Nodari and colleagues impressively demonstrated in their recent paper
(Nodari et al., 2008) that Schwann-cell-specific deficiency of beta4
integrin does not impair myelin generation per se, as initially shown by
others, but leads to the formation of myelin infoldings near the nodes of
Ranvier. Other features are the disorganization of potassium channels and
abnormal electrophysiological features. When combined with an additional lack
of another laminin receptor, dystroglycan, the phenotype is aggravated
and accelerated. A numerical increase of phagocytosing macrophages
is indicative of the pathogenetic involvement of these cells.
The findings by Nodari and colleagues add to previous evidence for
the high vulnerability of the near-nodal compartment of larger caliber
fibers initially described for heterozygous MPZ null mutants (Martini et
al., 1995). Interestingly, in both MPZ and beta4 integrin mutants, a late-onset degenerative phenotype implicating macrophages is observed (Carenini
et al., 2001; Nodari et al., 2008). The disorganization of the presumably
juxtaparanodal structures in myelin-related mutants, but also in aging
wild-type rodents, might be a pathological consequence of a labile,
molecularly specialized structure that not only comprises the K+ channel
compartment and Caspr2 molecules, but also the (juxta)paranodal network
between axonal and glial membranes (Gatzinsky et al., 1997). It might be
important to focus future research activities on the characteristics
that define the juxtaparanodal compartment as the „Achilles´ heel“ of the
peripheral nerve fiber and the possible link to degenerating features
implicating macrophage activation and further damage (Ip et al., 2006).
References cited:
Carenini S, Mäurer M, Werner A, Blazyca H, Toyka KV, Schmid CD,
Raivich G, Martini R (2001) The role of macrophages in demyelinating
peripheral nervous system of mice heterozygously deficient in P0. J Cell
Biol 152:301-308.
Gatzinsky KP, Persson GH, Berthold CH (1997) Removal of retrogradely
transported material from rat lumbosacral alpha-motor axons by paranodal
axon-Schwann cell networks. Glia 20:115-126.
Ip CW, Kroner A, Fischer S, Berghoff M, Kobsar I, Mäurer M, Martini R
(2006) Role of immune cells in animal models for inherited peripheral
neuropathies. Neuromol Med 8:175-189.
Martini R, Zielasek J, Toyka KV, Giese KP, Schachner M (1995) Protein
zero (P0)-deficient mice show myelin degeneration in peripheral nerves
characteristic of inherited human neuropathies. Nature Genet 11:281-286.
Nodari A, Previtali SC, Dati G, Occhi S, Court FA, Colombelli C,
Zambroni D, Dina G, Del Carro U, Campbell KP, Quattrini A, Wrabetz L,
Feltri ML (2008) alpha6beta4 integrin and dystroglycan cooperate to
stabilize the myelin sheath. J Neurosci 28:6714-6719.