B RA I N RE SE A R CH RE V I EW S 55 ( 20 0 7 ) 4 1 1–4 2 1 a v a i l a b l e a t w w w. s c i e n c e d i r e c t . c o m w w w. e l s e v i e r. c o m / l o c a t e / b r a i n r e s r e v Review Relating the neuron doctrine to the cell theory. Should contemporary knowledge change our view of the neuron doctrine? R.W. Guillery Department of Anatomy, School of Medicine, University of Marmara, Haydarpaşa, Istanbul, 34668, Turkey A R T I C LE I N FO AB S T R A C T Article history: The neuron doctrine, formulated in 1891, attacked in 1906 by Golgi and fiercely defended by Accepted 16 January 2007 Cajal, provided a powerful tool for analyzing the pathways of the brain. It has often been Available online 20 January 2007 described as though it were merely the cell theory applied to nervous systems. In this essay I show that the neuron doctrine claims more than does the cell theory, and that in many Keywords: instances, where it goes beyond the cell theory, it can no longer be defended on the basis of Nerve cell contemporary evidence. The neuron doctrine should be seen as a practical tool that is Reticular theory particularly useful for understanding the long pathways of the brain; it cannot be regarded Synapses as providing an accurate account of what nerve cells in general are really like. Golgi © 2007 Elsevier B.V. All rights reserved. Cajal Contents 1. 2. 3. 4. 5. 6. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . How are the neuron doctrine and cell theory related? . . . The strength of the neuron doctrine. What was the neuron 3.1. The synapse . . . . . . . . . . . . . . . . . . . . . . 3.2. The motor unit . . . . . . . . . . . . . . . . . . . . . 3.3. Neural degeneration and axonal transport . . . . . . 3.4. Developmental studies. . . . . . . . . . . . . . . . . 3.5. Molecular markers . . . . . . . . . . . . . . . . . . . Some problems with the neuron doctrine . . . . . . . . . . 4.1. Fused neurons . . . . . . . . . . . . . . . . . . . . . 4.2. Gap Junctions. . . . . . . . . . . . . . . . . . . . . . 4.3. Serial synapses . . . . . . . . . . . . . . . . . . . . . 4.4. Some other issues . . . . . . . . . . . . . . . . . . . Where does the neuron doctrine stand today? . . . . . . . Postscript . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-mail address: [email protected]. 0165-0173/$ – see front matter © 2007 Elsevier B.V. All rights reserved. doi:10.1016/j.brainresrev.2007.01.005 . . . . . . . . . . doctrine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412 412 415 416 416 416 416 416 417 417 417 417 418 418 419 412 B RA I N R E SE A R CH RE V I EW S 55 ( 20 0 7 ) 4 1 1–4 2 1 Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419 1. Introduction The 1906 Nobel Prize recognized the advances that Golgi and Cajal had made to our knowledge of nervous systems. Golgi’s discovery of a new method and Cajal’s exploitation of it played major roles in these advances, particularly in the development of the neuron doctrine. The two laureates occupied opposing positions in the fierce debate about the doctrine that long preceded the award of the Prize. The debate continued during the Prize ceremony and was to continue for many years after. The present volume provides an opportunity for a new, contemporary look at the doctrine. Both Golgi and Cajal made many important contributions that extended into areas far beyond the neuron doctrine, but for this brief essay I focus on the doctrine. I will argue that the neuron doctrine, even though it still has major importance for many areas of neuroscience, appears to be losing the central position that it once held. The neuron doctrine recognized the nerve cell as the developmental, structural, functional and trophic unit of the nervous system and insisted that nerve cells communicate at sites of contiguity not continuity. Together with the law of dynamic polarization, which is often included as a part of the doctrine and which recognized the dendrites and the cell body as the receptive surface of a nerve cell with the axon serving as the (single/unitary) effector portion of the cell, the neuron doctrine formed a powerful tool for analyzing the nervous system. Yet, today there are many younger neuroscientists who know little about the doctrine, and many of the fundamental points strongly defended by the neuronists are no longer seen to be valid (Shepherd, 1991; Bennett, 2002; Bullock et al., 2005; Guillery, 2005). Although the doctrine is often presented as though it were simply the cell theory applied to nervous systems, there are significant differences, and it is now important to ask whether aspects of the classical neuron doctrine that go beyond the cell theory can still be defended. all nervous systems are ‘really’ like. The tools will continue to be useful even where the doctrine can be challenged. The cell theory, announced for plants by Schleiden in 1838, and extended to animals by Schwann in 1839 (Schleiden, 1838; Schwann, 1839) recognized that animals and plants are made up of distinct cells, each characterized by a nucleus, surrounded by cytoplasm and bounded by a cell membrane. New cells arise from existing cells, and the division of the nucleus plays an essential role in the production of new cells. For a realistic view of the neuron doctrine in relation to the cell theory it is important to recognize that the first description of ‘Schwann cells’ appeared in Schwann’s 1839 publication on the cell theory (Fig. 1). This is important because the possibility