RT Journal Article SR Electronic T1 White matter integrity requires continuous myelin synthesis at the inner tongue JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.09.02.279612 DO 10.1101/2020.09.02.279612 A1 Martin Meschkat A1 Anna M. Steyer A1 Marie-Theres Weil A1 Kathrin Kusch A1 Olaf Jahn A1 Lars Piepkorn A1 Paola Agüi-Gonzalez A1 Nhu Thi Ngoc Phan A1 Torben Ruhwedel A1 Boguslawa Sadowski A1 Silvio O. Rizzoli A1 Hauke B. Werner A1 Hannelore Ehrenreich A1 Klaus-Armin Nave A1 Wiebke Möbius YR 2020 UL http://biorxiv.org/content/early/2020/09/03/2020.09.02.279612.abstract AB Myelin, the electrically insulating axonal sheath, is composed of lipids and proteins with exceptionally long lifetime. This raises the question how myelin function is affected by myelin turnover. We have studied the integrity of myelinated tracts after experimentally preventing the formation of new myelin in the CNS of adult mice, using an inducible Mbp null allele. Oligodendrocytes survived recombination, continued expressing myelin genes, but failed to maintain compacted myelin sheaths. Using 3D electron microscopy and mass spectrometry imaging we visualized myelin-like membranes that failed to incorporate adaxonally, most prominently at juxta-paranodes. Myelinoid body formation indicated degradation of existing myelin at the abaxonal side and at the inner tongue of the sheath. Compacted myelin thinning and shortening of internodes, with about 50% myelin lost after 20 weeks (=5 months), ultimately led to axonal pathology and neurological disease. These data reveal that functional axon-myelin units require the continuous incorporation of new myelin membranes.Competing Interest StatementThe authors have declared no competing interest.