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Anatomy
Myelin is formed within the central nervous system by the oligodendrocyte and in the peripheral nervous system by the Schwann cell. It is the major component of normal white matter and a wide variety of stains are available to examine it.
Oligodendrocytes are responsible for the formation of myelin sheaths surrounding axons. They are not confined to the white matter and within grey matter they are often closely associated with nerve cells. They have relatively small amounts of cytoplasm around the nucleus but have several processes which wrap themselves around axons to form an insulating sheath composed of a variable number of layers of cell membrane, through which very little current leeks. Nodes of Ranvier are composed of gaps between myelin sheets formed by different oligodendrocytes and at these points almost all of the sodium channels responsible for nerve conduction exist. A single oligodendrocyte can myelinate several axons (usually 10 - 15). The formation of a myelin sheath is the result of a process from an oligodendrocyte spiralling around an axon so that the cytoplasm is extruded until the opposite membranes meet, thus forming a multi-layered lipoprotein coat with a node of Ranvier at each end. An internode is the section between two nodes of Ranvier.
The thickness of the myelin sheath is related to the diameter of the axon, as is the internodal length. Axons conduct electrical signals away from the cell body and these signals are produced by the movement of ions across the cell membrane. A nerve impulse travels along an axon by jumping from one node of Ranvier to the next, a process known as saltatory conduction. The presence of a myelin sheath therefore both speeds up the conduction process and reduces the amount of energy used. The faster conducting axons have the thickest myelin sheath and the longest internodes. Not all axons are covered with myelin. The speed that a nerve impulse travels along an axon is also proportional to the internodal length and since this is proportional to the diameter of an axon, the larger the diameter of the latter the faster the speed of conduction. Myelin in the peripheral nervous system is formed by Schwann cells, but a Schwann cell only myelinates one axon by wrapping itself around it. Each internode in the peripheral nervous system is, therefore, formed by a single Schwann cell. Where more than one axon is invested, the axons remain unmyelinated.
Loss of myelin, known as demyelination, results in disturbance of the ability to transmit a nerve impulse through the demyelinated segment and this has serious consequences for function. Damage to one oligodendrocyte, therefore, can result in loss of myelin from many axons, whereas damage to a Schwann cell only results in loss of myelin from a single axon.
Some remyelination can occur but this is limited in amount. Remyelination can be very efficient but varies with its cause and with age. It seems to be less efficient when the white matter in the same place is repeatedly damaged and the longer the process of demyelination lasts.