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BRAIN SCIENCE

White Matter Although scientists have long regarded the


brain’s white matter as passive infrastructure,
new work shows that it actively affects learning
and mental illness • • • By R. Douglas Fields

KEY CONCEPTS
■ White matter, long thought
to be passive tissue, active-
ly affects how the brain
I magine if we could peek through the skull
to see what makes one brain smarter than
another. Or to discover whether hidden
traits might be driving a person’s schizophrenia
or dyslexia. A new kind of imaging technique
entists are now realizing that we have under-
estimated the importance of white matter in
the proper transfer of information among brain
regions. New studies show that the extent of
white matter varies in people who have differ-
learns and dysfunctions. is helping scientists observe such evidence, and ent mental experiences or who have certain
■ Although gray matter it is revealing a surprise: intelligence, and a dysfunctions. It also changes within one per-
(composed of neurons) variety of mental syndromes, may be influenced son’s brain as he or she learns or practices a
does the brain’s thinking by tracts within the brain made exclusively of skill such as playing the piano. Even though the
and calculating, white white matter. neurons in gray matter execute mental and
matter (composed of my- Gray matter, the stuff between your ears physical activities, the functioning of white
elin-coated axons) con- your teachers chided you about, is where men- matter may be just as critical to how people
trols the signals that neu- tal computation takes place and memories are master mental and social skills, as well as to
rons share, coordinating
stored. This cortex is the “topsoil” of the brain; why it is hard for old dogs to learn new tricks.
how well brain regions
it is composed of densely packed neuronal cell
work together.
bodies — the decision-making parts of nerve More with Mastery
■ A new type of magnetic cells, or neurons. Underneath it, however, is a The myelin that gives white matter its color has
resonance technology, bedrock of “white matter” that fills nearly half always posed mysteries. For more than a centu-
called diffusion tensor im-
of the human brain — a far larger percentage ry scientists looked at neurons through their
aging (DTI), has for the
than found in the brains of other animals. microscopes and saw long fibers, the axons,
first time shown white
matter in action, revealing White matter is composed of millions of com- extending from a neuronal cell body to a neigh-
its underappreciated role. munications cables, each one containing a long, boring one, like an outstretched, elongated fin-
individual wire, or axon, coated with a white, ger. Each axon was found to be coated with a
■ Myelin is only partially
fatty substance called myelin. Like the trunk thick crystalline gel. Anatomists surmised that
formed at birth and gradu-
lines that connect telephones in different parts the fatty covering must insulate axons like rub-
ally develops in different
regions throughout our of a country, this white cabling connects neu- ber sheathing along a copper wire. Strangely,
20s. The timing of growth rons in one region of the brain with those in however, many axons, especially the smaller fil-
and degree of completion other regions. aments, were not coated at all. And even along
can affect learning, self- For decades neuroscientists exhibited little insulated fibers, gaps in the insulation appeared
control (and why teenag- interest in white matter. They considered the every millimeter or so. The bare spots came to
ers may lack it), and men- myelin to be mere insulation and the cables in- be known as nodes of Ranvier, after French
tal illnesses such as side it little more than passive passageways. anatomist Louis-Antoine Ranvier, who first
schizophrenia, autism and Theories about learning, memory and psychi- described them.
even pathological lying. atric disorders centered on molecular action in- Modern investigation has revealed that nerve
—The Editors side the neurons and at the famous synapses — impulses race down axons on the order of 100
the tiny contact points between them. But sci- times faster when they are coated with myelin—

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Matters
SCULPTURE BY MARGIE MCDONALD, PHOTOGRAPHED BY FRANK ROSS

SCULPTURE depicts overhead


view of brain’s cortex (copper)
and white matter core.

