Exposure of developing rats to a diet containing elemental tellurium s
ystemically inhibits cholesterol synthesis at the level of squalene ep
oxidase. At high tellurium exposure levels (> 0.1% in the diet), there
is an associated segmental demyelination of the PNS. Low levels of di
etary tellurium (0.0001%) led to in vivo inhibition of squalene epoxid
ase activity in sciatic nerve, and inhibition increased with increasin
g exposure levels. With increasing dose and increasing exposure times,
there was an increasing degree of demyelination and increasing down-r
egulation of mRNA levels for myelin P-0 protein, ceramide galactosyltr
ansferase (rate-limiting enzyme in cerebroside synthesis), and HMG-CoA
reductase (rate-limiting enzyme in cholesterol synthesis). Because th
ese were all down-regulated in parallel, we conclude there is coordina
te regulation of the entire program for myelin synthesis in Schwann ce
lls. An anomaly was that at early time points and low tellurium levels
, mRNA levels for HMG-CoA reductase were slightly elevated, presumably
in response to tellurium-induced sterol deficits. We suggest the even
tual down-regulation relates to a separate mechanism by which Schwann
cells regulate cholesterol synthesis, related to the need for coordina
te synthesis of myelin components. Levels of mRNA for the low-affinity
nerve growth factor receptor (indicator of alterations in axon-Schwan
n cell interactions) and for lysozyme (marker for phagocytic macrophag
es) were both up-regulated in a dose-and time-dependent manner which c
orrelated with the presence of segmental demyelination. Levels of mRNA
coding for myelin-related proteins were down-regulated at low telluri
um exposure levels, without demyelination or up-regulation of nerve gr
owth factor receptor. This suggests the down-regulation is related to
the tellurium-induced cholesterol deficit, and not to the loss of axon
al contact associated with early stages of demyelination or to the ent
ry of activated macrophages. (C) 1997 Elsevier Science B.V.