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Updated: May 10, 2026

The Neuromuscular Junction: Measuring Synapse Size, Fragmentation and Changes in Synaptic Protein Density Using Confocal Fluorescence Microscopy
Published on: December 26, 2014
Protocol for applying expansion microscopy to the study of mammalian neuromuscular junctions
Abdullah Ramadan1, Thomas M D Sheard2, Abrar Alhindi3
1Edinburgh Medical School: Department of Anatomy, University of Edinburgh, Edinburgh, UK; College of Sciences and Health Professions, King Saud bin Abdulaziz for Health Sciences, Jeddah, Saudi Arabia.
None:
Expansion microscopy (ExM) is a tissue-swelling technique that enables super-resolution imaging through a specialized preparation process that physically expands stained biomolecules within a fixed sample. Here, we detail a protocol to apply the 4× ExM technique to neuromuscular junctions (NMJs) from both human and mouse muscle preparations. We describe steps for muscle fixation, microdissection, staining, gelation, and digestion. We then detail procedures for expansion, mounting, imaging, analysis, and quantification. This protocol can be used to reveal nanoscale anatomical NMJ features. For complete details on the use and execution of this protocol, please refer to Ramadan et al.1.

