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Standard neurobiology textbooks commonly do not contain a chapter on cancer, and the word might not even appear in theindex. Its absence cannot be explained simply on the grounds that the subject falls more appropriately within the clinicalrealm, because you will find chapters devoted to various other nervous system diseases. Could this intellectual blind spotresult from the fact that mature neurons, being post-mitotic, do not succumb to the disease? This absence in most texts iscurious, considering the severe functional implications. The word is sometimes used metaphorically to connote an unstoppableprocess of destruction, and indeed some forms of brain cancer present the most dire prognosis of any cancer. But moreimportantly the neglect of this subject is curious, because on a molecular and cellular level, cancer is the result of biologicalprocesses that are at the forefront of modern neurobiological research. These include such current hot-topic areas as intraandinter-cellular signaling networks, regulation of gene transcription, control of cellular differentiation, regulation of cellmotility, migration and cell death; the secretion and response to growth factors, and interactions with the vascular andimmune systems. Finally, the current enthusiasm and promising research on the use of stem cells for therapeutic treatmentof nervous system disease has brought us face-to-face with our ignorance in this area, as we find that many types of stem cellstransplanted into the brain form tumors. This issue of Neuron Glia Biology contains a special collection of original researchpapers on cancer in the peripheral and central nervous system and a review on the subject. These papers are introduced belowby Special Feature Editor, Philip Lee.
In footnote 21 of a groundbreaking paper on astrocyte communication published in Science in 1990, there is a prediction. The authors, Cornell-Bell et al., showed calcium waves propagating widely through monocultures of astrocytes in response to glutamate application. But in the footnote, they cautioned that their observations could be considered in some respects an experimental artifact. The authors believed that instead of the promiscuous propagation of calcium waves spreading throughout the entire population of astrocytes in culture, that in the brain, the communication would be far more discrete and more interesting.
“Of what use a newborn babe?” was Oersted's response to a question from the audience as to the value of electromagnetism following his demonstration that a compass needle could be deflected by passing current through a nearby wire. Such is the immediate reaction anytime something new is encountered: What is it, and why do we need it? This perplexity arises from the certain conclusion of a proof derived from the objective facts: we seem to have managed quite well up to now without it. But as functional as a world before cell phones and email seemed, how dysfunctional would the world now appear without them? Time changes, and Science is change. Scientific journals track and pioneer those changes.
Nonsynaptic release of ATP from electrically stimulated dorsal root gangion (DRG) axons inhibits Schwann cell (SC) proliferation and arrests SC development at the premyelinating stage, but the specific types of purinergic receptor(s) and intracellular signaling pathways involved in this form of neuron–glia communication are not known. Recent research shows that adenosine is a neuron–glial transmitter between axons and myelinating glia of the CNS. The present study investigates the possibility that adenosine might have a similar function in communicating between axons and premyelinating SCs. Using a combination of pharmacological and molecular approaches, we found that mouse SCs in culture express functional adenosine receptors and ATP receptors, a far more complex array of purinergic receptors than thought previously. Adenosine, but not ATP, activates ERK/MAPK through stimulation of cAMP-linked A2A adenosine receptors. Both ATP and adenosine inhibit proliferation of SCs induced by platelet-derived growth factor (PDGF), via mechanisms that are partly independent. In contrast to ATP, adenosine failed to inhibit the differentiation of SCs to the O4+ stage. This indicates that, in addition to ATP, adenosine is an activity-dependent signaling molecule between axons and premyelinating Schwann cells, but that electrical activity, acting through adenosine, has opposite effects on the differentiation of myelinating glia in the PNS and CNS.
Cranial neural crest cells differentiate into diverse derivatives including neurons and glia of the cranial ganglia, and cartilage and bone of the facial skeleton. Here, we explore the function of a novel transcription factor of the spalt family that might be involved in early cell-lineage decisions of the avian neural crest. The chicken spalt4 gene (csal4) is expressed in the neural tube, migrating neural crest, branchial arches and, transiently, in the cranial ectoderm. Later, it is expressed in the mesectodermal, but not neuronal or glial, derivatives of midbrain and hindbrain neural crest. After over-expression by electroporation into the cranial neural tube and neural crest, we observed a marked redistribution of electroporated neural crest cells in the vicinity of the trigeminal ganglion. In control-electroporated embryos, numerous, labeled neural crest cells (∼80% of the population) entered the ganglion, many of which differentiated into neurons. By contrast, few (∼30% of the population) spalt-electroporated neural crest cells entered the trigeminal ganglion. Instead, they localized in the mesenchyme around the ganglionic periphery or continued further ventrally to the branchial arches. Interestingly, little or no expression of differentiation markers for neurons or other cell types was observed in spalt-electroporated neural crest cells.