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and that myelin is laid on axons somewhat like “know” whether 10 or 100 layers of insulation
electrical tape, wrapped up to 150 times be- Myelin is laid are required to create the proper thickness on
tween every node. The substance is manufac- axons of different diameters. But recently biol-
tured in sheets by two types of glial cells. These down until age ogist Klaus-Armin Nave of the Max Planck In-
cells are not neurons, but they are prevalent in 25 or so, one stitute for Experimental Medicine in Göttingen,
the brain and nervous system [see “The Other Germany, discovered that Schwann cells detect
Half of the Brain,” by R. Douglas Fields; Sci- reason teenagers a protein called neuregulin that coats axons,
entific American, April 2004]. An octopus- do not have and if the amount of this protein is augmented
shaped glial cell called an oligodendrocyte does or inhibited, the Schwann cell will wrap more
the wrapping. Electrical signals, unable to leak adult decision- or fewer sheets of myelin around the axon. In-
out through the sheath, jump swiftly down the making abilities. terestingly, many people who suffer bipolar dis-
axon from node to node. In nerves outside the order or schizophrenia have a defect in the gene
brain and spinal cord, a sausage-shaped glial that regulates production of this protein.
cell called a Schwann cell forms myelin. The wrapping occurs at different ages. My-
Without myelin, the signal leaks and dissi- elin is prevalent only in a few brain regions at
pates. For maximum conduction velocity, the birth, expands in spurts and is not fully laid un-
insulation thickness must be strictly propor- til age 25 or 30 in certain places. Myelination
tional to the diameter of the fiber inside. The generally proceeds in a wave from the back of
optimal ratio of bare axon diameter divided by the cerebral cortex (shirt collar) to its front
the total fiber diameter (including the myelin) is (forehead) as we grow into adulthood. The
0.6. We have no idea how oligodendrocytes frontal lobes are the last places where myelina-

[BASICS]

WHAT IS WHITE MATTER?


White matter fills nearly half the brain. It consists of millions of cables
(white) that connect individual neurons (gray matter) in different brain
regions, like trunk lines connecting telephones across a country.

White matter

Gray matter
Cortex

Cingulum
Corpus callosum
Cingulum

Corpus callosum

Axon JEN CHRISTIANSEN (illustration); DEREK JONES Cardiff University (cingulum tractography)

Myelin

Neuron

Corpus callosum,
a mass of white matter
cables, connects the brain’s left and
right hemispheres. On either side, the
cables extend up and outward toward the
cortex, creating a structure called the cin- Each cable leads from a neuron in
gulum. A new form of imaging, DTI tractog- one region to a neuron elsewhere. A cable is
raphy, can chart the actual cable pathways. an axon insulated with milky-white myelin.

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CONVENTIONAL MRI machine (top) can roughly
depict white matter (bottom left, white areas).
But a new MRI process called DTI shows structure
in greater detail (bottom right); red and yellow
indicate more highly organized white matter.
tion occurs. These regions are responsible for
higher-level reasoning, planning and judg-
ment — skills that only come with experience.
Researchers have speculated that skimpy fore-
brain myelin is one reason that teenagers do not
have adult decision-making abilities. Such ob-
servations suggest that myelin is important to
intelligence.
Presumably the brain does not finish wrap-
ping human axons until early adulthood be- Forehead

cause, throughout that time, axons continue to


grow, gain new branches and trim others in re-
sponse to experience. Once axons are myelin-
COURTESY OF R. DOUGLAS FIELDS (Fields); PHILIPS HEALTHCARE ( machine); ZEPHYR/ PHOTO RESEARCHERS, INC. (color scan); JOE GALLIVAN Ulster Medical and Surgical Specialists (black-and-white scan)

