This report investigated mechanisms responsible for failed Schwann cell mye
lination in mice that overexpress P-o (P-o(tg)), the major structural prote
in of PNS myelin. Quantitative ultrastructural immunocytochemistry establis
hed that P-o protein was mistargeted to abaxonal, periaxonal, and mesaxon m
embranes in P-o(tg) Schwann cells with arrested myelination. The extracellu
lar leaflets of P-o-containing mesaxon membranes were closely apposed with
periodicities of compact myelin. The myelin-associated glycoprotein was app
ropriately sorted in the Golgi apparatus and targeted to periaxonal membran
es. In adult mice, occasional Schwann cells myelinated axons possibly with
the aid of endocytic removal of mistargeted P-o. These results indicate tha
t P-o gene multiplication causes P-o mistargeting to mesaxon membranes, and
through obligate P-o homophilic adhesion, renders these dynamic membranes
inert and halts myelination.