that nerve fibers are formed by the fusion of several of the Schwann cells was maintained by many in later years and is often referred to as the ‘catenary’ theory. Such a view of the origin of axons is in direct opposition to the neuron doctrine, which recognizes nerve fibers as the outgrowth of individual nerve cells (His, 1886, 1889 and later Harrison, 1908, 1910, 1924), but we will see that it is not, strictly speaking, contrary to the cell theory, and did not become a contentious issue until the basic concepts of the neuron doctrine were defined. In 1861, Max Schultze, who was described by Cajal (1954) as a “wise precursor of the neuron doctrine”, wrote a paper (Schultze, 1861) that questioned exactly what should be regarded as a cell. He focused on muscle cells and, noting that the several nuclei in a single muscle cell are not separated by membranes, suggested that a cell could be regarded as the region around the nucleus, forming the unit for the generation 2. How are the neuron doctrine and cell theory related? The neuron doctrine was formally proposed in 1891, more than 50 years after the cell theory, and many who have written about the doctrine considered that it was merely a late recognition of the fact that the cell theory applies to nervous systems as much as to other tissues. In the following essay I will argue: 1) that the neuron doctrine proved to be far more restrictive than the cell theory; 2) that a number of observations made during the past 50 years appear to be against the neuron doctrine without directly challenging the cell theory; 3) that it may be useful to recognize the features of the neuron doctrine that go beyond the cell theory, and 4) that, today, aspects of the neuron doctrine that provided practical tools for a reductionist approach to nervous systems in the past must be distinguished from those that might appear to describe what Fig. 1 – “Schwann cells” illustrated by Schwann in 1839. These cells were often, but wrongly, regarded as the cells responsible for producing the axons (the so-called catenary view of the origin of nerve fibers; more details in text and in Harrison, 1924). B RA I N RE SE A R CH RE V I EW S 55 ( 20 0 7 ) 4 1 1–4 2 1 of further cells and not necessarily bounded by a membrane. It is perhaps, therefore, not surprising that Schultze in other studies (Schultze, 1863, 1871) described fusions of processes arising from separate nerve cells in the olfactory and visual pathways. In Stricker’s influential Handbuch (Schultze, 1871) he stated: “There are fusions between neighboring nerve cells, although it is very difficult to come to a certain conclusion about the constancy or the frequency with which they occur”.1 In 1872 in an account of the retina (Schultze, 1872) he included a very rough drawing of the inner plexiform layer, which leaves the relationships established by the dendrites of the retinal ganglion cells entirely undefined (Schultze, 1872). Schultze mentions a report by Corti of anastomoses between the dendrites of retinal ganglion cells in the elephant, where presumably the individual elements are larger and easier to trace, and speculates that such connections should perhaps be regarded as a regular occurrence in other species. From the point of view of the connections he claimed between nerve cells, Schultze must, therefore, be regarded as a precursor of the reticular theory. Whereas in later years the neuron doctrine would establish the discontinuity between nerve cells, and stress the structural and functional unity and independence of the individual nerve cell, the reticularists, arguing from many different lines of evidence, favored the continuity between adjacent nerve cells and their processes, claiming to see fusions of the type described by Schultze in many different parts of the nervous system of many different species. The long interval between the first statement of the cell theory and the appearance of the neuron doctrine was due in large part to the difficult problem of demonstrating that nerve fibers are formed as the outgrowth of nerve cells (see references to His and Harrison above) and are not formed by the fusion of several distinct cells such as the cells of Schwann. Further, the crucial observation that nerve cells communicate at points of contiguities, not continuities between individual nerve cells depended largely on the development of the Golgi method and its exploitation, particularly by Ramón y Cajal. The difficulties of demonstrating these relationships delayed the appearance of the neuron doctrine by half a century, and when Waldeyer-Hartz formally presented the neuron doctrine in 1891, it looked to many as though, finally, the cell theory could be extended to the nervous system. This has, as I will show, been a widely accepted but mistaken view of the neuron doctrine ever since. Waldeyer-Hartz produced, and Cajal demonstrated and expounded something far more important than a simple extension of the cell theory: a powerful way of looking at distinct functional units in terms of which one could analyze nervous systems. The view of the neuron doctrine as an extension of the cell theory to nervous systems was mistaken for two reasons. The first and perhaps most important reason is that the neuron doctrine claimed far more than did the cell theory. The cell theory accepts multinucleate cells, so that today Schultze’s view of muscle cells as consisting of many single elements lacking a membrane is modified and treats muscle cells as 1 My translation. 