Cited by 375Multiple Sclerosis Research StudiesNeuroinflammation and Neurodegeneration MechanismsNeurogenesis and neuroplasticity mechanisms

The DOI matches its Crossref record; 325 of the 351 references it cites were found in a registry or an index; 86 of the 268 sources its claims cite were checked for support.

Glial response during cuprizone-induced de- and remyelination in the CNS: lessons learned

Open access
Gudi, Viktoria, Gingele, Stefan, Skripuletz, Thomas, Stangel, Martin·2014·Frontiers in Cellular Neuroscience

Abstract

Although astrogliosis and microglia activation are characteristic features of multiple sclerosis (MS) and other central nervous system (CNS) lesions the exact functions of these events are not fully understood. Animal models help to understand the complex interplay between the different cell types of the CNS and uncover general mechanisms of damage and repair of myelin sheaths. The so called cuprizone model is a toxic model of demyelination in the CNS white and gray matter, which lacks an autoimmune component. Cuprizone induces apoptosis of mature oligodendrocytes that leads to a robust demyelination and profound activation of both astrocytes and microglia with regional heterogeneity between different white and gray matter regions. Although not suitable to study autoimmune mediated demyelination, this model is extremely helpful to elucidate basic cellular and molecular mechanisms during de- and particularly remyelination independently of interactions with peripheral immune cells. Phagocytosis and removal of damaged myelin seems to be one of the major roles of microglia in this model and it is well known that removal of myelin debris is a prerequisite of successful remyelination. Furthermore, microglia provide several signals that support remyelination. The role of astrocytes during de- and remyelination is not well defined. Both supportive and destructive functions have been suggested. Using the cuprizone model we could demonstrate that there is an important crosstalk between astrocytes and microglia. In this review we focus on the role of glial reactions and interaction in the cuprizone model. Advantages and limitations of as well as its potential therapeutic relevance for the human disease MS are critically discussed in comparison to other animal models.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review synthesizes the cuprizone model of CNS de- and remyelination, emphasizing glial crosstalk and the model’s utility for studying remyelination independently of peripheral immune cells. It concludes that microglia and astrocytes are central to myelin debris clearance and repair, while the model’s non-autoimmune, toxic induction limits its direct relevance to MS.

Key findings

  • In the acute model, 8–10-week-old C57BL/6 mice fed 0.2% (w/w) cuprizone show complete demyelination in the medial corpus callosum at 5 weeks, while cortex and hippocampus reach complete demyelination at 6 weeks; remyelination begins around week 5.5, and after chronic demyelination (12 weeks) remyelination capacity is retained after withdrawal but strongly decreased.
  • Microglia become activated before histologically detectable demyelination (first 2 weeks), peak around week 5, and decline with remyelination; they phagocytose myelin debris and produce repair-associated factors. At week 5, MHC-II is significantly increased and TNF-α strongly increased, whereas TGF-β, IFN-γ, IL-12, and IL-10 are not regulated; the microglial population appears heterogeneous or intermediate rather than strictly M1/M2.
  • Astrocyte depletion during cuprizone-induced demyelination did not affect mature oligodendrocyte loss or axonal damage, but diminished microglial activation/invasion, delayed myelin debris removal, and delayed OPC proliferation and remyelination; astrocytes are implicated in recruiting microglia.
  • Cuprizone-induced oligodendrocyte apoptosis is initially caspase-3-dependent during the first 10 days and later caspase-3-independent, with PARP activation and AIF nuclear translocation; p75NTR and FAS are not essential for apoptosis in this model.

Methods

  • Narrative review/synthesis of more than 50 years of cuprizone literature, including historical, mechanistic, and comparative studies; no systematic review or meta-analysis is described.
  • Data/sample: rodent cuprizone studies, predominantly C57BL/6 mice, with typical protocols using 0.2% (w/w) cuprizone in chow for 5–6 weeks (acute) or 12–16 weeks (chronic), plus cited in vitro, transgenic, and knockout studies.
  • Main analysis: qualitative integration of glial responses (oligodendrocytes, microglia, astrocytes), cytokines, growth factors, chemokines, and MMPs, with comparison to EAE, viral, focal toxic, and genetic models.

Limitations

  • The paper states that cuprizone lacks an autoimmune component, is T/B cell independent, has an intact BBB, uses artificial toxin-induced oligodendrocyte damage of unknown mode, has no good clinical read-out, is time-consuming, and is not useful for spinal cord demyelination because demyelination occurs only in the brain; thus it has limited relevance for MS and immunomodulating drug development.
  • The paper notes conflicting results for some mediators (e.g., IFN-γ, TNF-α, NO) and states that the exact role of astrocytes in de- and remyelination is still not fully understood.
  • Evident from the text: as a narrative review, it relies on cited primary studies with varying protocols, strains, ages, and time points, which the paper itself says complicates data interpretation.

