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Myelin in the Central Nervous System: Structure, Function, and Pathology

2019/05/08 by Christine Stadelmann, Sebastian Timmler, Alonso Barrantes‐Freer +1 · 3 citations
Neuroscience · Medicine · #Neurogenesis and neuroplasticity mechanisms #Multiple Sclerosis Research Studies #Neuroinflammation and Neurodegeneration Mechanisms

paper · pdf · doi:10.1152/physrev.00031.2018

openalex publication_date 2019/05/08 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/04

Abstract

Oligodendrocytes generate multiple layers of myelin membrane around axons of the central nervous system to enable fast and efficient nerve conduction. Until recently, saltatory nerve conduction was considered the only purpose of myelin, but it is now clear that myelin has more functions. In fact, myelinating oligodendrocytes are embedded in a vast network of interconnected glial and neuronal cells, and increasing evidence supports an active role of oligodendrocytes within this assembly, for example, by providing metabolic support to neurons, by regulating ion and water homeostasis, and by adapting to activity-dependent neuronal signals. The molecular complexity governing these interactions requires an in-depth molecular understanding of how oligodendrocytes and axons interact and how they generate, maintain, and remodel their myelin sheaths. This review deals with the biology of myelin, the expanded relationship of myelin with its underlying axons and the neighboring cells, and its disturbances in various diseases such as multiple sclerosis, acute disseminated encephalomyelitis, and neuromyelitis optica spectrum disorders. Furthermore, we will highlight how specific interactions between astrocytes, oligodendrocytes, and microglia contribute to demyelination in hereditary white matter pathologies.

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