Cited by 598Neuroscience and Neuropharmacology ResearchNeurogenesis and neuroplasticity mechanismsNeurological Disease Mechanisms and Treatments

Oligodendroglial NMDA receptors regulate glucose import and axonal energy metabolism

Open access
Saab, Aiman S., Tzvetavona, Iva D., Trevisiol, Andrea, Baltan, Selva, Dibaj, Payam, Kusch, Kathrin, Möbius, Wiebke, Goetze, Bianka +13 more·2016·Neuron

Abstract

SUMMARY Oligodendrocytes make myelin and support axons metabolically with lactate. However, it is unknown how glucose utilization and glycolysis are adapted to the different axonal energy demands. Spiking axons release glutamate and oligodendrocytes express NMDA receptors of unknown function. Here we show that the stimulation of oligodendroglial NMDA receptors mobilizes glucose transporter GLUT1, leading to its incorporation into the myelin compartment in vivo. When myelinated optic nerves from conditional NMDA receptor mutants are challenged with transient oxygen-glucose deprivation, they show a reduced functional recovery when returned to oxygen-glucose but are indistinguishable from wild-type when provided with oxygen-lactate. Moreover, the functional integrity of isolated optic nerves, which are electrically silent, is extended by preincubation with NMDA, mimicking axonal activity, and shortened by NMDA receptor blockers. This reveals a novel aspect of neuronal energy metabolism in which activity-dependent glutamate release enhances oligodendroglial glucose uptake and glycolytic support of fast spiking axons.

AI snapshot

Written from the paper’s full text.

TL;DR

Oligodendroglial NMDA receptor activation mobilizes GLUT1 to the cell surface/myelin and increases glucose import and lactate release, coupling axonal spiking to oligodendroglial glycolytic support. Conditional NR1 loss reduces myelin GLUT1, impairs recovery from oxygen-glucose deprivation unless lactate is supplied, and causes late axonal and neurological deficits.

Key findings

  • In cultured oligodendrocytes, NMDA triggered GLUT1 surface redistribution within 30 min, blocked by D-AP5; biotinylation showed a 2-fold surface GLUT1 increase, FRET glucose sensor measurements rose from 0.56 ± 0.04 mM at baseline to 1.85 ± 0.24 mM after NMDA, and NMR showed a 24% ± 4% increase in U-13C-lactate release; MCT1 was unchanged.
  • In Grin1flox/flox*Cnp1Cre/+ (NR1 cKO) optic nerves, myelin GLUT1 was reduced by 80%, recombination reached 62% ± 8% at P96, and myelin was transiently thinner at P18–P20 but normal at P70.
  • After 60-min oxygen-glucose deprivation, NR1 mutant optic nerves recovered 50% less than controls; lactate reperfusion restored recovery equal to or better than glucose; wild-type nerves preincubated 16 hr with NMDA/Gly maintained high-frequency conduction better, while D-AP5/7CKA worsened it, and without NMDA, 25 Hz stimulation caused about 10% decline per min.
  • Adult NR1 mutants showed faster high-frequency spinal CAP amplitude drop and slower recovery, a 1-year rotarod deficit, and at 19 months a severe neurological phenotype including hind limb clasping, hunchback, and ataxia with neuroinflammation and axonopathy in white matter tracts.

Methods

  • Conditional NR1 knockout mice (Grin1flox/flox*Cnp1Cre/+) versus controls, plus primary mouse/rat OPC cultures and immunopanned oligodendrocytes; assays included immunocytochemistry, surface biotinylation, FRET glucose sensor imaging, 2-deoxyglucose uptake, NMR lactate release, myelin purification/immunoblot, immunogold EM, optic nerve CAP recordings with OGD and graded frequency, in vivo spinal cord CAP recordings, rotarod, and clinical scoring.
  • Statistics used Mann-Whitney, two-tailed Student’s t tests, one-way or two-way ANOVA with Bonferroni post-test, or linear mixed effects models; significance was set at *p < 0.05, p < 0.01, *p < 0.001, with data as means ± SEM.

