“…By the use of osmium tetroxide staining, by which the present specimens were originally stained for conventional morphometry 19,20,29 , it is possible to distinguish between the axon and the surrounding myelin www.nature.com/scientificreports www.nature.com/scientificreports/ sheath as well as to identify substructures of the nerve fibres, such as the nodes of Ranvier, with their paranodes and paranodal remodelling 30 , and Schmidt-Lanterman incisures 17 , with the goal to evaluate structural alterations in diabetic neuropathy. In view of the potential use of different imaging techniques, such as synchrotron based X-ray microscopy 10,11,17,18,31 and other microscopy techniques 5-9,32 , we were able in the present study with a limited number of specimens to show detailed structures, as evaluated by a qualitative assessment, of the peripheral nerve, using the biopsies from the posterior interosseous nerve in the upper extremity in one healthy human subject and in two patients with type 1 and 2 diabetes 19,20 . Structural alterations in the sural nerve in type 1 and 2 diabetes, characterized by demyelination, degeneration and regeneration events of myelinated nerve fibre with changes in fibre density 33 and with remyelination remodelling found at the paranodal region 30 , have previously been studied and also quantified by conventional light and electron microscopical techniques, which only allows limited dimensional analyses 19,21,28,34 .…”