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Revisiting the critical roles of reactive astrocytes in neurodegeneration

Abstract

Astrocytes, an integral component of the central nervous system (CNS), contribute to the maintenance of physiological homeostasis through their roles in synaptic function, K+ buffering, blood-brain barrier (BBB) maintenance, and neuronal metabolism. Reactive astrocytes refer to astrocytes undergoing morphological, molecular and functional remodelling in response to pathological stimuli. The activation and differentiation of astrocytes are implicated in the pathogenesis of multiple neurodegenerative diseases. However, there are still controversies regarding their subset identification, function and nomenclature in neurodegeneration. In this review, we revisit the multidimensional roles of reactive astrocytes in Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), multiple sclerosis (MS) and amyotrophic lateral sclerosis (ALS). Furthermore, we propose a precise linkage between astrocyte subsets and their functions based on single-cell sequencing analyses.

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Fig. 1: Common astrocyte-related pathogenesis of AD.
Fig. 2: Double-edge functions of astrocytes in neuroinflammation.
Fig. 3: SnRNA-seq analysis of astrocytes from AD, PD and MS.

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References

  1. Allen NJ, Lyons DA. Glia as architects of central nervous system formation and functionl. Science. 2018;362:181–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Hasel P, Liddelow SA. Astrocytes. Curr Biol. 2021;31:R326–7.

    Article  CAS  PubMed  Google Scholar 

  3. Lee H-G, Wheeler MA, Quintana FJ. Function and therapeutic value of astrocytes in neurological diseases. Nat Rev Drug Discov. 2022;21:339–58.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Escartin C, Galea E, Lakatos A, O’Callaghan JP, Petzold GC, Serrano-Pozo A, et al. Reactive astrocyte nomenclature, definitions, and future directions. Nat Neurosci. 2021;24:312–25.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Liddelow SA, Barres BA. Reactive astrocytes: production, function, and therapeutic potential. Immunity. 2017;46:957–67.

    Article  CAS  PubMed  Google Scholar 

  6. Clark IC, Gutiérrez-Vázquez C, Wheeler MA, Li Z, Rothhammer V, Linnerbauer M, et al. Barcoded viral tracing of single-cell interactions in central nervous system inflammation. Science. 2021;372:eabf1230.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Wheeler MA, Clark IC, Tjon EC, Li Z, Zandee SEJ, Couturier CP, et al. MAFG-driven astrocytes promote CNS inflammation. Nature. 2020;578:593–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Bayraktar OA, Bartels T, Holmqvist S, Kleshchevnikov V, Martirosyan A, Polioudakis D, et al. Astrocyte layers in the mammalian cerebral cortex revealed by a single-cell in situ transcriptomic map. Nat Neurosci. 2020;23:500–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Zeisel A, Munoz-Manchado AB, Codeluppi S, Lonnerberg P, La Manno G, Jureus A, et al. Brain structure. Cell types in the mouse cortex and hippocampus revealed by single-cell RNA-seq. Science. 2015;347:1138–42.

    Article  CAS  PubMed  Google Scholar 

  10. Ahmadi A, Gispert JD, Navarro A, Vilor-Tejedor N, Sadeghi I. Single-cell transcriptional changes in neurodegenerative diseases. Neuroscience. 2021;479:192–205.

    Article  CAS  PubMed  Google Scholar 

  11. Habib N, McCabe C, Medina S, Varshavsky M, Kitsberg D, Dvir-Szternfeld R, et al. Disease-associated astrocytes in Alzheimer’s disease and aging. Nat Neurosci. 2020;23:701–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Jiang J, Wang C, Qi R, Fu H, Ma Q. scREAD: a single-cell RNA-seq database for Alzheimer’s disease. iScience. 2020;23:101769.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Spurgat MS, Tang SJ. Single-cell RNA-sequencing: astrocyte and microglial heterogeneity in health and disease. Cells. 2022;11:2021.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Zhou Y, Song WM, Andhey PS, Swain A, Levy T, Miller KR, et al. Human and mouse single-nucleus transcriptomics reveal TREM2-dependent and TREM2-independent cellular responses in Alzheimer’s disease. Nat Med. 2020;26:131–42.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Mathys H, Davila-Velderrain J, Peng Z, Gao F, Mohammadi S, Young JZ, et al. Single-cell transcriptomic analysis of Alzheimer’s disease. Nature. 2019;570:332–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Sadick JS, O’Dea MR, Hasel P, Dykstra T, Faustin A, Liddelow SA. Astrocytes and oligodendrocytes undergo subtype-specific transcriptional changes in Alzheimer’s disease. Neuron. 2022;110:1788–e1710.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Booth HDE, Hirst WD, Wade-Martins R. The role of astrocyte dysfunction in Parkinson’s disease pathogenesis. Trends Neurosci. 2017;40:358–70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Yun SP, Kam T-I, Panicker N, Kim S, Oh Y, Park J-S, et al. Block of A1 astrocyte conversion by microglia is neuroprotective in models of Parkinson’s disease. Nat Med. 2018;24:931–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Smajić S, Prada-Medina CA, Landoulsi Z, Ghelfi J, Delcambre S, Dietrich C, et al. Single-cell sequencing of human midbrain reveals glial activation and a Parkinson-specific neuronal state. Brain: J Neurol. 2022;145:964–78.

