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TISSUE INTERACTIONS IN
MAMMALIAN REGENERATION
RI C H ARD J. Goss
Introduction
I T H T H E EXC EPTI O of re pa ir to the central nervous system, mammals
W are as capable of tissue regeneration as are lower vertebrates ( 13,
29). Their inability to re p lace histologically complex appendages (epimor-
phic regeneration), however, a d evelo pmental feat for which lower verte-
brates are fam ous, re mains to be explained (9) . From the phylogenetic
point of view, the re wou ld seem to have been little selective ad vantage in
reta ining the capacity to regenerate limbs in the course of evolving warm-
blood ed vertebrates fro m cold-blooded ones. Bi rds and mammals have a
high metabolic rate that d epends upon the frequent consumption of food .
Even if they could regenerate limbs, it would probably ta ke several months
to develo p a functional a ppendage, during which time a pred ator would
probably have sta rved to d eath and the prey would have fallen victim.
Higher vertebrates may have substituted sufficient intelligence to avoid
debilitating inju ries in place of their ancestors' capacity to regenerate lost
parts of the bod y. One might predict that if mammals were to regenerate
anything, it wou ld be limited to those structu res that are not required fo r
survival but that a re importa nt e no ugh to have afforded selective ad van-
tage to those individuals ca pable o f replacing the m.
Epimorphic regener ation r equires the coordinated participation of all
parts of the amputation stump for the production o f a blastema a nd the
communication of morphogenetic info rmation to the d evelo ping regene r-
ate. Although each histologic component of a limb is capable of tissue
regeneration , the rep lacement of the entire appendage is a develo pmental
phenome non that is more than the sum of its parts. Whe n an injured tissue
repairs itself in a n unamputated limb, it does so by reestablishing the
co ntinuity of th e affected st r uctures. T his is a wo und-healing phe-
nomenon whether it occurs in the skin or in such inte rnal tissues as bones,
te ndons, muscles, nerves, or blood vessels. Cases of tissue regeneration
differ from epimorphic regeneration not in d egree but in kind (2). T he
regrowth of an a mpu tated appe ndage is a qualitatively distinct develo p-
menta l phenomenon , the success of which de pends upon the healing of
the stump by epidermal migration , the accu mulation of a blastema, a nd
the di fferentiation of distal anatomical structu res not represented by
12
Tissue Interactions in Mammals 13
counterparts in the stump . The influence of nerves or spinal cord is also
essential to many examples of a ppe ndage replacement (30). Epimorphic
regeneration, therefore, is not the separate regrowth of each individual
tissue in the stump but is a process in which the participating tissues pool
their resources in a developmental investment that gives rise to a structure
that could not have been achieved without the cooperative interaction o f
the diverse tissues represented in the stump. Not surprisingly, the key to
epimorphic regeneration, both in higher and lower vertebrates, lies in the
coordinated responses of individual tissues to interruptions in their con-
tinuities.
Not so man y years ago it was generally believed that ma mmals were
incapable of epimorphic regeneration. It is now known that there exist
some interesting exceptions to this rule, exceptions which prove that the
general lack of regeneration in higher vertebrates is not attributable to
being a mammal per se. These examples of mammalia n regeneration are
valuable for two reasons. One is that the mechanisms by which missing
parts are re placed in mammals can be compared with simila r events in
lower forms, thus broadening our overall perspective of the range of
regenerative phenomena in the a nimal kingdo m. The other value of
studying cases of regeneration in mammals is to make comparisons with
nonregenerating structures in order to pinpoint how wound healing leads
to the production of a blastema in some cases but to scar formation in
others. The implications for the prospects o f inducing regeneration in
human appendages, e.g., fingertips (24), are inesca pable (14).
Figures 2- 1 through 2-6. Successive phoLOgra phs of an elk d uring the course of antler
regeneration, as seen several days (Fig. 2- 1) and at month ly intervals (Figs. 2-2 through 2-6)
after the old an tlers were shed in late Februa ry.
Figures 2-7 through 2- 12. Regeneration of rabbit ear tissue from the margins of a I em hole
as seen one day (Fig. 2-7) and one, three, fi ve, six, a nd twelve weeks (Figs. 2-8 through 8- 12)
after inj ury. By one week the margins of the hole are conspicuou ly wollen. New ingrowth
is visible by the third week, a nd closure is achieved after two months.
T issue Interactions in Mammals 19
comparison with those that occur in the nonregenerating ear of other
spectes.
The rabbit ear consists of a sheet of cartilage sandwiched between the
inner and outer skin. When a hole o ne centimeter in diameter i cut
through these tissues, it heals by the migration of the inner and o uter
epidermis across the margins around the periphery of the hole (28). After
the two layers of migrating epidermis have joined together, there begins to
accumulate a mass of seemingly undiffere ntiated cells beneath the wound
epidermis and off the end of the severed sheet of cartilage. These cells
proli ferate and give rise to a blastema extending around the margins of the
hole. In several weeks, there is visible ingrowth from the periphery, after
which chond rogenesis begins to occur in continuity with the original carti-
lage. There is thus established a g rowth zone around the circumference of
the hole, the dimensions of which decrease as regeneration proceeds.
