Remyelination in the CNS: from biology to therapy
Abstract
Remyelination involves reinvesting demyelinated axons with new myelin sheaths. In stark contrast to the situation that follows loss of neurons or axonal damage, remyelination in the CNS can be a highly effective regenerative process. It is mediated by a population of precursor cells called oligodendrocyte precursor cells (OPCs), which are widely distributed throughout the adult CNS. However, despite its efficiency in experimental models and in some clinical diseases, remyelination is often inadequate in demyelinating diseases such as multiple sclerosis (MS), the most common demyelinating disease and a cause of neurological disability in young adults. The failure of remyelination has profound consequences for the health of axons, the progressive and irreversible loss of which accounts for the progressive nature of these diseases. The mechanisms of remyelination therefore provide critical clues for regeneration biologists that help them to determine why remyelination fails in MS and in other demyelinating diseases and how it might be enhanced therapeutically.
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In demyelinating diseases including leukoaraiosis, axons fail to fully remyelinate.
“However, in demyelinating diseases, including leukoaraiosis, axons fail to fully remyelinate (Franklin and Ffrench-Constant, 2008).”
From The Pathobiology of Vascular Dementia (2013) · cites this paper as Franklin and Ffrench-Constant, 2008
Excess intracellular Ca2+ activates protease-dependent processes that fragment microtubules and perturb axonal flow.
“In turn, excess intracellular Ca2+ activates protease dependent processes that lead to microtubule fragmentation and perturbation of axonal flow (Franklin and Ffrench-Constant, 2008; Matute and Ransom, 2012).”
From The Pathobiology of Vascular Dementia (2013) · cites this paper as Franklin and Ffrench-Constant, 2008
Loss of myelin slows axon potential transmission and threatens axon integrity, leading to axonal loss.
“In addition to the brain dysfunction caused by slowing down the transmission of axon potentials, demyelination threatens the integrity of the axons and leads to axonal loss (Franklin and Ffrench-Constant, 2008; Matute and Ransom, 2012).”
From The Pathobiology of Vascular Dementia (2013) · cites this paper as Franklin and Ffrench-Constant, 2008
Proper remyelination can restore the impaired saltatory conduction in neurons.
“While proper remyelination can restore the impaired saltatory conduction in neurons (38), it remains unclear why remyelinating oligodendrocytes fail to overcome the demyelination observed in AD.”
From Single-nucleus transcriptome analysis reveals dysregulation of angiogenic endothelial cells and neuroprotective glia in Alzheimer’s disease (2020) · cites this paper as [38]
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The Pathobiology of Vascular Dementia
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- Authors
- Franklin, R. J. M., & ffrench-Constant, C.
- Affiliations
- University of Cambridge (GB)
- Venue
- Nature Reviews Neuroscience
- Published
- 2008-11
- Volume
- 9
- Issue
- 11
- Pages
- 839-855
- ISSN
- 1471-003X (ISSN-L)
- 1471-0048
- OpenAlex
- W2048082433
- Cited by
- 1,544
- References
- 250
- Citations by year
- 2026: 55 · 2025: 78 · 2024: 73 · 2023: 82 · 2022: 60 · 2021: 83 · 2020: 89 · 2019: 91 · 2018: 79 · 2017: 117 · 2016: 101 · 2015: 117 · 2014: 95 · 2013: 110 · 2012: 85
- FWCI
- 7.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature reviews. Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nerve injury and regeneration
- Keywords
- remyelination, demyelinating disease, multiple sclerosis, oligodendrocyte precursor cells, myelin sheath regeneration, axonal injury, remyelination failure, remyelination therapy, central nervous system regeneration
- MeSH terms
- Animals, Central Nervous System, Demyelinating Diseases, Humans, Myelin Sheath, Nerve Regeneration, Regeneration
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