Abstract
In order to maintain normal brain function, it is critical that cerebral blood flow (CBF) is matched to neuronal metabolic needs. Accordingly, blood flow is increased to areas where neurons are more active (a response termed functional hyperemia). The tight relationships between neuronal activation, glial cell activity, cerebral energy metabolism, and the cerebral vasculature, known as neurometabolic and neurovascular coupling, underpin functional MRI (fMRI) signals but are incompletely understood. As functional imaging techniques, particularly BOLD fMRI, become more widely used, their utility hinges on our ability to accurately and reliably interpret the findings. A growing body of data demonstrates that astrocytes can serve as a “bridge,” relaying information on the level of neural activity to blood vessels in order to coordinate oxygen and glucose delivery with the energy demands of the tissue. It is widely assumed that calcium-dependent release of vasoactive substances by astrocytes results in arteriole dilation and the increased blood flow which accompanies neuronal activity. However, the signaling molecules responsible for this communication between astrocytes and blood vessels are yet to be definitively confirmed. Indeed, there is controversy over whether activity-induced changes in astrocyte calcium are widespread and fast enough to elicit such functional hyperemia responses. In this review, I will summarize the evidence which has convincingly demonstrated that astrocytes are able to modify the diameter of cerebral arterioles. I will discuss the prevalence, presence, and timing of stimulus-induced astrocyte calcium transients and describe the evidence for and against the role of calcium-dependent formation and release of vasoactive substances by astrocytes. I will also review alternative mechanisms of astrocyte-evoked changes in arteriole diameter and consider the questions which remain to be answered in this exciting area of research.
Introduction
For normal functioning of the brain to be maintained it is critical that increases in neuronal energy demands are met by changes in local blood flow with high temporal and spatial resolution. This necessitates close connections between neurons, glia, and the energy metabolism and blood supply of the brain. Increased neuronal activity is accompanied by an increase in local cerebral blood flow (CBF), a phenomenon termed functional hyperemia. It is this increase in CBF and oxygenation which underlies BOLD functional MRI (fMRI). BOLD fMRI is commonly used as a surrogate measure of neural activity. A valid interpretation of such data requires a thorough understanding of the cellular basis of the BOLD signal. While a coupling between cerebral energy consumption and neuronal activity was originally suggested over a century ago (Roy and Sherrington, ), the exact relationship remains an active area of research. Although neuronal activity induced increases in blood flow are due, at least in part, to the direct action of neurons [via glutamate-evoked release of nitric oxide (NO)] on arteriole smooth muscle (Fergus and Lee, ), over the past decade there has been extensive research (Zonta et al., ; Mulligan and MacVicar, ; Filosa et al., ; Takano et al., ) determining the role which astrocytes, and activity-induced Ca2+ signals within astrocytes, may play (as discussed in recent reviews by Attwell et al., ; Petzold and Murthy, ).
Being situated in the synaptic cleft and having multiple endfeet which are opposed to smooth muscle cells (Figure 1A), astrocytes can act as a “bridge,” relaying information about changes in synaptic activity between neurons and the vasculature, ensuring that neuronal energy demands are met.
Figure 1
Initial in vitro evidence demonstrated that astrocytes can regulate arteriole diameter
Initial studies revealing a potential role of astrocytes in neurovascular coupling were performed in vitro using acute brain slices and whole mount retina. This in vitro research has resulted in convincing evidence that astrocytes are able to control vascular diameter (Figure 1B). During neuronal activity, glutamate is released and acts via neuronal NMDA receptors to activate neuronal nitric oxide synthase (nNOS), resulting in the release of NO. NO acts on smooth muscle cells, increasing blood flow via a cGMP pathway (Fergus and Lee,
In addition to AA being metabolized within the astrocyte, it can diffuse to arteriole smooth muscle, producing the vasoconstrictor 20-HETE via ω-hydroxylases (Roman,
Figure 2

Astrocyte calcium-dependent vasoactive signaling pathways. Neuronally released glutamate can act on astrocyte mGluRs, activating PLC, and increasing astrocyte [Ca2+]i, activating PLA2 resulting in the release of AA from the plasma membrane. AA can be metabolized within the astrocyte to form PgE2 or EETs which are released and act on smooth muscle cells, evoking vasodilation. Alternatively, AA can be released and act on smooth muscle cells where it is metabolized to the vasoconstrictor 20-HETE. ATP can activate Ca2+-mediated downstream vasoactive pathways either by acting on P2Y receptors and activating PLC or via P2X7 receptors, increasing [Ca2+]i. An alternative vasoactive pathway downstream of the [Ca2+]i increase is the activation of BKCa channels and subsequent efflux of the vasodilator K+.
The retina is an ideal system in which to study blood flow regulation in response to local signals as its low density of blood vessels requires the ability to efficiently match the local blood supply to local neuronal metabolic needs (Funk,
While in vitro studies have several advantages, including the ability to control various cellular elements, there are technical limitations to this approach which are worth noting. A lack of myogenic tone, due to a lack of perfusion and intraluminal pressure (Iadecola and Nedergaard,
How is the direction of arteriole diameter change determined?
