Photomicrographs show immunoreactivity of antibodies against protein gene product 9.5 (PGP 9.5) as a pan-axonal marker in 40 µm skin sections from footpads of young (3 months) and old (≥12 months) wildtype (WT) and α-galactosidase A deficient (GLA KO) mice (A–D). Arrows indicate single intraepidermal nerve fibers. Boxplots (E) show quantification of intraepidermal nerve fiber density (IENFD). Young WT mice had a higher IENFD compared to young GLA KO and old WT mice (p<0.001, each). Old GLA KO mice showed the most prominent IENFD reduction compared with young GLA KO and old WT mice (p<0.001 each). Additionally, photomicrographs display immunoreactivity of antibodies against CD77 and β-(ΙΙΙ)-tubulin in 10 µm sciatic nerve sections (F–K) and immunoreactivity of antibodies against CD77 and PGP 9.5 in 40 µm skin section (L–Q) of old GLA KO and WT mice. There were no Gb3 depositions detectable. GLA KO: young (3 months, n = 11 male, n = 10 female), old (≥12 months, n = 8 male, n = 11 female). WT: young (3 months, n = 10 male, n = 10 female), old (≥12 months, n = 10 male, n = 9 female). Box plots represent the median value and the upper and lower 25% and 75% quartile. Scale bar: 50 µm. The non-parametric Mann-Whitney U test was applied for group comparison. ***p<0.001.