“…Therefore, the expulsion of myelins containing axonal debris to the abaxonal extracellular space can be considered as myelin debris transcytosis (Figure 2). Lysosomes, which play an essential role in plasma membrane remodeling and repair(Corrotte, Castro-Gomes, Koushik, & Andrews, 2015;Reddy, Caler, & Andrews, 2001), may also be involved in this process. Even though the molecular mechanisms of this process are still largely unknown, various membranous structures observed in the cytoplasm of DSCs such as autophagosomes, endosomes, expanded endoplasmic reticulum, multivesicular bodies, and primary lysosomes could be implicated in the transcytotic myelin clearance (Brosius Lutz et al, 2017; Gomez-Sanchez et al, 2015; Holtzman & Novikoff, 1965).Large clumps of myelin that contain the degenerated axon in their centre are also often observed in the extracellular space in the late stage of WD(Beuche & Friede, 1984;Goodrum & Bouldin, 1996;Jang et al, 2017;Ohara, Takahashi, & Ikuta, 1986;Stoll et al, 1989; Figures 2 and 3), and they can be clearly visualized following abrogation of macrophage infiltration as the rejected myelin would be rapidly removed by macrophages(Beuche & Friede, 1984;Goodrum & Bouldin, 1996;Jang et al, 2017; Figure 3).…”