PMID- 25310564 OWN - NLM STAT- MEDLINE DCOM- 20150917 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 10 DP - 2014 TI - Delayed nerve stimulation promotes axon-protective neurofilament phosphorylation, accelerates immune cell clearance and enhances remyelination in vivo in focally demyelinated nerves. PG - e110174 LID - 10.1371/journal.pone.0110174 [doi] LID - e110174 AB - Rapid and efficient axon remyelination aids in restoring strong electrochemical communication with end organs and in preventing axonal degeneration often observed in demyelinating neuropathies. The signals from axons that can trigger more effective remyelination in vivo are still being elucidated. Here we report the remarkable effect of delayed brief electrical nerve stimulation (ES; 1 hour @ 20 Hz 5 days post-demyelination) on ensuing reparative events in a focally demyelinated adult rat peripheral nerve. ES impacted many parameters underlying successful remyelination. It effected increased neurofilament expression and phosphorylation, both implicated in axon protection. ES increased expression of myelin basic protein (MBP) and promoted node of Ranvier re-organization, both of which coincided with the early reappearance of remyelinated axons, effects not observed at the same time points in non-stimulated demyelinated nerves. The improved ES-associated remyelination was accompanied by enhanced clearance of ED-1 positive macrophages and attenuation of glial fibrillary acidic protein expression in accompanying Schwann cells, suggesting a more rapid clearance of myelin debris and return of Schwann cells to a nonreactive myelinating state. These benefits of ES correlated with increased levels of brain derived neurotrophic factor (BDNF) in the acute demyelination zone, a key molecule in the initiation of the myelination program. In conclusion, the tremendous impact of delayed brief nerve stimulation on enhancement of the innate capacity of a focally demyelinated nerve to successfully remyelinate identifies manipulation of this axis as a novel therapeutic target for demyelinating pathologies. FAU - McLean, Nikki A AU - McLean NA AD - CMSNRC (Cameco MS Neuroscience Research Center) and Department of Anatomy and Cell Biology, University of Saskatchewan, Saskatoon, SK, Canada. FAU - Popescu, Bogdan F AU - Popescu BF AD - CMSNRC (Cameco MS Neuroscience Research Center) and Department of Anatomy and Cell Biology, University of Saskatchewan, Saskatoon, SK, Canada. FAU - Gordon, Tessa AU - Gordon T AD - Department of Surgery, Division of Plastic Reconstructive Surgery, University of Toronto, Toronto, ON, Canada. FAU - Zochodne, Douglas W AU - Zochodne DW AD - Department of Medicine, Division of Neurology, University of Alberta, Edmonton, AB, Canada. FAU - Verge, Valerie M K AU - Verge VM AD - CMSNRC (Cameco MS Neuroscience Research Center) and Department of Anatomy and Cell Biology, University of Saskatchewan, Saskatoon, SK, Canada. LA - eng GR - MOP74747/Canadian Institutes of Health Research/Canada GR - RMF82496DZ/Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141013 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (2-hydroxy-4,4'-diamidinostilbene, methanesulfonate salt) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Myelin Basic Protein) RN - 0 (Stilbamidines) SB - IM MH - Animals MH - Axons/*metabolism MH - Brain-Derived Neurotrophic Factor/metabolism MH - Demyelinating Diseases/*metabolism/*pathology MH - Electric Stimulation MH - Intermediate Filaments/*metabolism MH - Macrophages/*metabolism MH - Male MH - Myelin Basic Protein/metabolism MH - Myelin Sheath/*metabolism MH - Nerve Tissue/*metabolism MH - Phosphorylation MH - Ranvier's Nodes/metabolism MH - Rats, Wistar MH - Schwann Cells/metabolism MH - Staining and Labeling MH - Stilbamidines/metabolism PMC - PMC4195712 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/10/14 06:00 MHDA- 2015/09/18 06:00 PMCR- 2014/10/13 CRDT- 2014/10/14 06:00 PHST- 2014/06/10 00:00 [received] PHST- 2014/09/17 00:00 [accepted] PHST- 2014/10/14 06:00 [entrez] PHST- 2014/10/14 06:00 [pubmed] PHST- 2015/09/18 06:00 [medline] PHST- 2014/10/13 00:00 [pmc-release] AID - PONE-D-14-25905 [pii] AID - 10.1371/journal.pone.0110174 [doi] PST - epublish SO - PLoS One. 2014 Oct 13;9(10):e110174. doi: 10.1371/journal.pone.0110174. eCollection 2014.