Seediscussions,stats,andauthorprofilesforthispublicationat:https://www.researchgate.net/publication/6766840 Neurontheory,thecornerstoneof neuroscience,onthecentenaryoftheNobel PrizeawardtoSantiagoRamónyCajal.Brain ResBull ArticleinBrainResearchBulletin·November2006 ImpactFactor:2.72·DOI:10.1016/j.brainresbull.2006.07.010·Source:PubMed CITATIONS READS 46 175 3authors,including: FranciscoLópez-Muñoz CecilioÁlamo UniversidadCamiloJoséCela UniversityofAlcalá 210PUBLICATIONS1,531CITATIONS 150PUBLICATIONS1,327CITATIONS SEEPROFILE Allin-textreferencesunderlinedinbluearelinkedtopublicationsonResearchGate, lettingyouaccessandreadthemimmediately. SEEPROFILE Availablefrom:FranciscoLópez-Muñoz Retrievedon:10May2016 Brain Research Bulletin 70 (2006) 391–405 Neuron theory, the cornerstone of neuroscience, on the centenary of the Nobel Prize award to Santiago Ramón y Cajal Francisco López-Muñoz a,∗ , Jesús Boya b , Cecilio Alamo a a Neuropsychopharmacology Unit, Department of Pharmacology, Faculty of Medicine, University of Alcalá, C/Juan Ignacio Luca de Tena 8, 28027 Madrid, Spain b Department of Cellular Biology, Faculty of Medicine, Complutense University, Ciudad Univeritaria, 28040 Madrid, Spain Received 7 June 2006; accepted 14 July 2006 Available online 14 August 2006 Abstract Exactly 100 years ago, the Nobel Prize for Physiology and Medicine was awarded to Santiago Ramón y Cajal, “in recognition of his meritorious work on the structure of the nervous system”. Cajal’s great contribution to the history of science is undoubtedly the postulate of neuron theory. The present work makes a historical analysis of the circumstances in which Cajal formulated his theory, considering the authors and works that influenced his postulate, the difficulties he encountered for its dissemination, and the way it finally became established. At the time when Cajal began his neurohistological studies, in 1887, Gerlach’s reticular theory (a diffuse protoplasmic network of the grey matter of the nerve centres), also defended by Golgi, prevailed among the scientific community. In the first issue of the Revista Trimestral de Histologı́a Normal y Patológica (May, 1888), Cajal presented the definitive evidence underpinning neuron theory, thanks to staining of the axon of the small, star-shaped cells of the molecular layer of the cerebellum of birds, whose collaterals end up surrounding the Purkinje cell bodies, in the form of baskets or nests. He thus demonstrated once and for all that the relationship between nerve cells was not one of continuity, but rather of contiguity. Neuron theory is one of the principal scientific conquests of the 20th century, and which has withstood, with scarcely any modifications, the passage of more than a 100 years, being reaffirmed by new technologies, as the electron microscopy. Today, no neuroscientific discipline could be understood without recourse to the concept of neuronal individuality and nervous transmission at a synaptic level, as basic units of the nervous system. © 2006 Elsevier Inc. All rights reserved. Keywords: History of neuroscience; Neuron theory; Reticular theory; Cajal “The facts remain and theories pass away” Santiago Ramón y Cajal, 1894 1. Introduction The neuron doctrine constitutes the cornerstone on which, throughout the 20th century, all the neuroscientific disciplines were constructed. This year sees the centenary of the award of the Nobel Prize for Physiology and Medicine to Santiago Ramón y Cajal (1852–1934), the great ideologue and driving force behind this theory, for his meritorious work on the structure of the nervous system. One hundred years later, the majority of Cajal’s postulates, laid out in his lecture to the Swedish Academy, continue to be of remarkable scientific currency, and have made ∗ Corresponding author. Tel.: +34 91 7248210; fax: +34 91 7248205. E-mail address: [email protected] (F. López-Muñoz). 0361-9230/$ – see front matter © 2006 Elsevier Inc. All rights reserved. doi:10.1016/j.brainresbull.2006.07.010 Cajal the most cited classical scientist in history. It is in recognition and honour of this notable achievement that we examine in this work the circumstances in which the neuron doctrine came into being. Neuron theory should be considered, from the historical perspective, as the final and definitive link in the development of cell theory, the doctrine that consolidated itself in the second half of the 19th century as a result of extensive progress in the anatomical disciplines, the coming of age of physiological knowledge, the definitive adoption of proper experimental methods, improvements in optical technology and advances in micrographic techniques. The first cell theory began to emerge in the 1830s, thanks to the work of researchers such as Samuel Thomas von Sömmerring (1755–1830), Karl Asmund Rudolphi (1771–1832), Johann Evangelista Purkinje (1787–1869), Ernst Heinrich Weber (1795–1878), Johannes Peter Müller (1801–1858), Friedrich Gustav Jackob Henle (1809–1885) or Gabriel Gustav Valentin (1810–1863), though it was the con- 392 F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 tributions of Matthias Jacob Schleiden (1804–1881) and of Theodor Schwann (1810–1882) that made possible the definitive formulation of cell theory [2]. Schwann produced one of the first descriptions of cell structure (Zellentheorie) in animal tissue (cytoblasteme, cell membrane, cell nucleus and nucleoli), in which he considered the cell as a structure made up of several superimposed layers. Schwann concludes his work with the proposal of a cell theory (Theorie der Zellen) focusing not such much on anatomical as on physiological aspects: “In general we should attribute autonomous life to cells” [61]. Rudolph Albert von Kölliker (1817–1905), in his Handbuch der Gewebelehre des Menschen, first published in 1852 [45], brought together and gave substance to all the disperse knowledge that could contribute to cell theory. For Kölliker, the cell would be made up of a container vesicle (cell membrane) and a content composed of a liquid surrounding different particles and a special round body (cell nucleus), which contained in turn, another liquid and another smaller corpuscle (nucleus corpuscle or nucleolus). Eleven years later, in the 4th German edition of his Handbuch, von Kölliker stated that cells “should be conceived as the essential formal units of the body”. However, and with no disrespect to all the other authors mentioned, it is fair to acknowledge Rudolf Ludwig Carl Virchow (1821–1902) as the great ideologue of the cellular theory. A disciple of Müller and Professor at Würzburg and Berlin, in 1855 he pronounced his famous sentence: “omnis cellula e cellula” [68], that is, cells can only multiply from themselves. For Virchow, life is essentially cellular activity, so that the life of organisms is the sum of the life of each of its cells. The enormous technical advances in the field of cytohistology during the second half of the 19th century provided scientists with more and more precise knowledge about the true structure of cells. It suffices to mention, by way of illustration, the comprehensive progress in the construction of microscopes (Leitz), the development of immersion lenses in 1850 (Amici), the introduction of the microscope condenser system in 1873 (Zeiss and Abbe) and the apochromatic lens in 1887 (Abbe), the introduction and refinement of the microtome in 1886 (Minot), techniques of paraffin embedding in 1869 (Klebs) and celloidin embedding in 1879 (Duval), techniques for fixing sections in chromic acid in 1850 (Corti), or in chromic-acetic mixtures in 1854 (Remak), the new colouring methods, such as Gerlach’s carmine (1847), Schultze’s osmic acid (1865), Perkin and Ehrlich’s aniline derivatives (1854–1870), and Böhmer’s hematoxylin (1865), von Recklinghausen’s metallic impregnations (1863) and the subsequent discovery of silver bichromate by Golgi (1883) or silver nitrate by Cajal (1903), the microphotographic methods developed by Gerlach (1863) and Koch (1877), and so on. Thus, cell theory became definitively consolidated in the 1890s, precisely the same decade that saw the birth of the neuron doctrine, thanks largely to the work of Cajal. In the words of the great science historian Pedro Laı́n Entralgo (1908-2001), “the work of Cajal thus constitutes the definitive vindication of cell theory, making Schleiden, Schwann, Virchow and Cajal the four principal figures in the history of the theory” [48]. A similar view was expressed by one of Cajal’s disciples, the Uruguayan Clemente Estable (1894–1976), for whom his Table 1 Historical milestones in the development of the neuron doctrine 1836 1838 1855 1862 1865 1871 1873 1886/1887 1888 1889 1891 1892 1897 1903 1904 1906 1913 1921 1933 1954/1955 First microscopic image of a nerve cell (Valentin) First visualization of axons (Remak) Consolidation of cell theory (Virchow) First description of the neuromuscular junction (Kühne) Description of types of processes of nerve cells (Deiters) Definitive postulate of the reticular hypothesis in the structure of the nervous system (Gerlach) Introduction of silver-chromate technique as staining procedure (Golgi) First discrepancies with reticular theory (His, Nansen, Forel) Birth of the neuron doctrine: the nervous system is made up of independent cells (Cajal) Dissemination of neuron theory at the German Anatomical Society congress (Cajal) The term “neuron” is coined (Waldeyer). Defence of the physiological significance of the “diffuse nerve network” theory (Golgi) Laws of dynamic polarization of neurons (Cajal) Concept of synapse (Sherrington) Introduction of silver nitrate as staining technique (Cajal) Textura del Sistema Nervioso del Hombre y de los Vertebrados: coming-of-age of the neuron theory (Cajal) Nobel Prize: Cajal and Golgi. The integrative action of nervous system: modern neurophysiology is born (Sherrington) Studies on degeneration and regeneration of the nervous system (Cajal, Tello, Perroncito) Nobel Prize: Sherrington Neuronismo o reticularismo: Cajal’s scientific testament Ultrastructural confirmation of synapses (Palay, Palade, De Robertis, Bennett) mentor was “the final illustrious architect of cell theory, the most transcendent of all the biological theories” [29]. In the present work we undertake a historical analysis of the circumstances in which Cajal formulated the neuron doctrine, considering the authors and works that influenced his postulate, the difficulties involved in its dissemination within science, and how it finally became established. Table 1 shows some of the major milestones in the development of neuron theory. 2. The pre-Cajalian period: first approaches to knowledge of the microscopic anatomy of the nervous system Although some authors, such as Antoni van Leeuwenhoek (1632–1723), had already, in the early 18th century, carried out some microscopic observations (Fig. 1A), the first descriptions of nerve cells are attributed, almost simultaneously, in the period 1833–1837, to Christian Gottfried Ehrenberg (1795–1876), who analyzed the nervous system of the leech [28], and to Purkinje, Professor at the Universities of Breslau and Prague, who described, in the mammalian cerebellum, some large cells (Fig. 1C) that are now known by his name [60]. It is precisely to one of Purkinje’s students, Valentin, that history attributes the publication of the first microscopic image of a nerve cell (Kugeln) [66], with its nucleus and its nucleolus, in 1836 (Fig. 1B). Two years later, in 1838, Robert Remak (1815–1865) quite likely saw axis-cylinders (“Remak bands”) F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 393 Fig. 1. First illustrations of nerve cells: (A) drawing of longitudinal and transversal sections of a peripheral nerve, by Leeuwenhoek, and found in a letter sent to a friend in 1719 [62]; (B) supposed first drawing of a nerve cell (cortex of the human cerebellum), with its nucleus and nucleolus, from an 1836 publication by Valentin [66]; (C) cerebellum cells drawn by Purkinje for the Congress of Physicians and Scientists Conference in Prague, in 1837 [60]. These were published in 1838 and the cells subsequently called Purkinje cells in his honour; (D) detail of a drawing of nerve cells from the spinal cord, showing axons and dendrites, by Deiters, and published posthumously, in 1865 [25]. and non-myelinized axons (“Remak fibres”) [31,62]. In 1852, Kölliker, showed, in the acoustic nerve of the ox, a “nerve cell with the origin of a fibre” [45], in 1862, Wilhelm Friedrich Kühne (1837–1900) demonstrated, in the frog, how the motor nerves terminated in the muscle cells (calling this complex “endplate” [46]), and in 1865, in a posthumous publication, Otto Friedrich Karl Deiters (1834–1863) described, in human samples, how, of all the processes of the nerve cells only one, a longer one, remained without dividing, which he called the axiscylinder (Achsencylinderfortsatz), while the rest branched out extensively (“protoplasmic extensions”) [26] (Fig. 1D). 2.1. The reticular theory of von Gerlach and Golgi Among the first to describe the intimate structure of the nervous elements was Virchow himself, who, anticipating the reticular proposal, spoke of Grundmasse, or fundamental mass, which would connect and unite all the nerve centres, and would later be termed “neuroglia” [67]. Several authors used this proposal as the basis for further work during the 19th century, including Edward Rindfleisch (1836–1908), who postulated his theory of “diffuse nervous substance”, or Deiters, who defended the hypothesis of an anastomosis of the fine nerve fibres and the protoplasmic extensions [25]. However, it would be the German Josef von Gerlach (1820–1896) who put forward the theory most prevalent until the emergence of Cajal’s neuron doctrine in 1888: the “reticular theory” that bears his name (a diffuse protoplasmic network of the grey matter of the nerve centres). Gerlach proposed in 1871, in a chapter of Salomon S. Stricker’s (1834–1898) work Handbuch der Lehre von den Geweben des Menschen und der Thiere, entitled Von dem Rückenmarke, that the grey matter of the nerve centres was made up of a dense mesh of thin filaments (Nervenfasernetz), shown by staining with the gold chloride method designed by Gerlach himself [69]. According to his proposal, the filaments emerging from this mesh would join up to form nerve fibres that led to the white matter, reaching the spinal cord. On this view, the origin of the nerve fibres could be a dual one: a direct origin, from Deiters’ “axis-cylinders”, and an indirect one, from the mesh of fine filaments or interstitial protoplasmic network. Gerlach concluded his theoretical postulate by affirming that the central nerve endings would not end freely, but would rather continue with protoplasmic processes. This theory was universally accepted by the scientific community, even by scientists of the calibre of Kölliker, later a fervent advocate of neuron theory, who proposed that perhaps only the dendrites were fused, or Camillo Golgi (1844–1926) (Fig. 2A), who continued to defend the theory when the neuron doctrine was widely accepted, albeit with some conceptual modifications (a purely axonic network). Trained in Giulio Bizzozero’s (1846–1901) Laboratory of Experimental Pathology in Turin, Golgi took up the chair of Histology at the University of Pavia in 1880, devoting himself from that moment on to the histological study of the nervous system, on which he would become one of the major authorities of his time. Already in the previous decade he had invented a histological method of stain- 394 F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 Fig. 2. Camillo Golgi in his laboratory at the University of Pavia (A) towards the end of his scientific career, and diagram presented in his Nobel Lecture [38] to justify the theory of the “rete nervosa diffusa” (B): “the fibres of this bundle, on approaching the reticular layer, which has been mentioned above, subdivide in a most complicated way and interlace with branches of nerve processes of cells to form with them the reticular zone. One therefore gets the impression that the reticular layer is interposed as a common region between the nerve processes of one side and the nerve fibres of the other”. ing that revolutionized the study of the nervous system, and that would subsequently make possible the work leading up to the postulation of neuron theory [57]: the silver-chromate technique [36]. The brain sections were fixed for several days in a mixture of solutions of potassium bichromate and osmic acid, and subsequently stained through immersion in silver nitrate solution, producing a silver-chromate precipitate that made it possible to see nerve cells appearing as black (the famous reazione nera). By means of this technique, Golgi classified the nerve cells of the cerebral cortex in two categories: type I, characterized by having a single process that would contribute to forming the nerve fibres, to which Golgi eventually attributed a motor function; type II, which would have a large number of shorter and more arborescent processes, which Golgi considered to be of a sensory nature. Between 1883 and 1886, Golgi published a series of works, using his staining system, in which he endorsed, at least partially, Gerlach’s theory. In these works it was proposed that the protoplasmic processes end in a free manner, and that some axis-cylinders of the nerve cells lose their individuality before reaching the white matter, becoming fused in a terminal arborization, from which the sensory fibres emerged (rete nervosa diffusa) (Fig. 2B). Moreover, from the functional perspective, Golgi ascribed to the prolongations of the nerve cells purely trophic or nutritive functions, and never functions related to the phenomenon of conduction of the nervous impulse [37]. Thus, for Golgi, the function of the brain is approached in an eminently holistic way [30]. In relation to this, Cajal states in 1889: “. . . still influenced by reticular theory (Golgi) admits the existence of another interstitial nervous network, composed only of ramifications of axons, terminals or collaterals; a fibrilose mesh that surrounds the nerve elements, without the participation of protoplasmic processes” [8]. According to Cajal, Golgi’s work was tremendously fruitful with regard to the development of a method, but he failed completely in the morphological and physiological interpretation of his findings. “It is a sad truth that almost nobody can totally extricate themselves from the tradition and spirit of their times”, recalls Cajal in relation to this matter [22,23]. In sum, the conceptions of Gerlach and Golgi, a kind of continuation of Galen’s synekheia, constituted, at the historical moment when they were proposed and defended, a clear exception to the prevailing and widely accepted cell theory, since nerve cells would lack the independence with which the rest of the organism’s cells were equipped, and the nervous system would be reduced to a mere syncitium on a large scale. 