413 multinucleate. The cell theory, even more significantly, accepts fusions between cells to form syncytial structures, such as the syncytial trophoblast of the placenta. It is particularly relevant to note that Kölliker writing in the fourth edition of his famous text-book (Kölliker, 1867), having laid out the importance of the cell theory, went on to consider how it might be that the sensory nerve fibers of the dorsal root could communicate with the motor cells of the ventral horn. He stated clearly that he was unable to see continuities between nerve cells, recognizing that the resolution of the problem was beyond the methods that were available to him. In spite of this, he proposed the connections shown in Fig. 2, showing cells communicating at points of continuity, which is an essentially reticularist view of the spinal reflex, and he seems to have had no problem about fitting this with his presentation of the cell theory in the same book. Kölliker would later, influenced by Cajal and convinced by his own Golgi preparations, change his view about the reticular structure of the nervous system and become a strong supporter of the neuron doctrine, but initially he presented a reticularist view, perhaps the first clear expression of such a view in terms of the structure of individual nerve cells, and does not appear to have regarded it as contrary to the cell theory. Many years later it was still possible for a widely used and highly respected textbook (Maximow and Bloom, 1930) to present the basic structure of the cell theory and the neuron doctrine itself and also to introduce multinucleate muscle cells and syncytial epithelial structures. That is, the rule against nerve cell fusions established by the neuron doctrine went beyond anything that was implied by the cell theory for muscle cells or for syncytial epithelial structures. According to Young (1939) his earlier account of a fusion of nerve fibers to form the squid giant axon was viewed in the 1938 edition of Maximow and Bloom as against the neuron doctrine. Young wrote: ‘It is not necessary to delay over the question of whether we should save the letter of the neuron theory by saying that such cells are, by definition, not neurons (see Maximow and Bloom, 1938). It is important to recognize that the occurrence of such fusions does not invalidate the neuron theory in general’ (Young’s italics). For Young the importance of the neuron doctrine was as a tool for a reductionist analysis of the nervous system, it was not necessarily an account that must fit all nerve cells. For Maximow and Bloom, in contrast, the neuron doctrine was a statement about the structure of the real world. It strictly limited what a nerve cell could be like, and seemed to exclude fused cells as neurons even though fused cells were clearly acceptable to the cell theory. In more recent years the view of the neuron doctrine as merely the cell theory applied to nervous systems has been expressed repeatedly by neuroscientists. Brodal (1969) in his highly influential textbook wrote: “The neuron doctrine is in reality nothing more than the cell theory applied to nervous tissue.” In their 1976 text, Kuffler and Nicholls (Kuffler and Nicholls, 1976) stated that: “the cell theory won general acceptance and most biologists started to think of nerve cells as being similar to other cells.” More recently Cowan and Kandel (2001) again expressed this view when they wrote that the reticularist view of the nervous system “challenged both the cell theory in general and the neuron doctrine in particular.” 414 B RA I N R E SE A R CH RE V I EW S 55 ( 20 0 7 ) 4 1 1–4 2 1 particularly useful tool for studying nervous systems, and it is important to understand where it can do this without going beyond the cell theory. There is a second reason for seeing the neuron doctrine as including more than the cell theory. For many authors the neuron doctrine has included the law of dynamic polarization, the law that recognizes dendrites and cell bodies as the receptive surface of nerve cells and the axon as the effector surface. It can be argued that, strictly speaking, the neuron doctrine as formulated by Waldeyer-Hartz in 1891 does not include the law. The law was formulated later, after discussions between Van Gehuchten and Cajal (see Van Gehuchten, 1891; Van Gehuchten and Martin, 1891; Cajal, 1911) and added very significantly to the analytical power of the neuron doctrine because it provided crucial clues regarding the direction in which messages pass through the nervous system from one cell to another (see Figs. 3 and 4). The beginning of Golgi’s attack on the neuron doctrine in his 1906 Nobel prize lecture (Golgi, 1908) was an attack on the law, which he probably saw as more vulnerable to attack than the doctrine as laid out by Waldeyer-Hartz (1891). Although a polarized structure is common in cells other than nerve cells, the cell theory includes nothing about a polarized structure and the Fig. 2 – Illustration used by Kölliker (1867). Although Kölliker was clear that he could not see the relevant connections in his own material, this schema represents a theoretical view of how messages might be passed from the sensory fibers of the dorsal root to the motor cells of the ventral horn in order to produce a spinal reflex. It is essentially a ‘reticularist’ view of neural connectivity even though Kölliker in the same book presented a clear view of the cell theory. a, Axons of the