    Article  Google Scholar 

  20. Tong X, Ao Y, Faas GC, Nwaobi SE, Xu J, Haustein MD, et al. Astrocyte Kir4.1 ion channel deficits contribute to neuronal dysfunction in Huntington’s disease model mice. Nat Neurosci. 2014;17:694–703.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Khakh BS, Beaumont V, Cachope R, Munoz-Sanjuan I, Goldman SA, Grantyn R. Unravelling and exploiting astrocyte dysfunction in Huntington’s disease. Trends Neurosci. 2017;40:422–37.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Yu X, Taylor AMW, Nagai J, Golshani P, Evans CJ, Coppola G, et al. Reducing astrocyte calcium signaling in vivo alters striatal microcircuits and causes repetitive behavior. Neuron. 2018;99:1170–87.e1179.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Diaz-Castro B, Gangwani MR, Yu X, Coppola G, Khakh BS. Astrocyte molecular signatures in Huntington’s disease. Sci Transl Med. 2019;11:eaaw8546.

    Article  CAS  PubMed  Google Scholar 

  24. Malaiya S, Cortes-Gutierrez M, Herb BR, Coffey SR, Legg SRW, Cantle JP, et al. Single-nucleus RNA-seq reveals dysregulation of striatal cell identity due to Huntington’s disease mutations. J Neurosci: Off J Soc Neurosci. 2021;41:5534–52.

    Article  CAS  Google Scholar 

  25. Itoh N, Itoh Y, Tassoni A, Ren E, Kaito M, Ohno A, et al. Cell-specific and region-specific transcriptomics in the multiple sclerosis model: focus on astrocytes. Proc Natl Acad Sci USA. 2018;115:E302–9.

    Article  CAS  PubMed  Google Scholar 

  26. Wheeler MA, Quintana FJ. Regulation of astrocyte functions in multiple sclerosis. Cold Spring Harb Perspect Med. 2019;9:a029009.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Wheeler MA, Jaronen M, Covacu R, Zandee SEJ, Scalisi G, Rothhammer V, et al. Environmental control of astrocyte pathogenic activities in CNS inflammation. Cell. 2019;176:581–96.e518.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Linnerbauer M, Wheeler MA, Quintana FJ. Astrocyte crosstalk in CNS inflammation. Neuron. 2020;108:608–22.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Vahsen BF, Gray E, Thompson AG, Ansorge O, Anthony DC, Cowley SA, et al. Non-neuronal cells in amyotrophic lateral sclerosis — from pathogenesis to biomarkers. Nat Rev Neurol. 2021;17:333–48.

    Article  PubMed  Google Scholar 

  30. Guttenplan KA, Weigel MK, Adler DI, Couthouis J, Liddelow SA, Gitler AD, et al. Knockout of reactive astrocyte activating factors slows disease progression in an ALS mouse model. Nat Commun. 2020;11:3753.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Volterra A, Meldolesi J. Astrocytes, from brain glue to communication elements: the revolution continues. Nat Rev Neurosci. 2005;6:626–40.

    Article  CAS  PubMed  Google Scholar 

  32. Eroglu C, Barres BA. Regulation of synaptic connectivity by glia. Nature. 2010;468:223–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Jourdain P, Bergersen LH, Bhaukaurally K, Bezzi P, Santello M, Domercq M, et al. Glutamate exocytosis from astrocytes controls synaptic strength. Nat Neurosci. 2007;10:331–9.

    Article  CAS  PubMed  Google Scholar 

  34. Semyanov A, Verkhratsky A. Astrocytic processes: from tripartite synapses to the active milieu. Trends Neurosci. 2021;44:781–92.

