Skip to main content
Journal of Anatomy logoLink to Journal of Anatomy
. 1989 Feb;162:225–234.

Changes in motor nerve terminals during bupivacaine-induced postsynaptic deprivation.

J Tomas i Ferré 1, R Fenoll i Brunet 1, M Santafé 1, E Mayayo 1
PMCID: PMC1256450  PMID: 2553649

Abstract

The local anaesthetic agent bupivacaine induces a rapid degeneration of muscle cells when injected in the sternocleidomastoid muscle of the adult rat with no damage to intramuscular nerves. Nevertheless, silver impregnation and electron microscopy reveal a sequence of retraction and sprouting of the motor nerve endings during the period of the bupivacaine-induced muscle cell deprivation by necrosis. These morphological changes seem to be qualitatively similar to the retraction and growth phenomena described as forming part of the remodelling process affecting normal untreated neuromuscular junctions of the adult amphibia and mammals. The results are discussed in the context of the regulatory mechanisms governing the maintenance of motor nerve terminals.

Full text

PDF
230

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barker D., Ip M. C. Sprouting and degeneration of mammalian motor axons in normal and de-afferentated skeletal muscle. Proc R Soc Lond B Biol Sci. 1966 Jan 18;163(993):538–554. doi: 10.1098/rspb.1966.0008. [DOI] [PubMed] [Google Scholar]
  2. Bennett M. R. Development of neuromuscular synapses. Physiol Rev. 1983 Jul;63(3):915–1048. doi: 10.1152/physrev.1983.63.3.915. [DOI] [PubMed] [Google Scholar]
  3. Benoit P. W., Belt W. D. Destruction and regeneration of skeletal muscle after treatment with a local anaesthetic, bupivacaine (Marcaine). J Anat. 1970 Nov;107(Pt 3):547–556. [PMC free article] [PubMed] [Google Scholar]
  4. Brown M. C., Holland R. L., Hopkins W. G. Motor nerve sprouting. Annu Rev Neurosci. 1981;4:17–42. doi: 10.1146/annurev.ne.04.030181.000313. [DOI] [PubMed] [Google Scholar]
  5. Cardasis C. A., Padykula H. A. Ultrastructural evidence indicating reorganization at the neuromuscular junction in the normal rat soleus muscle. Anat Rec. 1981 May;200(1):41–59. doi: 10.1002/ar.1092000105. [DOI] [PubMed] [Google Scholar]
  6. Carlson B. M., Rainin E. A. Rat extraocular muscle regeneration. Repair of local anesthetic-induced damage. Arch Ophthalmol. 1985 Sep;103(9):1373–1377. doi: 10.1001/archopht.1985.01050090125046. [DOI] [PubMed] [Google Scholar]
  7. Covault J., Sanes J. R. Distribution of N-CAM in synaptic and extrasynaptic portions of developing and adult skeletal muscle. J Cell Biol. 1986 Mar;102(3):716–730. doi: 10.1083/jcb.102.3.716. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Duchen L. W., Excell B. J., Patel R., Smith B. Changes in motor end-plates resulting from muscle fibre necrosis and regeneration. A light and electron microscopic study of the effects of the depolarizing fraction (cardiotoxin) of Dendroaspis jamesoni venom. J Neurol Sci. 1974 Apr;21(4):391–417. doi: 10.1016/0022-510x(74)90041-0. [DOI] [PubMed] [Google Scholar]
  9. Haimann C., Mallart A., Ferré J. T., Zilber-Gachelin N. F. Patterns of motor innervation in the pectoral muscle of adult Xenopus laevis: evidence for possible synaptic remodelling. J Physiol. 1981 Jan;310:241–256. doi: 10.1113/jphysiol.1981.sp013546. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Hall-Craggs E. C. Rapid degeneration and regeneration of a whole skeletal muscle following treatment with bupivacaine (Marcain). Exp Neurol. 1974 May;43(2):349–358. doi: 10.1016/0014-4886(74)90176-9. [DOI] [PubMed] [Google Scholar]
  11. Helm R. H., Lee Y. S., Pho R. W. Experimental studies of the effect of bupivacaine on peripheral nerves. J Hand Surg Br. 1987 Feb;12(1):19–22. doi: 10.1016/0266-7681_87_90046-5. [DOI] [PubMed] [Google Scholar]
  12. Huang C. L., Keynes R. J. Terminal sprouting of mouse motor nerves when the post-synaptic membrane degenerates. Brain Res. 1983 Sep 12;274(2):225–229. doi: 10.1016/0006-8993(83)90699-6. [DOI] [PubMed] [Google Scholar]
  13. Jirmanová I., Thesleff S. Motor end-plates in regenerating rat skeletal muscle exposed to botulinum toxin. Neuroscience. 1976 Aug;1(4):345–347. doi: 10.1016/0306-4522(76)90062-2. [DOI] [PubMed] [Google Scholar]
