Title:
|
Remyelination biology : the neurobiology of oligodendrocyte progenitor cells and their potential for myelin repair in multiple sclerosis
|
Oligodendrocyte damage and myelin loss are cardinal features of Multiple
Sclerosis (MS). Intrinsic myelin repair occurs in MS, mediated by quiescent
oligodendrocyte progenitors that divide and migrate into demyelinated lesions.
Experimental remyelination suggests that this repair restores function and can
protect axons from subsequent degeneration. However this repair is limited,
and disability supervenes. Designing treatments that augment myelin repair is
both feasible and attractive.
Much is known about the rodent oligodendrocyte lineage, but significant
species differences exist and extrapolation to humans requires direct
experimental support. Human oligodendrocyte progenitors are hard to grow in
vitro, and supplies of source tissue and cellular yield are both limited. This
problem is exacerbated by the failure of rodent mitogens to induce equivalent
growth expansion of human progenitors. Several possible methods could be
employed to circumvent these difficulties:-
A conditionally immortalised human progenitor cell line transfected with a
temperature sensitive oncogene has been reported. However, it was
demonstrated that all stocks of this cell line have been irredeemably
contaminated with rodent cells.
It has been suggested that rodent progenitors can dedifferentiate into a more
proliferative, multipotent phenotype. If dedifferentiation was a feasible method
of inducing committed progenitors to a more proliferative state, it might be
exoected that this property would be widespread amongst similar cells. The
rodent progenitor cell line CG4 did not dedifferentiate in these circumstances,
although the original experiment was not repeated. This exemplifies the
problems of assessing lineage commitment using cell lines, while attesting to
the stability of CG4.
Primary cultures of glia from surgical specimens can yield small numbers of
oligodendrocyte progenitors. Identifying these cells traditionally relies on themorphology and the expression of A285 antigens. Some studies have used
NG2, an established marker of developing rodent progenitors but there is little
experimental evidence to support its use in adult humans. It was shown that
this antibody binds human endothelial cells, fibroblasts and certain types of
astrocytes and thus lacks specificity for the oligodendrocyte lineage in vitro,
although the proportion of cells staining with these markers requires further
study. A population of bipolar and clawed cells, unidentified by traditional
markers, appears to label with NG2.
Purification of oligodendrocyte lineage cells using magnetic beads was
optimised and there was preliminary evidence that the resulting cells
proliferate in vitro. They gave rise to a population of small bipolar cells that
were did not express A285 antigens but stained for NG2. We believe these to
be of the oligodendrocyte lineage and further investigation of these cells is
required.
The emergent reports of stem cells in the adult mammalian brain were
supported by studies using adult human tissue. These cells grow in aggregate
cultures and can be induced to express oligodendrocyte markers. The
feasibility of this approach as a source of oligodendrocyte lineage cells will rely
on further work to ensure that their progeny remain faithful to native
oligodendrocytes.
Finally, rodent cells were used to establish that two key determinants of
myelinating cell efficiency, migration and proliferation, are resistant to the
effects anti-inflammatory drugs used in MS. It is anticipated that this type of
research will soon be possible using human cells
|