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      Editorial commentary on the special issue of glia and neurological diseases

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      Journal of Biomedical Research
      Editorial Department of Journal of Biomedical Research

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          Abstract

          The glia are the cells in the central nervous system (CNS) that originally were considered to only provide support, protection, and nutrition for neurons. The glia outnumber the neurons in the brain and spinal cord, the ratio of these two types of cells varies across species and tissues. The word "glia" comes from "glue", describing the cells that surround neurons and gathering them together like glue. However, in the past decades, studies gradually revealed the key roles of the glia and their heterogeneity in term of categorie and function. In CNS, astrocytes make up to 20% to 40% population of the glia, while oligodendrocytes 40% to 70%, and microglia 10% to 20%. Astrocytes are highly heterogeneous in morphology and function, dominantly participating in the biological processes such as the homeostatic regulation of neurotransmitters, water, ions and pH; the regulation of energy balance, food intake and metabolism; sleep homeostasis, development and synaptic plasticity, as well as local blood flow regulation, perivascular waste clearance, etc. Oligodendrocytes, the mature categories of oligodendrocyte lineage cells in CNS, form the membranous sheath covering axons and facilitate the neuronal electric signal transduction. The pathogenic mechanisms, regeneration and repair of the demyelination lesions have been extensively studied in neurological diseases. Microglia, the primary innate immune effector cells of the CNS, are distinctive from the other types of glia in their origins and functions. The exploration of the mystery of the glia has been aided by the technical development targeting in this field, particularly the techniques characterizing the glial functions in live animals. Contradicting conclusions were reported between in vitro or ex vivo and in vivo studies. The discrepancies hinted that the interstitial microenvironment and the interactions with neurons are vital for the pathophysiological properties of the glia. In vivo multi-photon imaging can reveal the morphological and functional features of in situ glial cells with cellular resolution. Positron emission tomography (PET) can be used to visualize the metabolic processes of the glia noninvasively with cell-type oriented sensors; finally, the development of molecular manipulation techniques, such as, opto- and chemo-genetics, genetically encoded fluorescent sensors for calcium signaling, neurotransmitters, substantially opened a new era of understanding with regard to the molecular mechanisms in glial cells. In this special issue, we have selected eight different articles that are presenting recent advances in the study of the glia and their effect on health and disease, particularly focusing on astrocytes and oligodendrocytes. Obara-Michlewska reviewed the contribution of astrocytes to obesity-associated metabolic disturbances, including the central regulation of appetite and energy metabolism[1]. Zheng et al reviewed the latest progress in spinal cord tissue repair by transplantation of human astrocytes of various origins, including fetal brain, spinal cord and pluripotent stem cells[2]. Jia et al summarized the frontier progress in glial cell-type oriented tracers for PET imaging[3]. Gong et al summarized the recent studies about the dysfunction of oligodendrocytes in amyotrophic lateral sclerosis[4]. Li et al reviewed the immunologic role of oligodendrocyte lineage cells in demyelination diseases[5]. Yan et al summarized mechanisms regulating cerebral hypoperfusion in cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL)[6]. Sun et al presented a visualization pipeline for in vivo two-photon volumetric astrocytic calcium imaging. Different from conventional two-dimensional imaging, they captured the three-dimensional cortical astrocytic Ca2+ time-lapse images through chronic craniectomy in brain state transitions from resting awake to isoflurane anesthetized states[7]. Wang et al reported a clinical study of six patients of CADASIL and twelve healthy controls, they found that the severity of hypoperfusion correlates with the white matter hyperintensity volume. It highlighted the mutual links between the elements of the glio-vascular unit (G-unit)[8]. We hope the readers find this special issue interesting and intriguing.