    Article  CAS  PubMed  Google Scholar 

  35. Vandenberg RJ, Ryan RM. Mechanisms of glutamate transport. Physiol Rev. 2013;93:1621–57.

    Article  CAS  PubMed  Google Scholar 

  36. Schousboe A, Scafidi S, Bak LK, Waagepetersen HS, McKenna MC. Glutamate metabolism in the brain focusing on astrocytes. Adv Neurobiol. 2014;11:13–30.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Hosford PS, Gourine AV. What is the key mediator of the neurovascular coupling response? Neurosci Biobehav Rev. 2019;96:174–81.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Mederos S, Perea G. GABAergic-astrocyte signaling: a refinement of inhibitory brain networks. Glia. 2019;67:1842–51.

    Article  PubMed  PubMed Central  Google Scholar 

  39. He A, Zhang C, Ke X, Yi Y, Yu Q, Zhang T, et al. VGLUT3 neurons in median raphe control the efficacy of spatial memory retrieval via ETV4 regulation of VGLUT3 transcription. Sci China Life Sci. 2022;65:1590–607.

    Article  CAS  PubMed  Google Scholar 

  40. Di Castro MA, Chuquet J, Liaudet N, Bhaukaurally K, Santello M, Bouvier D, et al. Local Ca2+ detection and modulation of synaptic release by astrocytes. Nat Neurosci. 2011;14:1276–84.

    Article  PubMed  Google Scholar 

  41. Marina N, Christie IN, Korsak A, Doronin M, Brazhe A, Hosford PS, et al. Astrocytes monitor cerebral perfusion and control systemic circulation to maintain brain blood flow. Nat Commun. 2020;11:131.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Semyanov A. Spatiotemporal pattern of calcium activity in astrocytic network. Cell Calcium. 2019;78:15–25.

    Article  CAS  PubMed  Google Scholar 

  43. Semyanov A, Henneberger C, Agarwal A. Making sense of astrocytic calcium signals - from acquisition to interpretation. Nat Rev Neurosci. 2020;21:551–64.

    Article  CAS  PubMed  Google Scholar 

  44. Patel DC, Tewari BP, Chaunsali L, Sontheimer H. Neuron–glia interactions in the pathophysiology of epilepsy. Nat Rev Neurosci. 2019;20:282–97.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Chen MM, Hu ZL, Ding JH, Du RH, Hu G. Astrocytic Kir6.1 deletion aggravates neurodegeneration in the lipopolysaccharide-induced mouse model of Parkinson’s disease via astrocyte-neuron cross talk through complement C3-C3R signaling. Brain Behav Immun. 2021;95:310–20.

    Article  CAS  PubMed  Google Scholar 

  46. Attwell D, Buchan AM, Charpak S, Lauritzen M, Macvicar BA, Newman EA. Glial and neuronal control of brain blood flow. Nature. 2010;468:232–43.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Lucin KM, Wyss-Coray T. Immune activation in brain aging and neurodegeneration: too much or too little? Neuron. 2009;64:110–22.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Mulica P, Grünewald A, Pereira SL. Astrocyte-neuron metabolic crosstalk in neurodegeneration: a mitochondrial perspective. Front Endocrinol. 2021;12:668517.

    Article  Google Scholar 

  49. Bélanger M, Allaman I, Magistretti Pierre J. Brain energy metabolism: focus on astrocyte-neuron metabolic cooperation. Cell Metab. 2011;14:724–38.

    Article  PubMed  Google Scholar 

  50. Magistretti PJ, Allaman I. Lactate in the brain: from metabolic end-product to signalling molecule. Nat Rev Neurosci. 2018;19:235–49.

    Article  CAS  PubMed  Google Scholar 

  51. Tang F, Lane S, Korsak A, Paton JF, Gourine AV, Kasparov S, et al. Lactate-mediated glia-neuronal signalling in the mammalian brain. Nat Commun. 2014;5:3284.

    Article  CAS  PubMed  Google Scholar 

  52. Tadi M, Allaman I, Lengacher S, Grenningloh G, Magistretti PJ. Learning-induced gene expression in the Hippocampus reveals a role of neuron -astrocyte metabolic coupling in long term memory. PloS One. 2015;10:e0141568.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Suzuki A, Stern SA, Bozdagi O, Huntley GW, Walker RH, Magistretti PJ, et al. Astrocyte-neuron lactate transport is required for long-term memory formation. Cell. 2011;144:810–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Guttenplan KA, Weigel MK, Prakash P, Wijewardhane PR, Hasel P, Rufen-Blanchette U, et al. Neurotoxic reactive astrocytes induce cell death via saturated lipids. Nature. 2021;599:102–7.

