Morphological and morphometric study of peripheral nerves from rats with streptozotocin-induced diabetes mellitus.

One year after beginning of the experiment seven streptozotocin-injected Wistar rats and seven controls were fixed by whole-body perfusion, the nervus radialis was dissected and processed for light and electron microscopy. After light-microscopic study standard photographs of nerve cross sections were measured by means of a semiautomatic image analyzer. The following measurements were obtained: (1) surface of fibers, axons, and myelin sheaths; (2) ratio of myelin to axon surface; and (3) percent of endoneural space. Group means and standard errors were calculated, and cumulated class distributions were made. Ultrathin sections from all animals considered morphometrically were studied qualitatively for ultrastructural changes. The quantitative study revealed in the diabetics reduction of average myelin surface, increase of endoneural space, and reduction of myelin/axon ratio. The main ultrastructural findings were lesions of Schwann and mesenchymal cells, followed by less frequent and less severe changes in axons and endothelium. These results suggest a primary Schwann cell lesion was responsible for the observed myelin reduction.