I n the article by Musse et al. in this issue of PNAS (1), the authors present unique and compelling physico-chemical data that demonstrate the structural instability of myelin in multiple sclerosis (MS). Such alteration in myelin stability, reported as secondary to changes in myelin basic protein (MBP) structure, may be causative in nature and͞or contribute to the early course of demyelination in MS. A combination of physico-chemical and theoretical approaches enabled the authors to arrive at their conclusions and demonstrated that myelin structural information can shed light on mechanistic dysfunction in MS.The primary findings are that an altered charge isomer of MBP (rmC8) that is associated with disease severity in MS (2) has less membrane depth penetration and shorter ␣-helix structure, making the immunodominant epitope of this protein more exposed to the cytosolic space and readily digested by proteases. This change in MBP conformation would free the epitope for T cell recognition and suggests a mechanism of action potentially initiated by alterations in myelin structure. This hypothesis is supported by a recent study describing antibody enzymes (abzymes) that catalyze MBP in a sitespecific degradation (3). The C8 MBP isoform is also more abundant in immature myelin, and results of this study support the hypothesis that myelin structure in MS is developmentally immature (4), contributing to altered myelin stability and possibly the initiation of the disease.
MBP and MSMBP is abundant in myelin, and the structures of the genes encoding MBP were among the first to be determined in the nervous system. Campagnoni and Campagnoni (5) provide an excellent review of the data demonstrating the heterogeneity of MBP and current understanding of the genetics of their formation. They review the data demonstrating that multiple isoforms of MBP are produced through the translation of separate mRNAs, resulting in a heterogeneous population of MBP structures. The recombinant C8 isoform (rmC8) used in this study represents the least cationic isoform of MBP and is correlated with the most severe cases of MS. There are numerous reports on the isoforms of MBP, but this study is the first to examine the effects of MBP deimination in its native membrane state.Considerable data suggest that MBP plays a key role in the pathology of MS, although its mechanism of action has remained unclear. Antigenically related MBP was isolated from the cerebrospinal fluid of patients with MS (6). Induction of experimental allergic encephalomyelitis (EAE) with MBP produced a monophasic inflammatory disease process in guinea pigs with minimal demyelination, whereas the addition of galactocerebrosides or the use of whole myelin produced EAE with demyelination, suggesting that MBP plays a role in demyelination when in synergy with myelin lipids (7). Subsequently it was demonstrated that a single transfer of MBP-sensitized T cells from animals with EAE produced a relapsing disease process in mice with both inflammation and demyelination, similar t...