Background: This study describes the ultrastructure of long-term dener
vated rat extensor digitorum longus and tibialis anterior muscles, wit
h particular emphasis on understanding the cellular basis for the redu
ced restorative capacity of long-term denervated muscle. Methods: In 3
0 male WI/HicksCar rats, the right hindleg was denervated for periods
of 1, 2, 4, 5.5, 6, 7, 12, 14, and 18 months before tissues were prepa
red for electron microscopy. Results: Atrophy of muscle fibers was pro
minent by the second month post-denervation. At this time, type II fib
ers showed greater atrophy than type I fibers. At further periods of d
enervation, atrophy of all fibers was seen; and with increasing times
of denervation the muscle fibers became surrounded by dense mats of co
llagen fibers. Muscle spindles persisted for the duration of this stud
y. At two and four months, satellite cells showed signs of activation,
such as elongated cytoplasmic processes and an increased concentratio
n of cytoplasmic organelles. As denervation progressed, activated sate
llite cells became more widely separated from their associated muscle
fibers, and basal lamina material was deposited between the satellite
cells and muscle fibers. Some satellite cells broke free from their mu
scle fibers, and others acted as bridges between two muscle fibers. Ev
idence was seen of both muscle fiber degeneration and the regeneration
of new muscle fibers, often more than one regenerating fiber beneath
a single basal lamina. Loose folds of basal lamina were often present
around atrophic muscle fibers. As denervation progressed, the morpholo
gy of individual muscle fibers varied. Some contained well-ordered lat
tice arrays of myofilaments, whereas in others considerable sarcomeric
disorganization was evident. Mitochondria became smaller and rounded;
elements of the sarcoplasmic reticulum proliferated and became more d
isorganized; lipid droplets, glycogen deposits, and autophagic vesicle
s were all present in the cytoplasm of atrophic muscle fibers. Conclus
ions: In addition to muscle fiber atrophy, long-term denervated muscle
s show evidence of myofiber and capillary death, as well as the deposi
tion of massive amounts of interstitial collagen. These changes, all o
f which would appear to reduce the restorative capacity of the denerva
ted muscle, take place concurrently with the morphological activation
of satellite cells. The latter indicates that even in the denervated c
ondition, restorative processes occur concurrently with regressive pro
cesses. (C) 1997 Wiley-Liss, Inc.