motor root; b, motor cells in the ventral horn; c, ‘motor conducting cell’; d, ‘motor conducting fibre’; e, the process for connecting to the other half of the cord. All cells are connected by Networks (Netze), of their branching processes. a′–e′ indicate the corresponding sensory components. Note that the arrows in this figure are based on the law of Bell and Magendie (see Clarke and O’Malley, 1996), which recognized the dorsal roots as afferent and the ventral roots as efferent. The arrows do not relate to the polarized structure of neurons, with the dendrites forming the receptor and the axons the effector surfaces. This distinction was recognized later, and expressed as the law of dynamic polarization. The arrows in Fig. 4 are based on the law of dynamic polarization. Today it is important to recognize that there are aspects of the neuron doctrine that are not part of the cell theory and go beyond the cell theory. The neuron doctrine provides a Fig. 3 – Cajal’s view of the connections between the dorsal root and the ventral horn. This neuronist view is clearly different from Kölliker’s view shown in Fig. 2, with each nerve cell shown as a distinct unit. B RA I N RE SE A R CH RE V I EW S 55 ( 20 0 7 ) 4 1 1–4 2 1 415 that go beyond the cell theory relegated to secondary importance and subject to a separate evaluation. This would allow for relationships between neurons that are acceptable under the cell theory for cells in other tissues, would remove several concerns about contemporary observations that appear to go against the neuron doctrine (see e.g. Bullock et al., 2005 and Section 4 of this essay), and would allow a necessary discussion of what exactly it is that we should expect our students to understand about the importance of the neuron doctrine itself. It would recognize that neuroscience is a part of biology, and does not stand apart with its own special rules. However, before presenting the arguments in favor of such a view it is necessary to ask what the neuron doctrine offered to those who formulated and defended the doctrine against attacks from many different directions by the reticularists, and what it can still offer today. 3. The strength of the neuron doctrine. What was the neuron doctrine for? Fig. 4 – Cajal’s view of some of the connections of cells in the cerebral cortex (from Cajal, 1911). Notice that whereas in Figs. 2 and 3 the arrows can be drawn in on the basis of the law of Bell and Magendie, which recognizes the dorsal roots as the inputs and the ventral roots as the outputs, in this figure the arrows have to depend on the law of dynamic polarization. law of dynamic polarization, often included broadly as a part of the neuron doctrine (e.g. Golgi, 1908; Shepherd, 1991; Guillery, 2005; Bullock et al., 2005), goes well beyond the cell theory. In this essay I argue that where modern evidence appears to be contrary to the neuron doctrine it is not contrary to the cell theory. This leads to the suggestion that the neuron doctrine should perhaps now be formally recognized as simply an application of the cell theory to nerve cells, with aspects The neuron doctrine provided a powerful tool for arriving at a reductionist account of neural pathways. The doctrine, which recognized the nerve cell as an independent unit, developmentally, structurally and functionally, when it was combined with the law of dynamic polarization, provided a view of how messages could be sent from one nerve cell to another along the individual pathways and circuits of the brain (see Fig. 4). This was something that the reticularist view could not provide. Cajal expressed this weakness of the reticularist view when he wrote: “The reticular theory offers an attractive and convenient explanation… the inestimable one of explaining in a simple manner the propagation of the nerve impulse from one neuron to another and the diffusion throughout the gray substance in a number of directions.” (Cajal, 1954). It is hard to miss the sarcasm here, and important to relate this statement to a contrary view expressed by Golgi (1908) when he wrote: “one becomes convinced that one single nerve fibre may have connections with an infinite number of nerve cells.” Golgi went on to argue more generally against the cerebral localization of function: “I cannot abandon the idea of a unitary action of the nervous system.” Here it is worth recalling that in the interval between the formulation of the cell theory and the neuron doctrine, Broca, Hughlings Jackson, Brown-Séquard, Ferrier, Fritsch and Hitzig (references in Clarke and O’Malley, 1996), among others, had all contributed to a view of the brain as having distinct functional parts. Golgi’s ‘unitary view’ had by 1906 already lost against a reductionist view that was expressed by localization of function in the parts of the brain on the one hand, and by the discrete connections of individual nerve cells dictated by the neuron doctrine on the other. Golgi’s view made the brain unanalyzable in reductionist terms, and this was probably one of its attractions for many reticularists, who favored a holistic approach. We have to recognize that two issues were being confronted as the neuronists battled the reticularists. One was about what the nervous system was ‘really’ like, and the other was about the best way in which to understand the brain: reductionist or unitary and holistic. The two issues are often confused. 