:Hter two months or so, the aperture is obliterated by the centripetal
growth of new tissue (Figs. 2-7 through 2- 12). Chondrogenesis is responsi-
ble for reestablishing the continuity of the original sheet of cartilage.
Occasional hair follicles with sebaceou gla nds may develop in the integu-
ment.
Figures 2- 13 and 2- 14. o regeneration occurs in rabbit ear holes in the absence ot
cartilage. Figure 2- 13: appearance of hole one day afte r cutting through a region of the ear
from which the cartilaginous sheet had been re moved several weeks earlier . Figure 2- 14
same hole twelve weeks later, showi ng complete lack of regeneration .
of the cartilage; or the cartilage was irradiated and grafted back into the
unirradiated ear. Whe n just the skin was irradiated while the cartilage had
been shielded, regeneration occurred from the margins of holes cur
through such regions. In the reciprocal experiment, however , only partial
ingrowth occurred , and this did not include chondrogenesis. These result,
strongly suggest that the differe!"ltiation of new cartilage depends upon thl
existence o f healthy cartilage in the surrounding ear from which di f-
ferentia tion can proceed. Other experiments indicate that the sheet o~
Tissue Interactions in Mammals 21
cartilage in the ear exerts little morphogenetic influence on the cartilage
that may regenerate fro m it. For example, if an extra sheet of cartilage is
grafted to an ear, and a hole punched through the region with double
layers of cartilage, only a single sheet differentiates in the subsequently
regenerated region (2 1).
Although cartilage regula rly differentiates in the regenerating parts of
the ear, it is not capable of tissue regeneration per se. If the skin of the ear is
reflected and the underlyin g cartilage removed followed by replacement
of the skin fla p, the missing portion of the cartilage is not regenerated.
These results are reminisce nt of what happens in amphibian limbs. If a
skeletal eleme nt is removed from an unamputated limb, it is not replaced.
However, if it is removed with the rest of the limb by amputation , it may be
replaced as the entire limb rege nerates distal to the leve l of amputation (4).
In the rabbit ear, the cartilaginous sheet is differentiated only when it does
so in conjunction with the regrowth of the full thickness of the ear. T his
may be ta ken to indicate that regeneration of the cartilage depends upon
its proximity to a healing epidermal wound.
Epidermal Downgrowths
Close examination of the sequence o f events following perforation of
the ear confirms the possibility of a n interaction between the healing
epidermis and the subjacent cartilaginous sheet. As indicated earlier, the
margins o f a hole cut through the full thickness of the rabbit ear are healed
by epidermal migration from the inne r and outer skin. Even before these
two sheets of migrating e pidermis meet in the middle, they d evelo p con-
picuous down growths in to the underlying dermal connective tissue ( 16).
T he e tongues of epidermal cells may extend as deep as 1 mm and are
u ually evident by abo ut five d ays a fter injury. They eventually undergo
epidermal differentiation , lead ing to the keratinization of their innermost
ell . T his resu lts in their mod ification into a n infolding toward the latter
part o f the second postoperative week. In the meantime, blastema cells
accu mulate between the epidermal downgrowths from the inner and
ter kin, leading to the aggregation of a mass of undifferentiated cells
flthe end of the cut cartilaginous sheet. As a blastema swells, it pulls the
~ lded epidermis out into a flat sheet on the urface of the regenerate.
- . e pidermal downgrowths are seldom seen after twelve days or so.
:-he po ible role of the epidermal downgrowths in promoting regen-
a2lic n i uggested by the time a nd place of their formation . T hey are
m at precisely tha t period when the blastema begins to form. T hey
.Aited in exactly the right location to constitute a possible barrier
,.__..._n the derm is of the original skin and the margins o f the hole where
tema mu t form if regneration is to occur . Nevertheless, these
22 Mechanisms of Growth Control
coincide nces do not prove that the e pidermal downgrowths are in any way
responsible for the production of a blastema instead of a scar.
Attempts to shed further light on this problem by experimental means
have strength ened the suspicion of a causal relationship between
epidermal d own growths a nd regeneration. I f this suspicion is correct, one
might predict that these structures would not develop in non regenerating
ears. There are two ways to prevent the regeneration of rabbit ears. One is
by exposu re to x-rays, the other by removing the cartilaginous sheet.