    Article  CAS  PubMed  Google Scholar 

  55. Huang J, Li C, Shang H. Astrocytes in neurodegeneration: inspiration from genetics. Front Neurosci. 2022;16:882316.

    Article  PubMed  PubMed Central  Google Scholar 

  56. Serrano-Pozo A, Gómez-Isla T, Growdon JH, Frosch MP, Hyman BT. A phenotypic change but not proliferation underlies glial responses in Alzheimer disease. Am J Pathol. 2013;182:2332–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Rodríguez JJ, Terzieva S, Olabarria M, Lanza RG, Verkhratsky A. Enriched environment and physical activity reverse astrogliodegeneration in the hippocampus of AD transgenic mice. Cell Death Dis. 2013;4:e678.

    Article  PubMed  PubMed Central  Google Scholar 

  58. O’Callaghan JP, Brinton RE, McEwen BS. Glucocorticoids regulate the synthesis of glial fibrillary acidic protein in intact and adrenalectomized rats but do not affect its expression following brain injury. J Neurochem. 1991;57:860–9.

    Article  PubMed  Google Scholar 

  59. Gerics B, Szalay F, Hajós F. Glial fibrillary acidic protein immunoreactivity in the rat suprachiasmatic nucleus: circadian changes and their seasonal dependence. J Anat. 2006;209:231–7.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Malatesta P, Hack MA, Hartfuss E, Kettenmann H, Klinkert W, Kirchhoff F, et al. Neuronal or glial progeny: regional differences in radial glia fate. Neuron. 2003;37:751–64.

    Article  CAS  PubMed  Google Scholar 

  61. Ben Haim L, Ceyzériat K, Carrillo-de Sauvage MA, Aubry F, Auregan G, Guillermier M. et al. The JAK/STAT3 pathway is a common inducer of astrocyte reactivity in Alzheimer’s and Huntington’s diseases. J Neurosci: Off J Soc Neurosci. 2015;35:2817–29.

    Article  Google Scholar 

  62. Shibata N, Kakita A, Takahashi H, Ihara Y, Nobukuni K, Fujimura H, et al. Activation of signal transducer and activator of transcription-3 in the spinal cord of sporadic amyotrophic lateral sclerosis patients. Neuro-degenerative Dis. 2009;6:118–26.

    Article  CAS  Google Scholar 

  63. Reichenbach N, Delekate A, Plescher M, Schmitt F, Krauss S, Blank N, et al. Inhibition of Stat3-mediated astrogliosis ameliorates pathology in an Alzheimer’s disease model. EMBO Mol Med. 2019;11:e9665.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Haroon F, Drögemüller K, Händel U, Brunn A, Reinhold D, Nishanth G, et al. Gp130-dependent astrocytic survival is critical for the control of autoimmune central nervous system inflammation. J Immunol (Baltim, Md: 1950). 2011;186:6521–31.

    Article  CAS  Google Scholar 

  65. Caraveo G, Auluck PK, Whitesell L, Chung CY, Baru V, Mosharov EV, et al. Calcineurin determines toxic versus beneficial responses to α-synuclein. Proc Natl Acad Sci USA. 2014;111:E3544–52.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Abdul HM, Furman JL, Sama MA, Mathis DM, Norris CM. NFATs and Alzheimer’s disease. Mol Cell Pharmacol. 2010;2:7–14.

    CAS  PubMed  PubMed Central  Google Scholar 

  67. Jo S, Yarishkin O, Hwang YJ, Chun YE, Park M, Woo DH, et al. GABA from reactive astrocytes impairs memory in mouse models of Alzheimer’s disease. Nat Med. 2014;20:886–96.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  68. Sompol P, Furman JL, Pleiss MM, Kraner SD, Artiushin IA, Batten SR, et al. Calcineurin/NFAT signaling in activated astrocytes drives network hyperexcitability in Aβ-bearing mice. J Neurosci: Off J Soc Neurosci. 2017;37:6132–48.

    Article  CAS  Google Scholar 

  69. Lian H, Yang L, Cole A, Sun L, Chiang AC, Fowler SW, et al. NFκB-activated astroglial release of complement C3 compromises neuronal morphology and function associated with Alzheimer’s disease. Neuron. 2015;85:101–15.

    Article  CAS  PubMed  Google Scholar 

  70. Hsiao HY, Chen YC, Chen HM, Tu PH, Chern Y. A critical role of astrocyte-mediated nuclear factor-κB-dependent inflammation in Huntington’s disease. Hum Mol Genet. 2013;22:1826–42.

