Schwann Cells

By Olivia Guy-Evans, published June 11, 2021

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Schwann cells are named after Theodor Schwann, who was a German physiologist who discovered these types of cells in the 19th century.

Schwann cell, also called neurilemma cell, are a type of large neurological cell responsible for forming the myelin sheath around the neurons of the peripheral nervous system, and supplying nutrients to individual axons.

Myelin sheath functions to insulate and protect the axons of neurons and is therefore important for enhancing the transmission of electrical impulses. Each Schwann cell comprises a single myelin sheath on an axon, therefore numerous Schwann cells are required to myelinate the length of an axon.

However, Schwann cells can be either myelinating or non-myelinating. Whilst myelinating Schwann cells wrap around the axons of motor and sensory neurons to form the myelin sheath, non-myelinating Schwann cells do not wrap around the axons but still provide support and cushioning to the unmyelinated axons.

Both types of Schwann cells are vital in the maintenance and regeneration of axons of the neurons within the PNS. Schwann cells originate from the neural crest, which is a group of embryonic cells.

Schwann cells are also considered to be a type of glial cell. Glia cells are non-neuronal cells that do not provide electrical impulses like neurons, but they function to maintain homeostasis, providing support and protection for neurons.

So, although Schwann cells do not conduct electrical activity themselves, they still help in ensuring the normal conduction of electrical signals. Both the myelinating and the non-myelinating Schwann cells are surrounded by sheets of tissue known as basal lamina.

The outside of the basal lamina is covered in a layer of connective tissues known as the endoneurium. The endoneurium contains blood vessels, macrophages, and fibroblasts.

Finally, the inner surface area of the lamina layer faces the plasma membrane of the Schwann cells. Schwann cells could be confused for oligodendrocytes, which are also myelinating cells.

Schwann Cells vs Oligodendrocytes

However, whilst Schwann cells myelinate axons of the PNS, the oligodendrocytes provide myelination to axons in the central nervous system (CNS).

Also, each Schwann cell forms a single myelin sheath around an axon, whereas oligodendrocytes form myelin sheaths for multiple surrounding axons. Likewise, Schwann cells are surround by basal lamina, whilst the oligodendrocytes are not surrounded by basal

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Schwann Cells Function

Damage to the Schwann Cells

Schwann cell dysfunction is primarily associated with demyelinating diseases of the PNS. Demyelination in the PNS describes a pathologic process of destruction of myelin-supporting cells, therefore destroying normal myelin.

These dysfunctions could be as a result of genetic mutations, autoimmune responses, infections, and trauma. These causes can impair the myelination process and the functions of the Schwann cells and axons, eventually leading to neurodegeneration.

The insulating myelin segments could be lost or destroyed, and conduction of neuronal electrical impulses down the axon can be diminished or blocked.

Demyelinating diseases can range from acute to chronic and some symptoms of these diseases can be characterised as weakened reflexes, weakness, sensory loss, slower nerve conduction, and paralysis.

Disorders which cause damage to the myelin sheath of the PNS, ultimately affecting the function of Schwann cells and axons, are called peripheral demyelinating diseases. Guillain-Barre Syndrome is a rare autoimmune disease affecting the PNS.

With this disorder, the immune system attacks healthy nerve cells in the PNS, resulting in symptoms of weakness, numbness, and may eventually cause paralysis, making it a life-threatening condition if this disease affects the muscles involved with respiration.

Guillain-Barre Syndrome causes damage to the axons of neurons, leading to a blockage of electrical conduction. Although this condition damages the axons, the Schwann cells are also damage as a result, producing something called secondary demyelination.

Guillain-Barre Syndrome can be treated through intravenous immunoglobulin which is a treatment comprised of blood donation that contain healthy antibodies, in order to prevent harmful antibodies damaging the axons of neurons.

Charcot-Marie-Tooth disease (CMT) is another peripheral demyelinating disorder that is rare and hereditary. CMT occurs when there are mutations in the genes that affects the nerves of the PNS. Both sensory and motor neurons can be affected by this disease, disrupting overall Schwann cell structure and function.

This can affect a lack of growth in Schwann cells as well as abnormal amounts of Schwann cells between the nodes of Ranvier (gaps in the myelin sheath that function to increase conduction of impulses). Symptoms of CMT can include having weak muscles, loss of sensation in the feet and legs, difficulty walking, and deformities in the feet such as having a high arch and bent toes.

CMT usually becomes symptomatic in the feet and legs but may eventually impair functions in the hands and arms. There does not appear to be a cure for CMT, however patients with this condition can have physical and occupational therapies to help them cope with the symptoms of the disease. Diabetic neuropathy is another condition which is linked with Schwann cell damage.

This damage can occur with Schwann cells that surround sensory and motor neuron axons. High glucose levels, associated with diabetes is a cause of damage to Schwann cells, which can in turn increase the risk of neurodegeneration. Aside from demyelinating diseases, another disease associated with Schwann cell damage include Schwannomas.

A schwannoma is a tumour that are usually benign but in rare cases can be harmful and cancerous. These tumours grow from the Schwan cells and can occur spontaneously or result from genetic disorders. Although these can be rarely harmful, they can lead to nerve damage and loss of motor control.

In cases where these tumours become large enough to feel under the skin, there may be some pain, as well as muscle weakness, numbness, and tingling sensations.

Interestingly, Schwann cells within the PNS have been implanted into the CNS, specifically the spinal cord of rats, in attempt to strengthen multiple sclerosis type damage. It was found that the Schwann cells formed relatively extensive myelin in the CNS and that blocked nerve impulse conduction improved as a result (Kohama et al., 2001).

Likewise, spinal cord injury has been shown to improve due to Schwann cells. These cells were also implanted into the damaged site in the spinal cord and have shown to promote axonal regeneration and myelination (Oudega & Xu, 2006).

References

Britannica, T. Editors of Encyclopaedia (2020, July 15). Schwann cell. Encyclopedia Britannica. https://www.britannica.com/science/Schwann-cell

Fallon, M., & Tadi, P. (2019). Histology, Schwann Cells.

Kohama, I., Lankford, K. L., Preiningerova, J., White, F. A., Vollmer, T. L., & Kocsis, J. D. (2001). Transplantation of cryopreserved adult human Schwann cells enhances axonal conduction in demyelinated spinal cord. Journal of Neuroscience, 21(3), 944-950.

Oudega, M., & Xu, X. M. (2006). Schwann cell transplantation for repair of the adult spinal cord. Journal of neurotrauma, 23(3-4), 453-467.

Sinha Dutta, S. (2020, February 4). What are Schwann Cells? News Medical Life Sciences. https://www.news-medical.net/health/What-are-Schwann-Cells.aspx#2