ated, the changes they can undergo become


more limited. Still, for a long time a question re-
mained: Is myelin formation totally pro-
grammed, or do our life experiences alter the
degree of wrapping and thus how well we learn?
Does myelin actually build cognitive ability, or
is cognition simply limited in regions where it
has not yet formed?
Piano virtuoso Fredrik Ullén decided to find
out. Ullén also happens to be an associate pro-
fessor at the Stockholm Brain Institute in Swe-
den. In 2005 he and his colleagues used a new Back
brain-scanning technology called diffusion ten-
sor imaging (DTI) to investigate the brains of He also found that the more hours a day a
professional pianists. DTI is done with the same musician had practiced over time, the stronger
kind of magnetic resonance imaging machines the DTI signals were in these white matter
found in hospitals but involves a different type tracts; the axons were more heavily myelinated
of magnetic field and different algorithms to or tightly packed. Of course, the axons could
create the many brain-image slices that are as- simply have expanded, requiring more myelin
sembled into a three-dimensional picture. The to maintain the optimal 0.6 ratio. Without per- [THE AUTHOR]
slices display the vectors (mathematically de- forming an autopsy, the question remains open.
fined as tensors) of water that diffuses in tissue. The discovery is important, however, because it
In gray matter the DTI signals are low because shows that when learning a complex skill, no-
water diffuses symmetrically. But water diffus- ticeable changes occur in white matter— a brain
es asymmetrically along bundles of axons; this structure that contains no neuronal cell bodies
irregular pattern illuminates white matter, ex- or synapses, only axons and glia. Studies on an-
posing the major highways of information that imals, in which brains can be physically exam-
flow among brain regions. The more tightly ined, show myelin can change in response to
packed and heavily coated with myelin the fi- mental experience and a creature’s developmen-
R. Douglas Fields is chief of the
bers are, the stronger the DTI signal. tal environment. Recently neurobiologist Wil- Nervous System Development and
Ullén found that in professional pianists, cer- liam T. Greenough of the University of Illinois Plasticity Section at the National
tain white matter regions are more highly devel- at Urbana-Champaign confirmed that rats Institute of Child Health and Human
oped than in nonmusicians. These regions con- raised in “enriched” environments (with access Development. He has written sev-
eral articles for Scientific American,
nect parts of the cerebral cortex that are crucial to abundant toys and social interaction) had
most recently in the August 2007
to coordinated movement of the fingers with ar- more myelinated fibers in the corpus callosum— issue on how sharks zero in on prey
eas involving other cognitive processes that op- the hefty bundle of axons that connects the by sensing extremely weak electri-
erate when making music. brain’s two hemispheres. cal fields emitted by fish.

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KNOWN DISEASES These results seem to jibe with DTI studies platinum electrodes, we can impose patterns of
performed by neuroscientist Vincent J. Schmit- impulses on them. We found that these impuls-
Faulty or missing myelin
horst of Cincinnati Children’s Hospital, which es can regulate specific genes in neurons. One
in the central nervous system
can cause several debilitating compared white matter in children ages five to of the genes causes production of a sticky pro-
diseases, including: 18. A higher development of white matter struc- tein called L1-CAM that is crucial for pasting
ture, Schmithorst found, correlates directly with the first layer of membrane around an axon as
MULTIPLE SCLEROSIS higher IQ. Other reports reveal that children myelin begins to form.
(degeneration of central who suffer severe neglect have up to 17 percent We also found that glia can “listen in” on im-
nervous system) less white matter in the corpus callosum. pulses shooting through axons and that the
traffic heard alters the degree of myelination; a

VARSHA SHUKLA (micrograph); ALAN HOOFRING NIH Medical Arts (illustration)


CEREBRAL PALSY Stimulating Change type of glial cell called an astrocyte releases a
(severely impaired Such findings strongly suggest that experience chemical factor when it senses increased im-
muscle control) influences myelin formation and that the result- pulse traffic. This chemical code stimulates oli-
ing myelin supports learning and improvement godendrocytes to form more myelin. Children
ALEXANDER DISEASE
of skills. But to be fully convinced of that con- who succumb to Alexander disease, a fatal
(destruction of central
clusion, investigators need a plausible explana- childhood disorder causing mental retardation
nervous system)
tion of how abundant myelin can enhance cog- and abnormal myelin, have a mutation of an as-
nition, as well as some direct evidence that trocyte gene.
defects can impair mental abilities. Logic, too, helps to explain how white mat-
My lab has uncovered several ways in which ter can influence cognitive ability. It might seem
an individual’s experiences can influence myelin that, by analogy to the Internet, all information
formation. In the brain, neurons fire electrical in the brain should be transmitted as quickly as
impulses down axons; by growing neurons possible. That would mean all axons should be
from fetal mice in culture dishes equipped with equally myelinated. But for neurons, faster is