    Article  CAS  PubMed  Google Scholar 

  71. Dugger BN, Dickson DW. Pathology of neurodegenerative diseases. Cold Spring Harb Perspect Biol. 2017;9:954–63.

    Article  Google Scholar 

  72. Long JM, Holtzman DM. Alzheimer disease: an update on pathobiology and treatment strategies. Cell. 2019;179:312–39.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  73. Polanco JC, Li C, Bodea LG, Martinez-Marmol R, Meunier FA, Götz J. Amyloid-β and tau complexity - towards improved biomarkers and targeted therapies. Nat Rev Neurol. 2018;14:22–39.

    Article  CAS  PubMed  Google Scholar 

  74. Heneka MT, Carson MJ, El Khoury J, Landreth GE, Brosseron F, Feinstein DL, et al. Neuroinflammation in Alzheimer’s disease. Lancet Neurol. 2015;14:388–405.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  75. Verkhratsky A, Rodrigues JJ, Pivoriunas A, Zorec R, Semyanov A. Astroglial atrophy in Alzheimer’s disease. Pflug Arch: Eur J Physiol. 2019;471:1247–61.

    Article  CAS  Google Scholar 

  76. Cole SL, Vassar R. The Alzheimer’s disease beta-secretase enzyme, BACE1. Mol neurodegeneration. 2007;2:22.

    Article  Google Scholar 

  77. Simpson JE, Ince PG, Lace G, Forster G, Shaw PJ, Matthews F, et al. Astrocyte phenotype in relation to Alzheimer-type pathology in the ageing brain. Neurobiol Aging. 2010;31:578–90.

    Article  CAS  PubMed  Google Scholar 

  78. Phatnani H, Maniatis T. Astrocytes in neurodegenerative disease: table 1. Cold Spring Harb Perspect Biol. 2015;7:a020628.

    Article  PubMed  PubMed Central  Google Scholar 

  79. Dong XX, Wang Y, Qin ZH. Molecular mechanisms of excitotoxicity and their relevance to pathogenesis of neurodegenerative diseases. Acta Pharmacol Sin. 2009;30:379–87.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  80. Hefendehl JK, LeDue J, Ko RW, Mahler J, Murphy TH, MacVicar BA. Mapping synaptic glutamate transporter dysfunction in vivo to regions surrounding Aβ plaques by iGluSnFR two-photon imaging. Nat Commun. 2016;7:13441.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  81. Mookherjee P, Green PS, Watson GS, Marques MA, Tanaka K, Meeker KD, et al. GLT-1 loss accelerates cognitive deficit onset in an Alzheimer’s disease animal model. J Alzheimer’s Dis: JAD. 2011;26:447–55.

    Article  CAS  PubMed  Google Scholar 

  82. Verkhratsky A, Zorec R, Rodríguez JJ, Parpura V. Astroglia dynamics in ageing and Alzheimer’s disease. Curr Opin Pharmacol. 2016;26:74–9.

    Article  CAS  PubMed  Google Scholar 

  83. Matos M, Augusto E, Machado NJ, dos Santos-Rodrigues A, Cunha RA, Agostinho P. Astrocytic adenosine A2A receptors control the amyloid-β peptide-induced decrease of glutamate uptake. J Alzheimer’s Dis: JAD. 2012;31:555–67.

    Article  CAS  PubMed  Google Scholar 

  84. Hur JY, Frost GR, Wu X, Crump C, Pan SJ, Wong E, et al. The innate immunity protein IFITM3 modulates γ-secretase in Alzheimer’s disease. Nature. 2020;586:735–40.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  85. Volterra A, Liaudet N, Savtchouk I. Astrocyte Ca2+ signalling: an unexpected complexity. Nat Rev Neurosci. 2014;15:327–35.

    Article  CAS  PubMed  Google Scholar 

  86. Adamsky A, Kol A, Kreisel T, Doron A, Ozeri-Engelhard N, Melcer T, et al. Astrocytic activation generates de novo neuronal potentiation and memory enhancement. Cell. 2018;174:59–71.e14.

    Article  CAS  PubMed  Google Scholar 

  87. Cenini G, Voos W. Mitochondria as potential targets in Alzheimer disease therapy: an update. Front Pharmacol. 2019;10:902.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  88. Sultana R, Butterfield DA. Oxidatively modified, mitochondria-relevant brain proteins in subjects with Alzheimer disease and mild cognitive impairment. J Bioenerg Biomembranes. 2009;41:441–6.