2.2. First discrepancies in the reticular theory pave the way for the neuron doctrine Among the few researchers of the time who disagreed with reticular theory—both that of Gerlach and that of Golgi—were Wilhelm His (1831–1904), Fridtjof Nansen (1861–1930) and Auguste Henri Forel (1848–1931) (Fig. 3). His (Fig. 3A), in 1886, using embryological material, confirmed that the single processes of nerve cells established no relation of continuity with any adjacent or distant element, but rather ended in a free and independent manner, though he affirmed that “. . . other connections of the fibres are either solely indirect or have originated in a secondary fashion” [40]. It was 3 years later when His proposed definitively (though he would never verify it in reality) the independence of nerve cells in the adult nervous system: “. . . it cannot be seen because, later, this form of growth (of the nerve fibres in the embryo) would have to change. Moreover, we are aware of a whole series of nerve endings that are free, such as those of the cornea, of the skin, of the Pacini corpuscles, of the motor plates, and so on. All of these endings are verified, either by an independent fibre or by a non-anastomosized arborization. F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 395 Fig. 3. First “anti-reticularists” and defenders of a hypothetical neuronism: Wilhelm His (A), Fridtjof Nansen (B) and Auguste Forel (C). It would seem, therefore, really quite irrational to make such a major distinction between central and peripheral nerve endings” [41]. In 1887, the Norwegian researcher Fridtjof Nansen (Fig. 3B), future explorer of the North Pole and Nobel Peace laureate in 1922, using Golgi’s staining technique in the study of the nervous system of invertebrates, also appears to anticipate neuronal discontinuity, when, in his doctoral thesis, he remarks that “direct anastomoses of protoplasmic processes (of ganglion cells) do not exist. . . the endings of the nerve processes do not anastomose” [55]. For his part, Forel (Fig. 3C), an entomologist and psychiatrist (and for 19 years the director of the prestigious Burghölzli Psychiatric Hospital in Zurich), also distances himself from reticular theories in a work published in 1887: “I think all the systems of fibres and the so-called networks of fibres of the nervous system are no more than nervous processes of cells that ramify to a greater or lesser distance in the form of ramifications within other ramifications, but not anastomosized” [32]. However, these assertions, like those of His, could not be based on objective confirmation through visualization of the mentioned independence, so that they remained in the realm of pure—even though correct—speculation. Subsequently, in 1891, experimental studies, on specific lesions of the nervous system (retrograde degenerations induced by von Gudden’s method), lent support to Forel’s proposals, when it became impossible to explain how the area of the lesion was circumscribed to a specific region if there was generalized reticular continuity of the nerve fibres [33]. Likewise, this Swiss author was responsible for the socalled “Forel Contact Theory”, in which he rejects the hypothesis of anastomosis of the nerve fibres with those of the muscles at the level of the neuromuscular junction, and postulates that the transmission of the information from the nervous system can take place at this stage through pure contact [24]. With regard to the contributions of these two researchers, Cajal recalls: “This conception of His and Forel, based on both direct observations and on highly ingenious and credible gener- alizations, represented a vigorous reaction against the reticular theories of Gerlach and of Golgi, which at the time dominated neurological science” [22]. The merit of His’s and Forel’s contributions is clear, and this has led some authors to consider them as “cofounders of neuron theory” [1,42]. In our view, as we shall remark below, the contribution of Cajal in this regard was so overwhelmingly immense, compared to that of the other two, that it would be a historical injustice to limit, albeit partially, his paternity of that theory [51]. 3. Neuron theory: Cajal’s great contribution to the history of neuroscience 3.1. The formulation of the “neuron doctrine” (1888–1889) In early January of 1884, Cajal (Fig. 4), having won the corresponding competitive exam, moved to Valencia to take up his post as Professor of Anatomy at the city’s University. His time in Valencia (1884–1887) coincided with a period of great development of medical scientific activity there [49]. It is while Cajal was in Valencia that he first came into contact with the intimate texture of the nervous system, “that masterwork of life” [21]. His future success in this field would be due, as he himself acknowledges, to the influence of Golgi’s silver-chromate procedure, to which he was introduced by the Valencian psychiatrist and neurologist Luis Simarro (1851–1921) on his return from a trip to Italy in 1887, and to Cajal’s own initial plan to apply it to lower animals or to the early stages of ontogenic evolution [21]. The culmination of this plan would occur after his move to Barcelona. Cajal, appointed Professor of Normal Histology and Pathological Anatomy at the University of Barcelona in November 1887, admits that his most important scientific contributions were made during his first years in that city, in which he spent 5 years (1887–1892). The year 1888 he considers as “my crowning year, my fortunate year” [21]. That year saw the discoveries that made it possible to postulate neuron theory [51], it being demonstrated that the relationship 396 F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 Fig. 4. Santiago Ramón y Cajal in his laboratory at the University of Valencia, in 1887, around the time when he became interested in the structure of the nervous system. between nerve cells was not one of continuity, but rather of contiguity. When Cajal began his neurohistological studies, in 1887, Gerlach’s reticular theory prevailed among the scientific community, with very few dissenters, among them His and Forel. However, the scientific grounds for divergence from Gerlach’s theory (a work of embryology—1886—and one of experimental pathology—1887, published by His and Forel, respectively) [40,32] lacked sufficient objective basis to bring down the ruling doctrine, remaining at the level of mere hypotheses, albeit bold and brilliant (“inspired inklings”, as Cajal put it [21]). In the opinion of the Spaniard, these contributions “were hidebound by two serious deficiencies: the clear, indisputable demonstration of the way the axons terminated in the centres, and the true relationships between the nerve ramifications and the neurons” [22,23]. Thus, the works of His and Forel do not seem to offer the evidence to justify claims for their authorship of neuron theory, as apparently defended by some authors, such as Jacobson [42]. Cajal, on the other hand, would be the first to provide indisputable morphological evidence in relation to the theory of the free termination of neurons, thanks basically to the combination of two crucial developments: the double impregnation technique, resulting from the improvement of Golgi’s silver- chromate technique, and the ontogenic method, based on the use of embryological material. Thus, and precisely in the first issue of the Revista Trimestral de Histologı́a Normal y Patológica (1 May 1888), edited and financed by Cajal himself, he reports the historic event responsible for providing this evidence [6], which resulted from dyeing the axon of the small, star-shaped cells of the molecular layer of the cerebellum of birds, whose collaterals ended up surrounding the Purkinje cell bodies, like baskets or nests (see