Transplantation of cell suspensions containing olfactory ensheathing cells (OECs) has been reported to remyelinate demyelinated axons in the spinal cord with a Schwann cell (SC)-like pattern of myelination. However, questions have been raised recently as to whether OECs can form SC-like myelin. To address this issue we prepared SCs and OECs from transgenic rats in which a marker gene, human placental alkaline phosphatase (hPAP), is linked to the ubiquitously active promoter of the R26 gene. SCs were prepared from the sciatic nerve and OECs from the outer nerve-fiber layer of the olfactory bulb. Positive S100 and p75 immunostaining indicated that >95% of cells in culture displayed either SC or OEC phenotypes. Suspensions of either SCs or OECs were transplanted into an X-irradiation/ethidium bromide demyelinating lesion in the spinal cord. We observed extensive SC-like remyelination following either SC or OEC transplantation 3 weeks after injection of the cells. Alkaline phosphatase (ALP) chromagen reaction product was associated clearly with the myelin-forming cells. Thus, cell suspensions that are enriched in either SCs or OECs result in peripheral-like myelin when transplanted in vivo.
The migration of oligodendrocyte precursor cells (OPCs) is modulated by secreted molecules in their environment and by cell–cell and matrix–cell interactions. Here, we ask whether membrane-anchored guidance cues, such as the ephrin ligands and their Eph receptors, participate in the control of OPC migration in the optic nerve. We postulate that EphA and EphB receptors, which are expressed on axons of retinal ganglion cells, interact with ephrins on the surface of OPCs. We show the expression of ephrinA5, ephrinB 2 and ephrinB3 in the migrating OPCs of the optic nerve as well as in the diencephalic sites from where they originate. In addition, we demonstrate that coated EphB2-Fc receptors, which are specific for ephrinB2/B3 ligands, induce dramatic changes in the contact and migratory properties of OPCs, indicating that axonal EphB receptors activate ephrinB signaling in OPCs. Based on these findings, we propose that OPCs are characterized by an ephrin code, and that Eph–ephrin interactions between axons and OPCs control the distribution of OPCs in the optic axonal tracts, and the progress and arrest of their migration.
The evolutionary origin of myelinating cells in the vertebrate nervous system remains a mystery. A clear delineation of the developmental potentialities of neuronal support cells in the CNS and PNS might aid in formulating a hypothesis about the origins of myelinating cells. Although a glial-precursor cell in the CNS can differentiate into oligodendrocytes (OLs), Schwann cells (SCs) and astrocytes, a homologous multipotential cell has not yet been found in the PNS. Here, we identify a cell type of embryonic dorsal root ganglia (DRG) of the PNS – the satellite cell – that develops into OLs, SCs and astrocytes. Interestingly, satellite-cell-derived OL precursors were found in cultures prepared from embryonic day 17 (E17) to postnatal day 8 (P8) ganglia, but not from adult DRGs, revealing a narrow developmental window for multipotentiality. We suggest that compromising the organization of the ganglia triggers a differentiation pathway in a subpopulation of satellite cells, inducing them to become myelinating cells with either a CNS or PNS phenotype. Our data provide an additional, novel piece in the myelinating-cell-precursor puzzle, and lead to the concept that cells in the CNS and PNS that function to ensheath neuronal cell bodies and axons can differentiate into OLs, SCs and astrocytes. In sum, it appears that glial fate might be determined over and above the CNS/PNS dichotomy. Last, we suggest that primordial ensheathing cells form the original cell population in which the myelination program first evolved.
Of the axonal signals influencing myelination, adhesion molecules expressed at the axonal surface are strong candidates to mediate interactions between myelinating cells and axons. The recognition cell-adhesion molecule L1, a member of the immunoglobulin superfamily has been shown to play important roles in neuronal migration and survival, and in PNS myelination. We have investigated the role of axonally expressed L1 in CNS myelination. In co-cultures of myelinating oligodendrocytes and neurons derived from murine brain, we demonstrate that, before myelination, L1 immunoreactivity is confined to neurites. After myelination commences, L1 expression is downregulated on myelinated axons and adjacent, but not yet myelinated, internodes. Interfering with L1 before the onset of myelination, by adding either anti-L1 antibody or L1-Fc fusion proteins to the culture medium, inhibits myelination. In addition, in purified cultures of oligodendrocytes, L1-Fc fusion protein prevents lysophosphatidic acid-induced activation of the mitogen-activated kinase (MAP)-kinase pathway. Together, our data indicate that L1 is involved in the initiation of CNS myelination, and that this effect might involve the dephosphorylation of oligodendroglial phosphoproteins.
