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Published on: March 1, 2017
Multiple sclerosis: what have we learned and can we still learn from electron microscopy.
Wendy Oost1,2, Jan F Meilof1,2,3, Wia Baron4,5
1Department of Biomedical Sciences, Section Molecular Neurobiology, University of Groningen, University Medical Center Groningen, A. Deusinglaan 1, 9713 AV, Groningen, The Netherlands.
Electron microscopy (EM) can reveal new insights into the molecular mechanisms of multiple sclerosis (MS) pathology, including lesion formation and remyelination failure. Advanced EM techniques offer nanometre-scale structural analysis to aid therapeutic development for MS.
Area of Science:
- Neuroscience
- Pathology
- Biotechnology
Background:
- Multiple sclerosis (MS) is an inflammatory neurodegenerative disease characterized by demyelination in the central nervous system.
- While remyelination can occur, it becomes less effective as MS progresses, and even normal-appearing brain tissue shows alterations.
- Current understanding of MS molecular pathogenesis, lesion formation, and demyelination is limited despite various analytical methods.
Purpose of the Study:
- To review the pathogenesis of MS and its ultrastructural features.
- To highlight the potential of advanced electron microscopy (EM) techniques in understanding MS pathology.
- To explore how EM can provide new insights into lesion formation, remyelination failure, and diffuse pathology for therapeutic development.
Main Methods:
- Review of existing literature on MS pathogenesis and ultrastructural features.
- Discussion of the capabilities of advanced electron microscopy (EM) for high-resolution structural analysis.
- Integration of potential EM findings with immunohistochemistry and 'omics' data.
Main Results:
- MS pathology differs between grey and white matter lesions and their normal-appearing counterparts due to distinct cellular compositions.
- Advanced EM offers nanometre-scale resolution, surpassing previous studies and enabling detailed structural analysis.
- EM can potentially elucidate molecular mechanisms underlying MS lesion development, impaired remyelination, and diffuse pathology.
Conclusions:
- Cutting-edge EM techniques hold significant promise for uncovering novel insights into the ultrastructural basis of MS.
- Understanding these detailed pathological processes through EM may facilitate the development of new therapeutic strategies for multiple sclerosis.
- Further exploration using advanced EM is crucial for a comprehensive understanding of MS pathogenesis.
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