  14. Jirmanová I., Thesleff S. Ultrastructural study of experimental muscle degeneration and regeneration in the adult rat. Z Zellforsch Mikrosk Anat. 1972;131(1):77–97. doi: 10.1007/BF00307202. [DOI] [PubMed] [Google Scholar]
  15. Jirmanová I. Ultrastructure of motor end-plates during pharmacologically-induced degeneration and subsequent regeneration of skeletal muscle. J Neurocytol. 1975 Apr;4(2):141–155. doi: 10.1007/BF01098779. [DOI] [PubMed] [Google Scholar]
  16. Keynes R. J., Hopkins W. G., Brown M. C. Sprouting of mammalian motor neurones at nodes of Ranvier: the role of the denervated motor endplate. Brain Res. 1983 Apr 4;264(2):209–213. doi: 10.1016/0006-8993(83)90818-1. [DOI] [PubMed] [Google Scholar]
  17. Letinsky M. S., Fischbeck K. H., McMahan U. J. Precision of reinnervation of original postsynaptic sites in frog muscle after a nerve crush. J Neurocytol. 1976 Dec;5(6):691–718. doi: 10.1007/BF01181582. [DOI] [PubMed] [Google Scholar]
  18. Lichtman J. W., Magrassi L., Purves D. Visualization of neuromuscular junctions over periods of several months in living mice. J Neurosci. 1987 Apr;7(4):1215–1222. doi: 10.1523/JNEUROSCI.07-04-01215.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Manolov S. Initial changes in the neuromuscular synapses of denervated rat diaphragm. Brain Res. 1974 Jan 11;65(2):303–316. doi: 10.1016/0006-8993(74)90042-0. [DOI] [PubMed] [Google Scholar]
  20. Nonaka I., Takagi A., Ishiura S., Nakase H., Sugita H. Pathophysiology of muscle fiber necrosis induced by bupivacaine hydrochloride (Marcaine). Acta Neuropathol. 1983;60(3-4):167–174. doi: 10.1007/BF00691863. [DOI] [PubMed] [Google Scholar]
  21. Rieger F., Grumet M., Edelman G. M. N-CAM at the vertebrate neuromuscular junction. J Cell Biol. 1985 Jul;101(1):285–293. doi: 10.1083/jcb.101.1.285. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Sadeh M., Stern L. Z., Czyzewski K. Changes in end-plate cholinesterase and axons during muscle degeneration and regeneration. J Anat. 1985 Jan;140(Pt 1):165–176. [PMC free article] [PubMed] [Google Scholar]
  23. Sanes J. R., Marshall L. M., McMahan U. J. Reinnervation of muscle fiber basal lamina after removal of myofibers. Differentiation of regenerating axons at original synaptic sites. J Cell Biol. 1978 Jul;78(1):176–198. doi: 10.1083/jcb.78.1.176. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Slack J. R., Hopkins W. G., Pockett S. Evidence for a motor nerve growth factor. Muscle Nerve. 1983 May;6(4):243–252. doi: 10.1002/mus.880060402. [DOI] [PubMed] [Google Scholar]
  25. Tal M., Rotshenker S. Sprouting and synapse formation produced by Carbocaine. J Neurosci. 1984 Feb;4(2):458–463. doi: 10.1523/JNEUROSCI.04-02-00458.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Tomas i Ferre J., Mayayo E., Fenoll i Brunet R. Morphometric study of the neuromuscular synapses in the adult rat with special reference to the remodelling concept. Biol Cell. 1987;60(2):133–144. doi: 10.1111/j.1768-322x.1987.tb00553.x. [DOI] [PubMed] [Google Scholar]
  27. Tuffery A. R. Growth and degeneration of motor end-plates in normal cat hind limb muscles. J Anat. 1971 Nov;110(Pt 2):221–247. [PMC free article] [PubMed] [Google Scholar]
  28. Wernig A., Herrera A. A. Sprouting and remodelling at the nerve-muscle junction. Prog Neurobiol. 1986;27(3):251–291. doi: 10.1016/0301-0082(86)90023-7. [DOI] [PubMed] [Google Scholar]
  29. Wernig A., Pécot-Dechavassine M., Stover H. Sprouting and regression of the nerve at the frog neuromuscular junction in normal conditions and after prolonged paralysis with curare. J Neurocytol. 1980 Jun;9(3):278–303. doi: 10.1007/BF01181538. [DOI] [PubMed] [Google Scholar]
  30. Winlow W., Usherwood P. N. Ultrastructural studies of normal and degenerating mouse neuromuscular junctions. J Neurocytol. 1975 Aug;4(4):377–394. doi: 10.1007/BF01261371. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Anatomy are provided here courtesy of Anatomical Society of Great Britain and Ireland

RESOURCES