Myelin sheaths in the central nervous system can withstand damage and dynamically remodel

Donia Arafa1,2, Julia van de Korput1,2,3, Philipp N Braaker1,2

  • 1Institute for Neuroscience and Cardiovascular Research, University of Edinburgh, Edinburgh, UK.

Science (New York, N.Y.)
|February 12, 2026
PubMed

Insights

Myelin swelling, not always leading to myelin loss, is an early sign of demyelination. Reducing neuronal activity can mitigate this damage, offering new therapeutic targets for neurological disorders.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Pathology

Background:

  • Myelin damage is a key feature of neurological disorders.
  • The precise mechanisms of myelin damage, particularly early events, require further elucidation.

Purpose of the Study:

  • To investigate the early characteristics of demyelination.
  • To understand the dynamic nature of myelin damage and its potential for resolution.
  • To explore the role of neuronal activity in myelin damage.

Main Methods:

  • Live imaging in zebrafish and rodent demyelination models.
  • Analysis of human multiple sclerosis tissue.
  • Manipulation of neuronal activity during demyelination.

Main Results:

  • Early demyelination is characterized by myelin swelling.
  • Myelin swelling can be dynamic, with some instances resolving and allowing sheath remodeling.
  • Increased neuronal activity exacerbates myelin damage, while reduced activity mitigates swelling.
  • Myelin swelling is observed in human multiple sclerosis lesions.

Conclusions:

  • Myelin swelling is a conserved feature across species during demyelination.
  • Myelin sheath damage can be a reversible process.
  • Modulating neuronal activity presents a potential therapeutic strategy for demyelinating diseases.