Little is known about the functional connectivity between astrocytes in the CNS. To explore this issue we photo-released glutamate onto a single astrocyte in murine hippocampal slices and imaged calcium responses. Photo-release of glutamate causes a metabotropic glutamate receptor (mGluR)-dependent increase in internal calcium in the stimulated astrocyte and delayed calcium elevations in neighboring cells. The delayed elevation in calcium was not caused by either neuronal activity following synaptic transmission or by glutamate released from astrocytes. However, it was reduced by flufenamic acid (FFA), which is consistent with a role for adenosine triphosphate (ATP) release from astrocytes as an intercellular messenger. Exogenous ligands such as ATP (1 µM) increased the number of astrocytes that were recruited into coupled astrocytic networks, indicating that extracellular accumulation of neurotransmitters modulates neuronal excitability, synaptic transmission and functional coupling between astrocytes.
Myelin-associated glycoprotein (MAG) has been implicated in inhibition of nerve regeneration in the CNS. This results from interactions between MAG and the Nogo receptor and gangliosides on the apposing axon, which generates intracellular inhibitory signals in the neuron. However, because myelin–axon signaling is bidirectional, we undertook an analysis of potential MAG-activated signaling in oligodendrocytes (OLs). In this study, we show that antibody cross-linking of MAG on the surface of OLs (to mimic axonal binding) leads to the redistribution of MAG into detergent (TX-100)-insoluble complexes, hyperphosphorylation of Fyn, dephosphorylation of serine and threonine residues in specific proteins, including lactate dehydrogenase and the β subunit of the trimeric G-protein-complex, and cleavage of α-fodrin followed by a transient depolymerization of actin. We propose that these changes are part of a signaling cascade in OLs associated with MAG function as a mediator of axon–glial communication which might have implications for the mutual regulation of the formation and stability of axons and myelin.
In this review, we discuss examples that show how glial-cell pathology is increasingly recognized in several neurodegenerative diseases. We also discuss the more provocative idea that some of the disorders that are currently considered to be neurodegenerative diseases might, in fact, be due to primary abnormalities in glia. Although the mechanism of glial pathology (i.e. modulating glutamate excitotoxicity) might be better established for amyotrophic lateral sclerosis (ALS), a role for neuronal–glial interactions in the pathogenesis of most neurodegenerative diseases is plausible. This burgeoning area of neuroscience will receive much attention in the future and it is expected that further understanding of basic neuronal–glial interactions will have a significant impact on the understanding of the fundamental nature of human neurodegenerative disorders.
Agency is the sense of ownership, i.e. the personal experience of being the originator of one's thoughts and actions (Walter, 2001). Disorders of agency are prominent in schizophrenia and may also be part of several other neuropsychiatric disorders and syndromes, e.g. alien-hand syndrome, drug-induced psychoses or anosognosia. In recent years, cognitive neuroscience has made considerable progress in understanding the neural basis of agency. In this chapter, current neurocognitive theories of agency are reviewed which are based on the assumption that an internal monitoring deficit lies at the core of disorders of agency in schizophrenia. It is demonstrated how they fail to explain several features of disturbed agency. A complementary theory is proposed which takes into account the experiences of reference and insertion of personal relatedness as well as the acknowledged role of dopamine for schizophrenia and its role as a neuromodulator regulating signal-to-noise ratio.
The psychopathology of agency in schizophrenia
Schizophrenic patients often report the immediate experience of someone else controlling their thoughts and actions. In addition, sometimes they feel they are in control of external events or are convinced they know what other people think. They think that things or events are related to themselves in a special way, have a personal significance or are made especially for them. The German psychiatrist Kurt Schneider emphasized these types of ideation as criteria for the diagnosis of schizophrenia, and because of their relative homogeneity and recognizability, they are frequently referred to as Schneiderian first-rank symptoms.
One of the most prominent diagnostic symptoms of schizophrenia amounts to hearing an inner voice that is not attributed to the self. A proper explanation of the nature of the schizophrenic condition requires, correspondingly, an orientation of the relations between language faculty and self-consciousness – both in norm and in pathology. The aim of this chapter is to offer an overview of some basic aspects of this relationship. The presentation will be by necessity brief and selective, as the problem area is wide and there is virtually no literature explicitly dealing with it from a linguistic perspective.
In the first part of the chapter the point is made that speech, inner speech in particular, serves as the subtlest (and, in a sense, the ultimate) vehicle of online maintained self-awareness. The experience of voice here and now provides the self with the means of making itself ‘visible’ during language performance. In inner speech the loop between perception cum motor behaviour cum perception is the shortest one and is enacted with the highest possible time resolution. Thus, inner speech forms the most compact perceptual–motor loop (the shortest ‘specious present’) capable of supporting self-awareness online. In the very same time, it serves as a phenomenal correlate of very complex cognitive processes implementing human thinking. If this is the case, the estrangement from one's voice is indicative of a foundational disturbance in self-awareness.
