Wednesday, February 5, 2014

Guillain Barré Syndrome: Do we really need Myelin Sheaths?

     Guillain Barré Syndrome is one of several demyelinating diseases. Demyelinating Diseases do just what the name implies, they demyelinate neurons. This is a very serious issue because myelin sheaths on axons are more than just decoration. They are used to transmit impulses quickly down the length of an axon. The speed of transmission in an unmyelinated axon is about 0.7m/s (2mi/hr). This is about the speed that you jog. You might think that this is fast enough because a human body is about 2 meters tall so an impulse travelling to your feet would only take about a second or two. And you would be partly right. This is fast enough for information that needs to be sent to your digestive tract and other not-super-important stuff. However, if you start to trip, you need to reposition your body within a split second.  This is where myelinated neurons come into play. Neurons innervating skeletal muscle are myelinated. This myelination increases speed of transmission to about 120m/s (270mi/hr). So now that you can see how important myelin sheaths are, lets talk about what it would be like to lose that myelination.
       There are two types of glial cells that assist with myelination: Schwann Cells and Oligodendrocytes. Schwann Cells wrap around axons in the peripheral nervous system while Oligodendrocytes hug axons in the central nervous system. Guillain Barré Syndrome occurs when specifically the peripheral nervous system is attacked and becomes demyelinated. The initial symptoms of this disease include weakness and tingling in the legs. These sensations slowly spread upwards to the upper body and arms. The brain being unable to transmit commands efficiently to the muscles causes the weakness. It can increase in intensity until some muscles can’t be used at all. This can be very severe because it leads to the individual becoming paralyzed. If the muscles used for respiration are affected, it can be potentially fatal. The tingling is because the sensory receptors cannot transmit information to the brain. It can manifest in an inability to feel heat, pain, and other sensations. Or, the brain might receive weird, altered signals that result in tingling, creepy-crawly, or even painful feelings.
      It is an autoimmune disease which means that it’s not a virus or bacteria destroying the myelin, its your own body. Sometimes, it can be caused be preceded by an infection. A virus or bacteria could have changed the cells in the nervous system so the immune system thinks they are foreign, or it could have made the immune system more belligerent and care less about what it attacks.

      Sadly, there is no cure for this syndrome; only therapies that try to lessen the intensity of the symptoms and treatments for its complications. 
     This article explains Guillain Barré Syndrome in a little more depth, as well as explains many of the complications and their treatments.  

3 comments:

  1. I was surprised when I found out there was more than one demyelinated disease. I actually did mine in Multiple Sclerosis which is also a demyelinated disease. With the information that you have provided about GuillainBarreé Syndrome, I know now how important is having myelin so we can actually function well. I find it horrible how there is still no cure for the demyelinated diseases. I hope that one day in the near future researches are able to find a method on how to prevent it and be able to cure it.

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  2. it is so crazy how such small tissues or organs they all have their own major role on how your neurons transmit impulses for muscle reaction.I wonder if athletes have better neurons than the average Joe. I say that because athletes have very quick reactions, how fast do the nuerons send singles to the brain compare to an average person

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  3. Thanks to your post, I’ve learned more about our brain and the neurons inside it. When I read the chapter, there were still some things I was confused about, the section on myelin sheaths was one of them, I kind of understood what they were for but I was still confused. After reading your post I understand their use a whole lot better, I know now how important they are to keep our brain in tip top shape.

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