To examine morphological differences in Morton’s interdigital neuroma between two elderly human populations, we conducted comparative study using 40 Japanese (27 males, 13 females; mean age, 81.2 years) and 21 Finnish (6 males, 15 females; mean age, 80.5 years) cadavers. We defined the neuroma as a thickening of the nerve of at least two-fold relative to the non-pathological proximal part. The incidence of this neuroma was 25% (10/40) in the Japanese and 33.3% (7/21) in the Finnish cadavers. Moderate or severe hallux valgus (with an angle of more than 20 degrees) was seen in half of the 40 Japanese cadavers (7 males, 13 females), but was absent in the Finnish cadavers. Such hallux valgus was present in 7 (5 males, 2 females) of the 10 Japanese cadavers with neuroma. Moreover, in 2 Japanese cadavers, a paper-like, specialized type of neuroma was associated with the deformity. Pathogenesis of Morton’s neuroma might be different between human populations with or without hallux valgus.

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The vagal motor neurons project to the gastrointestinal tract by way of the gastric, celiac and hepatic branches of the vagus trunk. We have examined whether single neurons in the dorsal motor nucleus of the vagus nerve (DMV) have collateral projections to the stomach, the duodenum and the intestines using a double-labeling tracing method. Following application of Fluorogold to the cut end of the accessory celiac branch and injection of cholera toxin subunit b (CTb) into the body of stomach, many Fluorogold- and CTb-labeled neurons were found throughout the DMV. Most CTb-labeled neurons (about 90%) were also labeled with Fluorogold. When Fluorogold was applied to the cut end of the accessory celiac or the gastric branch and CTb was injected into the duodenum, many Fluorogold-labeled neurons and CTb-labeled neurons were found in the DMV. About 20% of CTb-labeled neurons were also labeled with Fluorogold. These results indicate that many neurons in the DMV send collateral projections to both the stomach and the intestines innervated by way of the celiac branch. However, many neurons in the DMV projecting to the duodenum do not project to the stomach or the intestines caudal to the duodenum.

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Arylsulfatase A (ArsA) has been regarded as a lysosomal enzyme involved in the degradation of sulfolipids. We previously reported the colocalization of non-enzymatic ArsA with heparan sulfate proteoglycan on cell surfaces in the mouse liver using tissues processed with phosphate-buffered saline containing Ca2+ and Mg2+. In vitro analysis also revealed the tight binding of ArsA to heparin. These results suggest that ArsA functions as a component of the extracellular matrix (ECM). To characterize ArsA as a component of ECMs, we extended our comparison to the distribution patterns of ArsA and the major hepatic ECM components (types I, III, IV and V collagen, fibronectin, and laminin) in the mouse liver at the ultrastructural level under the same conditions that allow the detection of ArsA. Here, we show that ArsA is distributed not only on the cell surfaces of endothelial cells and hepatocytes, but also on the collagen fibrils in the space of Disse. ArsA is additionally colocalized with these major hepatic ECM components on both the luminal and abluminal sides of sinusoidal endothelial cells as well as in the space of Disse. These findings reveal a novel structure of hepatic ECMs containing ArsA.

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