Whenever axonal transport is inhibited or interrupted, normal physiology becomes pathophysiology, and an accumulation of axoplasm, called an
axonal spheroid, may result. Because axonal transport can be disrupted in a multitude of ways, axonal spheroids can be seen in many different classes of diseases, including genetic, traumatic, ischemic, infectious, toxic, degenerative and
specific white matter diseases called
leukoencephalopathies. Several rare
neurodegenerative diseases are linked to
genetic mutations in the motor proteins,
kinesin and
dynein, and in those cases, it is likely that axonal transport is a key player in mediating pathology. Dysfunctional axonal transport is also linked to sporadic (common) forms of neurodegenerative diseases such as
Alzheimer's and
Parkinson's. This is mainly due to numerous observations that large axonal accumulations are invariably seen in affected neurons, and that genes known to play a role in the familial forms of these diseases also have purported roles in normal axonal transport. However, there is little direct evidence for involvement of axonal transport in the latter diseases, and other mechanisms (such as direct synaptotoxicity) may be more relevant. Arrest of axoplasmic flow at the edge of ischemic areas in vascular
retinopathies leads to swelling of nerve fibres, which give rise to soft exudates or cotton-wool patches. Since the axon depends on axoplasmic transport for vital proteins and materials, injury, such as
diffuse axonal injury, which interrupts the transport, will cause the
distal axon to degenerate in a process called
Wallerian degeneration.
Cancer drugs that interfere with cancerous growth by altering microtubules (which are necessary for
cell division) damage nerves because the microtubules are necessary for axonal transport. ==Infection==