Limitations

  • Stated: astrocytes may compensate some metabolic functions in oligodendroglial NMDA receptor mutants; acute ex vivo NMDA receptor blockade did not visibly reduce recovery from OGD, which the authors attribute to different timescales between development and pharmacology; some mechanistic data (insulin mobilization, microtubule dependence) are “data not shown.”
  • Evident: findings rely on rodent optic nerve/spinal cord and cultured oligodendrocytes; axonal energy metabolism is inferred from conduction recovery and lactate rescue rather than direct ATP measurement; no human data are presented.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.neuron.2016.05.016

Cites

60 of 60 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 18 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    The NMDA-triggered GLUT1 surface expression in cultured oligodendrocytes is efficiently blocked by D-AP5.

    “that was efficiently blocked by D-(−)-2-amino-5-phosphonopentanoic acid (D-AP5)”
    Quote in the paperSubstantial claim
  • Findingown data

    Activation of NMDA receptors causes a significantly increased FRET signal in oligodendrocytes expressing a glucose sensor.

    “Activation of NMDA receptors caused a significantly increased FRET signal”
    Quote in the paperSubstantial claim
  • Findingown data

    MCT1 abundance at the cell surface is the same following NMDA stimulation.

    “whereas the abundance of MCT1 was the same”
    Quote in the paperNot a substantial claim
  • Findingown data

    NMDA stimulation increases U-13C-lactate release originating from U-13C6-labeled glucose by 24% ± 4% in cultured oligodendrocytes.

    “we calculated a 24% ± 4% increase of U-13C-lactate release originating from U-13C6-labeled glucose”
    Quote in the paperSubstantial claim
  • Findingown data

    The NMDA-induced FRET signal increase is abolished by 7-CKA and D-AP5.

    “that was abolished by 7-CKA and D-AP5”
    Quote in the paperSubstantial claim
  • May combine two claims. 26
  • The quote only partly states this claim. 4
  • Classified as probably not a substantial claim. 9
  • May combine two claims.

    Findingown data

    Cytosolic glucose in oligodendrocytes is 0.56 ± 0.04 mM at baseline and 1.85 ± 0.24 mM following NMDA receptor stimulation.

    “i.e., 0.56 ± 0.04 mM at baseline and 1.85 ± 0.24 mM following NMDA receptor stimulation”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Treatment with NMDA triggers GLUT1 redistribution in cultured oligodendrocytes within 30 min, leading to apparent surface expression.

    “Remarkably, treatment with NMDA triggered GLUT1 redistribution in oligodendrocytes within 30 min, leading to apparent surface expression”
    Quote in the paperSubstantial claim
  • May combine two claims. The quote only partly states this claim.

    Findingown data

    Recombination analysis revealed that at P5 loss of the floxed allele was not yet significant, at P10 about one-third of floxed alleles were excised, and recombination reached 62% ± 8% at P96.

    “at P10, when many oligodendrocytes had matured and express Cnp1, about one-third of the floxed alleles were excised, and recombination reached 62% ± 8% at P96”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    At 19 months, NR1 mutants exhibited a severe neurological phenotype including hind limb clasping, hunchback, and ataxia.

    “At the age of 19 months, NR1 mutants exhibited a severe neurological phenotype including hind limb clasping, hunchback, and ataxia”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Adult NR1 mutants kept under normal cage conditions for 10-12 months showed most white and gray matter regions devoid of pathology within the first year, but changes became detectable in white matter tracts of the medulla.

    “While most white and gray matter regions in mutant mice, including optic nerves, appeared devoid of pathology within the first year (data not shown), such changes became detectable in white matter tracts of the medulla”
    Quote in the paperSubstantial claim
  • May combine two claims. The quote only partly states this claim.

    Findingown data

    By electron microscopy, myelin delamination and degenerating axons were observed in cervical spinal cord sections of NR1 mutants, not a feature of wild-type mice.

    “we observed myelin delamination and degenerating axons in cervical spinal cord sections”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    There were no overt differences between NR1 mutants and controls in spinal conduction properties or axon excitability.

    “We detected no overt differences between NR1 mutants and controls in spinal conduction properties or axon excitability”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In MOG-induced EAE, there was no difference in onset of EAE symptoms or clinical severity between NR1 mutants and controls.

    “we found no difference in the onset of EAE symptoms or in clinical severity”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    At ages P18-P20, myelin was thinner, with fewer myelinated axons in mutant optic nerves.

