Astrocytes Ca2+ Signaling in the Modulation of Neural Networks Excitability and Synaptic Transmissions

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Mini Review
15 July 2021
Astrocytic Ca2+ Signaling in Epilepsy
Kjell Heuser
 and 
Rune Enger
Potential roles of astrocytic Ca2+ signaling in epilepsy. Strong astrocytic Ca2+ signals have been shown to occur in the emergency of acute seizures (in ictogenesis), that are probably triggered by neurotransmitters released by neurons. Ca2+ increases at the onset of seizures are known to be partly mediated by release through IP3R2 from the endoplasmic reticulum, even though pronounced Ca2+ signaling is present also in mice devoid of IP3R2. It is thought that intracellular Ca2+ increases may trigger proconvulsive gliotransmitter release. In astrocytic endfeet, increased Ca2+ signaling has been shown to correlate with ictal vasodilation. Epileptogenesis triggers a pronounced increase in mGluR5 expression, mGluR5-mediated Ca2+ signaling, and increased glutamate uptake. An increase in astrocytic Ca2+ signaling has been demonstrated in the days after status epilepticus, and aberrant Ca2+ signaling at later time points in the epileptogenesis has been anecdotally reported. Increased Ca2+ signaling could potentially cause both the release of glutamate (pro-convulsive), purines (pro-convulsive), and GABA (anti-convulsive, through Bestrophin-1 channels). In astrocytic endfeet in epileptic tissue a pronounced loss of aquaporin-4 (AQP4) and the K+ inwardly rectifying channel Kir4.1 can potentially be due to Ca2+ activated proteases causing a disassembly of the dystrophin associated protein complex (DAPC) tethering AQP4 and Kir4.1 to perivascular endfeet.

Epilepsy is one of the most common neurological disorders – estimated to affect at least 65 million worldwide. Most of the epilepsy research has so far focused on how to dampen neuronal discharges and to explain how changes in intrinsic neuronal activity or network function cause seizures. As a result, pharmacological therapy has largely been limited to symptomatic treatment targeted at neurons. Given the expanding spectrum of functions ascribed to the non-neuronal constituents of the brain, in both physiological brain function and in brain disorders, it is natural to closely consider the roles of astrocytes in epilepsy. It is now widely accepted that astrocytes are key controllers of the composition of the extracellular fluids, and may directly interact with neurons by releasing gliotransmitters. A central tenet is that astrocytic intracellular Ca2+ signals promote release of such signaling substances, either through synaptic or non-synaptic mechanisms. Accruing evidence suggests that astrocytic Ca2+ signals play important roles in both seizures and epilepsy, and this review aims to highlight the current knowledge of the roles of this central astrocytic signaling mechanism in ictogenesis and epileptogenesis.

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Astrocytes comprise a heterogeneous cell population characterized by distinct morphologies, protein expression and function. Unlike neurons, astrocytes do not generate action potentials, however, they are electrically dynamic cells with extensive electrophysiological heterogeneity and diversity. Astrocytes are hyperpolarized cells with low membrane resistance. They are heavily involved in the modulation of K+ and express an array of different voltage-dependent and voltage-independent channels to help with this ion regulation. In addition to these K+ channels, astrocytes also express several different types of Na+ channels; intracellular Na+ signaling in astrocytes has been linked to some of their functional properties. The physiological hallmark of astrocytes is their extensive intracellular Ca2+ signaling cascades, which vary at the regional, subregional, and cellular levels. In this review article, we highlight the physiological properties of astrocytes and the implications for their function and influence of network and synaptic activity. Furthermore, we discuss the implications of these differences in the context of optogenetic and DREADD experiments and consider whether these tools represent physiologically relevant techniques for the interrogation of astrocyte function.

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Noradrenaline is a major neuromodulator in the central nervous system (CNS). It is released from varicosities on neuronal efferents, which originate principally from the main noradrenergic nuclei of the brain – the locus coeruleus – and spread throughout the parenchyma. Noradrenaline is released in response to various stimuli and has complex physiological effects, in large part due to the wide diversity of noradrenergic receptors expressed in the brain, which trigger diverse signaling pathways. In general, however, its main effect on CNS function appears to be to increase arousal state. Although the effects of noradrenaline have been researched extensively, the majority of studies have assumed that noradrenaline exerts its effects by acting directly on neurons. However, neurons are not the only cells in the CNS expressing noradrenaline receptors. Astrocytes are responsive to a range of neuromodulators – including noradrenaline. In fact, noradrenaline evokes robust calcium transients in astrocytes across brain regions, through activation of α1-adrenoreceptors. Crucially, astrocytes ensheath neurons at synapses and are known to modulate synaptic activity. Hence, astrocytes are in a key position to relay, or amplify, the effects of noradrenaline on neurons, most notably by modulating inhibitory transmission. Based on a critical appraisal of the current literature, we use this review to argue that a better understanding of astrocyte-mediated noradrenaline signaling is therefore essential, if we are ever to fully understand CNS function. We discuss the emerging concept of astrocyte heterogeneity and speculate on how this might impact the noradrenergic modulation of neuronal circuits. Finally, we outline possible experimental strategies to clearly delineate the role(s) of astrocytes in noradrenergic signaling, and neuromodulation in general, highlighting the urgent need for more specific and flexible experimental tools.

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