Department of Neuroscience, University of Connecticut Health Center, Farmington, Connecticut 06030, USA.
J Neurosci Res. 2011 Jan;89(1):13-21. doi: 10.1002/jnr.22482.
Over a century ago, hypertrophy of astrocytes was noted as a pathology of multiple sclerosis (MS) and was hypothesized to play an important role in this disease, yet the contribution of astrocytes has been largely underemphasized in the pathophysiology of CNS demyelination. Astrocytes perform many homeostatic functions within the developing and adult CNS, including enhancing formation and maintenance of the blood-brain barrier, moderating neuronal connections through the tripartite synapse, and perhaps even offering intercellular communication independently of neurons. Although there is a significant body of literature characterizing different types of MS lesions, the inflammatory demyelination in an active MS lesion is accompanied by the presence of macrophages, lymphocytes, and large reactive astrocytes. The astrocyte has long been viewed as a cell that promotes inflammation and demyelination, while also forming the glial scar, thus hindering remyelination and axon growth. Renewed interest in the astrocyte has been brought about by recent studies demonstrating that astrocytes can also function as cellular mediators of CNS myelination by promoting oligodendrocyte progenitor migration, proliferation, and differentiation. Thus, refining our knowledge of astrocytic functions in the regulation of CNS myelination may help us to better understand why remyelination fails in MS.
一个多世纪以前,人们就注意到星形胶质细胞肥大是多发性硬化症 (MS) 的一种病理学表现,并假设其在该疾病中发挥重要作用,但在中枢神经系统脱髓鞘的病理生理学中,星形胶质细胞的作用在很大程度上被低估了。星形胶质细胞在发育中和成熟的中枢神经系统中执行许多稳态功能,包括增强血脑屏障的形成和维持、通过三突触调节神经元连接,甚至可能在不依赖神经元的情况下提供细胞间通讯。尽管有大量文献描述了不同类型的 MS 病变,但活跃 MS 病变中的炎症性脱髓鞘伴随着巨噬细胞、淋巴细胞和大型反应性星形胶质细胞的存在。星形胶质细胞长期以来一直被视为促进炎症和脱髓鞘的细胞,同时也形成神经胶质瘢痕,从而阻碍髓鞘再生和轴突生长。最近的研究表明,星形胶质细胞还可以通过促进少突胶质细胞前体细胞的迁移、增殖和分化来作为中枢神经系统髓鞘形成的细胞介体,这重新引起了人们对星形胶质细胞的兴趣。因此,深入了解星形胶质细胞在中枢神经系统髓鞘形成中的功能,可能有助于我们更好地理解为什么 MS 中的髓鞘再生会失败。