Shao Qi, Chen Simin, Xu Tian, Shi Yuyu, Sun Zijin, Wang Qingguo, Wang Xueqian, Cheng Fafeng
College of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China.
Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
J Zhejiang Univ Sci B. 2025 Apr 23;26(4):303-316. doi: 10.1631/jzus.B2300776.
Myelin formation is considered the last true "invention" in the evolution of vertebrate nervous system cell structure. The rapid jumping pulse propagation achieved by myelin enables the high conduction speed that is the basis of human movement, sensation, and cognitive function. As a key structure in the brain, white matter is the gathering place of myelin. However, with age, white matter-associated functions become abnormal and a large number of myelin sheaths undergo degenerative changes, causing serious neurological and cognitive disorders. Despite the extensive time and effort invested in exploring myelination and its functions, numerous unresolved issues and challenges persist. In-depth exploration of the functional role of myelin may bring new inspiration for the treatment of central nervous system (CNS) diseases and even mental illnesses. In this study, we conducted a comprehensive examination of the structure and key molecules of the myelin in the CNS, delving into its formation process. Specifically, we propose a new hypothesis regarding the source of power for myelin expansion in which membrane compaction may serve as a driving force for myelin extension. The implications of this hypothesis could provide valuable insights into the pathophysiology of diseases involving myelin malfunction and open new avenues for therapeutic intervention in myelin-related disorders.
髓鞘形成被认为是脊椎动物神经系统细胞结构进化中的最后一项真正的“发明”。髓鞘实现的快速跳跃式脉冲传播使得高传导速度成为人类运动、感觉和认知功能的基础。作为大脑中的关键结构,白质是髓鞘的聚集场所。然而,随着年龄的增长,与白质相关的功能会出现异常,大量髓鞘会发生退行性变化,导致严重的神经和认知障碍。尽管在探索髓鞘形成及其功能方面投入了大量的时间和精力,但仍存在许多未解决的问题和挑战。深入探索髓鞘的功能作用可能会为中枢神经系统(CNS)疾病甚至精神疾病的治疗带来新的灵感。在本研究中,我们对中枢神经系统中髓鞘的结构和关键分子进行了全面检查,深入研究了其形成过程。具体而言,我们提出了一个关于髓鞘扩展能量来源的新假设,即膜压实可能作为髓鞘延伸的驱动力。这一假设的意义在于能够为涉及髓鞘功能障碍的疾病的病理生理学提供有价值的见解,并为髓鞘相关疾病的治疗干预开辟新途径。