Trends in Immunology
Volume 41, Issue 9, September 2020, Pages 805-819
Journal home page for Trends in Immunology

Feature Review
Special Issue: Microglia and Astrocytes
The Role of Astrocytes in CNS Inflammation

https://doi.org/10.1016/j.it.2020.07.007Get rights and content

Highlights

  • Astrocytes display functional and phenotypic heterogeneity across and within CNS regions under homeostatic conditions.

  • CNS insults (trauma, infection, autoimmune inflammation, protein aggregates) induce a broad array of astrocyte activation states, poorly defined in terms of phenotype, function, and role in human pathology.

  • Astrocyte activation during acute microbial infection is essential for pathogen clearance but can contribute to long-term neurological impairments.

  • The plasticity of astrocytes and their ability to adopt either a proinflammatory or an anti-inflammatory phenotype could be targeted for therapeutic intervention.

Astrocytes are the most abundant cell type in the central nervous system (CNS), performing complex functions in health and disease. It is now clear that multiple astrocyte subsets or activation states (plastic phenotypes driven by intrinsic and extrinsic cues) can be identified, associated to specific genomic programs and functions. The characterization of these subsets and the mechanisms that control them may provide unique insights into the pathogenesis of neurologic diseases, and identify potential targets for therapeutic intervention. In this article, we provide an overview of the role of astrocytes in CNS inflammation, highlighting recent discoveries on astrocyte subsets and the mechanisms that control them.

Section snippets

Astrocytes: Once Overlooked, Now Stepping into the Spotlight

Cells in the adult CNS (see Glossary) can be classified in two major groups: neurons and glia. Glial cells (oligodendrocytes, microglia, and astrocytes) share a common feature: they are unable to produce an electrical impulse. Oligodendrocytes are specialized in myelin production, microglia are CNS-resident macrophages, and astrocytes were traditionally viewed as cells involved in supporting neurons. However, it is now clear that astrocytes perform a broad array of functions, including ion and

Astrocyte Heterogeneity

More than 100 years ago, the understanding of the structure and function of the nervous system was revolutionized by the contributions of Camillo Golgi and Santiago Ramon y Cajal (1906 Nobel Prize winners). Golgi developed ‘the black reaction’, a silver staining technique that revealed entire neurons including their processes. Ramon y Cajal would later use this method to provide evidence on the individual nature of nerve cells, a foundational idea of modern neuroscience.

Among many

Reactive Astrocytes

Based on the heterogeneity of astrocytes detected under homeostatic conditions, it is unsurprising that astrocytes mount diverse responses that can contribute to tissue repair and promote CNS pathology in the context of trauma, infection, and neurodegenerative diseases. Thus, astrocyte reactivity is not an all-or-none process; rather, it constitutes a highly heterogeneous process.

One common feature of reactive astrocytes across different species is the upregulation of glial fibrillary acidic

Signaling Pathways Controlling Reactive Astrocytes

Multiple signaling pathways initiate and modulate astrocyte reactivity, including the Janus kinase/signal transducer and activator of transcription 3 (JAK/STAT3) pathway [16,17], the nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) pathway [18], the calcineurin (CN) pathway [19], and the mitogen-activated protein kinase (MAPK) pathway [20] (Table 1). Although NF-κB, CN, and MAPK constitute important pathways in the control of reactive astrocytes, they seem to modulate

Astrocytes in the Response against Microbial Infections Targeting the CNS

Many viruses target the human CNS, including the flaviviruses Zika virus (ZIKV), West Nile virus (WNV) and Japanese encephalitis virus (JEV) [31]. Astrocytes in mice and humans express a wide variety of pattern recognition receptors (PRRs) responsive to viral pathogen-associated molecular patterns (PAMPS). In flavivirus-infected cells, double-stranded RNA (dsRNA) – an intermediate product of viral genome replication – is a major PAMP recognized by Toll-like receptor (TLR) 3, retinoic

Astrocytes in MS

MS is an autoimmune disorder targeting the CNS. In most patients, MS initially presents as a relapsing–remitting disease (RRMS) in which episodes of neurological dysfunction (relapses) are followed by a period of partial or full recovery (remission). Adaptive immunity plays a central role in MS pathogenesis, as indicated by the therapeutic success of drugs such as natalizumab, alemtuzumab, rituximab, and ocrelizumab, which target B cells and T cells in RRMS [42]. A significant fraction of RRMS

Control of Astrocyte Responses in MS

From a therapeutic perspective, the identification of these astrocyte activation states and the molecular mechanisms that control them may offer novel targets for the therapeutic control of astrocytes in MS. Below we discuss recent advances on mechanisms associated with the control of astrocytes in MS.

Concluding Remarks

Our understanding of astrocyte heterogeneity remains limited and should be expanded not only to define the breadth of astrocyte activation states but also to identify commonalities among different neurological disorders and processes. In addition, gradients of polarizing factors and cell interactions are likely to be established in different CNS locations to adjust astrocyte activation states to their microenvironments. Hence, it is important to leverage the power of in situ transcriptomics

Acknowledgments

This work was supported by grants NS102807, NS087867, ES02530, AI126880, and AI093903 from the NIH, RSG-14-198-01-LIB from the American Cancer Society, and RG4111A1 and JF2161-A-5 from the National Multiple Sclerosis Society (to F.J.Q.). F.J.Q. received support from the International Progressive MS Alliance (PA-1604-08459). We thank all members of the Quintana laboratory for helpful advice and discussions.

Glossary

A20
ubiquitin-editing enzyme encoded by the TNFAIP3 gene, which is a key negative regulator of NF-κB signaling.
Arborization
fine, tree-like branching of astrocyte processes.
Blood–brain barrier (BBB)
semipermeable barrier in blood vessels vascularizing the CNS; essential for regulation of the exchange of molecules between the CNS and peripheral blood.
Central nervous system (CNS)
part of the nervous system comprising the brain and spinal cord.
Complement
component of the immune system mediated by

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