Structural abnormalities of the perineurium from six spontaneously diabetic
dogs (diabetes duration 4-8 years and six control animals were quantified
using detailed election microscopic morphometric methods on superficial per
oneal nerve biopsy specimens. Total perineurial sheath thickness (mu m) was
significantly increased in diabetic (8.8 +/- 0.6) compared to control anim
als (6.2 +/- 0.3) (P < 0.02). This was attributed to a significant increase
in the mean perineurial lamellar width in diabetic (0.49 +/- 0.03) compare
d to control (0.40 +/- 0.01) (P < 0.03) animals. The number of lamellae als
o showed a non-significant increase in diabetic animals (7.8 +/- 0.4) compa
red to controls (6.9 +/- 0.13) (P < 0.06). There was no change in the mean
interlamellar space in diabetic (0.7 +/- 0.05) compared to control (0.6 +/-
0.06) (P = 0.15) animals. The total interlamellar space was increased in d
iabetic (5.7 +/- 0.5) compared to control (4.1 +/- 0.36) (P < 0.03) animals
, The perineurial cell basement membrane thickness (nm) was significantly i
ncreased in diabetic (126.9 +/- 9.8) compared to control (62.8 +/- 6.1) (P
< 0.005) animals. The current study has demonstrated significant abnormalit
ies of the perineurium in the spontaneously diabetic dog, which may have re
levance to the pathogenesis of diabetic neuropathy.