[HOW IT WORKS]

MYELIN FORMATION
Neuron
Long axons insulated with myelin Node of
Ranvier
carry signals between neurons
faster than unmyelinated axons.
Oligodendrocyte cells manufacture
the fatty membrane and wrap the
axon with 10 to 150 layers. Differ-
ent factors can stimulate the
myelination process; often astro-
cyte cells “listen in” on the signals Oligodendrocyte
Astrocyte
traveling along axons and relay
chemical messages to the oligo-
dendrocytes. Below, a microscope
shows axons in red being wrapped.

Oligodendrocyte

Axon

Myelin sheath
Axon

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not always better. Information must travel enor- cluded that far from being mistakes, the nodes SUSPECTED
mous distances between brain centers. Each act as intricate, bioelectric repeaters — relay sta-
ILLNESSES
center carries out its particular function and tions that generate, regulate and rapidly propa-
sends the output to another region for the next gate electrical signals along an axon. By study- Abnormal myelin formation is sus-
pected of contributing to several
step of analysis. For complex learning, such as ing owls’ excellent hearing, neurobiologists
mental illnesses, including:
learning the piano, information must be shut- have shown that during myelination the oligo-
tled back and forth among many regions; infor- dendrocytes insert more nodes than are optimal SCHIZOPHRENIA
mation flowing over different distances must ar- for fast signaling along certain axons to slow (delusions, hallucinations)
rive simultaneously at one place at a certain signals traveling along them.
time. For such precision to occur, delays are Clearly, the speed of impulse transmission is AUTISM
necessary. If all axons transmitted information a vital aspect of brain function. We know that (impaired communication
at the maximum rate, signals from distant neu- memory and learning occur when certain neu- and emotional detachment)
ALAN HOOFRING NIH Medical Arts AND JEN CHRISTIANSEN (inset)

rons would always arrive later than signals from ronal circuits connect more strongly. It seems
neighboring neurons. An impulse typically likely that myelin affects this strength, by ad- BIPOLAR DISORDER
takes 30 milliseconds to travel from one cere- justing conduction velocity so that volleys of (periods of mania alternating
bral hemisphere to the other through myelinat- electrical impulses arrive at the same neuron si- with periods of depression)
ed axons in the corpus callosum, compared multaneously from multiple axons. When this
with 150 to 300 milliseconds through unmy- convergence occurs, the individual voltage blips DYSLEXIA
(spelling, reading or more
elinated axons. None of the corpus callosum’s pile up, increasing the strength of the signal, thus
general language disorder)
axons are myelinated at birth, and by adult- making a stronger connection among the neu-
hood 30 percent remain that way. The variation rons involved. Much more research must be done
helps to coordinate transmission speeds. to explore this theory, but there is no doubt that
Perhaps just as crucial are the nodes of Ran- myelin responds to the environment and partic-
vier. In the past few years scientists have con- ipates in learning skills.

Learning and Mental Illness


With this new perspective, it is not hard to
imagine how faulty transmission could lead to
mental challenges. After decades of searching
Node of Ranvier acts like gray matter for the causes of mental disabilities,
a repeater, quickly relaying
impulses along an axon. neuroscientists now have circumstantial evi-
The impulse is strength- dence suggesting that white matter plays a role.
ened and volleyed from
Dyslexia, for example, results from disrupted
node to node as a volt-
age spike, initiated timing of information transmission in circuits
when channels in the required for reading; brain imaging has
node open up, flooding
the node with sodium revealed reduced white matter in these tracts,
ions. Potassium which could cause such disruption. The white
channels concentrated
at the juxtaparanode
matter abnormalities are thought to reflect
then open to sling- both defects in myelination and developmental
shot the impulse abnormalities in neurons affecting these white
down the axon to
the next node. matter connections.
Tone deafness results from defects in higher-
Node of Ranvier Channel level processing in the cerebral cortex where Myelin
sounds are analyzed; psychologist Kristi L.
Paranode Hyde of McGill University has found that white
responds to
(purple)
Sodium ion
matter is reduced in a specific fiber bundle in the the environment
right forebrain of tone-deaf individuals. Fur-
Potassium thermore, recent research by Leslie K. Jacobsen
and participates
Juxtaparanode
(blue) channels
of Yale University indicates that exposure to to- in learning,
bacco smoke during late fetal development or
Axon adolescence, when this bundle is undergoing
in part by
Signal
Myelin sheath myelination, disrupts the white matter. The strengthening
structure, as seen by DTI, correlates directly
impulse
with performance on auditory tests. Nicotine is
neuronal
known to affect receptors on oligodendrocytes connections.
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[DEVELOPMENT]

