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Ch. 12: Neuroglia and Myelin (video 2)

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0:02In this video, it's going to be a short one, we're going to talk about the neuroglia

0:09cells, the support cells. We will also talk about the myelin sheath, some

0:14disorders of the myelin sheath, and then how nerve fibers can regenerate.

0:22There are about one trillion neurons in the nervous system (give or take).

0:27Neuroglia cells will outnumber them by ten to one, so you have much more of the

0:34support cells than the actual neurons. So the neuroglia has a variety of

0:40different functions: protection, binding those neurons together, giving

0:46them a framework, guiding them where they should go, especially in the fetus

0:53when you are producing the neurons. Remember that after about age 7 you do

1:02not do any more mitosis of the neurons and so the only cells that do mitosis are

1:09going to be the neuroglia cells. There are four kinds of neuroglia cells in the

1:15central nervous system. The oligodendrocytes are the ones that make

1:19the myelin - we'll talk about that myelin a little bit later. That increases the

1:25speed of the electrical signals. The ependymal cells are lining the cavities,

1:31these open spaces in the brain. It produces the cerebrospinal fluid and

1:37moves that cerebrospinal fluid. These ependymal cells will have cilia to

1:43help move that along. Microglia are actually white blood cells

1:47and so they wander through doing phagocytosis and of course they

1:53destroy the bacteria by merging that phagosome with a lysosome. The last type

2:03of neuroglia in the central nervous system are the astrocytes. So they look like

2:08little stars - "astro" refers to a star shape. So they cover

2:16most of your brain surface and help produce this nice little framework for

2:23your neurons. They also have these little "feet" -

2:27they cover blood vessels and so they form a blood-brain barrier. You do not

2:33want to certain things, such as certain electrolytes from your blood, to

2:39leak into your brain. That will cause an imbalance in your central nervous system.

2:44They absorb excess neurotransmitters - too much of that neurotransmitter can

2:49actually be deadly. If you destroy neurons in your brain, that empty space

2:57is going to be filled up by astrocytes. They do mitosis - so we can call that

3:02astrocytosis - and they actually produce some scar

3:06tissue or sclerosis. If we look at the central nervous system neuroglia, you

3:12can see this figure shows them - here's your astrocytes looks like a star and it's

3:18covering this blood vessels - the little feet are covering the blood vessel.

3:21Ependymal cells are producing the cerebral spinal fluid. You can see the

3:26cilia on one side of it. This is your oligodendrocytes - you can see the little

3:32fingers coming around and making the myelin on the neuron's axon and then this

3:38is the microglia. This is that type of white blood cell moving around doing

3:43phagocytosis. In the peripheral nervous system, we have two types of glial cells.

3:50The Schwann cells are the ones that make the myelin sheath so the myelin is

3:58very similar to the myelin that the oligodendrocytes produce but it is made

4:04in a different way. They are also able to help regenerate and repair damaged axons.

4:13This is something the oligodendrocytes cannot do. Satellite cells are very

4:19similar to the astrocytes in your central nervous system. So they

4:25are covering the cell bodies (of neurons) that are found in ganglion and they have a

4:31kind of an insulation around these cell bodies and regulate the chemical

4:37environments. Let's look at the myelin sheath. So this is the insulation around

4:43an axon. Remember the axon can be the longest part up to 3 feet long and so

4:50you want to speed up the electrical signal in this long section. So the

4:57oligodendrocytes are the ones that make the myelin in the central

5:02nervous system and the Schwann cells are the ones in the peripheral nervous system.

5:05That myelin is actually very fatty. It is actually the plasma membrane

5:12from those glial cells and so you remember what the plasma membrane is

5:18made out of - about 20% protein in that membrane and then 80% lipid. These are

5:25the phospholipids that you learned in chapter 3. So that myelination - when we

5:33use that term, this is when you make that myelin sheath - so it is made of,

5:41is actually part of these living cells. The oligodendrocytes in the central

5:47nervous system; the Schwann cells in the peripheral. It'll start (myelination) even when you are

5:53fetus - about week 14 of fetal development and it goes all the way through

6:01your childhood until about late adolescence. So remember what that

6:06myelination is doing - it's speeding up the electrical signal. So dietary fat,

6:13obviously since most of this plasma membrane is phospholipid, is going to

6:18be extremely important for the central nervous system to develop correctly. So

6:23why do you need that speed? Things like balance - you are constantly sending

6:29information up to your brain on how to keep your balance and that requires

6:34speed. Let's look at how we make myelin in the peripheral

6:39nervous system. The entire Schwann cell is spiraling around a

6:46single axon - so there can be as many as a hundred layers. There's no cytoplasm; so

6:53you are squeezing out the cytoplasm between these membranes, these layers.

7:00The neurilemma is the last loop around and so this is your Schwann cell that has

7:10the nucleus, most of the cytoplasm, all of the organelles and so kind of the

7:18last loop is the neurilemma. On the outside of that neurilemma, you will have a

7:24connective tissue membrane - that's your endoneurium. And that is actually kind of

7:30protective layer on top of your Schwann cell. So we look at this (figure) - this is

7:37cut through so you can see your axon. And then here is your Schwann cell. The

7:44last loop is the neurilemma. You can see this a little better (next figure) as it's producing

7:51the myelin. So here's the Schwann cell around the axon; he loops and loops and

7:57loops - the inside layers are very, very tight.

