Touch is the earliest sense to develop and plays a central role in how organisms experience and respond to the physical world. Touch is detected by low-threshold mechanoreceptors (LTMRs), which are subtypes of dorsal root ganglion (DRG) neurons that detect innocuous mechanical stimuli, including indentation, vibration, and hair deflection1,2. LTMRs are pseudounipolar and extend peripheral axons into the peripheral tissues to form subtype-specific terminals. Their central axons relay tactile information to the central nervous system by forming synaptic connections with spinal cord neurons3. However, how touch circuits are established and maintained is poorly understood.
Earlier foundational studies in cats during the 1960s and 1970s first identified these functionally distinct mechanoreceptors and their response properties in hairy skin4,5. LTMR subtypes are classified by their unique morphology, conduction velocity, and response properties2. The major LTMR subtypes are Aβ rapidly adapting (RA) and slowly adapting (SA) LTMRs, Aδ-LTMRs, and C-LTMRs2,6,7. Aβ RA-LTMRs, Aδ-LTMRs, and C-LTMRs form longitudinal lanceolate complexes around hair follicles2. Aδ-LTMRs form polarized lanceolate endings around hair follicles on the caudal side, a feature essential for their direction-selective responses to hair deflection7. Axonal endings in the lanceolate complexes are closely aligned with hair shafts and are enveloped by finger-like processes from terminal Schwann cells, which provide trophic support and influence axonal morphogenesis8,9,10. In glabrous skin, Aβ RA-LTMRs axons terminate in Meissner corpuscles, which are ovoid-shaped structures located within dermal papillae that are tuned to motion across the skin2,11.
The organization of LTMR axonal terminals is regulated by both intrinsic programs and skin-dependent cues during development12,13. When damaged, LTMR dysfunction is associated with pathological conditions such as mechanical allodynia12,14. Yet, the mechanisms for LTMR development and maintenance in the intact skin remain unclear. Much of what is known about their development stems from fixed tissues, which cannot capture the dynamic processes that may take place in vivo6,15,16,17,18. For example, Aβ RA-LTMRs and Aδ-LTMRs exhibit active innervations around hair follicles and axonal pruning during early postnatal development19. How hair follicle innervation and maintenance are achieved in vivo remains unknown.
Two-photon laser-scanning microscopy, an advanced imaging technique that allows visualization of fluorescently labeled structures within living tissues, has enabled high-resolution in vivo imaging of dynamic physiological processes20,21. During two-photon imaging, brief pulses of near-infrared light excite fluorophores only at the focal plane, thereby confining the signal to a small volume and minimizing out-of-focus fluorescence21,22. This confinement significantly reduces phototoxicity and allows three-dimensional, spatially resolved imaging of structures20,23,24. Furthermore, the longer excitation wavelengths used in two-photon microscopy scatter less within tissue, allowing for deeper penetration and lower noise in complex environments20,25,26. For example, two-photon imaging revealed structural synaptic plasticity and neuronal activities in spinal cord dorsal horn neurons27,28,29. In addition, chronic in vivo two-photon imaging of hair follicles revealed insights about their homeostasis in the mouse ear skin23. Hence, two-photon microscopy is well-suited for studying LTMR structures in the skin in vivo, especially when repeated, long-term imaging is required to track developmental and chronic changes.
When paired with genetically modified mouse lines expressing fluorescent reporters, two-photon microscopy can reveal neuronal morphology in the skin3. In the somatosensory system, yellow fluorescent protein (YFP) expressed under the control of the thy1 promoter (Thy1-YFP)30 selectively labels Aβ-LTMR lanceolate complexes in hairy skin and Meissner corpuscles in glabrous skin30,31. In Thy1-YFP mice, labeled axons are positive for myelin basic protein and neurofilament, which are markers for myelinated Aβ axons30,31. Additionally, TrkBCreER, in which tamoxifen-inducible Cre recombinase (CreER) is driven by the expression of the TrkB (tropomyosin receptor kinase B) gene, selectively labels Aδ-LTMRs during development7. In the skin, two-photon microscopy is most effective for imaging LTMRs in anesthetized mice, as movement by the mouse would impact the high-resolution imaging acquisition. It takes time to visualize fluorescent proteins at the axonal terminals after CreER-induced expression, and the minimum waiting period needs to be determined for each transgenic line. In general, this methodology can be applied to visualizing LTMRs across mice of all developmental stages and in adults.
This protocol explains the procedures for using two-photon microscopy to investigate LTMR axon morphology in the hairy and glabrous skin of developing and adult mice at high resolution. The protocol includes several tips for optimal high-resolution and chronic imaging. This integrative approach enables investigation of the cellular mechanisms driving the assembly and plasticity of touch sensory axons in vivo.