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Regenerating CNS myelin — from mechanisms to experimental medicines
Open accessAbstract
Although the core concept of remyelination - based on the activation, migration, proliferation and differentiation of CNS progenitors - has not changed over the past 20 years, our understanding of the detailed mechanisms that underlie this process has developed considerably. We can now decorate the central events of remyelination with a host of pathways, molecules, mediators and cells, revealing a complex and precisely orchestrated process. These advances have led to recent drug-based and cell-based clinical trials for myelin diseases and have opened up hitherto unrecognized opportunities for drug-based approaches to therapeutically enhance remyelination.
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“Efficient myelin debris removal and clearance by phagocytic cells are critical to eliminate inhibitory signals interfering with OPC activation, recruitment to the site of demyelination and/or differentiation into myelinating mature OLs [14, 26, 27].”
From TREM2 activation on microglia promotes myelin debris clearance and remyelination in a model of multiple sclerosis (2020) · cites this paper as [14]
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“Central nervous system (CNS) remyelination reinstates axon health/ function1, yet fails in prevalent neurodegenerative disorders contributing to axon dysfunction/loss for which there is an unmet therapeutic need.”
From Central nervous system regeneration is driven by microglia necroptosis and repopulation (2019) · cites this paper as [1]
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Metadata
- Authors
- Franklin, R. J. M., & ffrench-Constant, C.
- Affiliations
- Wellcome/MRC Cambridge Stem Cell Institute (GB)
- Corresponding author
- Franklin, Robin J. M.
- Venue
- Nature Reviews Neuroscience
- Published
- 2017-11-16
- Volume
- 18
- Issue
- 12
- Pages
- 753-769
- ISSN
- 1471-003X (ISSN-L)
- 1471-0048
- OpenAlex
- W2770653478
- Semantic Scholar
- 873fe364632a01af9b64b05352afae59ba7235e0
- Cited by
- 647
- References
- 222
- Citations by year
- 2026: 84 · 2025: 72 · 2024: 84 · 2023: 58 · 2022: 83 · 2021: 83 · 2020: 70 · 2019: 79 · 2018: 33 · 2017: 1
- FWCI
- 7.99
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature reviews. Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Apollo (University of Cambridge) (submittedVersion)
- Apollo
- Funders
- Wellcome Trust (104783/Z/14/Z)
- Medical Research Council (MC_PC_12009)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
- Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Mesenchymal stem cell research
- Keywords
- remyelination, central nervous system myelin, multiple sclerosis, demyelination, oligodendrocyte precursor cells, cell therapy, myelin diseases
- MeSH terms
- Animals, Cell Differentiation, Central Nervous System, Demyelinating Diseases, Humans, Myelin Sheath, Nerve Regeneration, Oligodendroglia
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