416 B RA I N R E SE A R CH RE V I EW S 55 ( 20 0 7 ) 4 1 1–4 2 1 It is important to recognize that the neuron doctrine has provided a powerful reductionist tool for many years, and as such it has had a remarkable success. The power of this tool will continue, and it would be an error to see criticisms of the neuron doctrine as a denial of the continued use of these practical aspects of the doctrine. It is beyond the scope of this essay to provide details of the many ways in which the neuron doctrine has provided a useful tool for the study of nervous systems generally, but it is important to stress the wide range of issues that have been, and continue to be addressed successfully on the basis of concepts based on the neuron doctrine. Figs. 3 and 4 illustrate the power of the neuron doctrine (together with the law of dynamic polarization) for an analysis of the circuitry of the brain. As both Golgi and Cajal recognized, such an analysis is impossible on a reticular theory of neural connections. There follow a few examples of conceptual structures that are dependent on the neuron doctrine, structures that have played an important role in experimental approaches to neuroscience in the past, and that will no doubt continue to do so. 3.1. The synapse Perhaps most strikingly, Sherrington’s introduction of the concept of the synapse (Sherrington, 1897), immediately dependent on the neuron doctrine, provided a further essential tool that has served, and still serves as a vital concept for understanding how nerve cells function and communicate with each other (see especially the recent volume: Cowan et al., 2001 ‘The Synapse’ for a summary of much contemporary work on synapses). Without the neuron doctrine it would have been difficult to arrive at modern views of the synapse. 3.2. The motor unit An additional concept introduced by Sherrington (1906), of the motor unit, was also clearly dependent on Cajal’s view of a neuron, and today the functional view of single nerve cells having a single axon with possibly multiple output terminals, all transmitting essentially the same message, underlies much of our basic understanding of neural functions, including interpretations of vast numbers of highly informative ‘single unit’ recordings, in vivo or in vitro. Much of our knowledge about the functions of nerve cells rests on single and multiple unit recordings that assume the functional unity of the nerve cell. The view of nerve cells as units of function that deliver essentially the same message at all of their axon terminals still has much to offer neuroscience, although we will see in Section 4 that modern evidence does provide some caveats. 3.3. Neural degeneration and axonal transport Studies concerned with changes produced by damage to axons or cell bodies depend heavily upon conceptual structures based on the neuron doctrine. The axon is a part of the single unit, the nerve cell, and depends for its sustenance and survival upon the integrity of the cell. Our views of pathological changes in the nervous system, and our interpretations of great numbers of tract tracing studies have depended on the trophic relationships between the axon and the cell body of single nerve cells. Methods for tracing fiber pathways have depended on the degenerative changes that occur in an axon when it is cut (e.g. Brodal, 1969; Nauta and Ebbesson, 1970) and on axoplasmic transport of proteins produced in the cell body (anterograde transport) or taken up by the axon terminals (retrograde transport). Examples can be found in Grafstein and Murray (1969), LaVail and LaVail (1975), Lasek et al. (1984), Kuypers and Ugolini (1990) or Bolam (1992). These methods are all based on the conceptual structure of the neuron doctrine and would have been hard to interpret or exploit on any other basis. Certainly, a reticularist view would have provided an inadequate guide for understanding the effects of neural injuries or the changes due to axoplasmic transport. Interpretations that lead us to a clear view of central pathways and connections would have been difficult to achieve on the basis of Gerlach’s or Golgi’s reticularist views of neural connections. 3.4. Developmental studies Modern studies of neural development and axonal growth, particularly those concerned with the developmental identity of individual nerve cells or with the structure and guidance of growth cones are essentially based on the neuron doctrine (see for example, Marcus and Mason, 1995; Gordon-Weeks, 2000; Panzer et al., 2006). Contemporary studies generally assume that the neuron doctrine applies, although the issue is rarely discussed. It is difficult to conceive of basic principles derived from a reticularist view that might serve contemporary developmental neuroscientists. 