
After Albert Einstein’s death, his brain was preserved for future study. Scientists were naturally curious to see how the brain of a genius compared with that of a person of ordinary intelligence. Would there be an abundance of neurons (grey matter) or some unusual wiring of the neurons that distinguished it? When the brain was dissected, however, the only difference the scientists found was that the number of non-neuronal cells (white matter) was much higher. It is also true that, from evolutionary point of view, as brains became larger and “smarter”, what increased was not the percentage of neurons but the white matter. What could this mean?
The official name for white matter cells, glia—derived from the world ‘glue’—reflects their lowly status. First seen clearly by anatomists in the late 1800s, Glia were initially thought to provide little more than structural support for neurons, because, like scaffolding, glial cells literally hold neurons in place.

Unlike neurons, there is no electrical activity within glia to send messages and information. It was, therefore, assumed that glia were deaf and dumb, incapable of communicating with either neurons or other glia, and therefore not particularly compelling as a focus of research. A good analogue would be the under-appreciated dark matter in astronomy. Dark matter is undetectable because it emits no electromagnetic radiation, as matter in the “visible” universe does. The existence of dark matter was eventually inferred from its gravitational effects on visible matter. While we once believed that the visible universe is the entire universe, the ordinary matter of our visible universe actually accounts for less than five percent of the total; dark matter accounts for more than 20 percent.
Today, the pace of knowledge about glia has begun to accelerate, as outlined in an exciting new book, The Other Brain, by Dr. R. Douglas Fields[i] (the title refers to the 85 percent of the brain that is glial). Fields is a neuroscientist specializing in glial cell research and the information in his book is so new that it isn’t found in standard medical textbooks. Two review articles in the May 2010 issue of the research journal Nature Neuroscience attest to how much still needs to be learned and how potentially revolutionary are the implications.
So, are glial cells really dumb as a doorknob? We are just now learning that glial cells do communicate, not through synapses but through “gap junctions”— protein channels that connect one cell to another, like a spaceship docking at the mother station. Glia can pass messages among themselves by using calcium as a chemical messenger instead of sending an electric signal as neurons do. In his research, Fields showed that after a 15-second delay, changes in response to a neuronal firing were seen in the surrounding glial cells. As he puts it, glial cells are “listening in” on what neurons are doing, something virtually no one in neuroscience previously thought possible.

Glia are also critical to the growth of neurons. Neuron cells grown in the lab without accompanying glial cells were found to have many fewer synapses than neurons grown with glial cells. Glia seem to play a central role in the number of synapses a neuron develops.
Contrary to what scientists once thought, glia also have neurotransmitters—in fact, the same ones that neurons do. And there are receptors for these neurotransmitters both inside and on the outer surface of glial cells. Glial cells have receptors for glutamate, the principal stimulating neurotransmitter in the cortex, and GABA, which acts as a “brake” to calm down neurons. In other words, glia can excite or depress neurons and stimulate or calm the brain, just like medications.
And, unlike neurons, glia can move. They have enormous cellular “fingers” like the elastic Mr. Fantastic of comic book fame, and can move between and on neurons. This constantly changes the circuitry of the brain. These glial fingers also form around synapses. They secrete substances that remodel tissue or stimulate neuron growth during development and repair of the brain, making it likely that they function in a similar role during learning in the healthy brain.
Glia repair brain injuries, defend against disease, nurse neurons back to health and act as guide dogs for the re-growth of injured nerve fibers. They detect and react to bacteria and viruses, “gobble up” pathogens and release toxic chemicals to kill bacteria. And new research suggests that immature glial cells can act like stem cells, while mature glia can stimulate stem cells dormant in the adult brain to form replacement neurons and glia. This could have implications for repairing the nervous system, including new possibilities for treating spinal cord injuries.
This is about as far removed from mere insulation, food delivery and waste management services as can be imagined. Glia are a lot smarter than we thought they were. A 2005 study shows a correlation between the organization of fibers made of glial cells and IQ. So finding a greater proportion of glial cells in Einstein’s brain is not so surprising after all.
We still know very little about glia—even the basics such as how many kinds of glial cells there are and what they look like in detail. Their discovery, however, broadens our appreciation of the brain’s complexity. The brain, with its 100 billion neurons and an average of 10,000 synapses per neuron, has more potential connections than the atoms of our galaxy!
We don’t know yet if diet, exercise, supplements and other factors affect glial cells. However, the implications for health and illness—seizures, infections, cancer, addictions, mental illness and diseases such as Parkinson’s and multiple sclerosis may be far-reaching and profound.
As Fields says near the end of his book, “Here are cells that can build the brain of a fetus, direct the connection of its growing axons to wire up the nervous system, repair it after it is injured…release neurotoxic or neuroprotective factors, plug and unplug synapses…give birth to new neurons, communicate with the vascular and immune systems, insulate the neuronal lines of communication, and control the speed of impulse traffic through them. And some people ask, ‘Could these cells have anything to do with higher brain function?’ How could they possibly not?”

Dr. Dubin graduated from The University of Medicine and Dentistry in New Jersey and then completed a residency in Emergency Medicine. He subsequently worked as an Associate Clinical Professor of Outpatient Medicine at Boston University. After a career of more than ten years in Emergency Medicine, Dr. Dubin founded Cambridge Medical Consultants, providing Occupational and Environmental Medicine consulting to hospitals and corporations. In 2006 Dr. Dubin began using an emerging brain technology, LENS (Low Energy Neurofeedback System) that allows the brain to “rewire” itself. He found rapid and often dramatic results. He also found these changes to be enduring. Dr. Dubin soon decided to dedicate his career exclusively to the practice of LENS. He founded The Dubin Clinic for Neurofeedback where he treats adults, adolescents, and children.