The mammalian neuromuscular junction has been extensively studied
by different methods to understand
better the biological aspects of its normal development, ageing and
pathological conditions, such as
disorders of neuromuscular transmission. In the present report, a new
technique is described that combines
confocal microscopy with the use of a vital nerve terminal dye (4-Di-2-ASP)
and rhodamine-alpha-bungarotoxin to stain postsynaptic acetylcholine
receptors in the same endplate. Nerve terminals in the
sternomastoid muscles of living adult mice were stained with 4-Di-2-ASP,
which labels intracellular
compartments of the nerve terminal containing mitochondria. Slides of
these muscles were viewed by
confocal microscopy and images were stored on magnetic optical discs.
This procedure was compatible with
subsequent acetylcholine receptor staining with rhodamine-α-bungarotoxin
and observation under the
confocal microscope. Classical features of the adult neuromuscular
junction were displayed, such as the
branched-pattern distribution of the nerve terminals and receptors
and their complete colocalisation. In
addition, nerve fibres from intramuscular nerve branches with their
neighbouring cells, nuclei and muscle
fibre striations could also be visualised. We conclude that the
present technique can complement existing
methods of investigation of nerve terminal anatomy and pathology,
particularly where preservation of 3-dimensional relationships is
required and intracellular disturbances involving mitochondrial organisation,
such as ageing or other degenerative disorders, may be present.