3.5. Molecular markers Many contemporary studies that involve the labeling of individual nerve cell classes with particular molecular markers (see e.g. Fig. 5) not only assume the distinct unity of individual nerve cells, but also serve to confirm this unity. These are just some important examples that demonstrate the continuing power of the neuron doctrine. A reticularist view of nerve cells would have produced difficulties for each area of study, and would often have made a functional analysis impossible. Each example depends on seeing the nerve cell as a single unit that fits the cell theory. The essential question from the point of view of the present essay is whether the cell theory, allowing for some secondary fusions of neural processes, for cells not polarized in the classical pattern, or for cells with several distinct functional parts (see below), can provide all that these several areas of study need. The question merits more detailed discussion than is possible here. I am inclined to conclude that the cell theory will suffice for all practical purposes and to hope that by raising the issue here I will stimulate the necessary discussion. It is important to recognize the fundamental power of the neuron doctrine before looking at problems that might indicate a need for a modified view of the doctrine (see e.g. Shepherd, 1991; Bullock et al., 2005; Guillery, 2005). The importance of the neuron doctrine is widely recognized, but the nature of its power as an experimental tool is rarely explored. The neuron doctrine has to be seen as a tool, and should not to be regarded B RA I N RE SE A R CH RE V I EW S 55 ( 20 0 7 ) 4 1 1–4 2 1 Fig. 5 – Figure to show the extent to which particular molecular markers can identify a single type of neuron and be limited to individual nerve cells or glial cells, as would be expected on the basis of the neuron doctrine. The figure, kindly provided by Dr. C. Cepko, shows a confocal image of a section of a rat retina that had been electroporated in vivo on the day of birth with three reporter constructs: rhodopsin promoter-ECFP (photoreceptor cells, cyan), calcium binding protein 5 promoter-EYFP (bipolar cells, yellow) and cellular retinaldehyde binding protein-DsRed2 (Müller glial cells, red). The tissue was analyzed on postnatal day 14. Cell nuclei are stained with DAPI (blue). Figure reproduced with permission from Matsuda and Cepko (2004). merely as an accurate and single view of what all neurons are ‘really’ like. The doctrine has proved particularly useful in the analysis of long pathways, and where it seems to be weakest today is in the study of local circuits. We have to recognize that the neuron doctrine has been extremely useful in the past, that it continues to serve us as a practical conceptual tool today especially for the study of long pathways and their development, and that its role in providing a general abstract view of some ideal that would fit all nerve cells has never been an important practical part of its function. 4. Some problems with the neuron doctrine 4.1. Fused neurons We have seen the fused neurons that produce the giant axons of squid as one early, well-documented example of a situation that is against the strict letter of the neuron doctrine but can fit easily into the cell theory. I shall say no more about this. 4.2. Gap Junctions In 1956 it appeared to many that the final evidence in support of the neuron doctrine had been provided by the electron 417 microscope when De Robertis and Bennett (1955) and Palay (1956) had confirmed earlier light microscopic accounts of a membranous separation of neural processes at the synaptic junction (the synaptolemma of Bodian, 1942). Just one year later, when Furshpan and Potter (1957) described electrical transmission at a synaptic junction, the door was opened to a problem at some of these membranous junctions, because before long it became apparent that such electrical transmission involved ‘gap junctions’, junctions that allowed transport of small molecules across a synapse (see Bennett, 1972, 2002; Bennet and Zukin, 2004; Saez et al., 2003, for details). Small dye molecules injected into one cell could be seen to stain adjacent nerve cells by passing through small holes in the gap junctions, a point that is directly counter to the view of contact by contiguity, not continuity, proposed by the neuron doctrine. Loewenstein (1981) has suggested that this property of gap junctions is also against the cell theory, but this is not a view that has had significant support, and it would appear that the cell theory remains essentially untouched by junctions leaky to small molecules. Demonstrations of nerve cells linked by gap junctions can now be found at many sites (Bennett, 1972, 2002) and include recent accounts of inhibitory interneurons joined to each other as an inhibitory ‘network’ in the cerebral cortex (Galarreta and Hestrin, 2001; Gibson et al., 2005), which today raise little concern as to how this network might relate to the neuron doctrine or the reticular theory, even though it can serve as an example where functional links across the synapse produce ‘reticular’ structures of the sort denied by the neuron doctrine. It should be recognized that one of the reasons why these ‘reticular’ structures do not necessarily produce the unanalyzable “diffusion throughout the gray substance in a number of directions” described by Cajal (1954) is that they relate to a population of other cortical neurons that seem still to be in accord with the neuron doctrine and are analyzable in relation to this proposed inhibitory network. A reductionist approach to the nervous system need no longer be threatened by such networks. 4.3. Serial synapses In so far as the law of dynamic polarization can be treated as a part of the neuron doctrine, serial synapses, which have one synaptic terminal synapsing upon another, clearly present a problem. If dendrites are necessarily and exclusively postsynaptic, and axons are necessarily and exclusively presynaptic, as they are according to the law, then serial synapses should not be found. In 1962 Kidd (Kidd, 1962) presented electron microscopic evidence for serial synapses in the retina, which were later shown to be the dendrodendritic synapses of amacrine cells, and Gray (1962) demonstrated serial synapses in the spinal cord. The latter provided a morphological basis for axo-axonal contacts that Eccles et al. (1961, 1962) had earlier postulated on the basis of a presynaptic inhibition of dorsal root axons demonstrable in the dorsal horn of the spinal cord. Subsequently, serial synapses were also demonstrated at other sites, including the thalamus (Szentágothai, 1963; Colonnier and Guillery, 1964), the posterior column nuclei (Walberg, 1965) and the olfactory bulb (Hirata, 1964; Rall et al., 1966). 