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          Most cited references8

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          Astrocyte transplantation for repairing the injured spinal cord

          Spinal cord injury (SCI) leads to permanent deficits in neural function without effective therapies, which places a substantial burden on families and society. Astrocytes, the major glia supporting the normal function of neurons in the spinal cord, become active and form glial scars after SCI, which has long been regarded as a barrier for axon regeneration. However, recent progress has indicated the beneficial role of astrocytes in spinal repair. During the past three decades, astrocyte transplantation for SCI treatment has gained increasing attention. In this review, we first summarize the progress of using rodent astrocytes as the primary step for spinal repair. Rodent astrocytes can survive well, migrate extensively, and mature in spinal injury; they can also inhibit host reactive glial scar formation, stimulate host axon regeneration, and promote motor, sensory, respiratory, and autonomic functional recovery. Then, we review the progress in spinal repair by using human astrocytes of various origins, including the fetal brain, fetal spinal cord, and pluripotent stem cells. Finally, we introduce some key questions that merit further research in the future, including rapid generation of large amounts of human astrocytes with high purity, identification of the right origins of astrocytes to maximize neural function improvement while minimizing side effects, testing human astrocyte transplantation in chronic SCI, and verification of the long-term efficacy and safety in large animal models.
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            Mechanisms regulating cerebral hypoperfusion in cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy

            Cerebral small vessel disease (CSVD) is a leading cause of stroke and dementia. As the most common type of inherited CSVD, cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is characterized by the NOTCH3 gene mutation which leads to Notch3 ectodomain deposition and extracellular matrix aggregation around the small vessels. It further causes smooth muscle cell degeneration and small vessel arteriopathy in the central nervous system. Compromised cerebral blood flow occurs in the early stage of CADASIL and is associated with white matter hyperintensity, the typical neuroimaging pathology of CADASIL. This suggests that cerebral hypoperfusion may play an important role in the pathogenesis of CADASIL. However, the mechanistic linkage between NOTCH3 mutation and cerebral hypoperfusion remains unknown. Therefore, in this mini-review, it examines the cellular and molecular mechanisms contributing to cerebral hypoperfusion in CADASIL.
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              Effects of different regional cerebral blood flow on white matter hyperintensity in CADASIL patients

              Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is an early-onset inherited small vessel disease. Decreased cerebral blood flow (CBF) may contribute to white matter hyperintensity (WMH) severity in CADASIL, but more evidence is needed to support this hypothesis. This study comprised six patients with CADASIL who harbored mutations in the coding sequence of NOTCH3 and twelve age-matched neurologically healthy controls. We collected clinical and imaging data from patients with CADASIL and divided the brain into four regions: WMH, normal-appearing white matter (NAWM), gray matter (GM), and global brain. We analyzed the relationship between CBF of each region and the WMH volume. Compared with the control group, CBF was significantly decreased in all four regions in the CADASIL group. Lower CBF in these regions was correlated with higher WMH volume in CADASIL. CBF in the NAWM, GM and global regions was positively correlated with that in WMH region. However, after correction tests, only CBF in the WMH region but not in NAWM, GM and global regions was associated with WMH volume. Our findings suggest that CBF in the WMH region is an influencing factor of the WMH severity in CADASIL.
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                Author and article information

                Contributors
                Journal
                J Biomed Res
                J Biomed Res
                J Biomed Res
                Journal of Biomedical Research
                Editorial Department of Journal of Biomedical Research
                1674-8301
                2352-4685
                September 2022
                28 September 2022
                : 36
                : 5
                : 297-298
                Affiliations
                [1] Department of Pharmacology, School of Basic Medical Sciences, State Key Laboratory of Medical Neurobiology and Ministry of Education Frontiers Center for Brain Science, Institutes of Brain Science, Shanghai Medical College, Fudan University, Shanghai 200032, China
                Author notes
                Fengfei Ding, Department of Pharmacology, School of Basic Medical Sciences, State Key Laboratory of Medical Neurobiology and Ministry of Education Frontiers Center for Brain Science, Institutes of Brain Science, Shanghai Medical College, Fudan University, No. 130 Dong An Road, Xuhui District, Shanghai 200032, China. Tel: +86-21-54237228, E-mail: fengfei_ding@ 123456fudan.edu.cn
                Article
                jbr-36-5-297
                10.7555/JBR.36.20220800
                9548437
                36165296
                9ada24e7-3ef2-43d5-896f-b5120abf2434
                © 2022 by the Journal of Biomedical Research.

                This is an open access article under the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited.

                History
                : 6 September 2022
                : 7 September 2022
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