TY - JOUR T1 - A Laminin-2, Dystroglycan, Utrophin Axis Is Required for Compartmentalization and Elongation of Myelin Segments JF - The Journal of Neuroscience JO - J. Neurosci. SP - 3908 LP - 3919 DO - 10.1523/JNEUROSCI.5672-08.2009 VL - 29 IS - 12 AU - Felipe A. Court AU - Jane E. Hewitt AU - Kay Davies AU - Bruce L. Patton AU - Antonino Uncini AU - Lawrence Wrabetz AU - M. Laura Feltri Y1 - 2009/03/25 UR - http://www.jneurosci.org/content/29/12/3908.abstract N2 - Animal and plant cells compartmentalize to perform morphogenetic functions. Compartmentalization of myelin-forming Schwann cells may favor elongation of myelin segments to the size required for efficient conduction of nerve impulses. Compartments in myelinated fibers were described by Ramón y Cajal and depend on periaxin, mutated in the hereditary neuropathy Charcot–Marie–Tooth disease type 4F (Charcot–Marie–Tooth 4F). Lack of periaxin in mice causes loss of compartments, formation of short myelin segments (internodes) and reduced nerve conduction velocity. How compartments are formed and maintained, and their relevance to human neuropathies is largely unknown. Here we show that formation of compartments around myelin is driven by the actin cytoskeleton, and maintained by actin and tubulin fences through linkage to the dystroglycan complex. Compartmentalization and establishment of correct internodal length requires the presence of glycosylated dystroglycan, utrophin and extracellular laminin-2/211. A neuropathic patient with reduced internodal length and nerve conduction velocity because of absence of laminin-2/211 (congenital muscular dystrophy 1A) also shows abnormal compartmentalization. These data link formation of compartments through a laminin2, dystroglycan, utrophin, actin axis to internodal length, and provide a common pathogenetic mechanism for two inherited human neuropathies. Other cell types may exploit dystroglycan complexes in similar fashions to create barriers and compartments. ER -