    “we noted at ages P18–P20 that myelin was thinner, with fewer myelinated axons in the mutant optic nerves”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In OGD experiments, all optic nerves maintained conductivity and displayed block of nerve conduction within minutes after OGD onset.

    “all optic nerves maintained conductivity (defined as “CAP area” of 1.0) and, within minutes after OGD onset, displayed block of nerve conduction”
    Quote in the paperSubstantial claim
  • May combine two claims. The quote only partly states this claim.

    Findingown data

    The difference in myelin thickness and axon number is transient; adult P70 NR1 mutant optic nerves exhibit normal myelin sheath thickness.

    “This difference was only transient as adult (P70) NR1 mutant optic nerves “catch up” and exhibit a normal myelin sheath thickness”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In the absence of free extracellular Ca2+, axonal recovery was almost 100% in control nerves yet remained significantly impaired in NR1 mutants.

    “in the absence of free extracellular Ca2+, the axonal recovery was almost 100% in control nerves yet remained significantly impaired in NR1 mutants”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingreasoning

    CAP profiles revealed a transiently reduced conduction velocity at P19-P21 mainly affecting small caliber axons in NR1 mutants.

    “CAP profiles revealed a transiently reduced conduction velocity, again only at the peak of myelination (age P19–P21) and mainly affecting small caliber axons”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Using lactate-containing ACSF for reperfusion, optic nerves from NR1 mutants recovered as well as control nerves and even better than in the presence of glucose.

    “using lactate-containing ACSF for reperfusion, optic nerves from NR1 mutants recovered as well as control nerves and even better than in the presence of glucose”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In purified myelin from mutant brains, GLUT1 is strongly reduced compared to controls, whereas MCT1 is not.

    “In purified myelin from mutant brains, we found a strong reduction of GLUT1 (but not MCT1) compared to controls”
    Quote in the paperSubstantial claim
  • May combine two claims. The quote only partly states this claim.

    Findingown data

    Mutant mice were normally developed with functional white matter tracts, as shown for optic nerve, and are long-lived.

    “mutant mice were normally developed with functional white matter tracts, as shown for the optic nerve”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    NMDA-triggered GLUT1 trafficking was calcium dependent and required a stable microtubule network.

    “when triggered with NMDA, trafficking was expectedly calcium dependent and required a stable microtubule network”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Membrane repolarization triggered by NMDA receptor signaling and ion influx consumes the additional ATP and leads to more glycolysis with lactate release.

    “Most likely, membrane repolarization (triggered by NMDA receptor signaling and ion influx) consumes the additional ATP and leads to more glycolysis with lactate release.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    The further loss of axonal conductivity in NR1 mutants after OGD was not caused by more severe myelin injury, but by less-efficient axonal recovery from metabolic stress.

    “Thus, further loss of axonal conductivity was not caused by more severe myelin injury, but rather by less-efficient axonal recovery from the metabolic stress of OGD.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    In development, NMDA receptors are most abundant in oligodendrocyte precursors.

    “In development, NMDA receptors are most abundant in oligodendrocyte precursors”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites De Biase et al., 2010 source

      Not checked in the free run.

    • cites Zhang et al., 2014 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In myelin, NR1 is associated with NR2C and NR3A subunits that provide a weak Mg2+ block, suggesting calcium entry does not require prior membrane depolarization.

    “In myelin, NR1 is associated with NR2C and NR3A subunits that provide a weak Mg2+ block”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Burzomato et al., 2010 source

      Not checked in the free run.

    • cites Das et al., 1998

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    Axons require oligodendroglial support mostly after myelination, which limits rapid axonal access to extracellular metabolites.

    “suggesting that axons require oligodendroglial support mostly after myelination, which limits rapid axonal access to extracellular metabolites”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Nave, 2010 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    The transiently reduced conduction velocity is best explained by the delay of CNS myelination, as nerve caliber and axon numbers were normal.

    “These are best explained by the delay of CNS myelination”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    The severe neurological phenotype at 19 months was caused by ongoing neurodegeneration, which became visible at 10 months.

    “caused by ongoing neurodegeneration, which became visible at 10 months”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    For quantification, 10-12 randomly taken images from three controls and three NR1 mutants were assessed.

    “For quantification, 10–12 randomly taken images from three controls and three NR1 mutants were assessed.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Oligodendroglial NMDA receptors are localized in specialized microdomains of myelinating processes and also face the periaxonal space.

