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Table 2: Main immune mediators of oligodendrogenesis in the adult brain
           Signal       Cells                                 Function
           CXCL10       Produced by astrocytes [94]           Promotes the migration of microglia and macrophages to the
                                                              demyelinated areas to phagocytose the damaged myelin sheaths [94]
           CXCL12       Produced by microglia and astrocytes [96]  Mobilizes and stimulates OPC differentiation into
                        Binds to CXCR4 on the surface of OPCs [97]  oligodendrocytes [96]
           CXCL1        Produced by astrocytes [98]           Prevents apoptosis of oligodendrocytes in demyelinated white
                        Binds to CXCR2 on the surface of proliferating   matter areas [99]
                        OPCs and reactive astrocytes [98]
           CXCR2                                              Enhances OPC differentiation [100]
           blockade                                           Reduces the extent of microglia activation and the number of
                                                              infiltrating inflammatory cells [100]
           CNTF‑IL‑6    Produced by astrocytes [101]          Protects axons and OPCs [102,103]
           family                                             Controls SVZ-derived progenitor cells and OPC mobilization and
                                                              migration toward demyelinated areas [104]
                                                              Promotes oligodendrocyte maturation [93]
           IL-1β        Mainly produced by microglia, macrophages,   Promotes OPC protection and differentiation by stimulating
                        astrocytes, and oligodendrocytes [105]  microglia, macrophages, and astrocytes to produce
                                                              growth‑promoting factors, such as IGF‑1, and also TNF‑α and nitric
                                                              oxide [106-108]
           IL-4         Produced by T cell [109]              Promotes microglia activation which produces IGF‑1 [109]
           TNF‑α        Produced by microglia and astrocytes [110]  Promotes proliferation and accumulation of OPCs [111]
                        Binds to TNFR2 present on the surface of OPCs [111]
           TNF‑α depletion                                    Decreases proliferation of NG2+immature oligodendrocytes [111]
           OPC: oligodendrocyte precursor cell; SVZ: subventricular zone; IGF‑1: insulin‑like growth factor‑1; TNF‑α: tumor necrosis factor‑α; NG2: neuron‑glial antigen 2;
           IL‑1β: interleukin‑1beta; IL‑4: interleukin‑4; TNFR2: tumor necrosis factor receptor 2; CNTF: ciliary neurotrophic factor; IL‑6: interleukin‑6

                                                              There are still contradictory actions of immune
                                                              mediators that need to be clarified. The use of limited
                                                              models of demyelination can be a cause for some of
                                                              those differences. Thus, it is necessary to develop
                                                              combined models that will help us to better understand
                                                              the mechanisms of demyelination and remyelination.
                                                              How cell immune mediators can be either beneficial or
                                                              detrimental to the remyelination process and how these
                                                              responses can change with aging are key questions to
                                                              successfully develop remyelinating or neuroprotective
                                                              therapeutic strategies.
           Figure 4: Schematic representation of modulators of oligodendrogenesis in the
           adult brain. Wnt and Notch positively regulate neural stem cells self-renewal.
           Fibroblast growth factor‑2, laminin, Ascl1, Nkx6.1/6.2, Sox 8/9, miRNA‑7a   CONCLUSION
           and histone methylation positively modulate oligodendrocyte fate. Histone
           acetylation inhibits while epidermal growth factor and platelet-derived growth   In the CNS, myelin is produced and maintained by
           factor receptor α promotes oligodendrocyte precursor cell differentiation. Sirt1
           and bone morphogenic proteins block while Insulin-like growth factor-1 stimulates   oligodendrocytes. Therefore, new treatments to overcome
           oligodendrocyte differentiation                    demyelinating disorders could be primed by targeting
                                                              this type of cell. In fact, in a demyelinating disorder,
           role in the repair process, such as regulating OPC   parenchymal OPCs spontaneously remyelinate newly
           proliferation, migration, and differentiation into new   nude axons in damaged areas. Moreover, NSCs can be a
           myelinating oligodendrocytes [Table 2]. In other words,   source of new oligodendrocytes for use in regenerative
           the inflammatory response seems not merely a cause for   medicine concerning myelin pathologies. In this
           demyelination but rather a prerequisite for a successful   review, we have highlighted some of the key players of
           remyelination.                                     oligodendrogenesis and that may be used in the future for
                                                              therapies concerning demyelinating disorders [Figure 4].
           With the progression of the demyelinating disease,
           or even with ageing, there is an impairment of     Financial support and sponsorship
           the remyelination process due to a decrease of     Sara Xapelli (SFRH/BPD/76642/2011) and Filipa
           pro‑oligodendrogenic  signals  and  an  increase  of   F. Ribeiro (SFRH/BD/74662/2010) were funded by
           anti‑oligodendrogenic signals from immune cells    Fundação para a Ciência e a Tecnologia (FCT), Portugal.
           that compromises oligodendrocyte maturation and
           myelination, leading to high inflammation and cell   Conflicts of interest
           death. [42,106,112]                                There are no conflicts of interest.





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