Neuronal development and maintenance of facial motor neurons is believed to
be regulated by neurotrophic growth factors. Using celloidin-embedded sect
ions, we evaluated immunoreactivity of ii neurotrophic factors and their re
ceptors in facial nuclei of human brain stems (4 normal cases, and 1 from a
patient with facial palsy and synkinesis). In the normal subjects, positiv
e immunoreactivity of the growth factor neurotrophin-4 and acidic fibroblas
t growth factor (aFGF) was observed in facial motor neurons, as was positiv
e immunoreactivity against ret, the receptor shared by glial cell line-deri
ved neurotrophic factor and neurturin. Immunoreactivity was moderate for th
e receptor trkB and strong for trkC. In the case of partial facial palsy, s
urviving cells failed to show immunoreactivity against neurotrophins. Howev
er, immunoreactivity of aFGF was up-regulated in both neuronal and nonneuro
nal cells in this patient. Results suggest that these trophic growth factor
s and their receptors may protect facial neurons from secondary degeneratio
n and promote regrowth of the facial nerve after axotomy or injury.