Fig. 5A). In this same work, Cajal also describes the relationship between the mossy fibres and the digitiform arborizations of the dendrites of the granular cells, commenting that the empty space between them is the mould for rosettes (Fig. 5B). “Each nerve cell is a totally autonomous physiological canton”, states Cajal in this paper. Likewise, it is in this work that we find the first description of the dendritic spines, structures which today are of enormous biological significance, due to their plastic capacity and their role as the location of excitatory synapses of the cerebral cortex. In the second issue of the same journal (1 August 1888), reticular theory finally collapses under the weight of two new findings [7]: the parallel fibres, originating in the axon of the cerebellar cortex grains, terminated freely, and the climbing fibres, proceeding from the ganglion cells of the protuberance, reached the Purkinje cells, establishing a relationship of contiguity and not of continuity (Cajal’s “law of pericellular contact”): “. . . having arrived at the level of the first arms of the mentioned dendritic stem, they split up into snaking parallel plexuses that ascend all along the protoplasmic branches, hugging their form, like ivy or lianas that cling to tree trunks”. Cajal published 11 original works in this journal (the third and final issue appeared in March, 1889), some of vital importance for the future of the neurosciences, presenting his discoveries on the cerebellum of birds and mammals, and the retina, spinal cord and optic lobe of birds. Fig. 6 shows a diagram from one of these publications, comparing the Golgian reticular theory with Cajal’s neuron postulate. In October 1889 Cajal published, in the journal La Medicina Práctica, a review on the subjects of the cerebellum, the optic nerve and the spinal cord of birds, in which he summarized all his findings of the previous 2 years. In this article he states categorically that “. . . it is high time to release histology from all physiological obligations and adopt the only opinion that is in harmony with the facts, namely: that the nerve cells are independent elements that are never anastomosed . . . and that nervous propagation is verified by contacts at the level of certain apparatus or cogs devices” [8]. The importance of these facts is reflected in the words of the author himself, on describing “the last ramifications of the central axis-cylinders, seen by no-one” [21]. But he goes on to point out, in a clear allusion to the work of His and Forel, that “vaguely accepting the fact of immediate transmission or interneuronal articulation, without indicating precisely between which cellular appendices it is produced, is as just as comfortably dangerous as the well-worn reticular theory” [21]. Cajal’s findings in his studies on the grey matter of the cerebellum, published in 1888 and 1889, are summarized in four laws that revolutionized the conception of the time on the histological structure of the nervous system, and laid the F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 397 Fig. 5. Original drawings from the first work by Santiago Ramón y Cajal in which he postulates neuron independence, published in 1888 [6]: (A) “cross-section of a lamina of cerebellum. A and B, and star-shaped cells from the molecular layer (cells in baskets), whose axon (a) generates terminal nests around the Purkinje cells (C); b, axon of these corpuscles”; (B) “lengthwise section of a cerebellar circumvolution. A, molecular layer; B, layer of Purkinje cells; C, grain layer; D, white matter; a, rosettes of the moss fibres; b, soma of the Purkinje cells; c, parallel filaments; d, grains with their ascendent axon; e, division of this axon (semi-schematic figure)”. bases for the new neuron doctrine. It is worth recalling them [21]: “1. The collateral and terminal ramifications of all axis-cylinders end in the grey matter, not by means of a diffuse network, as argued by Gerlach, Golgi and the majority of neurologists, but by means of free arborizations, disposed in a variety of forms (pericellular baskets or nests, climbing branches, etc.). 2. These ramifications apply themselves intimately to the body and dendrites of the nerve cells, establishing a contact or articulation between the receptor protoplasm and the final, tiny axonic branches. 3. Given that the body and dendrites of neurons are applied narrowly (to) the final tiny roots of the axis-cylinders, it is necessary to accept that the body and the protoplasmic processes participate in the chain of conduction, that is, that they receive and propagate the nervous impulse, in contrast to the opinion of Golgi, for whom these cell segments would play a merely nutritive role. 4. The exclusion of substantial continuity between cell and cell leaves the way open for the opinion that the nervous impulse is transmitted by contact, as in the articulations of electrical conductors, or by a kind of induction, as with induction coils.” directed by Karl Heinrich von Bardeleben (1849–1919). The first paper describes the “tassel” or “brush” terminations in relation to the Purkinje cells of birds (pigeons and hens) and mammals, whilst the second confirms, contrary to the anastomotic proposals of Alexander S. Dogiel (1852–1922), discussed below, the independence of the cells of bird retina. However, it was by virtue of his participation in the German Anatomical Society’s annual congress, in Berlin in October, 1889, that Cajal managed to achieve international recognition of his findings. Among the large audience at the presentation by this “modest Spanish anatomist”, was Kölliker (“the venerable patriarch of 3.2. The dissemination of neuron theory (1889–1891) With the intention of his contributions reaching as wide an international audience as possible, in 1889 Cajal managed to secure publication (in French translation) of the results of his works mentioned above confirming neuron independence in two prestigious German journals, the Internationalen Monatschrift für Anatomie und Physiologie [10], edited by Professor Wilhelm Krause (1833–1910), and the Anatomischer Anzeiger [9], published by the German Anatomical Society and founded and Fig. 6. Diagram drawn by Cajal, in one of his publications from 1889 on the structure of the spinal cord, in which he sets out the differences between the reticularist conception of Golgi (I) and his own postulates on neuron independence (II). Illustration of sensory-motor communications of the spinal cord. Taken from Cajal [21]. 398 F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 Fig. 7. The disputes between defenders and detractors of neuron theory marked the development of “neurology” in the 1890s. Among the most prestigious defenders could be mentioned the German neurohistologists Rudolph Albert von Kölliker (A) and Heinrich Wilhelm von Waldeyer (B), whilst among the most fervent detractors were Alexander S. Dogiel (C) and Albrecht Bethe (D). German Histology”) (Fig. 7A) who was so enthused by Cajal’s demonstrations that, in successive years, he helped the extensive dissemination of the Spaniard’s findings, thanks partly to his being director of the prestigious journal Zeitschrift für wissenschafliche Zoologie. It was precisely at this same conference that Cajal made contact with numerous and prestigious scientists, in addition to Kölliker, such as Heinrich Wilhelm von Waldeyer (1836–1921) (Fig. 7B), Magnus Gustav Retzius (1842–1919), Gustav Albert Schwalbe (1844–1916), or His himself, who was one of those most interested in learning about the Spanish histologist’s con- tributions. The diffusion of Cajal’s ideas in this scientific forum appear to confirm that the results of his research were known to Forel when, in 1891, year of the second edition of his book Der Hypnotismus, he claimed priority in relation to the neuron doctrine [34]. Indeed, it was Cajal who was unaware of the previous works of these German authors when, in early 1888, he wrote his first neurohistological work (“only later—1890—did we read the embryological papers by His, which pre-dated my research, and only thanks to the kindness of the illustrious histologist of Leipzig”, notes Cajal in his work Neuronismo o reticularismo [22]). F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 399 Fig. 8. Different neurohistological drawings by Cajal: (A) diagram of the optic lobe of birds a few days old, “where we see the connection between the arborizations of the optical fibres and some elements with archiform axons”. This diagram, published in 1891, shows for the first time the famous arrows that “indicate the direction of the nervous impulse”; (B) diagram from an 1896 publication on some elements of the retina of birds (a, centrifugue fibre; b, amacrine cell; c, horizontal axon) “with the probable direction of currents”. Taken from Cajal [21]. The years 1890 and 1891 were “periods of hard work and pleasing satisfactions” [21], in which Cajal devoted himself to scientific work “with genuine fervour . . . work was giving me pleasure. It was a delicious inebriation, an irresistible spell” [21]. Proof of such dedication were the 20 articles he published in 1890, six of them in French, in different European journals [52]. The result of his work in these years served to propagate internationally the concepts of neuron theory, as well as the virtues of the Golgi method. Nevertheless, Cajal’s merit lies not only in being the first scientist to provide morphological proof of the independence of neurons, but also in the fact that, as López Piñero points out, he drew up a cellular model of the texture of the nervous system “that would serve as the foundation of neurophysiology, neuropathology and the clinical approach to nervous illness” [50]. 