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Intraepidermal free nerve fiber endings in the hairless skin of the rat as revealed by the zinc iodide-osmium tetroxide technique.

The nerve fiber distribution in the epidermis of the hairless rat skin was studied light microscopically by means of zinc iodide-osmium tetroxide staining. Two different morphological types of free nerve fiber endings could be detected: clusters of relatively thick nerve fibers stretched up through the spinous layer up to the granular layer sending off terminal branches. In addition, many solitary thin varicose nerve fibers were seen within the epidermis. The observed discrepancies in nerve fiber diameters appeared to be larger than those reported for human intraepidermal nerve fibers in recent immunohistochemical studies. Moreover, dendritic cells, most probably representing Langerhans cells, could be selectively stained. These cells appeared to be in a close location to thin varicose nerve fibers. Both types of demonstrated free nerve endings have to be functionally connected with different sensoric functions. Possibly, a subpopulation of the thin nerve fibers might possess primarily a nociceptive task, whereas the thick ones have most probably to be regarded as mechanoreceptive. The nerve fibers innervating dendritic cells appear to be identical to the peptidergic ones which may regulate the antigen-presenting capacity of these cells. Due to its selectivity for intraepidermal nerve fibers, the used method might supplement immunohistochemical procedures in a helpful manner.

Animals↗

Ionotropic glutamate receptor biology: effect on synaptic connectivity and function in neurological disease.

Glutamate receptor signaling is essential to normal synaptic function in the central nervous system. The major ionotropic glutamate receptors (AMPA, Kainic, and NMDA) have different synaptic functions depending upon cellular and subcellular localization, subunit composition, and second messenger systems linked to the receptors. In this review, we examine major advances in glutamate receptor biology whose physiology plays a central role in neurologic disease such as epilepsy and stroke. A key feature of glutamate receptor activation in neurologic disease is the downstream effects on cell survival, genetic expression of axon guidance cues, synaptic connectivity/formation of networks, and neuronal excitability. Identification of therapeutic pharmacologic targets and development of antagonists specific to the disease process remain central themes in epilepsy and stroke research.

Excitatory Amino Acids↗

[Utilization of national insurance in connection with functional somatic disorders].

BACKGROUND: Functional somatic disorders are often seen in medical practice. This study describes their financial consequences for the national insurance scheme. MATERIAL AND METHODS: National Insurance Administration data for the year 2000 were collected on sickness leave and disability pensions for fibromyalgia, whiplash injuries, chronic fatigue syndrome, dissociative and somatoform disorders, functional gastrointestinal disorders, chronic pelvic pain, and non-cardiac chest pain. RESULTS: Functional somatic disorders caused 2.9% of all sick leave among employees. Most of these were caused by fatigue/exhaustion or fibromyalgia. 6.3% of all new disability pensioners had a functional disorder, two thirds of them fibromyalgia. Functional disorders were more frequent in women, and in the 25-59 age group. INTERPRETATION: Functional disorders, fibromyalgia especially, are a great concern for the national insurance system. More focus on individual functioning rather than the disorder might contribute to better follow-up for these patients.

Adult↗