    Article  CAS  Google Scholar 

  89. Wang W, Zhao F, Ma X, Perry G, Zhu X. Mitochondria dysfunction in the pathogenesis of Alzheimer’s disease: recent advances. Mol Neurodegener. 2020;15:30.

    Article  PubMed  PubMed Central  Google Scholar 

  90. Cervelli M, Averna M, Vergani L, Pedrazzi M, Amato S, Fiorucci C, et al. The involvement of polyamines catabolism in the crosstalk between neurons and astrocytes in neurodegeneration. Biomedicines. 2022;10:1756.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  91. Kapogiannis D, Mattson MP. Disrupted energy metabolism and neuronal circuit dysfunction in cognitive impairment and Alzheimer’s disease. Lancet Neurol. 2011;10:187–98.

    Article  CAS  PubMed  Google Scholar 

  92. Yamazaki Y, Zhao N, Caulfield TR, Liu CC, Bu G. Apolipoprotein E and Alzheimer disease: pathobiology and targeting strategies. Nat Rev Neurol. 2019;15:501–18.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  93. Mahley RW, Weisgraber KH, Huang Y. Apolipoprotein E: structure determines function, from atherosclerosis to Alzheimer’s disease to AIDS. J lipid Res. 2009;50:S183–8.

    Article  PubMed  PubMed Central  Google Scholar 

  94. Kanekiyo T, Xu H, Bu G. ApoE and Aβ in Alzheimer’s disease: accidental encounters or partners? Neuron. 2014;81:740–54.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  95. Nalivaeva NN, Beckett C, Belyaev ND, Turner AJ. Are amyloid-degrading enzymes viable therapeutic targets in Alzheimer’s disease? J Neurochem. 2012;120:167–85.

    Article  CAS  PubMed  Google Scholar 

  96. Wang C, Sun B, Zhou Y, Grubb A, Gan L. Cathepsin B degrades amyloid-β in mice expressing wild-type human amyloid precursor protein. J Biol Chem. 2012;287:39834–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  97. Poewe W, Seppi K, Tanner CM, Halliday GM, Brundin P, Volkmann J, et al. Parkinson disease. Nat Rev Dis Prim. 2017;3:17013.

    Article  PubMed  Google Scholar 

  98. Nutt JG, Wooten GF. Clinical practice. Diagnosis and initial management of Parkinson’s disease. N. Engl J Med. 2005;353:1021–7.

    Article  CAS  PubMed  Google Scholar 

  99. Halliday GM, Stevens CH. Glia: initiators and progressors of pathology in Parkinson’s disease. Mov Disord: Off J Mov Disord Soc. 2011;26:6–17.

    Article  Google Scholar 

  100. Qin S, Zheng J, Li J, Li K. Reactive astrocytes in neurodegenerative diseases. Aging Dis. 2019;10:664.

    Article  PubMed  PubMed Central  Google Scholar 

  101. Lee HJ, Suk JE, Patrick C, Bae EJ, Cho JH, Rho S, et al. Direct transfer of alpha-synuclein from neuron to astroglia causes inflammatory responses in synucleinopathies. J Biol Chem. 2010;285:9262–72.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  102. Barcia C, Ros CM, Annese V, Gómez A, Ros-Bernal F, Aguado-Yera D, et al. IFN-γ signaling, with the synergistic contribution of TNF-α, mediates cell specific microglial and astroglial activation in experimental models of Parkinson’s disease. Cell Death Dis. 2011;2:e142.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  103. Gu XL, Long CX, Sun L, Xie C, Lin X, Cai H. Astrocytic expression of Parkinson’s disease-related A53T alpha-synuclein causes neurodegeneration in mice. Mol Brain. 2010;3:12.

    Article  PubMed  PubMed Central  Google Scholar 

  104. L’Episcopo F, Serapide MF, Tirolo C, Testa N, Caniglia S, Morale MC, et al. A Wnt1 regulated Frizzled-1/β-Catenin signaling pathway as a candidate regulatory circuit controlling mesencephalic dopaminergic neuron-astrocyte crosstalk: Therapeutical relevance for neuron survival and neuroprotection. Mol Neurodegener. 2011;6:49.

    Article  PubMed  PubMed Central  Google Scholar 

  105. Saijo K, Winner B, Carson CT, Collier JG, Boyer L, Rosenfeld MG, et al. A Nurr1/CoREST pathway in microglia and astrocytes protects dopaminergic neurons from inflammation-induced death. Cell. 2009;137:47–59.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  106. Neal ML, Boyle AM, Budge KM, Safadi FF, Richardson JR. The glycoprotein GPNMB attenuates astrocyte inflammatory responses through the CD44 receptor. J Neuroinflammation. 2018;15:73.

