CJH332H1 Lecture Notes - Lecture 8: Myelin, Progenitor Cell, Neuroglia

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25 May 2018
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Lecture 8: Re-thinking Multiple Sclerosis
- We need sodium coming in at Nodes of Ranvier but also Na-Ca exchangers
Na+ channels reorganize after injury
Organization of the Na+ channels change after damage or injury
High density of channels at the nodes
Eventually loss of function as in the case of Multiple Sclerosis
Loss of myelin/glial cell, AP does not transmit to the end of axon disruption
But over time, voltage gated Na channels recover and reappear so that AP is transmitted to the end
Most of the case, this does not happen and other sodium channels degrade along with it
NAv 1.6 (voltage gated sodium channels) have proteins (CASPR)clustered around its Node of Ranvier
- After damage, these elements that cause repeating patterns break down
- Channels are diffused after damage not in clusters
In development
Myelinating oligodendrocyte
myelination in CNS
- CNP, MBP, PLP, MOG
markers of oligodendrocyte
We all have resident
oligodendrocyte precursor cells
NG2+ glial cells
(undifferentiated) pre-
myelinating oligodendrocyte
(precursor) myelinating oligodendrocyte
This process in the brain takes a week since we have so much precursor
After damage, we can get good recovery and connectivity between the brain
A very rapid process
1. Early PSA-NCAM pre-progenitor (early OPP)
2. Late PSA-NCAM pre-progenitor (late OPP)
3. Oligodederocyte progenitor cell (OPC)
4. Pre-oligodendrocyte
5. Premyelinating oligodendrocyte
6. Myelinating oligodendrocyte
Steps in forming the node of Ranvier
Glial processes wrap around axons to form
the myelin sheath (CNS) can wrap multiple
Cell body/nucleus is not myelinated (PNS)
Astrocytic processes cuff the nodes
Myelinated axons have four distinct domains:
node (N), paranode (PN), juxtaparanode (JPN)
and internode/axon (INT)
Paranodes have one side with protein found on the axon and on the other, proteins found specifically in glial
cells. They come together here (like a zipper)
Caspr are produced by axon and contactin (clustering protein)
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On glial cell membrane (from myelin), NF155 is only found on oligodendrocytes
Paranodal loops of myelin are everted away from the axon due to a loss of junctions (transverse bands) and the
disruption of co-clustering of myelin protein NF-155 with its axonal partners Caspr/contactin as in the wild-type
mice
Caspr allows different types if voltage gated channels to be expressed in the nodal regions
Node of Ranvier glia and neurons
Some proteins are expression on axons and some on oligodendrocytes
- Why we get structure of voltage gated sodium channels only in nodal regions
Things to re-visit and think about
Schwann cells (PNS)
- Each myelin wrap have one Schwann cell
- Nucleus incorporated in myelin region
- Have underlying basal lamina allowing different activities between
PNS and CNS
Oligodendrocytes (CNS)
- Takes processes to wrap around several different regions and
different types of neurons at the same time
- Astrocytes at different nodes of Ranvier
Is all myelin the same?
CNS versions of myelin
- Enriched for lipophilin also called proteolipid protein-1 (PLP-1) that helps to compact myelin in CNS
- Myelin associated glycoprotein (MAG) is likely involved in the initial ensheathment (protein)
- Both peripheral and central forms of myelin contain myelin basic protein (MBP)
PNS different series of proteins
- Myelin P0 and P2 proteins and peripheral myelin protein 22 (PMP-22)
Demyelinating disease (general)
MS is one of the most prevalent disorders 1:500 (Canada) to 1:1000 affects women more
- CNS demyelination multiple sclerosis (MS) and neuromyelitis optica (NMO)
- PNS acute inflammatory demyelinating polyneuropathy (AIDP)
Can develop antibodies for demyelination but very different for other demyelination
Multiple sclerosis
Myelin is destructively removed from around the axon which slows down nerve impulses in a process known as
demyelination
Axons are demyelinated in inflammatory patches called lesions
As disease progresses, oligodendrocytes and ultimately the axons themselves are destroyed
- Relapse/remitting (get better) vs progressive (never get better)
There is ery opellig eidee that the destrutio is aused y the ody’s o iue syste
We do’t ko the ause!
Etiology and pathogenesis (theory)
1. Viral infection (distinct) and resulting autoimmune reaction
- Experimental allergic encephalomyelitis (EAE) animal model used
- Animals with polio injections had MS symptoms (anti-vaccine might give side effects of MS)
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Document Summary

We need sodium coming in at nodes of ranvier but also na-ca exchangers. Loss of myelin/glial cell, ap does not transmit to the end of axon disruption. After damage, these elements that cause repeating patterns break down. Channels are diffused after damage not in clusters. In development: myelinating oligodendrocyte myelination in cns. A very rapid process: early psa-ncam pre-progenitor (early opp, late psa-ncam pre-progenitor (late opp, oligodederocyte progenitor cell (opc, pre-oligodendrocyte, premyelinating oligodendrocyte, myelinating oligodendrocyte. Node of ranvier glia and neurons: some proteins are expression on axons and some on oligodendrocytes. Why we get structure of voltage gated sodium channels only in nodal regions. Things to re-visit and think about: schwann cells (pns) Have underlying basal lamina allowing different activities between. Takes processes to wrap around several different regions and different types of neurons at the same time. Is all myelin the same: cns versions of myelin.

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