Human self-consciousness can be defined as the capacity to metarepresent one's own mental states, such as perceptions, judgements, beliefs or desires. It is thus closely related to the so-called theory of mind capacity, which requires the ability to model the mental states of others. Other constitutive features of human self-consciousness comprise the experiences of ownership or agency, of egocentric perspectivity and of long-term unity of beliefs and attitudes. These features are assumed to be neurobiologically implemented as episodically active complex neural activation patterns that can be mapped to the brain given adequate operationalizations of these constitutive features. This bundle of constitutive features is called self-construct to distinguish clearly this empirically motivated operationalized approach from classical philosophical concepts. In the pathophysiology of schizophrenia, it is suggested that clinical subsyndromes like cognitive disorganization and derealization syndromes reflect disorders of partial features of self-consciousness. In this chapter the issue of first-person perspective as opposed to third-person perspective is addressed in more detail. With special regard to the psychopathological symptom of hallucinations, the relevance of the self-construct for the pathophysiology of schizophrenia is discussed.
Self-consciousness and potential empirical indicators
Self-consciousness is a central theme in classical philosophy and contemporary philosophy of mind and has also recently become one of the focuses of cognitive neurosciences. If empirical indicators for self-consciousness or at least for some of its constitutive features can be identified, then operationalization and subsequent mapping to neural structures become possible.
By
Tilo Kircher, Senior Lecturer and Consultant Psychiatrist Department of Psychiatry at the University of Tübingen, Germany,
Anthony David, Professor of Cognitive Neuropsychiatry Institute of Psychiatry; Consultant Psychiatrist Maudsley Hospital, London
Edited by
Tilo Kircher, Eberhard-Karls-Universität Tübingen, Germany,Anthony David, Institute of Psychiatry, London
The term ‘consciousness’ and its possible cerebral representation are discussed in this chapter. A direct relation between consciousness, especially autonoetic consciousness, and memory - the episodic memory system - is outlined. Episodic memory is defined as the context-embedded memory system which allows mental travelling in time - into both the future and the past. The development and lifelong stability of a controlled, self-generated and self-reflected mental framework which allows us to evaluate past episodes and to anticipate the framework of ones happening in the future constitutes the basis for an integrated - autonoetically conscious - personality. Evidence for the importance of certain brain structures - particularly of the right hemispheric prefrontal and anterior temporal cortex - in processing autonoetic consciousness is provided and patients with impaired consciousness and impaired episodic memory (including patients with schizophrenia) are described, both neuropsychologically and with respect to their neural metabolism, as measured by functional imaging techniques. Stress and trauma situations with which the individual is insufficiently able to cope, but also conditions of psychic or physical deprivation or alteration (sleep deprivation, drug abuse, hormonal changes) influence the neural system and may thereby weaken the episodic memory system and affect autonoetic consciousness. It is speculated that especially portions of the inferior prefrontal and the anterior temporal cortex (predominantly of the right hemisphere) control autonoetic consciousness.
from
Part III
-
Disturbances of the self: the case of schizophrenia
By
Josef Parnas, Department of Psychiatry, Hvidovre Hospital and Danish National Research Foundation: Center for Subjectivity Research, University of Copenhagen, Denmark
Edited by
Tilo Kircher, Eberhard-Karls-Universität Tübingen, Germany,Anthony David, Institute of Psychiatry, London
The greatest hazard of all, losing one's self, can occur very quietly in the world, as if it was nothing at all. No other loss can occur so quietly; any other loss – an arm, a leg, five dollars, a wife etc. – is sure to be noticed
(Søren Kirkegaard).
Abstract
The purpose of this chapter is to present in clinical detail phenomenology of the disorders of self-experience that are observable in the schizophrenia spectrum conditions. Schizophrenia was considered by the founders of its concept as an instance of a severe affliction of the self, and psychiatric literature, especially of the phenomenological tradition, contains descriptions and analyses of the self-disorders. Recent empirical, phenomenologically informed research conducted in Denmark, Germany and Norway has provided empirical data demonstrating that not-yet-psychotic anomalies of self-experience occur frequently in the beginning stages of schizophrenia and in the schizotypal conditions. The most fundamental level of selfhood that appears to be affected in early schizophrenia is the automatic, prereflective articulation of the first-person perspective. It is suggested that these subtle phenotypes may be of potential value as target phenomena for pathogenetic research (especially for research in the neurodevelopmental antecedents) and also of crucial importance for early differential diagnosis.
Introduction
Typically, psychiatric, cognitive and philosophical studies of anomalous experience and belief in schizophrenia focus on the well-crystallized psychotic stages, dominated by the so-called Schneiderian first-rank symptoms (Frith, 1992; Campbell, 1999).