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

Integrity signals

Registry

Crossref · 10.3389/fncel.2014.00073

Cites

325 of 326 references verified1 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

86 of 268 cited sources checked · 50 supported · 1 flagged · accuracy not yet measured

Show all 176 claims

  • It may state two separate claims as one. 86
  • Probably not a substantial claim. 32
109 of 109
  • The paper relies on this without support.

    Removal of myelin debris is a prerequisite of successful remyelination.

    “it is well known that removal of myelin debris is a prerequisite of successful remyelination.”
  • The paper relies on this without support.

    Microglia provide several signals that support remyelination.

    “Furthermore, microglia provide several signals that support remyelination.”
  • The paper relies on this without support.

    A regular function of mitochondria is essential for oligodendroglial survival.

    “A regular function of mitochondria is essential for oligodendroglial survival.”
  • The paper relies on this without support.

    Cuprizone lesion induction is not immune-mediated.

    “Since lesion induction is not immune-mediated it is quite different to MS.”
  • The paper relies on this without support.

    The cuprizone model lacks the autoimmune component of MS.

    “Although well characterized the cuprizone model lacks the autoimmune component of MS.”
5 of 5

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?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Peripheral immune cells described as both absent and present

    Minor

    Table 1 says the cuprizone model permits study in the absence of peripheral immune cells, but the text reports that peripheral macrophages infiltrate cuprizone-induced lesions.

1 of 1

Citations

Cites

Flagged first, then by citations

Show all 351 references

25 of the 351 references couldn’t be matched to a known paper.

Research works printed but not linked: 8

  1. Baerwald, 1998, Developing and mature oligodendrocytes respond differently to the immune cytokine interferon-gamma, J. Neurosci. Res, 52, 230, 10.1002/(sici)1097-4547(19980415)52:2230::aid-jnr113.0.co;2-b · DOI
  2. Connor, 1996, Relationship of iron to oligodendrocytes and myelination, Glia, 17, 83, 10.1002/(sici)1098-1136(199606)17:283::aid-glia13.0.co;2-7 · DOI
  3. Cross, 1999, Chemokines induce migration and changes in actin polymerization in adult rat brain microglia and a human fetal microglial cell line in vitro, J. Neurosci. Res, 55, 17, 10.1002/(sici)1097-4547(19990101)55:117::aid-jnr33.0.co;2-j · DOI
  4. Denhardt, 1998, Osteopontin expression and function: role in bone remodeling, J. Cell. Biochem. Suppl, 92, 10.1002/(sici)1097-4644(1998)72:30/31+92::aid-jcb133.0.co;2-a · DOI
  5. Eugster, 1999, Severity of symptoms and demyelination in MOG-induced EAE depends on TNFR1, Eur. J. Immunol, 29, 626, 10.1002/(sici)1521-4141(199902)29:02626::aid-immu6263.0.co;2-a · DOI
  6. Goddard, 1999, In vivo actions of fibroblast growth factor-2 and insulin-like growth factor-I on oligodendrocyte development and myelination in the central nervous system, J. Neurosci. Res, 57, 74, 10.1002/(sici)1097-4547(19990701)57:174::aid-jnr83.0.co;2-o · DOI
  7. Nishiyama, 1997, Normal and reactive NG2+ glial cells are distinct from resting and activated microglia, J. Neurosci. Res, 48, 299, 10.1002/(sici)1097-4547(19970515)48:4299::aid-jnr23.0.co;2-6 · DOI
  8. Sahrbacher, 1998, Mice with an inactivation of the inducible nitric oxide synthase gene are susceptible to experimental autoimmune encephalomyelitis, Eur. J. Immunol, 28, 1332, 10.1002/(sici)1521-4141(199804)28:041332::aid-immu13323.0.co;2-g · DOI

Cited by

Sorted by citations

Items 201–300 of 375

Metadata

Authors
Gudi, V., Gingele, S., Skripuletz, T., & Stangel, M.
Affiliations
Medizinische Hochschule Hannover (DE)
Corresponding author
Stangel, Martin
Venue
Frontiers in Cellular Neuroscience
Published
2014-03-13
Volume
8
Pages
73-73
ISSN
1662-5102 (ISSN-L)
OpenAlex
W2055693317
Cited by
375
References
351
Citations by year
2026: 22 · 2025: 26 · 2024: 28 · 2023: 42 · 2022: 46 · 2021: 33 · 2020: 33 · 2019: 35 · 2018: 33 · 2017: 31 · 2016: 21 · 2015: 17 · 2014: 8
FWCI
16.79
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Frontiers in Cellular Neuroscience (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (submittedVersion, cc-by)
  • PubMed Central (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Medicine › Clinical Neurology › Multiple Sclerosis Research Studies
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
  • Life Sciences › Neuroscience › Developmental Neuroscience › Neurogenesis and neuroplasticity mechanisms
Keywords
cuprizone model, demyelination, remyelination, astrocytes, microglia, astrocyte activation, microglial activation, oligodendrocyte apoptosis, astrocyte-microglia crosstalk, multiple sclerosis

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