Intermingling of central and peripheral nervous tissues in rat dorsolateral vagal rootlet transitional zones

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Abstract
The morphology of the CNS-PNS transitional zone of adult rat dorsolateral vagus nerve rootlets is uniquely complex. A typical rootlet contains a transitional zone over 300 μm long, consisting of a central tissue projection extending distally into each rootlet and a peripheral tissue insertion extending for a longer distance deep into the brainstem. The peripheral tissue insertion is continuous with the peripheral tissue of the free rootlet through channels traversing or running parallel to the central tissue projection. Accordingly, the vagal CNS-PNS interface is topologically much more complex than that found elsewhere. In some rootlets the peripheral tissue in the brainstem constitutes an isolated island deep within the neuraxis. In others, peripheral continuity is established only through a cross connection with the peripheral tissue insertion of a neighbouring rootlet. About one fifth of all vagal myelinated axons alternate between the CNS and PNS tissue compartments. This distinguishes the vagus from all other nerves studied to date. These axons are myelinated by Schwann cells distal to the transitional zone, by oligodendrocytes in the central tissue projection and by one or more short intercalated Schwann internodes further centrally, mostly in the peripheral tissue insertion, where their perikarya commonly form closely apposed aggregates. More than four fifths of all unmyelinated axon bundles alternate between central and peripheral tissue compartments, commonly more than once. In the peripheral tissue insertion axons are enveloped by series of non-myelinating Schwann cells. Schwann processes commonly extend for over 50 (Am into the central compartment at each central-peripheral transition. Around one fifth of peripherally unmyelinated axons have an oligodendrocytic sheath in the central compartment. Of those axons possessing more than one intercalated Schwann internade, over one quarter display alternation of myelinated and unmyelinated segments in the peripheral tissue insertion. Astrocytes in the transitional zone segregate PNS tissue, a role played by sheath cells further peripherally in the vagal rootlets. Astrocytes form the surface limiting membranes of the central tissue projection and the barrier between the peripheral tissue insertion and the surrounding brainstem. The barrier consists only of an attenuated layer of processes. This is deficient in places, where oligodendrocytic myelin sheaths are directly exposed to the endoneurial space of the peripheral tissue insertion and in some instances are apposed to myelinating or non-myelinating Schwann cells. Such communication between the central and peripheral compartments is unique to the vagal transitional zone. The findings are consistent with a range of possible events during development. For example, considerable migration and intermingling of central and peripheral tissues, possible overgrowth of rootlet segments by developing myelencephalic tissue, failure of part of the neural crest to separate from the developing neural tube, and the origin of peripheral tissue insertion Schwann cells from the neural tube, or combinations of these factors.