8:02There is no cytoplasm in between the cell membrane. Now remember these are the

8:08cell membranes of the Schwann cell. The last loop has all the organelles, the

8:15nucleus of that Schwann cell - that is called the neurilemma. So this very

8:21packed plasma membrane is called the myelin sheath. Now when we look in the

8:26peripheral nervous system you also have an extra connective tissue membrane on

8:32the outside of this - kind of protecting the axon, protecting the Schwann cell -

8:37called the endoneurium. Let's look in the central nervous system - the

8:45oligodendrocytes can myelinate several nerve fibers, several axons.

8:52So the whole cell does not wrap around the axon like the Schwann

8:59cell - what he does he sticks out a "hand" and he kind of uses his fingers and wrap

9:07around part of an axon. So there's no neurilemma

9:12and there's no endoneurium. If we look at it (figure) here is one oligodendrocyte -

9:19you can see a big nucleus in there. He sticks out this one "hand", wraps

9:25around that axon. Sticks out another "hand", wraps around that axon. Sticks out

9:31another, wraps around. So he can't have that connective tissue membrane around

9:36it - no endoneurium - and there's no neurilemma because the cell itself is not

9:46wrapping around, it's just the little "hands".

9:50So you are going to have multiple Schwann cells, multiple oligodendrocytes to cover

9:57up one axon. That myelin is going to be segmented - that means you have pieces

10:04that have the myelin and pieces that are exposed. So the gaps between that

10:10show the axon, the exposed axon, are called nodes of

10:16Ranvier and the internodes are the myelin covered segments. The trigger zone

10:25is going to be at the very beginning of the axon, the initial segment, and so this

10:31is where you start a nerve signal and so we called that particular nerve signal

10:38an action potential. You always hear about brain tumors. So most brain tumors,

10:49especially if we're talking about in adults, are not coming from neurons. These

10:56tumors could originate from the meninges. It could have spread, metastasized, from

11:05other tumors like from melanoma. It can be from the glial cells because the

11:13glial cells can do mitosis throughout their life. So if it's glial cells, they

11:19become gliomas - they're very, very malignant and,

11:23unfortunately, we have to treat them mostly with radiation or surgery because

11:29our blood-brain barrier is so good, with chemotherapy it blocks a lot of the

11:37drugs from getting into the brain and treating those tumors. Let's look at

11:45some of the diseases of the myelin sheath. So one of them is multiple

11:50sclerosis. This is in your central nervous system. So the oligodendrocytes

11:56and the myelin sheaths are beginning to breakdown and the myelin is now

12:01replaced with scar tissue. And so your nerve conduction is going to be

12:07disrupted because of this scar tissue. You have some symptoms such as

12:14double vision and tremors, speech defects, numbness. Typically this occurs between

12:22the years of 20 and 40 but it can occur earlier or later and most MS is due to

12:31an autoimmune disorder. So you were infected with a particular virus. Now

12:40your immune system is making a T-cell or an antibody that is confused - that now is

12:48destroying your myelin sheath. So you can see here (figure) on this normal nerve; (next figure) this is

12:54the exposed (axon) breaking down that myelin sheath on here with MS. The nerve signal

13:02is going to be disrupted if the myelin sheath is being damaged. Here's two scans

13:09of the brain - normal healthy brain (first scan), you can see the plaques

13:15(scar tissue) here in this brain. Another disease of the myelin sheath is

13:22Tay-Sachs. And so this is a genetic disorder where you are accumulating a waste

13:30product and it's going to disrupt the conduction of those nerve signals.

13:37It is always fatal, typically before age 4. You'll be learning about the genetics of

13:45this in A&P 2. So what's happened is that the organelle that should be

13:53breaking down this waste product is not functional - and that would be your

14:01lysosome that is not functional in this particular disease. The speed of the

14:08nerve fibers, that (electrical) signal, depends on two factors. The diameter of the fibers,

14:14so how big around is your axon - the larger the axon, then you

14:23have more surface area and you have faster signals. And then the major factor

14:29that affects the speed of that electrical signal is myelin - you have

14:35myelin, it goes much, much faster. So you have slow signals (you don't care about

14:43speed) if you're sending it to your intestines, so speed is

14:50not an issue. Where you need very fast signals is to your skeletal muscles. This is

14:55going to help with coordination and balance. With nerve regeneration - you

15:05don't have really regeneration in the central nervous system only in the

15:09peripheral and you can only help with repairing the axon if the cell body (the

15:19soma) is intact and you still have some neurilemma from the Schwann cell. So

15:26what happens is that if the axon has been broken, then

15:31everything from the injury on down to the tip of the axon degenerates and

15:36that's got to be cleaned up. The stump of that axon then starts "sprouting". Your

15:43Schwann cell is actually going to start moving in and they make a little tube, a

15:49regeneration tube, that that axon will grow through. Now we've got some problems

15:57because sometimes it's not fast or perfect and sometimes it's not possible.

16:04So it can take up to two years to regenerate a nerve. Sometimes it connects

16:12up with the wrong muscle - so that little tube (the regeneration tube) went to the

16:17wrong place. If we look at your central nervous system, nerve fibers don't

16:24regenerate at all. So we look at this (figure) - here is my axon in the peripheral (nervous system). If

16:31it's been damaged, then everything - all of this - degenerates. The end of it is going

16:38to start to sprout. You need to have this little regeneration tube, here, from your

16:44Schwann cell to guide the end of axon and get it to the correct muscle. All

16:55right so this is the end of video 2 - the next video is very important. We're going

17:00to be looking at the electrical signal.

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