Potassium channel modulator could save nerve

More on manipulating olligos to save nerves

Oligodendrocyte-encoded Kir4.1 function is required for axonal integrity.
Schirmer L, Möbius W, Zhao C, Cruz-Herranz A, Ben Haim L, Cordano C, Shiow LR, Kelley KW, Sadowski B, Timmons G, Pröbstel AK, Wright JN, Sin JH, Devereux M, Morrison DE, Chang SM, Sabeur K, Green AJ, Nave KA, Franklin RJ, Rowitch DH.Elife. 2018 Sep 11;7. pii: e36428. doi: 10.7554/eLife.36428.

Glial support is critical for normal axon function and can become dysregulated in white matter (WM) disease. In humans, loss-of-function mutations of KCNJ10, which encodes the inward-rectifying potassium channel KIR4.1, causes seizures and progressive neurological decline. We investigated Kir4.1 functions in oligodendrocytes (OLs) during development, adulthood and after WM injury. We observed that Kir4.1 channels localized to perinodal areas and the inner myelin tongue, suggesting roles in juxta-axonal K+ removal. Conditional knockout (cKO) of OL-Kcnj10 resulted in late onset mitochondrial damage and axonal degeneration. This was accompanied by neuronal loss and neuro-axonal dysfunction in adult OL-Kcnj10 cKO mice as shown by delayed visual evoked potentials, inner retinal thinning and progressive motor deficits. Axon pathologies in OL-Kcnj10 cKO were exacerbated after WM injury in the spinal cord. Our findings point towards a critical role of OL-Kir4.1 for long-term maintenance of axonal function and integrity during adulthood and after WM injury.

Kir 4.1 channels are interweaved with MS research. Many years ago it was suggested that about half of the people with MS had antibodies reactive with this potassium channel. Roll forward and many papers later that cannot replicate the finding and we have the very same channel being reported to be critical in oligodendrocyte function. Loose the channel and you get seizures, probably because nerve excitability is not controlled. They knocked it out in oligodendrocytes and it resulted in nerve loss and if there was nerve damage this was made worse. So maybe we have a treatment avenue.

I suspect there are lots of treatment avenues with regard potassium channels, indeed we showed that a big conductance potassium channel opener has the   potential to be neuroprotective. This moves potassium in a similar way to the inwardly rectifying potassium channels. It has been shown that oligodendrocyte precursors form a synapse with non-myelinated nerves in a process involving  glutamate receptors, who functions via calcium ion movement to stimulate myelination. Potassium channels will regulate this ionic function and so loss of potassium channels could be bad news as suggested here. However this may not be the only channel (nerve transmitter). Immature oligodendrocytes express looks and lots of ions channels including calcium and sodium channels. They also express loads and loads of potassium channels. As they differentiate into oligodendrocytes they down regulate most of them, but kcnj10 is still there maybe it can be manipulated to save nerves