3.3. The consolidation of neuron theory (1891–1906) The results reported by Cajal generated throughout Europe a veritable bibliographical avalanche, led by the most prestigious histologists of the period (His, Forel, Waldeyer, Kölliker, Edinger, Lugaro, van Gehuchten, von Lenhossék, Retzius, Azoulay, Dejerine, Duval, etc.), who, according to Cajal [22,23], “confirmed our findings and illustrated and notably extended His’s conception, enriching it with a wealth of invaluable evidence”. However, this enthusiasm aroused by the incipient neuron doctrine was not shared by all researchers of the time, with a small group of reputable scientists continuing for some time to defend certain neo-reticularist positions (Golgi, Dogiel, von Apathy, Bethe, Held, etc.). 3.3.1. Defenders or “neuronists” Among the most passionate defenders of the new theory was Waldeyer (Fig. 7B), who coined, in 1891, the term “neuron” to refer to nerve cells [70]. Nevertheless, in his publication he did not present a single contribution of his own, confining himself to discussing the contributions previously published by different authors such as His, Cajal, Retzius or Kölliker [62,24]. In spite of this, acceptance of the term neuron was extremely widespread, and it became common to find in the scientific literature of the time the erroneous expression “Waldeyer’s neuron theory” (Neuronenlehre). Waldeyer stated in 1891: “The nervous system is constituted by numerous nervous units (neurons) without anatomical or genetic connection. Each nervous unit comprises three parts: the nerve cell, the nerve fibre and the terminal arborizations. The physiological process of conduction can take place in the direction from cell to arborizations or in the opposite direction. Motor conduction takes place only in the direction of cells to terminal arborizations, whilst sensory conduction can take place in one direction or the other” [70]. The basic morphological characteristic of neurons, their processes, also acquired their definitive name at that time; His proposed the term “dendrites” for Deiters’ “protoplasmic processes” in 1889 [41], while it was Kölliker who, in 1896, relabelled Deiters’ “axis cylinders” as “axons”. In 1892, having taken up the chair of Histology at the Central University of Madrid, Cajal set out another of his most important contributions to neuron theory, the “laws of dynamic polarization” of neurons. Already, in 1889, studying the nerve cells of the retina and olfactory bulb, he had observed that the dendrites were oriented towards the external environment, whilst 400 F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 the axons were oriented towards central nerve centres [8,9]. Following up these studies, he set out his physiological analysis of neuronal functioning in terms of circuits of transmission of information between neurons, so that this information would be transported from the dendrites to the soma, and from there to the axon (“axipetic conduction”), which would transmit the electrical information to the following neuron (“somatofugue or dendrifugue conduction”) [11]. Moreover, from this point on Cajal marked all his drawings and diagrams with his famous arrows (Fig. 8), indicating the direction of nervous conduction, and which subsequently made such an impression on Charles Scott Sherrington (1858–1952) in the conceptualization of his synaptic hypothesis. This Cajalian approach served as the initial basis, as Jones [43] notes, for structuring our current knowledge of the functioning of the nervous system. During the 1890s, the results of numerous histological studies began to underpin the new neuron doctrine. We might mention some of them by way of example: the calyxes of Held in the nucleus of the trapezoid body and the basket-like connections of the ventral ganglion of the cochlear (1891, Held), the visual arborizations in the external geniculate body (1891, Ramón), the peripheral terminations of the cochlear nerve in the Organ of Corti and of the vestibular nerve (1892, Retzius), the axodendritic connections by cog devices of Ammon’s horn (1893, Cajal) and the axo-somatic connections in the form of “poor nests” in the layer of internal grain of the retina (1895, Cajal), the connections between diffuse nervous plexuses and the bodies and stems of the brain pyramids (1894, Cajal), the bulbous terminations (Endfüssen) of the collaterals of the spinal cord in the grey matter (1897, Held), the climbing fibres of the sympathetic ganglions and the “bramble” terminations (1905, Cajal), etc. The importance of Cajal’s contributions became evident in the mid-1890s, when Mathias Duval (1844–1907), a Professor at the Faculty of Medicine in Paris, in his Foreword to the French edition of Cajal’s work Les nouvelles ideés sur la structure du système nerveux chez lhomme et chez les vertebrales—published in 1895 and considered as the precursor of his masterwork (Textura del Sistema Nervioso del Hombre y los Vertebrados), noted that “while the name of Golgi will continue to be associated with the preparatory procedure, that of Ramón y Cajal will endure as a symbol of the beginning of a new era with more rational concepts about the constitution of the nervous system” [12]. In 1904, and coinciding with the publication of his most important work, Textura del Sistema Nervioso del Hombre y los Vertebrados, Cajal categorically defended neuron theory and definitively consigned to history of all the reticularist conceptions: “The histological demonstration of the free termination of axonic processes and of protoplasmic processes is now concluded. Its consequence, neuron theory, that is, the theory of the unity and independence of the nerve cell, including all its appendices, is now established, on the basis of an excessive number of positive facts, of certain observations” [16]. All the contributions mentioned gave rise, then, to the definitive profile of the so-called “neuron theory”, that is, the constitution of the nervous system by independent cells, which represent genetic, anatomical, functional and trophic units. The construction of this monumental work, like that of a cathe- dral, saw the participation of brilliant and outstanding artisans, who contributed the necessary skill for decorating the edifice, but one cannot but attribute to Cajal the role of great architect who designed such a masterpiece and endowed it with sufficient consistency to rest permanently solid on its foundations. Cajal himself recalls in relation to his activity in this period: “The years 1905 and 1906 coincide with the zenith of my scientific career. During those years fortune smiled on me to the extent that I achieved the highest honours to which a man of science can aspire and at that time, apart from less significant communications, I made decisive observations for the consolidation of the neuron doctrine” [21]. 