The functional outcome of microsurgical repair of divided nerves is disappo
inting since many regenerating axone fail to reach appropriate targets. Sor
ting of regenerating axone according to target tissue might be used to impr
ove functional regeneration. The aim of the present study is to see if rege
nerating axone can be sorted into functionally different bundles with targe
t-derived molecules. The proximal stump of the adult rat sciatic nerve was
sutured into the inlet of a silicon Y-tube. The two branches of the Y-tube
were filled with agarose primed with filtrates prepared from skin and muscl
e homogenates from the operated rat. The tibial and sural nerves were inser
ted in the two branches of the Y-tube. Six weeks later the sciatic nerve ax
ons showed vigorous regeneration into both branches. Electron microscopic e
xamination of regenerated nerve segments showed numerous myelinated and unm
yelinated axone. The proportion of myelinated axons was significantly large
r in the muscle-gel branch than in the skin-gel branch. Retrograde tracing
from the nerve regenerates with Fast Blue and Fluoro-Ruby showed that ventr
al horn neurons at L4-L5 segmental levels were preferentially labeled from
the muscle-gel branch. Neurons in corresponding dorsal root ganglia were la
beled from both Y-tube branches (no significant numerical difference). A fe
w neurons of both types contained both tracers. Measurements revealed that
sensory neurons labeled from the muscle-gel branch were significantly large
r (mean perikaryal area 870 mum(2)) than neurons labeled from the skin-gel
branch (mean area 580 mum(2)). We conclude that regenerating motor and sens
ory axone can be sorted with target-derived molecules. (C) 2001 Academic Pr
ess.