PMID- 27442752 OWN - NLM STAT- MEDLINE DCOM- 20180426 LR - 20220129 IS - 1365-2990 (Electronic) IS - 0305-1846 (Linking) VI - 43 IP - 4 DP - 2017 Jun TI - Review: Astrocytes in Alzheimer's disease and other age-associated dementias: a supporting player with a central role. PG - 281-298 LID - 10.1111/nan.12338 [doi] AB - Astrocytes have essential roles in the central nervous system and are also implicated in the pathogenesis of neurodegenerative disease. Forming non-overlapping domains, astrocytes are highly complex cells. Immunohistochemistry to a variety of proteins can be used to study astrocytes in tissue, labelling different cellular components and sub-populations, including glial fibrillary acidic protein, ALDH1L1, CD44, NDRG2 and amino acid transporters, but none of these labels the entire astrocyte population. Increasing heterogeneity is recognized in the astrocyte population, a complexity that is relevant both to their normal function and pathogenic roles. They are involved in neuronal support, as active components of the tripartite synapse and in cell interactions within the neurovascular unit (NVU), where they are essential for blood-brain barrier maintenance and neurovascular coupling. Astrocytes change with age, and their responses may modulate the cellular effects of neurodegenerative pathologies, which alone do not explain all of the variance in statistical models of neurodegenerative dementias. Astrocytes respond to both the neurofibrillary tangles and plaques of Alzheimer's disease, to hyperphosphorylated tau and Abeta, eliciting an effect which may be neuroprotective or deleterious. Not only astrocyte hypertrophy, in the form of gliosis, occurs, but also astrocyte injury and atrophy. Loss of normal astrocyte functions may contribute to reduced support for neurones and dysfunction of the NVU. Understanding how astrocytes contribute to dementia requires an understanding of the underlying heterogeneity of astrocyte populations, and the complexity of their responses to pathology. Enhancing the supportive and neuroprotective components of the astrocyte response has potential translational applications in therapeutic approaches to dementia. CI - (c) 2016 British Neuropathological Society. FAU - Garwood, C J AU - Garwood CJ AD - Sheffield Institute for Translational Neuroscience, Sheffield, UK. FAU - Ratcliffe, L E AU - Ratcliffe LE AD - Sheffield Institute for Translational Neuroscience, Sheffield, UK. FAU - Simpson, J E AU - Simpson JE AD - Sheffield Institute for Translational Neuroscience, Sheffield, UK. FAU - Heath, P R AU - Heath PR AD - Sheffield Institute for Translational Neuroscience, Sheffield, UK. FAU - Ince, P G AU - Ince PG AD - Sheffield Institute for Translational Neuroscience, Sheffield, UK. FAU - Wharton, S B AU - Wharton SB AD - Sheffield Institute for Translational Neuroscience, Sheffield, UK. LA - eng GR - G0900582/MRC_/Medical Research Council/United Kingdom GR - MR/J004308/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Review PL - England TA - Neuropathol Appl Neurobiol JT - Neuropathology and applied neurobiology JID - 7609829 SB - IM MH - Aging/pathology MH - Alzheimer Disease/*pathology MH - Animals MH - Astrocytes/*metabolism/*pathology MH - Dementia/*pathology MH - Humans OTO - NOTNLM OT - Alzheimer's disease OT - astrocytes OT - dementia OT - neurodegeneration OT - neurovascular unit EDAT- 2016/07/22 06:00 MHDA- 2018/04/27 06:00 CRDT- 2016/07/22 06:00 PHST- 2016/03/09 00:00 [received] PHST- 2016/07/15 00:00 [revised] PHST- 2016/07/21 00:00 [accepted] PHST- 2016/07/22 06:00 [pubmed] PHST- 2018/04/27 06:00 [medline] PHST- 2016/07/22 06:00 [entrez] AID - 10.1111/nan.12338 [doi] PST - ppublish SO - Neuropathol Appl Neurobiol. 2017 Jun;43(4):281-298. doi: 10.1111/nan.12338.