Vakilzadeh Gelareh, Martinez-Cerdeño Veronica
Department of Pathology and Laboratory Medicine, UC Davis School of Medicine, Sacramento, CA, USA.
Institute for Pediatric Regenerative Medicine, and Shriners Hospitals for Children, Sacramento, CA, USA.
Neuropsychiatr Dis Treat. 2023 Apr 12;19:841-850. doi: 10.2147/NDT.S390053. eCollection 2023.
A distinct pathology for autism spectrum disorder (ASD) remains elusive. Human and animal studies have focused on investigating the role of neurons in ASD. However, recent studies have hinted that glial cell pathology could be a characteristic of ASD. Astrocytes are the most abundant glial cell in the brain and play an important role in neuronal function, both during development and in adult. They regulate neuronal migration, dendritic and spine development, and control the concentration of neurotransmitters at the synaptic cleft. They are also responsible for synaptogenesis, synaptic development, and synaptic function. Therefore, any change in astrocyte number and/or function could contribute to the impairment of connectivity that has been reported in ASD. Data available to date is scarce but indicates that while the number of astrocytes is reduced, their state of activation and their GFAP expression is increased in ASD. Disruption of astrocyte function in ASD may affect proper neurotransmitter metabolism, synaptogenesis, and the state of brain inflammation. Astrocytes alterations are common to ASD and other neurodevelopmental disorders. Future studies about the role of astrocytes in ASD are required to better understand this disorder.
自闭症谱系障碍(ASD)的独特病理学特征仍然难以捉摸。人类和动物研究一直专注于调查神经元在ASD中的作用。然而,最近的研究表明,神经胶质细胞病理学可能是ASD的一个特征。星形胶质细胞是大脑中最丰富的神经胶质细胞,在发育过程中和成年期对神经元功能都起着重要作用。它们调节神经元迁移、树突和棘突发育,并控制突触间隙中神经递质的浓度。它们还负责突触发生、突触发育和突触功能。因此,星形胶质细胞数量和/或功能的任何变化都可能导致ASD中所报道的连接性受损。迄今为止可得的数据很少,但表明在ASD中,虽然星形胶质细胞的数量减少,但其激活状态和胶质纤维酸性蛋白(GFAP)表达增加。ASD中星形胶质细胞功能的破坏可能会影响神经递质的正常代谢、突触发生和脑炎症状态。星形胶质细胞改变在ASD和其他神经发育障碍中很常见。需要进一步研究星形胶质细胞在ASD中的作用,以便更好地理解这种疾病。