    “Oligodendroglial NMDA receptors are localized in specialized microdomains of myelinating processes”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Stirling and Stys, 2010

      Not checked in the free run.

    • cites Stys, 2011 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Astrocytes have direct access to the vasculature, store glycogen, and rapidly respond to energy deprivation with glycogen breakdown.

    “They have direct access to the vasculature, store glycogen, and rapidly respond to energy deprivation with glycogen breakdown”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Brown and Ransom, 2007

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    For g-ratio analysis, 4-5 random overview pictures were taken at 8,000× magnification, 200 axons were analyzed using ImageJ, and images were blinded for the experimenter.

    “For g-ratio analysis, 4–5 random overview pictures were taken at 8,000× magnification, 200 axons analyzed using ImageJ (images were blinded for experimenter).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    Oligodendrocyte progenitor cells used for biotinylation assays, 2-deoxyglucose uptake, or lactate release were purified to 98.2% ± 0.3% by negative selection immunopanning.

    “OPCs utilized for biotinylation assays, 2-deoxyglucose uptake, or lactate release were further purified to 98.2% ± 0.3% by negative selection immunopanning (Barres et al., 1992).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Barres et al., 1992 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    For analysis of unmyelinated, myelinated, and ensheathed axons (defined as 1-3 uncompacted layers), 4-6 EM images with 12,000× magnification and 400-700 axons were counted for each nerve.

    “For analysis of unmyelinated, myelinated, and ensheathed axons (defined as 1–3 uncompacted layers), 4–6 EM images with 12,000× magnification 400–700 axons were counted for each nerve.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Astrocytes can also support axon function by releasing lactate in the white matter.

    “astrocytes can also support axon function by releasing lactate in the white matter”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Brown and Ransom, 2007

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Three individual experiments with 14-24 cells per condition were analyzed.

    “Three individual experiments with 14–24 cells per condition were analyzed.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    After oxygen-glucose deprivation, compound action potential responses stabilized within 20 to 30 min.

    “After OGD control ACSF and O2 were restored and CAPs were recorded for up to 2–3 hr, responses were stabilized within 20 to 30 min.”
    Quote in the paperNot a substantial claim
33 of 33
  • The paper relies on this without support.

    The average spike count rate is the key determinant of axonal ATP consumption.

    “Since the average spike count rate is the key determinant of axonal ATP consumption”
  • The paper relies on this without support.

    Constitutive overproduction of lactate would result in lactic acidosis detrimental for white matter function.

    “The constitutive overproduction of lactate would result in lactic acidosis, detrimental for white matter function.”
  • The paper relies on this without support.

    Oligodendrocytes need to know the spiking activity of myelinated axons to adapt their own energy metabolism.

    “oligodendrocytes need to “know” the spiking activity of myelinated axons”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The model of glycolytic oligodendrocytes providing metabolic support is supported by ex vivo electrophysiological recordings of compound action potentials in optic nerves and by neuronally expressed ATP sensors.

    “The model is further supported by ex vivo electrophysiological recordings of compound action potentials in optic nerves under defined metabolic conditions and with the help of neuronally expressed ATP sensors (Saab et al., 2016;Trevisiol et al., 2017).”

    From Downregulated expression of lactate dehydrogenase in adult oligodendrocytes and its implication for the transfer of glycolysis products to axons (2024) · cites this paper as Saab et al., 2016

    The Results (‘Functional Analysis of Myelinated Axons’; page unavailable) report ex vivo compound action potential recordings from optic nerves under oxygen-glucose deprivation, supporting that part of the claim. The Experimental Procedures (‘Glucose Sensor Imaging’; page unavailable) describe a glucose sensor in cultured oligodendrocyte-lineage cells, not a neuronally expressed ATP sensor; our copy does not support attributing that method to Saab et al. (LLM, conf=0.87)

    Experimental — accuracy not yet measured
  • The Cnp Cre driver line recombines floxed genes to virtually 100% in oligodendrocytes and up to 60% of OPCs.

    “that recombines floxed genes to virtually 100% in oligodendrocytes and up to 60% of OPCs (Madsen et al., 2016;Saab et al., 2016;Vajda et al., 2015).”

