Early experimental diabetes is associated with a reduction in axonal c
aliber. To elucidate the changes of nerve caliber further, we investig
ated the proximal and distal regions of the anterior root of rats afte
r 5 weeks of streptozocin-induced diabetes. After vascular perfusion f
ixation, the fifth lumbar motor root was excised and two 3-mm segments
were isolated, one at the level of the spinal cord and one at the dor
sal root ganglion. The areas of myelinated fibers and their axons were
measured by point counting. Axons from diabetic mice were enlarged pr
oximally as compared to the controls, and reduced distally. It has bee
n hypothesized that the reduction in axonal caliber is caused by an im
pairment of axonal transport of structural proteins rather than by osm
otic shrinkage. Our findings indicate a redistribution of axoplasm in
the nerves of the diabetic mice and support the hypothesis that change
s in the axonal transport of neurofilaments are responsible for the st
ructural changes seen in early diabetes. Similar changes could also pl
ay a role in the development of neuropathy in man.