Lipid membranes myelin formation

With such an extensive knowledge base, what is the present state of our understanding of the mechanisms of this disorder Not unexpectedly, initial studies, primarily in experimental animal models, focused on the known metabolic pathways which involve thiamine. Indeed, the classical studies of Peters in 1930 (Peters, 1969) showed lactate accumulation in the brainstem of thiamine deficient birds with normalization of this in vitro when thiamine was added to the tissue. This led to the concept of the biochemical lesion of the brain in thiamine deficiency. The enzymes which depend on thiamine are shown in Fig. 14.1. They are transketolase, pyruvate and a-ketoglutarate dehydrogenase. Transketolase is involved in the pentose phosphate pathway needed to form nucleic acids and membrane lipids, including myelin. The ketoacid dehydrogenases are key enzymes of the Krebs cycle needed for energy (ATP) synthesis and also to form acetylcholine via Acetyl CoA synthesis. Decrease in activity of this cycle would result in anaerobic metabolism and lead to lactate formation (i.e., tissue acidosis) (Fig. 14.1). 

As discussed above, conclusions reached under the conditions of these experiments may not be valid for the in vivo situation. However, they give an indication that for the brain (without consideration of the cell types involved) by far the most important site of elongation is the cytoplasmic membrane system and that the products formed in this system are transported rapidly to other membranes. Thus, Fig. 1, which was formulated by inference from the liver, can be refined to some extent, as is shown in Fig. 9 In it is also represented present thinking that the endoplasmic reticulum is also the site of myelin formation, presumably from the fatty acids and lipids formed at the same site. 

A variety of proteins are acylated by formation of thioesters to cysteine and esters to serine and threonine. Acylation may serve either to anchor the proteins in membranes (e.g., rhodopsin Section 2.3.1) and the mannosidase of the Golgi, or to increase lipophilicity and thus enhance the solubilization of lipids being transported (e.g., the plasma apolipoproteins and milk globule proteins). Proteolipids with fatty acids esterified to threonine residues occur in the myelin sheath in nerves. 

Even though some plasma membranes, such as nerve myelin membranes, contain a high concentration of lipids that form gel phase bilayers, the presence of cholesterol keeps these membranes in a fluid phase. However, interaction with the rigid cholesterol ring affects hydrocarbon chains of lipids in the liquid crystal phase (L ) and leads to formation of a new phase, the liquid ordered (Lq) phase (27). The phase is well characterized by a variety of physical methods and does not exist in pure lipids or their mixtures. In the liquid ordered phase, the long axis rotation and lateral diffusion rates are similar to the La phase, but the acyl chains are predominantly in an all-trans conformation and, hence, the order parameters are similar to the Lp phase (see Table 1). Recently, the cholesterol-rich Lq phase has been strongly associated with microdomains in live cells—the so-called lipid rafts. ... 

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