418 B RA I N R E SE A R CH RE V I EW S 55 ( 20 0 7 ) 4 1 1–4 2 1 These and other serial synapses raise a problem not merely for the law of dynamic polarization, but also for the neuron doctrine in the narrow sense as formulated by Waldeyer-Hartz (1891), because they produce an opportunity for the parts of a nerve cell to have independent actions. If an axon terminal receives presynaptic inputs, or has receptors that are local, not shared by the other axon terminals belonging to that same nerve cell, and not producing a depolarization that is transmitted to all of the other axon terminals of that cell, then the several axon terminals will not provide that nerve cell with a single ‘unitary’ output function. Depending on the distribution of the terminals that are presynaptic to any one axon and its branches, some of the postsynaptic axon terminals may be subjected to one action whereas other axon terminals from the same axon will be subjected to another, and thus the two branches will have different actions; the functional unity of the neuron would be lost. The same holds for the postsynaptic dendrites at dendrodendritic junctions. If these do not conduct the local membrane change produced at an individual dendrodendritic synapse back to the cell body and to other dendrites of the same postsynaptic cell, then each postsynaptic dendrite will have an action that is independent of the other parts of the cell, and the unitary function of the nerve cell is, again, lost (e.g. Zhou et al., 2006). Perhaps the most spectacular demonstration of this capacity of a single vertebrate nerve cell to serve several distinct functions is seen for the starburst amacrine cells of the rabbit’s retina, which have a central cell body and dendrites radiating out in all directions. Each of these dendrites is capable of signaling to the retinal ganglion cells and through them to the brain, a different direction of motion of a stimulus in the visual field, corresponding to the direction of the dendrite (Taylor and Vaney, 2003; Dong et al., 2004; Poznanski, 2005; Masland, 2005). This is a capacity that is entirely unacceptable on a standard view of the neuron as the functional unit of the nervous system, but can be readily accommodated in the cell theory. 4.4. Some other issues There are several other examples of situations where it has been suggested that contemporary knowledge challenges the classical view of the neuron doctrine. One example, the ‘trophic’ independence of neurons, has been discussed more fully by Guillery (2005). This was introduced into the early discussions of the neuron doctrine by Forel (1887), was included by Waldeyer-Hartz in his 1891 account, and is widely taken to imply that nerve cells have no trophic interactions with each other (see Cowan and Kandel, 2001). Today we know enough about the actions of trophic substances to understand that nerve cells do depend upon other cells (nerve cells as well as glia). The trophic unity of a nerve cell today can only refer to the fact that axons are trophically dependent upon the perikaryal region of the same cell, and that the perikaryal region will often react to damage of its axon. The trophic unity of the neuron cannot imply more than this in terms of current knowledge. When the nerve cell is viewed in terms of the cell theory, the degree to which the parts of a single nerve cell may depend upon each other, or one cell may be dependent upon another does not appear to be counter to the cell theory, even where transneuronal (or trans-synaptic) degenerative changes may appear to be a problem for the original neuron doctrine expressed by Waldeyer-Hartz (1891) (see, Cowan, 1970; Cowan and Kandel, 2001). The functional independence of nerve cells as viewed by the neuron doctrine is sometimes taken to imply that glial cells can have no actions on nerve cells (see Bullock et al., 2005). Today it is clear that glia do have actions on nerve cells (Takano et al., 2005; Verkhratsky and Toescu, 2006), and the functional dependence of nerve cells on other cell types should not be regarded as contrary to the neuron doctrine as it was originally formulated, nor, of course, can it be regarded as contrary to the cell theory. Bullock et al. (2005) raise the interesting issue of how different types of conduction, decremental or all-or-none, relate to the neuron doctrine. Whereas for many years the former was thought of as characteristic of dendrites and the latter of axons, this distinction is no longer valid. This functional distinction between axons and dendrites relates to the law of dynamic polarization but goes beyond it, and where the distinction breaks down it appears to be contrary to the law. However, it is a distinction that does not really challenge the neuron doctrine and fits easily within the cell theory. Dale’s law (Dale, 1935), which stated that a single nerve cell produces the same transmitter at all of its axon terminals, clearly depended on the neuron doctrine. The law had to be modified when it was discovered that a single nerve cell could produce and release more than one transmitter (summarized by Cowan and Kandel, 2001), but that still could be seen as in accord with the neuron doctrine. However, the suggestion that there are nerve cells that can release distinct transmitters at different terminals (Sossin et al., 1990) has to be seen as contrary to the neuron doctrine. It is not clear whether such cells are common. The mechanism of their action must be distinguished from cells whose terminals produce different actions by relating to different postsynaptic receptors. A cell that itself produces different functional outputs at each of its terminals is not a functional unit and it cannot reasonably be regarded as fitting the neuron doctrine. 