3.3.2. Detractors or “neo-reticularists” During the final decade of the 19th century and the first decade of the 20th, some authors, such as Golgi himself and a few of his disciples, continued to defend a watered-down version of the reticular theory, labelled “diffuse” (rete nervosa diffusa) (Fig. 2B) [37]. Even in 1906, in his Nobel Prize acceptance lecture to the Swedish Academy, Golgi persisted with his neo-reticularist postulates, in opposition to neuron theory: “At this point, while I shall come back to this question later, I must declare that when the neuron theory made, by almost unanimous approval, its triumphant entrance on the scientific scene, I found myself unable to follow the current of opinion, because I was confronted by one concrete anatomical fact; this was the existence of the formation which I have called the diffuse nerve network. I attached much more importance to this network, which I did not hesitate to call a nerve organ, because the very manner in which it is composed clearly indicated its significance to me. In fact, although in various ways and to varying extent, every nerve element of the central nervous system contributes towards its formation” [38]. Golgi concluded that the nervous network concept he defended explained “the anatomical and functional continuity between nerve cells,” and went on, “And this is why I have been unable to accept the idea of the independence of each nerve cell” [38]. In addition to the members of the Italian school, the neoreticular postulates, vehemently refuted by Cajal, were taken up by other prestigious authors of the time, such as Alexander S. Dogiel (Fig. 7C), Stephan von Apathy (1863–1923), Albrecht Bethe (1872–1954) (Fig. 7D) and Hans Held (1866–1942), in the last two cases in an attempt to revive the classical catenary or polygenic theories of Augustus Waller (1816–1870) and Louis Antoine Ranvier (1835–1922) [2]. Dogiel was the most radical defender of the reticularism proposed by Gerlach, thanks to his studies of the retina, using methylene blue staining. With this method, Dogiel described, in 1891, two types of network: one formed by anastomosis of the protoplasmic processes of nerve cells, and another formed by the union of the terminal ramifications of these same cells; Dogiel even went so far as to describe dense inter-dendritic connections at the level of the retina [27]. These findings were later refuted by Cajal himself, using the same staining method [15], though he had previously expressed the opinion that some of Dogiel’s observations, such as the anastomosis between dendrites, were no more than superpositions of the ends of the fibres from different bipolar cells [8]. F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 Through von Apathy’s use of gold chloride as a staining method in his preparations of invertebrates [3], and Bethe’s use of toluidin blue in vertebrates [5], these authors were able to observe the “neurofilaments” within the interior of nerve cells, and attributed to them the organization of the neuron networks in the grey matter, in addition to the connections between the protoplasmic processes of these cells and the terminal arborizations of the sensory nerves. It was Cajal who refuted these proposals with the reduced silver nitrate method, which he himself conceived, demonstrating that these neurofilaments formed authentic networks, but circumscribed to the cell soma, and never linking up different neuron processes [14]. The errors in these approaches were also demonstrated by other authors, such as Jean Nageotte (1866–1948) [54]. Finally, Held defended the theory Cajal referred to as encrustation, consisting in the intimate union of the axon terminations on the body or the dendrites of other neurons, even possibly penetrating them. Subsequently, Held even maintained that from the terminal processes of the nerve fibres there emerged some fine filaments that connected with the neurofilaments of the adjacent neurons [39]. 3.4. The definitive triumph of neuron theory: the award of the Nobel Prize (1906) Cajal’s enormous contributions to neuroscience were acknowledged in 1906, by the Committee of the Karolinska Institutet in Stockholm, with the award (together with Golgi) of the Nobel Prize for Physiology and Medicine, “in recognition of meritorious work on the structure of the nervous system”. On 12th December, 1906, just one day after Golgi’s lecture (The neuron doctrine. Theory and facts [38]), in which the Italian continued to defend his reticularist position, Cajal gave his Nobel Lecture, entitled The structure and connexion of neurons [18]. The content of Cajal’s lecture was an earnest defence of neuron doctrine, backed up by a detailed presentation of his own and others’ experimental development that led to the postulate. He began in categorical fashion: “The nerve cells are morphological entities, neurons, to use the word brought into use by the authority of Professor Waldeyer”. He went on by recalling that “. . .we applied Golgi’s method, firstly in the cerebellum and then in the spinal cord, the cerebrum, the olfactory bulb, the optic lobe, the retina and so on of embryos and young animals, and our observations revealed, in my opinion, the terminal arrangement of the nerve fibres. . . the nerve elements possess reciprocal relationships in contiguity but not in continuity. It is confirmed also that those more or less intimate contacts are always established, not between the nerve arborizations alone, but between these ramifications on the one hand, and the body and protoplasmic processes on the other” [18]. The neo-reticularist hypotheses prevailing in a few European scientific circles did not escape some well-worded criticism from Cajal in his Nobel Lecture: “The irresistible suggestion of the reticular conception, of which I have spoken to you (and the form of which changes every five or six years), has led several physiologists and zoologists to object to the doctrine of the propagation of nerve currents by contact or at a distance. All their allegations 401 are based on the findings by incomplete methods showing far less than those which have served to build the imposing edifice of the neuronal conception. If the said intercellular unions are not the result of an illusion, they represent accidental dispositions, perhaps deformities whose value would be almost nil in the face of the nearly infinite quantity of the perfectly observed facts of free ending” [18]. During the following 10 years, diverse experimental procedures, as well as observations of a histopathological nature, helped to consolidate the neuron doctrine. First of all, embryological studies confirmed that adult neurons, with their different types of processes, proceeded from the development of “germinal cells”, which become “neuroblasts”, which in turn produce “growth cones” that terminate freely [17]. The experimental work of Jorge Francisco Tello (1880–1958) [64] also contributed clarifying data, insofar as they confirmed that after the section of a nerve there is axonal regeneration, through the “shoots from the central stub”, which pass through the scar and reach the peripheral terminations, both sensory and motor; these findings were confirmed in the work of Edoardo Bellarmino Perroncito (1847–1936) [58]. All the experiments on the degeneration and regeneration of the nervous system carried out by Cajal’s group were compiled and published in a large volume, in 1913 [20], which even includes discussion of aspects of tremendous relevance today, such as neuron plasticity, a term Cajal took from the Rumanian researcher Ioan Minea (1878–1941) [44]. Finally, some histopathological studies also threw light on the theory of neuron discontinuity. An example is constituted by the survival of the baskets and the star-shaped cells of the molecular layer of the cerebellum after the disappearance of the Purkinje cells in general paralysis or after experimental section of the axons of these cells in the grain layer [19]. For Cajal, this subsistence of neurons that have lost their principal connections constitutes “a vehement indication of the anatomical discontinuity of nerve cells” [22,23]. However, and despite the international significance of the Nobel Prize award, the development of the neuron doctrine did not progress satisfactorily in the years after 1913, due in large part to the disastrous effects of World War One (1914–1918). Cajal himself notes that “the horrendous European war of 1914 dealt a bitter blow to my scientific activity”. As he says in his autobiography “for six years I was cut off from foreign laboratories, and reduced to a monologue in which apathy and discouragement were the basic norm” [21]. In fact, the majority of the European scientists who initially supported and helped to propagate Cajal’s theories died during the war (van Gehuchten, Waldeyer, Ehrlich, Nissl, Krause, Obersteiner, Dejerine, Brodmann, Alzheimer, Edinger, Retzius, Holmgren, Rossi, etc.). Fig. 9 shows a photograph of Cajal and one of his famous drawings from this period. The magnitude of Cajal’s scientific production and the nature of his contributions were highlighted by Ernesto Lugaro (1870–1940), the eminent Italian neurologist and Professor of Psychiatry at the University of Turin, in an obituary published in 1935 and reproduced by Tello: “This man [Cajal] has managed . . . to construct a colossal work of science, as harmonious as a work of art, solid enough to defy the centuries . . . Especially in 402 F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 Fig. 9. Cajal in his private laboratory in the early 1920s (A) and detail of a section of the visual cortex of the cat, showing “the grain layer, the layer of the large solitary pyramids and the region of the large polymorphous corpuscules” (B). This corresponds to one of the works from Cajal’s final stage as a researcher, in 1921, when neuron theory was absolutely recognized by the entire scientific community. Taken from Cajal [21]. the field of nervous morphology, it can be said that Cajal, all by himself, has produced more than all the other neurologists put together” [65]. 