Ultrastructure of perineurial cells during peripheral nerve regeneration. Electron microscopical investigations on the so-called amputation neuroma.

The ultrastructural morphology of perineurial cells was examined after transsection of the sciatic nerve of rats. The material prepared for investigation was taken from the proximal nerve stump and the so-called amputation neuroma at different times after operation. We found that perineurial cells begin to activate in the first week, and in the further course of regeneration they modulate their cytoplasmic structure corresponding to the function of proliferation or synthesis. Besides the reconstitution of a diffusion barrier the perineurial cells may exert a stabilizing function in regenerating nerve tissue comparable to myofibroblasts in granulation tissue, and may be engaged in remodeling of connective tissue fibers. The relations of perineurial cells to other cells of peripheral nerves under the condition of regeneration are discussed.