Macrophages play a crucial role in myelin removal during nerve degeneration
and demyelination. The exact mechanisms of myelin recognition and uptake a
re not yet defined. The present experiments aimed at defining the role of i
ntercellular adhesion molecule-1 (ICAM-1) in this process. Myelin phagocyto
sis was studied in an established in vitro model of cultured macrophages an
d sciatic nerves. Cocultures of wild-type C57BL macrophages with sciatic ne
rves resulted in a massive invasion of the nerves by macrophages with subse
quent removal of myelin. In contrast, when macrophages of ICAM-1-deficient
animals were cocultured with wild-type nerves, myelin phagocytosis was sign
ificantly retarded, whereas cell invasion was completely undisturbed. These
data indicate that the ICAM-1 molecule acts as a costimulatory signal in m
yelin recognition and uptake by macrophages.