4. The culmination of neuron theory: introduction to the concept of synapse The mid-19th century also saw the emergence of arguments on the way neurons enter into contact with one another or with other structures. Kühne, using histological methods of fixation and staining, described, in the 1870s, the way the nerve endings terminate on a formation of the muscular membrane (subsequently the motor end-plate), labelling the whole structure “the neuromuscular junction”. For Kühne, this neuromuscular junction constituted, from the physiological perspective, a form of transmission of the impulse of the motor nerves to the muscle [47]. However, the limited power of optic microscopes at the time made it impossible to see the contacts between neurons in the central nervous system, so that these contacts were for some time mere speculation, though quite accurate speculation, as in the case of Cajal himself. In his first neurohistological works, in addition to postulating the neuron doctrine, he actually anticipated the concept of the synapse: “. . . nervous propagation is verified by contacts at the level of certain apparatus or dispositions of mechanisms, whose objective is to establish the connection, multiplying considerably the surfaces of influence” [8]. In this same line, during the 1890s, Held managed to verify, in embryological material, how certain axons terminated in a broadening on other cells, and Cajal, in his Nobel Lecture, noted that “a granular cement, or special conducting substance would serve to keep the neuron surfaces very intimately in contact” [18]. Cajal’s anatomical drawings, presented in the Croonian Lecture of 1894, above all the arrows he used for indicating the direction of nervous conduction [13], influenced Sherrington (Fig. 10) in producing his outline of the dynamic of nervous transmission, which he developed through his studies on the reflex arc and Wallerian degeneration [63]. For Sherrington, the functioning of the nervous system was based on the existence of pre-established anatomical circuits, which would constitute the basis of reflex responses to sensory stimulation. This would permit the execution of its principal function: the integration of information. It was when Sherrington was asked to write a chapter on the nervous system for the Textbook of Physiology (1897), by Michael Foster (1837–1907) [35], that the concept of synapse emerged: “So far as our present knowledge goes, we are led to think that the tip of a twig of the arborescence is not continuous with but merely in contact with the substance of the dendrite or cell-body on which it impinges. Such a special connection of one nerve cell with another might be called a ‘synapse’. The lack of continuity between the material of the arborization of one cell and that of the dendrite (or body) of the other offers the opportunity for some change in the nature of the nervous impulse as it passes from one cell to the other.” With this interpretation, Sherrington provided a functional explanation of the structural postulates of Cajal, combining the anatomical and physiological concepts in a single unit. This was the basis of what would subsequently become known as the neurotransmission mechanism. From a semantic point of view, the term “synapse” was not the one initially chosen by Sherrington, who proposed for denoting the internal contact zone the term syndesm. But Foster, at the request of Sherrington himself, consulted a doctoral student at Trinity College named Verrall, who suggested “synapse”, which literally means “joining together” [4,53]. F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 403 Fig. 10. Sir Charles Scott Sherrington, introducer of the concept of synapse, and cover of his work The Integrative Action of the Nervous System (1906), in a later edition, by Cambridge University Press, 1947. The physiological work of Sherrington, compiled in one of the classic texts of modern neurophysiology, The Integrative Action of the Nervous System (Fig. 10), first published in 1906—the same year as Cajal’s Nobel Prize award, provides the first data on the role in the integration or modulation of nervous transmission of certain higher structures, such as the brainstem and the cerebellum [63]. Likewise, the first data on the existence of excitatory and inhibitory synapses are due to this “father of neurophysiology”, whose work on the functioning of the nervous system won him the Nobel Prize for Physiology and Medicine in 1921. Finally, the definitive confirmation of neuron theory and of the concept of synapse would come in the mid-1950s, with the development of electron microscopy techniques. In 1954, Fig. 11. Sanford L. Palay (A); George E. Palade (B) (Nobel Laureate for Physiology and Medicine in 1974); Eduardo De Robertis (C) definitively confirmed the existence of synapses in the mid-1950s, through the use of electron microscopy. The cycle of neuron theory was thus finally closed. 404 F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 Fig. 12. The definitive consolidation of neuron theory came with the electron microscope. Electron micrography of an axo-somatic synapse of the anterior horn of the (human) spinal cord, and detail of the synapse at greater magnification. We can see the axon: (a) which constitutes the presynaptic element, with the typical synaptic vesicles, which make contact with the presynaptic membrane, as well as the synaptic space (arrow) and (b) the membrane of post-synaptic element. The existence of the synaptic space or cleft clearly demonstrates neuron independence. Sanford Louis Palay (1918–2002) (Fig. 11A) and George Emil Palade (1912) (Fig. 11B) (New York), and in 1955, Eduardo De Robertis (1913–1988) (Fig. 11C) (Buenos Aires) and Henry Stanley Bennett (1910–1983) (Seattle), demonstrated ultrastructurally the individuality of the neurons and synaptic discontinuity, reaffirming Cajal’s proposals of half a century earlier made on the basis of conventional optical microscopy techniques (“physical contact—of the nerve endings—may attain great intimacy, but in any case there always exists between the two surfaces of the synapse a separating frontier”, noted Cajal in 1933). Both groups, almost simultaneously, described at the synaptic level a local swelling of the neuron membranes, a set of small vesicles close to the broadening of the presynaptic element 20–60 nm in diameter and, in addition, an extracellular space between the two swollen membranes of some 20 nm [56,26]. At last, not only had the mechanisms of integration and transmission of signals in the nervous system been revealed, but there was also now physical and tangible evidence of the key structure of these processes: the synapse (Fig. 12). 5. Epilogue: the historical relevance of neuron theory Cajal’s great achievements in defence of neuron theory throughout 45 years of work are compiled in the so-called “scientific testament of Cajal”, in a work first published in 1933 in the journal Archivos de Neurobiologı́a, entitled Neuronismo o reticularismo. Las pruebas objetivas de la unidad anatómica de las células nerviosas [22], and also published, posthumously (1935), in German, with the title Neuronenlehre, in the Handbuch der Neurologie, by Oswald Bumke (1877–1950) and Otfrid Foerster (1873–1941), being republished in 1952 by the Spanish Higher Council for Scientific Research [23]. This work sets out the six fundamental principles of neuron independence, according to Cajal: morphological unity, genetic unity, functional unity, regenerative unity, unity of pathological regeneration and unity of conduction. Although some of the concepts of the so-called neuron doctrine proposed by Cajal, such as trophic or metabolic unity, cannot be conceived today just as they were formulated at the time, neuron theory constitutes one of the scientific doctrines that has endured longest, retaining its integrity, in the history of biology, together with Charles R. Darwin’s (1809–1882) theory of evolution. Neuron theory, one of the principal scientific conquests of the 19th century [59], has not only stood the test of time (more than a century) with scarcely any modifications, but has also been confirmed and vindicated with the development of new technologies, such as electron microscopy, neurophysiology or immunohistochemistry. And moreover, today no neuroscientific discipline could be understood without recourse to the concept of neuronal individuality and nervous transmission at a synaptic level, as basic units of the nervous system. By way of conclusion, let us recall the words of Cajal himself, a century ago in his Nobel Lecture: “While awaiting the work of the future, let us be calm and confident in the future of our work. If future science reserves big surprises and wonderful conquests for us, it must be supposed that she will complete and develop our knowledge indefinitely, while still starting from the present facts” [18]. References [1] K. Akert, A. Forel, Cofounder of the neuron doctrine (1848–1931), Brain Pathol. 