Zorec Robert, Verkhratsky Alexei, Parpura Vladimir
Institute of Pathophysiology, Laboratory of Neuroendocrinology and Molecular Cell Physiology, University of Ljubljana, Zaloška cesta 4, Ljubljana, SI-1000, Slovenia.
Celica, BIOMEDICAL, Technology Park 24, Ljubljana, 1000, Slovenia.
Neurochem Res. 2025 Sep 8;50(5):292. doi: 10.1007/s11064-025-04545-1.
The concept of the central nervous system (CNS) reserve emerged from the mismatch often observed between the extent of brain pathology and its clinical manifestations. The cognitive reserve reflects an "active" capacity, driven by the plasticity of CNS cellular components and shaped by experience, learning, and memory processes that increase resilience. We propose that neuroglial cells are central to defining this resilience and cognitive reserve. These cells maintain CNS homeostasis through allostatic mechanisms and modulate responses to injury and/or disease. In this review, we first outline the concept of the CNS reserve and then explore the role of neuroglia in maintaining brain function throughout development and adulthood. We highlight astrocytes and oligodendrocytes in gray and white matter learning, respectively, and examine the function of microglia in immune surveillance. We conclude that neuroglia are key contributors to the cognitive reserve, with systems such as the noradrenergic pathway supporting tissue under stress and mitigating pathology through compensatory responses.
中枢神经系统(CNS)储备的概念源于人们经常观察到的脑病理学程度与其临床表现之间的不匹配。认知储备反映了一种“主动”能力,由中枢神经系统细胞成分的可塑性驱动,并由增强恢复力的经验、学习和记忆过程塑造。我们认为神经胶质细胞是定义这种恢复力和认知储备的核心。这些细胞通过应激适应机制维持中枢神经系统的稳态,并调节对损伤和/或疾病的反应。在这篇综述中,我们首先概述中枢神经系统储备的概念,然后探讨神经胶质细胞在整个发育和成年期维持脑功能中的作用。我们分别强调了灰质和白质学习中星形胶质细胞和少突胶质细胞的作用,并研究了小胶质细胞在免疫监视中的功能。我们得出结论,神经胶质细胞是认知储备的关键贡献者,去甲肾上腺素能通路等系统通过代偿反应在应激状态下支持组织并减轻病理变化。