2016
DOI: 10.3389/fncel.2016.00129
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Central Role of Maladapted Astrocytic Plasticity in Ischemic Brain Edema Formation

Abstract: Brain edema formation and the ensuing brain damages are the major cause of high mortality and long term disability following the occurrence of ischemic stroke. In this process, oxygen and glucose deprivation and the resulting reperfusion injury play primary roles. In response to the ischemic insult, the neurovascular unit experiences both intracellular and extracellular edemas, associated with maladapted astrocytic plasticity. The astrocytic plasticity includes both morphological and functional plasticity. The… Show more

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Cited by 53 publications
(70 citation statements)
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References 82 publications
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“…The cytotoxic cerebral edema may result from disruption in cellular metabolism and the subsequent cellular retention of Na + and water due to poisoning or hypoxia. Hypoxia‐associated cytotoxic cerebral edema is typically observed in ischemic cerebral stroke (Jia, Liu, Wang, & Wang, ), in which astrocytes are a critical contributor (Wang & Parpura, ). The swelling can impose pressure on normal brain structures and thus causes atrophy or herniation.…”
Section: Gfap and Neurological Diseasesmentioning
confidence: 99%
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“…The cytotoxic cerebral edema may result from disruption in cellular metabolism and the subsequent cellular retention of Na + and water due to poisoning or hypoxia. Hypoxia‐associated cytotoxic cerebral edema is typically observed in ischemic cerebral stroke (Jia, Liu, Wang, & Wang, ), in which astrocytes are a critical contributor (Wang & Parpura, ). The swelling can impose pressure on normal brain structures and thus causes atrophy or herniation.…”
Section: Gfap and Neurological Diseasesmentioning
confidence: 99%
“…Another aftermath of the astrocytic swelling is the occurrence of abnormal RVD. During RVD, astrocytes release organic osmolytes and neurotoxic substances that could cause inflammation (Cavet, Harrington, Vollmer, Ward, & Zhang, ), a hyperosmotic environment (Wang & Parpura, ), and astrocytic apoptosis and neurodegeneration (Ben Messaoud, Katzarova, & Lopez, ), thereby leading to irreversible brain damage.…”
Section: Gfap and Neurological Diseasesmentioning
confidence: 99%
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“…Reactive gliosis and the formation of glial scar provide a way of containing and initiating the repair process (Liddelow & Barres, ). Astrocyte reactivity is important in regulating the neurovasculature when the blood brain barrier is at risk and this becomes highly relevant in neurodegenerative and traumatic injuries (Wang & Parpura, ). In response to signaling molecules from the damage site, oligodendrocytes respond to the area and begin remyelinating (Carmen et al, 2007).…”
Section: Reactive Gliosismentioning
confidence: 99%
“…Importantly, astrocytes can influence neuronal activity through multiple approaches (Wang and Zhu, 2014; Hertz and Chen, 2016; Wang and Parpura, 2016). For instance, β-alanine release from astrocytes (Pasantes-Morales et al, 1994) can inhibit astrocyte GABA transporters and thus inhibits VP secretion through increasing extracellular GABA (Wang et al, 2013a); coordinated D-serine metabolism between astrocytes and magnocellular neurons along with exhaustion of β-alanine and taurine in the SON can increase NMDA receptor activation, and participate in the recovery of VP neurons from hyposmotic inhibition (Wang et al, 2013b).…”
Section: Cellular Volumementioning
confidence: 99%