    From Downregulated expression of lactate dehydrogenase in adult oligodendrocytes and its implication for the transfer of glycolysis products to axons (2024) · cites this paper as Saab et al., 2016

    In Results, under “Myelination In Vivo in the Absence of Oligodendroglial NMDA Receptors” (page unavailable), recombination reached 62% ± 8% of floxed alleles in adult optic nerve, approximately the expected proportion of oligodendrocytes. This is consistent with extensive recombination in mature oligodendrocytes, but the paper does not report recombination in up to 60% of OPCs. Its statement that virtually all recombined cells were oligodendroglial describes which cells recombined, not the percentage of either cell type that recombined. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • In the optic nerve, all Cnp Cre recombined cells are of oligodendroglial origin.

    “we turned to the analysis of the optic nerve, a well-myelinated white matter tract, in which all Cnp Cre recombined cells are of oligodendroglial origin (Saab et al., 2016).”

    From Downregulated expression of lactate dehydrogenase in adult oligodendrocytes and its implication for the transfer of glycolysis products to axons (2024) · cites this paper as Saab et al., 2016

    The Results section (“Myelination In Vivo in the Absence of Oligodendroglial NMDA Receptors”) reports that Cre-mediated reporter expression in optic nerves showed virtually all recombined cells were of oligodendroglial origin. The citing sentence changes “virtually all” to the absolute “all.” (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • Oligodendrocytes support axonal energy metabolism and neuronal health.

    “As oligodendrocytes support axonal energy metabolism and neuronal health4–7, we hypothesized that loss of myelin integrity could be an upstream risk factor for neuronal amyloid-β (Aβ) deposition, the central neuropathological hallmark of AD.”
  • Glycolytic oligodendrocytes may support electrically active axons primarily by self-made pyruvate.

    “This opens the possibility that glycolytic oligodendrocytes, which are suggested to support electrically active axons with an excess of glycolysis products (Fünfschilling et al., 2012;Lee et al., 2012;Saab et al., 2016;Trevisiol et al., 2017) do so primarily by self-made pyruvate.”

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Authors
Saab, A. S., Tzvetavona, I. D., Trevisiol, A., Baltan, S., Dibaj, P., Kusch, K., Möbius, W., Goetze, B., Jahn, H. M., Huang, W., Steffens, H., Schomburg, E. D., Pérez-Samartín, A., Pérez-Cerdá, F., Bakhtiari, D., Matute, C., Löwel, S., Griesinger, C., Hirrlinger, J., Kirchhoff, F., & Nave, K.-A.
Affiliations
  • University of Zurich (CH)
  • Max Planck Institute of Experimental Medicine (DE)
  • Cleveland Clinic (US)
  • Nanoscale Microscopy and Molecular Physiology of the Brain Cluster of Excellence 171 — DFG Research Center 103 (DE)
  • University of Göttingen (DE)
  • Max Planck Institute for Biophysical Chemistry (DE)
  • University of the Basque Country (ES)
Corresponding author
  • Kirchhoff, Frank
  • Nave, Klaus-Armin
Venue
Neuron
Publisher
Elsevier BV
Published
2016-07
Volume
91
Issue
1
Pages
119-132
ISSN
0896-6273 (ISSN-L)
OpenAlex
W2419165202
Cited by
590
References
60
Citations by year
2026: 48 · 2025: 68 · 2024: 80 · 2023: 61 · 2022: 65 · 2021: 73 · 2020: 58 · 2019: 41 · 2018: 41 · 2017: 45 · 2016: 9
FWCI
25.51
Type
journal article
Language
en
Open access
Locations
  • Neuron (publishedVersion)
  • PubMed (publishedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
  • PubMed Central (acceptedVersion)
  • GRO (submittedVersion)
  • MPG.PuRe (Max Planck Society) (submittedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
  • Zurich Open Repository and Archive (University of Zurich)
Funders
National Institute on Aging (R56AG033720, R01AG033720)
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
  • Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
  • Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
Keywords
glucose uptake, GLUT1, axonal energy metabolism, myelin, optic nerve, oxygen-glucose deprivation, lactate, glycolysis, glutamate release, myelination
MeSH terms
Animals, Axons, Energy Metabolism, Glucose, Mice, Transgenic, Myelin Sheath, Oligodendroglia, Optic Nerve, Oxygen, Receptors, N-Methyl-D-Aspartate, Glucose Transporter Type 1

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