THE BRAIN MATURES


that regulate the cells’ development. Exposure
to environmental factors during crucial periods
of myelination can have lifelong consequences.
Few axons are covered with

Relatively more
white matter
Schizophrenia is now understood to be a de-
myelin at birth. More are
velopmental disorder that involves abnormal
insulated over time, from the Back
connectivity. The evidence is multifold. Doctors
back of the cerebral cortex to the
have always wondered why schizophrenia typi- front. The sequence here, by Paul
cally develops during adolescence — but recall Thompson of the University of
that this is the primary age when the forebrain California, Los Angeles, depicts
is being myelinated. The neurons there have the pruning of neurons and the
largely been established, but the myelin is chang- relative increase in myelin. Basic

Relatively more
ing, making it suspect. In addition, nearly 20 functional areas such as vision

gray matter
studies in recent years have concluded that (back) are completed before age Forehead
white matter is abnormal (possessing fewer oli- 4, followed by language and, last,
godendrocytes than it should) in several regions self-control (forehead). Age 4

of the schizophrenic brain. And when gene


chips — tiny diagnostic devices that can survey optimal communication among brain regions,
thousands of genes at a time — recently became To reach which is also fundamental to proper cognition,
available, researchers were startled to discover depends on the white matter bedrock connect-
that many of the mutated genes linked to schizo- world-class ing the regions. In 2007 Gabriel Corfas, a neu-
phrenia were involved in myelin formation. status in certain rologist at Children’s Hospital Boston, showed
White matter abnormalities have also been that experimental disruption of genes in oligo-
found in people affected by ADHD, bipolar dis- intellectual dendrocytes — not in neurons — of mice causes
order, language disorders, autism, cognitive de- or athletic striking behavioral changes that mimic schizo-
cline in aging and Alzheimer’s disease and even phrenia. And the behavioral effects involve one
in individuals afflicted with pathological lying. skills, an of the same genes, neuregulin, found to be ab-
Of course, underdeveloped or withered my- individual must normal in biopsies of schizophrenic brains.
elin could be a result of poor signaling among The chicken-and-egg question of whether
neurons, not necessarily a cause. After all, cog- start young. changes in myelin alter neurons or whether
nitive function does depend on neuronal com- changing neuronal patterns alter myelin will be
munication across synapses in the cortex’s gray settled the same way such dilemmas always are:
matter, where most psychoactive drugs act. Yet with the acknowledgment that there is a close
interdependence between the two mechanisms.
Myelinating glia can respond to changes in
PROFESSIONAL PIANISTS have
axon diameter, but they also regulate that diam-
more highly developed
white matter in certain eter. And they can determine whether or not a
regions than nonmusicians given axon survives. In multiple sclerosis, for
do, suggesting it affects example, axons and neurons can die after my-
learning. Furthermore, it is elin is lost as a result of the disease.
more extensive in pianists
who begin regular practice Remodeling Old Age
before age 11 than in those Whatever the mechanism, as our brain matures
who start during their teens from childhood to adulthood the precision of
or later, indicating that connections among regions improves. How well
critical periods exist for
the connections are made may dictate how well
superior skill acquisition.
we can learn certain skills at certain ages.
Indeed, Ullén’s studies of accomplished pia-
nists revealed an additional finding: white mat-
ter was more highly developed throughout the
brains of individuals who had taken up the in-
INTI ST. CLAIR Getty Images

strument at an earlier age. In people who


learned after adolescence, white matter develop-
ment was increased only in the forebrain— the
region that was still undergoing myelination.
This finding suggests that the insulating of