    Article  PubMed  PubMed Central  Google Scholar 

  107. Bates GP, Dorsey R, Gusella JF, Hayden MR, Kay C, Leavitt BR, et al. Huntington disease. Nat Rev Dis Prim. 2015;1:15005.

    Article  PubMed  Google Scholar 

  108. Ghosh R, Tabrizi SJ. Clinical features of Huntington’s disease. Adv Exp Med Biol. 2018;1049:1–28.

    Article  CAS  PubMed  Google Scholar 

  109. Bradford J, Shin JY, Roberts M, Wang CE, Li XJ, Li S. Expression of mutant huntingtin in mouse brain astrocytes causes age-dependent neurological symptoms. Proc Natl Acad Sci USA. 2009;106:22480–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  110. Jiang R, Diaz-Castro B, Looger LL, Khakh BS. Dysfunctional calcium and glutamate signaling in striatal astrocytes from Huntington’s disease model mice. J Neurosci: Off J Soc Neurosci. 2016;36:3453–70.

    Article  CAS  Google Scholar 

  111. Estrada-Sánchez AM, Rebec GV. Corticostriatal dysfunction and glutamate transporter 1 (GLT1) in Huntington’s disease: interactions between neurons and astrocytes. Basal Ganglia. 2012;2:57–66.

    Article  PubMed  PubMed Central  Google Scholar 

  112. Barber CN, Raben DM. Lipid metabolism crosstalk in the brain: glia and neurons. Front Cell Neurosci. 2019;13:212.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  113. Yu X, Nagai J, Marti-Solano M, Soto JS, Coppola G, Babu MM, et al. Context-specific striatal astrocyte molecular responses are phenotypically exploitable. Neuron. 2020;108:1146–e1110.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  114. Al-Dalahmah O, Sosunov AA, Shaik A, Ofori K, Liu Y, Vonsattel JP, et al. Single-nucleus RNA-seq identifies Huntington disease astrocyte states. Acta Neuropathol Commun. 2020;8:19.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  115. Sanmarco LM, Wheeler MA, Gutiérrez-Vázquez C, Polonio CM, Linnerbauer M, Pinho-Ribeiro FA, et al. Gut-licensed IFNγ+ NK cells drive LAMP1+TRAIL+ anti-inflammatory astrocytes. Nature. 2021;590:473–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  116. Mayo L, Cunha AP, Madi A, Beynon V, Yang Z, Alvarez JI, et al. IL-10-dependent Tr1 cells attenuate astrocyte activation and ameliorate chronic central nervous system inflammation. Brain: J Neurol. 2016;139:1939–57.

    Article  Google Scholar 

  117. Gutiérrez-Vázquez C, Quintana FJ. Regulation of the immune response by the Aryl hydrocarbon receptor. Immunity. 2018;48:19–33.

    Article  PubMed  PubMed Central  Google Scholar 

  118. Hetz C, Zhang K, Kaufman RJ. Mechanisms, regulation and functions of the unfolded protein response. Nat Rev Mol Cell Biol. 2020;21:421–38.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  119. Alaamery M, Albesher N, Aljawini N, Alsuwailm M, Massadeh S, Wheeler MA, et al. Role of sphingolipid metabolism in neurodegeneration. J Neurochem. 2021;158:25–35.

    Article  CAS  PubMed  Google Scholar 

  120. Choi JW, Gardell SE, Herr DR, Rivera R, Lee CW, Noguchi K, et al. FTY720 (fingolimod) efficacy in an animal model of multiple sclerosis requires astrocyte sphingosine 1-phosphate receptor 1 (S1P1) modulation. Proc Natl Acad Sci USA. 2011;108:751–6.

    Article  CAS  PubMed  Google Scholar 

  121. Mayo L, Trauger SA, Blain M, Nadeau M, Patel B, Alvarez JI, et al. Regulation of astrocyte activation by glycolipids drives chronic CNS inflammation. Nat Med. 2014;20:1147–56.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  122. Chao CC, Gutiérrez-Vázquez C, Rothhammer V, Mayo L, Wheeler MA, Tjon EC, et al. Metabolic control of astrocyte pathogenic activity via cPLA2-MAVS. Cell. 2019;179:1483–98.e1422.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  123. Huynh JL, Casaccia P. Epigenetic mechanisms in multiple sclerosis: implications for pathogenesis and treatment. Lancet Neurol. 2013;12:195–206.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  124. Katsuoka F, Yamamoto M. Small Maf proteins (MafF, MafG, MafK): History, structure and function. Gene. 2016;586:197–205.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  125. Toft-Hansen H, Füchtbauer L, Owens T. Inhibition of reactive astrocytosis in established experimental autoimmune encephalomyelitis favors infiltration by myeloid cells over T cells and enhances severity of disease. Glia. 2011;59:166–76.