3 (1993) 425–430. [2] A. Albarracı́n, La teorı́a celular. Historia de un paradigma, Alianza Editorial, Madrid, 1983. [3] S.V. Apathy, Das Leitende Element der Nervensystems und seine topographischen Beziehungen zu den Zellen, Mitth. Zool. Stat. Neapel. 12 (1897) 4. [4] M.R. Bennett, The early history of the synapse: from Plato to Sherrington, Brain Res. Bull. 50 (1999) 95–118. [5] A. Bethe, Allgemeine Anatomie und Physiologie des Nervensystems, Thieme, Leipzig, 1903. [6] S.R. Cajal, Estructura de los centros nerviosos de las aves, Rev. Trim. Histol. Norm. Patol. 1 (1888) 1–10. [7] S.R. Cajal, Sobre las fibras nerviosas de la capa molecular del cerebelo, Rev. Trim. Histol. Norm. Patol. 1 (1888) 33–49. [8] S.R. Cajal, Conexión general de los elementos nerviosos, Med. Práct. 2 (1889) 341–346. [9] S.R. Cajal, Sur le morphologie et les conexions des éléments de la retine des oiseaux, Anat. Anzeiger. 4 (1889) 111–121. [10] S.R. Cajal, Sur l’origene et la direction des prolongations nerveuses de la couche moléculaire du cervelet, Int. Monatschr. Anat. Physiol. 6 (1889). [11] S.R. Cajal, El nuevo concepto de la histologı́a de los centros nerviosos, Rev. Cienc. Med. 18 (1892) 457–476. [12] S.R. Cajal, Les Nouvelles ideés sur la structure du système nerveux chez l‘Homme et chez les vertebrates, Reinwald, Paris, 1894. [13] S.R. Cajal, The Croonian lecture: La fine structure des centres nerveux, Proc. R. Soc. Lond. 55 (1894) 444–468. F. López-Muñoz et al. / Brain Research Bulletin 70 (2006) 391–405 [14] S.R. Cajal, Consideraciones crı́ticas sobre la teorı́a de Bethe, acerca de la estructura y conexiones de las células nerviosas, Trab. Lab. Invest. Biol. 2 (1903). [15] S.R. Cajal, Das Neurofibrillennetz der Retina, Int. Monatschr. Anat. Physiol. 21 (1904) 4–8. [16] S.R. Cajal, Textura del Sistema Nervioso del Hombre y de los Vertebrados, Moya, Madrid, 1904. [17] S.R. Cajal, Génesis de las fibras nerviosas del embrión y observaciones contrarias a la teorı́a catenaria, Trab. Lab. Invest. Biol. 4 (1906). [18] S.R. Cajal, Nobel Lecture. The Structure and Connexions of Neurons. December 12, 1906. URL: http://nobelprize.org/medicine/laureates/1906/ cajal-lecture.html. [19] S.R. Cajal, Los fenómenos precoces de la regeneración neuronal en el cerebelo, Trab. Lab. Invest. Biol. 9 (1911) 1–38. [20] S.R. Cajal, Estudios sobre la degeneración y regeneración del sistema nervioso, vol. 1. Degeneración y regeneración de los nervios, Moya, Madrid, 1913. [21] S.R. Cajal, Recuerdos de mi vida, in: Historia de mi labor cientı́fica, 3rd ed., Imprenta de Juan Pueyo, Madrid, 1923. [22] S.R. Cajal, ¿Neuronismo o reticularismo? Las pruebas objetivas de unidad anatómica de las células nerviosas, Arch. Neurobiol. 13 (1933) 1– 144. [23] S.R. Cajal, ¿Neuronismo o reticularismo? Instituto Ramón y Cajal (CSIC), Madrid, 1952. [24] E. Clarke, C.D. O’Malley, The Human Brain and Spinal Cord. A Historical Study by Writting from Antiquity to the Twentieth Century, University of California Press, Berkeley, 1968. [25] O. Deiters, Untersuchungen über Gehirn und Rückenmarke des Menschen und der Säugethiere, Braunschweig, 1865. [26] E.D.P. De Robertis, H.S. Bennett, Some features of the submicroscopic morphology of the synapses in frog and earthworm J. Biophys. Biochem. Cytol. 1 (1955) 47–55. [27] A.S. Dogiel, Uber die nervösen Elemente in der Retina des Menschen, Arch. Mikrosk. Anat. 38 (1891). [28] C.G. Ehrenberg, Beobachtungeiner auffallenden bisher unerkannten Strukfurdes Seelenorgans bei Menschen und Thieren, Königlichen Akademie der Wissenschchaft, Berlin, 1836. [29] C. Estable, Don Santiago Ramón y Cajal, Bol. Centro Coop. Cient. UNESCO 3 (1952) 3–22. [30] S. Finger, Origins of Neuroscience. A History of Explorations into Brain Function, Oxford University Press, New York, 1994. [31] H. Fodstad, The neuron theory, Stereotact. Funct. Neurosurg. 77 (2001) 20–24. [32] A.H. Forel, Einige hirnanatomische Betrachtungen und Ergebnisse, Arch. Psychiatr. Nervenkrank. 18 (1887) 162–198. [33] A.H. Forel, Ueber das Verhältniss der experimentellen Atrophie und Degenerationsmethode zur Anatomie und Histologie des Centralnervensystems, Müller, Zurich, 1891. [34] A.H. Forel, Der Hypnotismus; seine psycho-physiologische, medicinische, Strafechtliche Bedeutung, 2nd ed., Enke, Stuttgart, 1891. [35] M. Foster, A Textbook of Phisiology. Part three: The Central Nervous System, 7th ed., Macmillan and Co. Ltd., London, 1897. [36] C. Golgi, Sulla struttura della sostanza grigia del cervello, Gaz. Med. Ital. 6 (1873) 244–246. [37] C. Golgi, La rete nervosa diffusa degli organi centrali del sistema nervoso: suo significata fisiologico, Arch. Ital. Biol. 15 (1891) 434–463. [38] C. Golgi, Nobel Lecture. The Neuron Doctrine—Theory and Facts. December 11, 1906. URL: http://nobelprize.org/medicine/laureates/1906/golgilecture.html. [39] H. Held, Zur weiteren Kenntniss der Nervenfüssen, Abh. Math. Phys. Klasse Köning Sächs Ges. Wiss. 71 (1904). [40] W. His, Zur Geschichte des menschlichen Rückenmarks und der Nervenwurzel, Abh. Math. Phys. Klasse Köning Sächs Ges. Wiss. 13 (1886) 209–477. 405 [41] W. His, Die Neuroblasten und deren Entstehung im embryonalen Mark, Abh. Math. Phys. Klasse Köning Sächs Ges. Wiss. 15 (1889) 311–372. [42] M. Jacobson, Foundations in Neuroscience, Plenum Press, New York, 1993. [43] E.G. Jones, Golgi, Cajal and the neuron doctrine, J. Hist. Neurosci. 8 (1999) 170–178. [44] E.G. Jones, Plasticity and neuroplasticity, J. Hist. Neurosci. 9 (2000) 37–39. [45] A. Kölliker, Handbuch der Gewebelehre des Menschen für Aertze und Studirende, Leipzig, 1852. [46] W. Kühne, Über dieperipherischen Endorgane der motorischen Nerven, Engelmann, Leipzig, 1862. [47] W. Kühne, Nerv- und Muskelfaser, 1869, in: Contenido en: Stricker S. Handbuch der Lehre von den Geweben, Engelmann, Leipzig, 1871. [48] P. Laı́n Entralgo, Cajal porsus cuatro costados, in Santiago Ramón y Cajal, in: Expedientes Administrativos de Grandes Españoles, Servicio de Publicaciones del Ministerio de Educación y Ciencia, Madrid, 1978. [49] J.M. López Piñero, M.J. Baguena, J.L. Barona, M.L. López Terrada, J.A. Mico, Cajal y la medicina valenciana de su tiempo, Secretariado de Publicaciones de la Universidad de Valencia, Valencia, 1983. [50] J.M. López Piñero, Cajal, Salvat Editores S.A., Barcelona, 1988. [51] F. López-Muñoz, J.L. Calvo, J. Boya, Algunas consideraciones sobre Cajal y la paternidad de la teorı́a neuronal, Psiquiatr. Biol. 4 (1997) 33–34. [52] F. López-Muñoz, A.L. Carbonell, J. Boya, Aproximación a la producción cientı́fica de Cajal desde una perspectiva bibliométrica, Arch. Neurobiol. 61 (1998) 41–66. [53] L.H. Marshall, H.W. Magoun, Discoveries in the Human Brain. Neuroscience Prehistory, Brain Structure and Function, Humana Press, Totowa, 1998. [54] J. Nageotte, La structure fine du système nerveux, Maloine, Paris, 1905. [55] F. Nansen, The Structure and Combination of the Histological Elements of the Central Nervous System, Bergen Mus Aarsberetning, Bergen, 1887, pp. 29–214. [56] G.E. Palade, S.L. Palay, Electron microscope observations of interneuronal and neuromuscular synapses, Anat. Rec. 118 (1954) 335–336. [57] E. Pannese, The Golgi stain: invention, diffusion and impact on neurosciences, J. Hist. Neurosci. 8 (1999) 132–140. [58] A. Perroncito, Die Regeneration der Nerven, Beitr. Path. Anat. Allg. Path. 42 (1907) 355–446. [59] A. Probst, D. Langui, La théorie du neurone: une des principales conquêtes scientifiques du XIXe siècle, Schweiz. Rundschau Med. (Praxis) 83 (1994) 462–469. [60] J.E. Purkinje, Neueste, Untersuchungen aus der Nerven-und Hirnanatomie, Opera Omnia 3 (1837) 45–49. [61] T. Schwann, Mikroscopische Untersuchungen über dier Uebereinstimmung in der Struktur und dem Wachstum der Thiere und Pflanzen, Sandersche Buchhandlung, Berlin, 1839. [62] G.M. Shepherd, Foundations of the Neuron Doctrine, Oxford University Press, New York, 1991. [63] C.S. Sherrington, The Integrative Action of the Nervous System, Yale University Press, New Haven, 1906. [64] J.F. Tello, Dégéneration et régéneration du plaques motrices après la section des nerfs, Trav. Lab. Rech. Biol. 5 (1907) 117–149. [65] J.F. Tello, Cajal y su labor histológica, Universidad Central (Cátedra Valdecilla), Madrid, 1935. [66] G.G. Valentin, Über den Verlauf und die letzten Enden der Nerven, Nova Acta Phys-Med. Acad. Leopoldina (Breslau) 18 (1836) 51–240. [67] R. Virchow, Ueber eine im Gehirn und Rückenmark des Menschen aufgefundene Substanz mit der chemsichen Reaction der Cellulose, Virchow’s Arch. 6 (1854) 135–138. [68] R. Virchow, Cellular-pathologie, Virchow’s Arch. 8 (1855) 3–39. [69] J. von Gerlach, Von den Rückenmarke, in: S. Stricker (Ed.), Handbuch der Lehre von den Geweben, Engelmann, Leipzig, 1871, pp. 665–693. [70] H.W.G. Waldeyer, Ueber einige neuere Forschungen im Gebiete der Anatomie des Centralnervensystems, Dtsc. Med. Wschr. 17 (1891), 1213–1218, 1244–1246, 1287–1289, 1331–1332, 1352–1356.
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