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- W2912398052 abstract "To the general public, the term grey matter is almost synonymous with the brain, although this prominence comes at the expense of white matter, which has a much lower profile. But for Bernard Zalc and Florence Rosier, white matter is like white gold, forming rich milky veins through our brains, with its own vital role and its own mysteries to explore. In Myelin: The Brain's Supercharger they attempt to shed some light on these mysteries and make a case for this long-neglected white gold. Zalc and Rosier provide a thorough description of how myelin accelerates the transmission of nerve impulses, how it was discovered, its evolution, and how myelination occurs within the womb. However, their case for the importance of white matter falls back on discussion of myelin-related conditions—not just multiple sclerosis but also Charcot-Marie-Tooth syndrome, Guillain-Barre syndrome, and Gerstmann syndrome, among others—each highlighting the need for a more thorough understanding of myelin disruption. Zalc and Rosier draw on a range of research that suggests myelin has a wider role than is generally appreciated. They cite research showing that the arcuate fasciculus, which connects the visual areas to the language areas, is more developed and probably more myelinated in people who have learned to read, including those who learned to read as adults, compared with non-readers. Similarly, myelin, and the oligodendrocytes that produce it, might have a role in psychiatric disease: certain white matter tracts have been observed to exhibit volume loss and disarray in patients experiencing their first episodes of schizophrenia, suggesting that this could be a cause of the condition rather than a consequence or an effect of treatment. Similar abnormalities in white matter have been linked to bipolar disorder and depression, and other studies have shown a correlation between an individual's psychological resilience and the integrity of their corpus callosum white matter. Although at the time of their discovery glial cells were dismissed as so-called neuronal glue, this idea has been refuted over the past 20 years. Rather than simply having a nourishing and metabolic role, it is now clear that white matter—and in particular, the myelin-producing cells in the peripheral nervous system and CNS—has a far more complex role to play. Zalc and Rosier argue that myelin disruption is implicated in a variety of neuropsychiatric disorders, and we lack integrated and coherent models that explain the pathological processes at work. The authors suggest that there are many exciting research avenues surrounding this once-neglected area, with a potential gold rush of discoveries awaiting future researchers." @default.
- W2912398052 created "2019-02-21" @default.
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- W2912398052 date "2020-01-01" @default.
- W2912398052 modified "2023-09-27" @default.
- W2912398052 title "After the Gold Rush" @default.
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- W2912398052 doi "https://doi.org/10.1016/s1474-4422(19)30071-7" @default.
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