NO, which can bind to the heme moiety and inactivate cytochrome P450 enzymes (Fleming,
Metabolic factors, such as partial pressure of oxygen (pO2) (Offenhauser et al.,
Alternative mechanisms of astrocyte control of CBF
In addition to the mGluR-evoked mechanisms of CBF regulation, there is evidence for a further glutamate-dependent pathway. In the olfactory bulb, intrinsic optical signal (IOS) changes (used as a proxy for CBF measurements) in response to odor stimulation were found to be unaffected by blocking AMPA/NMDA receptors nor mGluRs (Gurden et al.,
In contrast to brain slices, glutamate is largely ineffective in evoking glial [Ca2+]i increases in the retina. In retina, neuron-to-glia signaling, and resulting vasoactivity, is mediated by neuronal release of ATP and activation of purinergic P2Y receptors (Newman,
Increases in extracellular concentrations of K+ cause vasodilation in cerebral arterioles (Kuschinsky and Wahl,
Do astrocytes play a role in the regulation of CBF in vivo?
Several experimental models have been used to investigate the role of astrocytes in the regulation of CBF in vivo including: uncaging of Ca2+ within astrocytes, somatosensory stimulation, pharmacological inhibition, and genetic deletion.
When Ca2+ was uncaged within astrocyte endfeet, triggering an increase in astrocyte [Ca2+]i, dilation of an adjacent arteriole was observed (Figures 1C,D) (Takano et al.,
Although some groups have used sensory stimuli to investigate the signaling pathways underlying astrocyte-mediated CBF changes (e.g., Zonta et al.,
Several additional factors may explain the discrepencies observed in different studies. Regional differences in expression of mGluR5 and/or the importance of mGluR-mediated signaling for the regulation of CBF may exist (MPEP reduces fMRI responses to hindpaw stimulation in rat primary cortex by only 18%, compared to 66% in striatum: Sloan et al.,
In addition to the vasodilations described above, there is in vivo evidence for astrocyte [Ca2+]i transients resulting in vasoconstriction. Two-photon imaging of astrocytes bulk loaded with calcium indicator dyes revealed that vasoconstrictions of penetrating cortical arterioles occurred during spreading depression (SD) at the onset of the fast astrocytic Ca2+ wave (Chuquet et al.,
In summary, the evidence suggests that in response to neural activity, astrocyte [Ca2+]i increases and vasoactive messengers are released from astrocytic endfeet. Thus, astrocytes may evoke changes in arteriole diameter and regulate CBF.
Are activity-evoked astrocyte calcium transients widespread and fast enough to contribute to neurovascular coupling?
Although a large body of evidence has been acquired over the past decade suggesting that astrocytes are potential mediators of functional hyperemia, the idea remains controversial. The presence, prevalence, and timing of astrocyte Ca2+ signaling in response to neural activity and its role in the regulation of CBF is currently hotly debated. In a recent review, Cauli and Hamel (
Using in vivo 2-photon imaging of astrocytes, Wang et al. (
Are subcellular Ca2+ transients important?
In brain slices, it has been shown that calcium signals can occur in astrocytic processes in the absence of changes in the cell body (Di Castro et al.,
Finally, the majority of published neurovascular coupling studies have been performed in the cortex of anesthetized animals. Anesthetics may disrupt important features of neurovascular coupling, thus acting as a confound in understanding the cellular mechanisms underlying the regulation of CBF in response to neural activity (Martin et al.,
Conclusions
The work outlined here demonstrates that astrocytes are capable of eliciting both vasoconstriction and vasodilation of brain arterioles. A popular hypothesis of astrocytic control of CBF in response to neural activity has been that neuronally released glutamate acts on astrocytic mGluRs to raise astrocytic [Ca2+]i, initiating downstream production of AA and the formation and release of vasoactive substances (Zonta et al.,
Conflict of interest statement
The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Statements
Acknowledgments
Clare Howarth is a Vice Chancellor's Advanced Fellow at the University of Sheffield. I would like to thank Anusha Mishra and Fergus O'Farrell for their comments on the manuscript.
Conflict of interest
The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
astrocyte, neurovascular coupling, cerebral blood flow, calcium, functional hyperemia
Citation
Howarth C (2014) The contribution of astrocytes to the regulation of cerebral blood flow. Front. Neurosci. 8:103. doi: 10.3389/fnins.2014.00103
Received
27 February 2014
Accepted
18 April 2014
Published
09 May 2014
Volume
8 - 2014
Edited by
Lora T. Likova, The Smith-Kettlewell Eye Research Institute, USA
Reviewed by
Wei Chen, University of Minnesota, USA; Gabor Petzold, German Center for Neurodegenerative Diseases, Germany
Copyright
© 2014 Howarth.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Clare Howarth, Department of Psychology, University of Sheffield, Western Bank, Sheffield, S.Yorkshire, S10 2TP, UK e-mail: c.howarth@sheffield.ac.uk
This article was submitted to Brain Imaging Methods, a section of the journal Frontiers in Neuroscience.
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