Olfactory axons have been shown to grow aberrantly and form dense coll
ections of axons, termed neuromas, in the olfactory epithelium of rats
in which the olfactory bulb was ablated. Likewise, in human olfactory
mucosa, collections of neurites have been noted in a variety of disea
se states, including Alzheimer's disease. We report here an immunohist
ochemical and electron microscopic analysis of aberrant axonal growth
in the rat olfactory mucosa induced by experimental lesion. In particu
lar, we have used the monoclonal antibody 2G12, which binds to the pho
sphorylated form of GAP-43, as an extremely sensitive marker for neuro
matous axons, because it does not label neuronal cell bodies. In unila
terally bulbectomized rats, neuromas form in posterior olfactory epith
elium on the operated side. Several lines of evidence, including seria
l section reconstruction, indicate that olfactory axons are induced to
grow back into the epithelium at a distance from their point of origi
n as a consequence of bulbectomy, and are accompanied by glial cells f
rom the olfactory nerve. Avulsion of a part of the olfactory nerve has
similar effects as destruction of the olfactory bulb. Intraepithelial
neuromas also develop in the olfactory mucosa of rats simultaneously
exposed to methyl bromide gas and injected with 3-methyl indole; this
treatment severely damages the olfactory epithelium directly. Exposure
to methyl bromide alone causes milder damage, and the neuromas that f
orm are transient. The evidence indicates that neuromas form after the
epithelium is directly damaged because axons are trapped in the epith
elium. Both of the mechanisms identified here should be taken into acc
ount when considering the findings in the human olfactory mucosa. (C)
1994 Wiley-Liss, Inc.