PMID- 32102370 OWN - NLM STAT- MEDLINE DCOM- 20201123 LR - 20201123 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 21 IP - 4 DP - 2020 Feb 24 TI - Neurons, Glia, Extracellular Matrix and Neurovascular Unit: A Systems Biology Approach to the Complexity of Synaptic Plasticity in Health and Disease. LID - 10.3390/ijms21041539 [doi] LID - 1539 AB - The synaptic cleft has been vastly investigated in the last decades, leading to a novel and fascinating model of the functional and structural modifications linked to synaptic transmission and brain processing. The classic neurocentric model encompassing the neuronal pre- and post-synaptic terminals partly explains the fine-tuned plastic modifications under both pathological and physiological circumstances. Recent experimental evidence has incontrovertibly added oligodendrocytes, astrocytes, and microglia as pivotal elements for synapse formation and remodeling (tripartite synapse) in both the developing and adult brain. Moreover, synaptic plasticity and its pathological counterpart (maladaptive plasticity) have shown a deep connection with other molecular elements of the extracellular matrix (ECM), once considered as a mere extracellular structural scaffold altogether with the cellular glue (i.e., glia). The ECM adds another level of complexity to the modern model of the synapse, particularly, for the long-term plasticity and circuit maintenance. This model, called tetrapartite synapse, can be further implemented by including the neurovascular unit (NVU) and the immune system. Although they were considered so far as tightly separated from the central nervous system (CNS) plasticity, at least in physiological conditions, recent evidence endorsed these elements as structural and paramount actors in synaptic plasticity. This scenario is, as far as speculations and evidence have shown, a consistent model for both adaptive and maladaptive plasticity. However, a comprehensive understanding of brain processes and circuitry complexity is still lacking. Here we propose that a better interpretation of the CNS complexity can be granted by a systems biology approach through the construction of predictive molecular models that enable to enlighten the regulatory logic of the complex molecular networks underlying brain function in health and disease, thus opening the way to more effective treatments. FAU - De Luca, Ciro AU - De Luca C AD - Laboratory of Morphology of Neuronal Network, Department of Public Medicine, University of Campania "Luigi Vanvitelli", 80138 Napoli, Italy. FAU - Colangelo, Anna Maria AU - Colangelo AM AD - Laboratory of Neuroscience "R. Levi-Montalcini", Dept. of Biotechnology and Biosciences, University of Milano-Bicocca, 20126 Milano, Italy. AD - SYSBIO Centre of Systems Biology ISBE.ITALY, University of Milano-Bicocca, 20126 Milano, Italy. FAU - Virtuoso, Assunta AU - Virtuoso A AD - Laboratory of Morphology of Neuronal Network, Department of Public Medicine, University of Campania "Luigi Vanvitelli", 80138 Napoli, Italy. FAU - Alberghina, Lilia AU - Alberghina L AD - SYSBIO Centre of Systems Biology ISBE.ITALY, University of Milano-Bicocca, 20126 Milano, Italy. FAU - Papa, Michele AU - Papa M AD - Laboratory of Morphology of Neuronal Network, Department of Public Medicine, University of Campania "Luigi Vanvitelli", 80138 Napoli, Italy. AD - SYSBIO Centre of Systems Biology ISBE.ITALY, University of Milano-Bicocca, 20126 Milano, Italy. LA - eng GR - 2017XJ38A4_003/Ministero dell'Istruzione, dell'Universita e della Ricerca/ PT - Journal Article PT - Review DEP - 20200224 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 SB - IM MH - Animals MH - Central Nervous System/physiology MH - Epilepsy/physiopathology MH - Extracellular Matrix/*physiology MH - Humans MH - Neuroglia/cytology/*physiology MH - *Neuronal Plasticity MH - Neurons/cytology/*physiology MH - Synapses/*physiology MH - Systems Biology/*methods PMC - PMC7073232 OTO - NOTNLM OT - glia, tripartite synapse, synaptic plasticity, neurovascular unit, systems biology COIS- The authors declare no conflict of interests. EDAT- 2020/02/28 06:00 MHDA- 2020/11/24 06:00 PMCR- 2020/02/01 CRDT- 2020/02/28 06:00 PHST- 2019/12/31 00:00 [received] PHST- 2020/02/19 00:00 [revised] PHST- 2020/02/20 00:00 [accepted] PHST- 2020/02/28 06:00 [entrez] PHST- 2020/02/28 06:00 [pubmed] PHST- 2020/11/24 06:00 [medline] PHST- 2020/02/01 00:00 [pmc-release] AID - ijms21041539 [pii] AID - ijms-21-01539 [pii] AID - 10.3390/ijms21041539 [doi] PST - epublish SO - Int J Mol Sci. 2020 Feb 24;21(4):1539. doi: 10.3390/ijms21041539.