Remyelination in the central nervous system
Open accessAbstract
The inability of the mammalian central nervous system (CNS) to undergo spontaneous regeneration has long been regarded as a central tenet of neurobiology. However, while this is largely true of the neuronal elements of the adult mammalian CNS, save for discrete populations of granule neurons, the same is not true of its glial elements. In particular, the loss of oligodendrocytes, which results in demyelination, triggers a spontaneous and often highly efficient regenerative response, remyelination, in which new oligodendrocytes are generated and myelin sheaths are restored to denuded axons. Yet remyelination in humans is not without limitation, and a variety of demyelinating conditions are associated with sustained and disabling myelin loss. In this work, we will (1) review the biology of remyelination, including the cells and signals involved; (2) describe when remyelination occurs and when and why it fails, including the consequences of its failure; and (3) discuss approaches for therapeutically enhancing remyelination in demyelinating diseases of both children and adults, both by stimulating endogenous oligodendrocyte progenitor cells and by transplanting these cells into demyelinated brain.
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The ability of oligodendrocytes and myelin to provide physical protection and metabolic support is undisputed.
“the ability of oligodendrocytes and myelin to provide physical protection and metabolic support is undisputed.42,43”
From BCAS1-positive oligodendrocytes enable efficient cortical remyelination in multiple sclerosis (2025) · cites this paper as [43]
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BCAS1-positive oligodendrocytes enable efficient cortical remyelination in multiple sclerosis
Bergner, C. G., van der Meer, F., Franz, J., Vakrakou, A., Würfel, T., Nessler, S., Schäfer, L., Nau-Gietz, C., Winkler, A., Lagumersindez-Denis, N., et al. (2025) · Brain · doi:10.1093/brain/awae293 · Cited by 16 · see citing works
- Authors
- Franklin, R. J. M., Bodini, B., & Goldman, S. A.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- University of Copenhagen (DK)
- Venue
- Cold Spring Harbor Perspectives in Biology
- Publisher
- Cold Spring Harbor Laboratory
- Published
- 2024-02-05
- Volume
- 16
- Issue
- 3
- Pages
- a041371
- ISSN
- 1943-0264 (ISSN-L)
- PMC
- PMC10910446
- OpenAlex
- W4391528828
- Cited by
- 40
- References
- 30
- Citations by year
- 2026: 16 · 2025: 16 · 2024: 8
- Type
- posted content
- Language
- en
- Open access
- green
- pmc.ncbi.nlm.nih.gov
- Locations
- Cold Spring Harbor Perspectives in Biology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion)
- Funders
- National Institute on Aging (R01AG072298)
- National Institute of Neurological Disorders and Stroke (R01NS110776)
- Topics
- Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- remyelination, demyelination, oligodendrocytes, oligodendrocyte precursor cells, myelin sheath regeneration, demyelinating disease, cell transplantation, remyelination failure, central nervous system regeneration
- MeSH terms
- Remyelination, Adult, Animals, Central Nervous System, Child, Demyelinating Diseases, Humans, Mammals, Myelin Sheath, Nerve Regeneration
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