Schwann cells subserve a variety of roles in the peripheral nervous sy
stem (PNS), including ionic homeostasis, and protection and possible m
etabolic support of axons. It is, however, the myelinating subtype of
these glia which appear most sensitive to toxic insults. Myelinating S
chwann cells must synthesize large amounts of myelin proteins (P-0 is
the major myelin protein) and lipids (cholesterol is most prominent) w
ithin a short, tightly-programmed developmental window. Schwann cells
are preferentially vulnerable to neurotoxic insults during this period
of maximal metabolic stress. The hydrophobicity of myelin (reservoir
for lipid-soluble toxicants) and possible specialized energy-requiring
mechanisms for maintenance of myelin structure are points of vulnerab
ility for the mature myelin sheath. Fortunately, Schwann cells are hig
hly plastic; they dedifferentiate to more primitive precursor cells fo
llowing a demyelinating insult, but are able to redifferentiate and re
myelinate axons during subsequent nerve regeneration. For study of suc
h processes, a useful model system is exposure of developing rats to t
he element tellurium; this produces a highly synchronous primary demye
lination of PNS which is followed closely by rapid remyelination. Inte
rpretation of the metabolic events involved is simplified by the nearl
y complete lack of axonal degeneration. We have uncovered the primary
lesion (block in cholesterol biosynthesis) and elucidated some of the
steps involved in the demyelination-remyelination response. Particular
ly useful have been studies of gene expression of certain proteins (ne
rve growth factor receptor, myelin proteins, macrophage-specific lysoz
yme) which have enabled us to define some of the cellular responses to
this toxicant-induced injury. A generally applicable result that has
emerged from these and other similar studies is that upregulation of N
GF-R mRNA is a sensitive marker of nerve damage; it may be useful as a
screen for potentially neurotoxic compounds. (C) 1996 Inter Press, In
c.