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Relationship: 3354
Title
Oligodendrocyte death, increased leads to Demyelination, increased
Upstream event
Downstream event
Key Event Relationship Overview
AOPs Referencing Relationship
| AOP Name | Adjacency | Weight of Evidence | Quantitative Understanding | Point of Contact | Author Status | OECD Status |
|---|---|---|---|---|---|---|
| Inhibition of neuropathy target esterase leading to delayed neuropathy via lysolecithin cell membrane integration | adjacent | High | Brooke Bowe (send email) | Under development: Not open for comment. Do not cite | ||
| Inhibition of neuropathy target esterase leading to delayed neuropathy via increased inflammation | adjacent | Low | Brooke Bowe (send email) | Under development: Not open for comment. Do not cite |
Taxonomic Applicability
| Term | Scientific Term | Evidence | Link |
|---|---|---|---|
| Homo sapiens | Homo sapiens | NCBI |
Sex Applicability
| Sex | Evidence |
|---|---|
| Unspecific |
Life Stage Applicability
Key Event Relationship Description
Evidence Collection Strategy
Literature reviews were conducted by searching through databases including PubMed and Google Scholar. Search terms included “organophosphates”, “OPIDN”, “OPIDP”, and “delayed neuropathy” used in combination with a variety of phrases such as “enzyme inhibition”, “demyelination”, “demyelinating lesions”, “weakness”, and “endogenous substrate.” After establishment of the general outline for the AOP, search terms broadened to commonly include the words “neuropathy target esterase”, “irreversible aging”, “lysolecithin”, “lysophosphatidylcholine”, “inflammation”, “chemokines”, “surfactant”, “membrane disruption”, “oligodendrocyte susceptibility”, and “oligodendrocyte death.” Exclusion criteria included publications that focused on nervous tissue damage that did not involve changes to oligodendrocytes or myelin considering that this pathway focused on a single mechanism of a larger overall AOP network, and the goal was to specifically focus on progression of demyelination causing delayed neuropathy. Additional resources were also identified in the references of publications explored during database searches and were used to further develop KEs.
Evidence Supporting this KER
In many cases reduced oligodendrocyte counts overlaps closely with regions of demyelination following cellular imaging of in vitro tests (Felts, et al., 2005). Once oligodendrocytes have been killed, their myelin membranes begin to disintegrate as well leaving axons of the CNS exposed and vulnerable to damage (Birgbauer, Rao, & Webb, 2004).
Biological Plausibility
In many cases reduced oligodendrocyte counts overlaps closely with regions of demyelination following cellular imaging of in vitro tests (Felts, et al., 2005). This relationship is inherent because the myelin sheaths are a part of oligodendrocyte cell membranes, and therefore the health of the myelin is supported by the oligodendrocyte which it originates from (Höftberger & Lassmann, 2017). In this way, oligodendrocyte death can promote dysfunction of the nervous system through the subsequent loss of myelin sheaths along axons.
Empirical Evidence
Uncertainties and Inconsistencies
It is possible that demyelination can either originate from death of oligodendrocytes or from direct targeting of myelin itself. Elevated LPC and subsequent events have been largely identified as being able to act on the myelin by cell membrane integration leading some papers to conclude that LPC acts as a primary myelinotoxic compound (Duncan & Radcliff, 2016). However, more recent evidence has showed that the inflammatory response stimulated by LPC can instigate oligodendrocyte death directly as a contributor to the process of demyelination (Plemel, et al., 2018).
Known modulating factors
Quantitative Understanding of the Linkage
Response-response Relationship
Time-scale
Known Feedforward/Feedback loops influencing this KER
In reality, oligodendrocyte death and demyelination are likely happening simultaneously and perpetuating each other’s progression. Together, oligodendrocyte death and direct harm of myelin are monitored by overall demyelination patterns as a major hallmark of OPIDN toxicity leading to delayed neuropathy (Barnes & Denz, 1953; Hoffman, Sileo, & Murray, 1984; Wang, Yang, Jiang, & Wu, 2019).
Domain of Applicability
References
Barnes, J. M., & Denz, F. A. (1953). Experimental demyelination with organo-phosphorus compounds. Journal of Pathology and Bacteriology, 65(2), 597-605.
Birgbauer, E., Rao, T. S., & Webb, M. (2004). Lysolecithin induces demyelination in vitro in a cerebellar slice culture system. Journal of Neuroscience Research, 78(2), 157-166.
Duncan, I. D., & Radcliff, A. B. (2016). Inherited and acquired disorders of myelin: The underlying myelin pathology. Experimental Neurology, 283, 452-475.
Felts, P. A., Woolston, A.-M., Fernando, H. B., Asquith, S., Gregson, N. A., Mizzi, O. J., & Smith, K. J. (2005). Inflammation and primary demyelination induced by the intraspinal injection of lipopolysaccharide. Brain, 128(7), 1649–1666.
Hoffman, D. J., Sileo, L., & Murray, H. C. (1984). Subchronic organophosphorus ester-induced delayed neurotoxicity in mallards. Toxicology and Applied Pharmacology, 75(1), 128-136.
Höftberger, R., & Lassmann, H. (2017). Inflammatory demyelinating diseases of the central nervous system. Handbook of Clinical Neurology, 145, 263–283.
Plemel, J. R., Michaels, N. J., Weishaupt, N., Caprariello, A. V., Keough, M. B., Rogers, J. A., . . . Yong, V. W. (2018). Mechanisms of lysophosphatidylcholine-induced demyelination: A primary lipid disrupting myelinopathy. Glia, 66(2), 327-347.
Wang, P., Yang, M., Jiang, L., & Wu, Y.-J. (2019). A fungicide miconazole ameliorates tri-o-cresyl phosphate-induced demyelination through inhibition of ErbB/Akt pathway. Neuropharmacology, 148, 31-39.