to glow naturally into the aneurogenie limb graft, the limb tissues become fully innervated by 10 clays after transplantation. If, from 10-13 days, the limb grafts are denervated by sectioning their new nerves, and simultaneously amputating through the upper arm, the following results are obtained: 14 of the 19 limbs denervated on day 10 regenerated (74%); four of 9 limbs denervated on day 11 regenerated (44%); two of 16 limbs denervated on day 12 regenerated (12%); none of 12 limbs denervated on day 13 regenerated (0%). Thus, from the tenth to the thirteenth day post-transplantation, changes were taking place in the limbs which rendered them progressively dependent on nerves for successful regeneration. Perhaps this is a period during which neural TS is actively inhibiting synthesis of non-neural tissue-TS. Now comes a question of crucial importance to the neurotrophic theory: Having become nerve-dependent, can these transplanted limbs recover their former ability to regenerate without nerves? Indeed, about half of them can. Aneurogenic limbs, transplanted orthotopically to normal host larvae and allowed to become "nerve-dependent", underwent section of their host-derived brachial nerves on the nineteenth day post-transplantation and were maintained in a denervated condition for 40 days by subsequent nerve sections, repeated at 5-day intervals. Histological examinations of sample limbs checked the adequacy of denervation throughout the period of the experiment. On day 30 the limbs were amputated. By day 40, 16 of the 33 limbs (49%) had clearly defined regenerates, even though nerve counts of 14 of these regenerates proved them to be aneurogenic or very sparsely innervated. Nerve dependence, therefore, was reversed in these cases by the simple expedient of maintaining limbs, previously innervated for a relatively short time, in a nerveless condition for 40 days. It is concluded that these results are in accord with, but do not necessarily prove, the theory that the ingrowth of nerves quenches synthesis of TS in other limb tissues and that simple elimination of the neural TS from the limb can bring about recovery of TS synthesis in non-neural limb tissues. SUMMARY AND CONCLUSIONS There is much circumstantial evidence that the amphibian limb regenerates under the influence of a trophic substance which in the typical course of ontogeny is mediated by peripheral nerves. Regeneration is apparently dependent on a threshold supply of TS. Fine-structural studies of regenerating limbs indicate that vesicles filled with an electron-dense material progressively accumulate distally in regenerating nerve fibers, but there is no proof yet that these vesicles contain a neurotrophic substance. Axoplasmic flow has been demonstrated in nerve fibers, and suggestions as to how this mechanism may be involved in transport of TS to the regenerate have been made. However, no critical evidence is yet at hand to establish this mechanism as an important one for regeneration. Isolation and identification of TS have not been obtained despite intensive efforts. Evidence that, under certain condtions, tissues of the limb other than nerves can manufacture TS is accumulating and may indicate that TS is not necessarily a single substance. Efforts now must be concentrated on defining the biological activity of TS and on determining its mode of synthesis and its chemical composition. These will not be easy tasks but they do provide significant challenges for future investigators. REFERENCES Cole, M. 1968. Retrograde degeneration, p. 269-300. In G. Bourne, [ed.], The structure and function of nervous tissue. Academic Tress, New York. Detwiler, S. R. 1936. Neuroembryology. MacMillan Co., New York. Dresden, M. H. 1969. Denervation effects on newt limb regeneration: DNA, RNA, and protein synthesis. Develop. Biol. 19:311-320. Fink, R. P., and L. Heimer. 1967. Two methods for selective silver impregnation of degenerating ax- 118 CHARLES S. THORNTON ons and their synaptic endings in the CNS. Brain Res. 4:369-374. Hay, E. D. 1960. The fine structure of nerves in the epidermis of regenerating salamander limbs. Exp. Cell Res. 19:299-317. Tnoue, S. I960. Structural changes of nerve fibers in the early phases of limb regeneration in the adult newt with special references to fine structures oC regenerating nerve fibers. Gunma J. Med. Sci. IX:302-328. Kamrin, A. A., and M. 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The influence of the nerve in regeneration of the amphibian extremity. Quart. Rev. Biol. 27:169-200. Singer, M. 1960. Nervous mechanisms in the regeneration of body parts in vertebrates, p. 115-133. In D. Rudnick, [ed.], Developing cell systems and their control. Ronald Press, New York. Singer, M. 1965. A theory of the trophic nervous control of amphibian limb regeneration, including a re-evaluation of quantitative nerve requirements, p. 20-32. In V. Kiortsis and H. A. L. Trampusch, [ed.], Regeneration in animals and related problems. North-Holland Pub. Co., Amsterdam. Singer, M., and L. Craven. 1948. The growth and morphogenesis of the regenerating forelimb of adult Triturus following denervation at various stages of development. J. Exp. Zool. 108:279-308. Singer, M., and E. Mutterperl. 1963. Nerve fiber requirements for regeneration in forelimb transplants of the newt, Triturus. Develop. Biol. 7:180-191. Singer, M., K. Rzehak, and C. S. Maier. 1967. 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