Examination of the healing margins of holes cut through irradiated ears or
ones lacking cartilage have proved that epidermal downgrowths do not
develop under these circumstances. Further, they have not been found in
the healing margins of holes cut through the ears of those non regenerat-
ing species thus far examined (e.g., sheep and dogs). Finally, it has been
shown that if wounds are made in the skin alone, they heal without the
development of epidermal downgrowths such as occur on the margins of
holes through the entire ear. It would appear that these epidermal down-
growths develop in relation to the cut edges of an underlying sheet of
cartilage. It may be possible that they are instrumental in the development
of a blastema, if not the initiation of chondrogenesis from the cut edge of
the original cartilaginous sheet.
Regeneration in Other Ears
Rabbits are not the only animals whose ears can regenerate. Other
lagomorphs have been found to be capable of filling in holes that are cut
through their external ears. Not only does the hare regenerate ear tissue .
but the pika does likewise. The latter animal is a short-eared lagomorph
that inhibits mountainous rock slides at high altitudes. Like its long-eared
relatives, it is capable of regenerating tissues from the ma rgins of holes cut
through its ears, including chondrogenesis.* Why it is tha t the lagomorph
are so uniquely endowed with such regenerative powers is not known .
Ear regeneration has been shown not to occur in the vast majority of
animals thus far tested. Negative resu lts have been obtained in sheep.
dogs , deer, guinea pigs, chinchillas, gerbils, hamsters, rats, mice, opo -
sums, and armadillos. Even the patagonian cavy, a remarkably rabbitlike
rodent from South America, is unable to fi ll in holes cut through its long
ears. Neverthe less, there remain a few other species that, like the rabbi t.
can regenerate ear tissue. One such example is the domestic cat in which
holes several millimeters in diameter can be fi lled in by new tissues, inclu d-
ing cartilage. Whether or not epidermal downgrowths are present in th i-
regenerating system remains to be determined .
* The author is indebted to Dr. Preston o mers and :\Is. Carol) n Engel oft he Department of Biolo _
at Fon Lewis College, Durango, Colorado for their cooperation in our studies of pika ear regenerati" '
T issue Interactions in Mammals 23
••
bably the most valuable and importa nt ears of any mammal are those
that fly by echolocation. Investigations of a variety of species,
.-..-.un the insectivorous little brown bat (Myolis lucifugus) a nd several
...-.-~....,.1.\merican fruit bats,* have confirmed thattheir ears a re capable of
_an holes 2 mm in diameter (which is a large hole in relation to the size
• ~to Dr. Alvin ovick in Yale University for kindly making variou s species o f fruit bat s
m~ lor experimentation .
24 Mechanisms of Growth Control
and thickness of the ear ). Unlike cats and rabbits , however, these animals
fill in ear holes with skin and connective tissue , in the absence of chon-
drogenesis. Bats that fl y by night vision rathe r than echolocation , such a
the old world fruit bat (P teropus) fail to regenerate ear ti ue from the
margin of holes. The contrast between these two types of bats strongly
suggest that ear regeneration in ma mmals is an adaptive phe nomenon .
Equally ad a ptive is the regene rative ability of bat wing membranes.
Despite their maneuverability in fli ght, it is not uncommon for bats to tear
or puncture their wings. When this happen , the surrou nding tissue
contract. In additio n , there is considera ble production of new tissue at th e
edge of the wound that grows in from all sides to reestablish the original
continuity (Figs. 2-1 5 through 2-20). In fruit bats, holes as much as 3 em in
diameter can be fill ed in after a couple of months.
Conclusions
There now exists a sufficient number of ma mmalian structures known
to be able to regenerate for meaning ful compa risons to be made. It would
seem that the capacity for epimorph ic regeneration in mammal may have
evolved independently in a variety of structure and species. Thus, there i
no guarantee that the developme nta l mecha nism by which regeneration
is achieved in one syste m necessaril y applies to the others. On the othe r
hand, such attributes as may prevail in all known cases may be assumed to
have fundamenta l importance fo r the regenerative process per se. For
example, there can be no regeneration in mam ma ls, or in other fo rm .
without a healing e pide rmal wound. T he role of ne rves, however, a ppear
not to be universal. Althou gh neurotro phic influences are essential for the
regeneration of ma ny a ppendages in lower vertebrates (30) , ne rves have
been shown not to be required fo r the replacement o f antlers in d eer (33).
the ingrowth of tissue from the margins of rabbit ear holes (22) , or the
repair of bat wing mem branes (3). T he importance of epidermal down-
growths in the heali ng of wounds needs to be explored furth er to d ete r-
mine if this phenomenon, which appears to be o importa nt in rabbit ear .
also occurs in othe1· regeneratin g mamma lian systems.
Clea rly, the mechani ms by which regeneration occurs in those mamma-
lian structures t hus far discovered must be in vestigated more thoro ugh)~
in the years a head . It is ho ped that additio nal exa mples of ma mmalian
regeneration may be added to the list. On ly by the exploration of such
naturally occurring examples of regeneration will it be possible to under-
stand this inte resting p he nome non in sufficient d etail to be able some da'
to promote regene ratio n where nature never in tended.
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