Neuromuscular injuries typically disconnect motor nerves from the muscles they innervate. Recovery requires
reestablishing these connections, which often occurs outside of the central nervous system (e.g., in an arm).
This capacity for functional regeneration is all the more impressive when one considers that, in an analogy
of scale, the growing tip of the axon is able to find a spot the size of a dime in the middle of a football
field, stop precisely on that dime, and "dance" (form a new synapse). However, in the case of injury to the
muscle, reinnervation can be impaired by disintegration of the original muscle's synaptic site (or loss of
the "dime"). Researchers therefore seek a molecular understanding of what cues muscles employ to control synapse
formation by motor nerves. CROET's Dr. Bruce Patton identified
a muscle surface protein that contains two components not present in the rest of the muscle, and mice were
genetically engineered to lack these components. In the first mutant strain, synapses formed correctly during
muscle development in embryos but, after injury in adults, motor nerves were not able to reinnervate synaptic
sites in the muscle. In the second strain, synapses were unable to form correctly even in development, leading
to an inability to survive after birth. Together, these discoveries pinpoint an essential biochemical signal
normally used by muscle to promote its innervation. This information will guide efforts to improve recovery
from neuromuscular injury and disease, perhaps by leading to molecular treatments to improve recovery following
nerve and muscle injury.