5. Where does the neuron doctrine stand today? Exactly how one views the neuron doctrine today depends on what one expects the doctrine to do. If the doctrine is to provide rules that apply to all nerve cells then it is probable that no single generalization that is more stringent than the cell theory will be applicable at the level of the single neuron. It may well be necessary to break the neuron up into smaller units, as proposed, for example by Shepherd (1974, 1991, 1999), who has suggested that the individual synapse be recognized as a useful unit for analysis. Although it is clear that neither the neuron doctrine nor the cell theory can provide an ultimate level for analysis, the next level from the neuron, down to smaller units for analysis has not received much attention to date. It may be doubted whether the synapse will provide a useful, long-term, intermediate concept for analysis. At an early stage we have to expect a further breakdown, producing B RA I N RE SE A R CH RE V I EW S 55 ( 20 0 7 ) 4 1 1–4 2 1 an analysis at the level of individual units such as those represented by transmitters, receptors or ion channels. Then the theoretical basis for understanding nervous systems will be seen to be at the molecular level, which is the level at which much of contemporary neuroscience operates today. At this level, the molecules generally provide an appropriate ‘unit’ for a reductionist analysis and the power of the neuron doctrine becomes less relevant. That is, we have to recognize the level at which the neuron doctrine can be expected to operate and to ask whether we want an accurate account of what the world at that level is really like, or a generalization that provides a useful framework for interpreting experimental results at the cellular level. Do we want a view of a postulated reality or a useful tool? We have seen that for many contemporary experimental approaches dealing with central pathways the neuron doctrine, where it does not represent more restrictions than does the cell theory, can still provide a powerful tool. This is true for studies of single cells or populations of cells, particularly for long pathways as opposed to local circuitry involving axonless cells and glia. Generally this tool works well. For some purposes a reductionist analysis of neural pathways and circuits (that is, an analysis at the cellular level), can usefully employ a more restrictive model, including nerve cells that are not leaky at junctions, or nerve cells that are clearly polarized with distinct receptor (dendritic) and effector (axonal) parts. Where such nerve cells can be identified they can lead to important conclusions in terms of the full, unrestricted neuron doctrine, and about the nature of the circuitry of which those cells form a part. This was one of the great achievements of the neuronists, and the method does not have to be abandoned provided that one recognizes that exceptions occur. It is a method, not an account of reality. There is no “ideal” neuron; neurons, like cells in the rest of the body vary greatly in the details of their structural and functional organization, and when we recognize the strength of the neuron doctrine as an analytical tool we must also recognize its limitations. 6. Postscript One question that is often raised, and hard to answer, concerns the terminology. Why do we have the alternatives of neuron ‘doctrine’ and neuron ‘theory’, coupled to a ‘law’ of dynamic, or functional, polarization? Whereas a doctrine generally relates to religious or political ideas that cannot be questioned, a theory has a more natural place in science as something that should be questioned, and a law generally has a wider range of meanings. Cajal in 1899 in the original Spanish version of his famous textbook (Cajal, 1995) contrasted the facts and doctrine (‘los hechos’ and ‘la doctrina’) with imperfect observations based on fallacious methods and risky theories (‘las observaciones imperfectas, basadas en métodos falaces’, and ‘las teorías harto aventuras’). Yet the English translation of Cajal’s summary essay on the neuron doctrine, ‘Neuronismo o Reticularismo’ (see Cajal, 1954) was rendered as ‘Neuron Theory or Reticular Theory’ and the first line of the text reads: ‘…the doctrine of the individuality of the constituent elements of the gray substance.’ The term doctrine seems to be most widely used in accounts written 419 in English, although “theory” and “doctrine” are often interchangeably used. Van Gehuchten in 1897 wrote about the ‘théorie des neurones’ and Barker, in 1898 on the “Neuron Doctrine”, giving both terms a long history. 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