Molecular dissection of reactive astrogliosis and glial scar formation.
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...As reviewed in detail elsewhere [226], many studies using transgenic and experimental animal models provide compelling evidence that reactive astrocytes protect CNS cells and tissue by (1) uptake of potentially excitotoxic glutamate [33, 198, 234], (2) protection from oxidative stress via glutathione production [42, 216, 234, 245], (3) neuroprotection via adenosine release [125], (4) protection from NH4 ? toxicity [193], (5) neuroprotection by degradation of amyloid-beta peptides [113], (6) facilitating blood brain barrier repair [33], (7) reducing vasogenic edema after trauma, stroke or obstructive hydrocephalus [33, 264], (8) stabilizing extracellular fluid and ion balance and reducing seizure threshold [264], and (9) limiting the spread of inflammatory cells or infectious agents from areas of damage or disease into healthy CNS parenchyma [33, 59, 68, 95, 123, 156, 175, 251]....
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...Because there is little or no reorganization of tissue architecture, if the triggering mechanism is able to resolve, then mild or moderate reactive astrogliosis exhibits the potential for resolution in which the astrocytes return to an appearance similar to that in healthy tissue [226]....
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...Experimental analysis of cell proliferation indicates that GFAP up regulation and hypertrophy can occur in mild or moderate astrogliosis in the absence of proliferation and increase in cell number [226]....
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...Based on a large body of observations in experimental animals, a definition of reactive astrogliosis has recently been proposed [226] that encompasses four key features: (1) reactive astrogliosis is a spectrum of potential molecular, cellular and functional changes in astrocytes that occur in response to all forms and severities of CNS injury and disease including subtle perturbations, (2) the changes undergone by reactive astrocytes vary with severity of the insult along a gradated continuum of progressive alterations in molecular expression, progressive cellular hypertrophy, and in severe cases, proliferation and scar formation, (3) the changes of reactive astrogliosis are regulated in a context-specific manner by inter- and intracellular signaling molecules, (4) the changes undergone during reactive astrogliosis have the potential to alter astrocyte activities both through gain and loss of functions that can impact both beneficially and detrimentally on surrounding neural and non-neural cells [226]....
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...In mild or moderate reactive astrogliosis there is variable up regulation of expression of GFAP and other genes [226], as well as hypertrophy of cell body and processes that can vary in degree but that occurs within the domains of individual astrocytes [257] without substantive inter-...
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..., 2006), and various alterations in gene expression have been observed (Sofroniew, 2009)....
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...Most gene expression changes associated with reactive gliosis are transient Although prolonged GFAP expression is widely reported after injury, and particularly in scar-forming astrocytes (Sofroniew, 2009), it has not been clear to what extent the reactive astrocyte state is stable, transient, or represents multiple phenotypes....
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...The astrocytes’ abilities to help support neurons, regulate the blood– brain barrier, remodel the extracellular space, control immune cells, and control synapse formation and function may all be of great import in influencing how the brain fares during and following injury (Pekny and Nilsson, 2005; Sofroniew, 2009)....
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...Gene expression changes suggest a delayed and brief burst of astrocyte proliferation after injury Whether reactive astrocytes proliferate after injury or simply undergo hypertrophy has long been controversial (Sofroniew, 2009)....
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...This array includes not only molecules released by damaged or dead cells as just described, but alsomolecules entering via leaky BBB,molecules released by infiltrating leukocytes, and molecules released by local cells including reactive glia themselves (Figure 5A) (Sofroniew, 2009)....
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