Liberto Christina M, Albrecht P J, Herx L M, Yong V W, Levison S W
Department of Neural and Behavioral Sciences, Pennsylvania State University, Hershey, PA 17033, USA.
J Neurochem. 2004 Jun;89(5):1092-100. doi: 10.1111/j.1471-4159.2004.02420.x.
The prevailing view of the astrocytic response to injury is that reactive astrocytes impede the regenerative process by forming scar tissue. As the levels of many cytokines dramatically increase following CNS insult and as this increase in cytokine expression precedes the production of the glial scar, a long-standing view has been that cytokines diminish neuronal survival and regeneration by stimulating the formation of astrogliotic scar tissue. However, there is a wealth of data indicating that cytokines "activate" astrocytes, and that cytokine-stimulated astrocytes can promote the recovery of CNS function. Supporting evidence demonstrates that cytokine-activated astrocytes produce energy substrates and trophic factors for neurons and oligodendrocytes, act as free radical and excess glutamate scavengers, actively restore the blood-brain barrier, promote neovascularization, restore CNS ionic homeostasis, promote remyelination and also stimulate neurogenesis from neural stem cells. Accordingly, a re-assessment of cytokine-activated astrocytes is necessary. Here, we review studies that promote the thesis that cytokines elicit potent neuroprotective and regenerative responses from astrocytes.
关于星形胶质细胞对损伤的反应,目前普遍的观点是,反应性星形胶质细胞通过形成瘢痕组织来阻碍再生过程。由于中枢神经系统受损后许多细胞因子的水平会急剧升高,且细胞因子表达的这种增加先于胶质瘢痕的产生,长期以来的观点一直是,细胞因子通过刺激星形胶质细胞瘢痕组织的形成来降低神经元的存活率和再生能力。然而,有大量数据表明,细胞因子会“激活”星形胶质细胞,且细胞因子刺激的星形胶质细胞能够促进中枢神经系统功能的恢复。支持性证据表明,细胞因子激活的星形胶质细胞会为神经元和少突胶质细胞产生能量底物和营养因子,充当自由基和过量谷氨酸的清除剂,积极修复血脑屏障,促进新血管形成,恢复中枢神经系统离子稳态,促进髓鞘再生,还能刺激神经干细胞的神经发生。因此,有必要对细胞因子激活的星形胶质细胞进行重新评估。在此,我们回顾了一些研究,这些研究支持细胞因子能引发星形胶质细胞强大的神经保护和再生反应这一论点。