Ren Ke
Department of Neural and Pain Sciences, Dental School; & Program in Neuroscience, University of Maryland, Baltimore, MD 21201-1586, USA.
Jpn Dent Sci Rev. 2010 Feb 1;46(1):86. doi: 10.1016/j.jdsr.2009.10.005.
Recent studies suggest that astroglia, a major non-neuronal cell type in the central nervous system, actively participate in synaptic activity and potentially contribute to neurological disorders including chronic pain. Astroglia exhibit a hyperactive phenotype, also referred to as reactive astrocytosis, in response to peripheral injury. This process is often referred to as astroglial activation. By immunostaining against glial fibrillary acidic proteins, an intermediate cytoskeleton filament protein selectively localized to matured astrocytes, hypertrophy of astrocytes are clearly visible in the spinal cord dorsal horn and spinal trigeminal nucleus following a variety of injuries. Injury-related astroglial activation correlates with behavioral hyperalgesia and conversely, astroglial inhibition attenuates pain hypersensitivity. Astrocytes have a close anatomical relationship with neurons. Interactions between astrocytes and neurons contribute to the mechanisms of chronic pain. Astroglial activation is accompanied by initiation of cellular signal transduction pathways that lead to transcriptional gene regulation and release of a variety of chemical mediators or gliotransmitters, down-regulation of glutamate transporter activity that directly affects synaptic transmission, changes in gap junction proteins by which calcium waves spread, and alterations of the blood brain barrier. These coordinated changes in astroglial functions in turn modulate neuronal activity and facilitate pain transmission.
最近的研究表明,星形胶质细胞是中枢神经系统中一种主要的非神经元细胞类型,它积极参与突触活动,并可能导致包括慢性疼痛在内的神经系统疾病。星形胶质细胞在受到外周损伤时会表现出一种过度活跃的表型,也被称为反应性星形细胞增生。这个过程通常被称为星形胶质细胞激活。通过对胶质纤维酸性蛋白进行免疫染色(胶质纤维酸性蛋白是一种选择性定位于成熟星形胶质细胞的中间细胞骨架丝蛋白),在各种损伤后,脊髓背角和三叉神经脊束核中星形胶质细胞的肥大清晰可见。与损伤相关的星形胶质细胞激活与行为性痛觉过敏相关,相反,星形胶质细胞抑制可减轻疼痛超敏反应。星形胶质细胞与神经元有着密切的解剖学关系。星形胶质细胞与神经元之间的相互作用促成了慢性疼痛的机制。星形胶质细胞激活伴随着细胞信号转导通路的启动,这些通路会导致转录基因调控和多种化学介质或胶质递质的释放,谷氨酸转运体活性的下调直接影响突触传递,缝隙连接蛋白的变化使钙波扩散,以及血脑屏障的改变。星形胶质细胞功能的这些协同变化反过来又调节神经元活动并促进疼痛传递。