Degenerative changes at the neuromuscular junctions of red, white, and intermediate muscle fibers. Part 2. Responses to long stump nerve section and colchicine treatment.

The ultrastructure at the neuromuscular junction (NMJ) of red, white, and intermediate skeletal muscle fibers undergoes specific changes following either unilateral severance of the phrenic nerve or unilateral topical treatment of the phrenic nerve with colchicine. Both procedures were performed in the cervical region and produce similar rates of muscle fiber degeneration. The severity of degeneration appears to be related to muscle fiber type with white fibers being most severely affected and red fibers least affected. Degeneration rates of the axon terminal also correlate with fiber type in the orderwhite, intermediate, red. However, the rates of degeneration of the specific axon terminals are more rapid with surgical severance than with colchicine treatment. Statistical analysis of morphometric data indicates that hemidiaphragms denervated surgically exhibited significant axon terminal degeneration before significant muscle degeneration. Conversely, diaphragmatic muscle fibers of colchicine-treated phrenic nerves exhibit significant degeneration before loss of the axon terminal. Despite reversal of the temporal sequences for loss of axonal and muscular components between the two preparations, degenerative characteristics of muscle fiber structure are similar. This suggests that the presence of fiber-specific neurotrophic substances transmitted from the neuronal cell body to the axon terminal and released at the NMJ may be an important factor in the maintenance of normal muscle fiber morphology.