    Article  PubMed  Google Scholar 

  126. Liddelow SA, Guttenplan KA, Clarke LE, Bennett FC, Bohlen CJ, Schirmer L, et al. Neurotoxic reactive astrocytes are induced by activated microglia. Nature. 2017;541:481–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  127. Kadena K, Vlamos P. The importance of diagnostic and prognostic biomarker identification and classification towards understanding ALS pathogenesis. Adv Exp Med Biol. 2021;1339:119–20.

    Article  PubMed  Google Scholar 

  128. Liu W, Venugopal S, Majid S, Ahn IS, Diamante G, Hong J, et al. Single-cell RNA-seq analysis of the brainstem of mutant SOD1 mice reveals perturbed cell types and pathways of amyotrophic lateral sclerosis. Neurobiol Dis. 2020;141:104877.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  129. Gomes C, Sequeira C, Likhite S, Dennys CN, Kolb SJ, Shaw PJ, et al. Neurotoxic astrocytes directly converted from sporadic and familial ALS patient fibroblasts reveal signature diversities and miR-146a theragnostic potential in specific subtypes. Cells. 2022;11:1186.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  130. Shijo T, Warita H, Suzuki N, Ikeda K, Mitsuzawa S, Akiyama T, et al. Antagonizing bone morphogenetic protein 4 attenuates disease progression in a rat model of amyotrophic lateral sclerosis. Exp Neurol. 2018;307:164–79.

    Article  CAS  PubMed  Google Scholar 

  131. Izrael M, Slutsky SG, Revel M. Rising stars: astrocytes as a therapeutic target for ALS disease. Front Neurosci. 2020;14:824.

    Article  PubMed  PubMed Central  Google Scholar 

  132. Smethurst P, Risse E, Tyzack GE, Mitchell JS, Taha DM, Chen YR, et al. Distinct responses of neurons and astrocytes to TDP-43 proteinopathy in amyotrophic lateral sclerosis. Brain: J Neurol. 2020;143:430–40.

    Article  Google Scholar 

  133. Hashioka S, Klegeris A, Schwab C, McGeer PL. Interferon-gamma-dependent cytotoxic activation of human astrocytes and astrocytoma cells. Neurobiol Aging. 2009;30:1924–35.

    Article  CAS  PubMed  Google Scholar 

  134. Cassina P, Cassina A, Pehar M, Castellanos R, Gandelman M, de León A, et al. Mitochondrial dysfunction in SOD1G93A-bearing astrocytes promotes motor neuron degeneration: prevention by mitochondrial-targeted antioxidants. J Neurosci: Off J Soc Neurosci. 2008;28:4115–22.

    Article  CAS  Google Scholar 

  135. Smith AM, Davey K, Tsartsalis S, Khozoie C, Fancy N, Tang SS, et al. Diverse human astrocyte and microglial transcriptional responses to Alzheimer’s pathology. Acta Neuropathol. 2021;143:75–91.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

We thank the Medical Subcenter of HUST Analytical & Testing Centerin data acquisition. Thanks for the technical support by the Huazhong University of Science & Technology Analytical & Testing center, Medical sub-center. This study is supported by National Key Research and Development Program of China (Grant No. 2019YFE0121200), and National Natural Science Foundation of China (82030032, 82261138555, 32070960, 81871108, 31721002, 81829002), Top-Notch Young Talents Program of China of 2014 to LQZ, the Hubei Provincial Natural Science Foundation (2022CFA004 to LQZ and 2020CFB811 to YS).

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LZ and DL conceived of the paper; KQ, XJ and ZL wrote the initial draft of the paper and generated the figures and tables; JZ, PF, YS and NB edited and revised the paper. All authors approved the final paper.

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Correspondence to Dan Liu or Ling-Qiang Zhu.

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Qian, K., Jiang, X., Liu, ZQ. et al. Revisiting the critical roles of reactive astrocytes in neurodegeneration. Mol Psychiatry 28, 2697–2706 (2023). https://doi.org/10.1038/s41380-023-02061-8

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