Patchy Insulation: Myelin insulates neuronal axons such that their electrical signals travel faster and more efficiently. However, not all axons are myelinated equally. Tomassy et al. (p. 319 ; see the Perspective by Fields ) obtained detailed images from two snippets of the adult mouse brain and generated three-dimensional reconstructions of individual neurons and their myelination patterns. The images show that some axons have long, unmyelinated stretches, which might offer sites for building new connections. Thus, myelination is not an all-or-none phenomenon but rather is a characteristic of what may be a specific dialogue between the neuron and the surrounding myelin-producing cells.

Spinal cord injury (SCI) constitutes an inestimable public health issue. The most crucial phase in the pathophysiological process of SCI concerns the well-known secondary injury, which is the uncontrolled and destructive cascade occurring later with aberrant molecular signaling, inflammation, vascular changes, and secondary cellular dysfunctions. The use of mesenchymal stem cells (MSCs) represents one of the most important and promising tested strategies. Their appeal, among the other sources and types of stem cells, increased because of their ease of isolation/preservation and their properties. Nevertheless, encouraging promise from preclinical studies was followed by weak and conflicting results in clinical trials. In this review, the therapeutic role of MSCs is discussed, together with their properties, application, limitations, and future perspectives.