Astrocytes in the Traumatic Brain Injury: the Good and the Bad

Exp Neurol. 2022 Feb:348:113943. doi: 10.1016/j.expneurol.2021.113943. Epub 2021 Dec 2.

Abstract

Astrocytes control many processes of the nervous system in health and disease, and respond to injury quickly. Astrocytes produce neuroprotective factors in the injured brain to clear cellular debris and to orchestrate neurorestorative processes that are beneficial for neurological recovery after traumatic brain injury (TBI). However, astrocytes also become dysregulated and produce cytotoxic mediators that hinder CNS repair by induction of neuronal dysfunction and cell death. Hence, we discuss the potential role of astrocytes in neuropathological processes such as neuroinflammation, neurogenesis, synaptogenesis and blood-brain barrier repair after TBI. Thus, an improved understanding of the dual role of astrocytes may advance our knowledge of post-brain injury recovery, and provide opportunities for the development of novel therapeutic strategies for TBI.

Keywords: Astrocytes; Blood-brain barrier; Neurogenesis; Neuroinflammation; Synaptogenesis; Traumatic brain injury.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Astrocytes / immunology
  • Astrocytes / metabolism*
  • Blood-Brain Barrier / immunology
  • Blood-Brain Barrier / metabolism*
  • Brain / immunology
  • Brain / metabolism*
  • Brain Injuries, Traumatic / immunology
  • Brain Injuries, Traumatic / metabolism*
  • Cell Death / physiology
  • Humans
  • Inflammation Mediators / immunology
  • Inflammation Mediators / metabolism*
  • Neurogenesis / physiology
  • Neuroinflammatory Diseases / immunology
  • Neuroinflammatory Diseases / metabolism

Substances

  • Inflammation Mediators