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© 20 08 SCIENTIFIC AMERIC AN, INC.
Age 8 Age 12 Age 16 Age 20

nerve fibers in part determines age limits for mental exercise into a person’s 60s, 70s and 80s
learning new skills — windows of opportunity, helps to delay the onset of Alzheimer’s. And
or critical periods, when certain learning can how does a person’s wisdom increase over the
occur or at least can occur readily. Learn a for- decades? Answers are still forthcoming. Re-
eign language after puberty, and you are des- searchers have not yet looked for myelin chang-
tined to speak it with an accent; learn the lan- es in older animals. Other experiments suggest
guage as a child, and you will speak it like a na- myelination continues into our mid-50s but on
tive. The difference occurs because the brain a much subtler level.
circuits that detect speech rewire according to Certainly white matter is key to types of
the sounds we hear only as a child. We literally learning that require prolonged practice and
lose the connections that would allow us to repetition, as well as extensive integration
hear sounds unique to foreign languages. In among greatly separated regions of the cerebral
evolutionary terms, the brain has no reason to cortex. Children whose brains are still myelinat-
retain connections to detect sounds that it has ing widely find it much easier to acquire new
never heard after years of childhood. Critical skills than their grandparents do. For a range of
periods are also one of the main reasons adults intellectual and athletic abilities, if an individ-
do not recover as well from brain injuries as ual wants to reach world-class level he or she
children do. must start young. You built the brain you have ➥ MORE TO
Specialists have identified specific protein today by interacting with the environment while EXPLORE
molecules in myelin that stop axons from you were growing up and your neural connec-
Myelination: An Overlooked
sprouting and forming new connections. Mar- tions were still myelinating. You can adapt
Mechanism of Synaptic Plasticity?
tin E. Schwab, a brain researcher at the Univer- those abilities in many ways, but neither you nor R. Douglas Fields in Neuroscientist,
sity of Zurich, revealed the first of several my- I will become a world-class pianist, chess player Vol. 11, No. 5, pages 528–531; 2005.
elin proteins that cause young sprouts from ax- or tennis pro unless we began our training when
ons to wither instantly on contact. When this we were children. Extensive Piano Practicing Has
Regionally Specific Effects on
protein, which he named Nogo (now referred to Of course, old geezers can still learn, but
White Matter Development.
as Nogo-A), is neutralized, animals with a spi- they are engaged in a different kind of learning Sara L. Bengtsson et al. in Nature
nal cord injury can repair their damaged con- involving the synapses directly. And yet inten- Neuroscience, Vol. 8, No. 9, pages
nections and recover sensation and movement. sive training causes neurons to fire, so the po- 1148–1150; September 2005.
Recently Stephen M. Strittmatter of Yale found tential exists for that firing to stimulate myelin-
Astrocytes Promote Myelination
that the critical period for wiring the brains of ation. Perhaps someday, when we fully under-
PAUL THOMPSON U.C.L.A. (gray matter scans)

in Response to Electrical Impulses.


animals through experience could be reopened stand when and why white matter forms, we T. Ishibashi et al. in Neuron, Vol. 49,
by blocking signals from Nogo. When the pro- can devise treatments to change it, even as it No. 6, pages 823–832; March 16, 2006.
tein is disrupted in old mice, the critters can re- grows old. To deliver on that speculation, we
wire connections for vision. would need to find the signal that tells an oligo- How to Grow a Super Athlete.
D. Coyle in Play Magazine, ( New York
If myelination is largely finished in a person’s dendrocyte to myelinate one axon and not an-
Times Sports) March 4, 2007.
20s, however, does that contradict recent claims other one nearby. That discovery, buried deep Available at www.nytimes.com/
that the brain remains plastic throughout mid- underneath the gray matter, awaits unearthing 2007/03/04/sports/playmagazine/
dle and old age? For example, studies show that by future explorers. ■ 04play-talent.html

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