Astrocytes, the most abundant cell type in the central nervous system, are intimately associated with synapses. They play a pivotal role in neuronal survival and the brain inflammatory response. Some astrocytic functions are mediated by the secretion of polypeptides. Using a proteomic approach, we have identified more than 30 proteins released by cultured astrocytes. These include proteases and protease inhibitors, carrier proteins, and antioxidant proteins. Exposing astrocytes to brefeldin A, which selectively blocks secretory vesicle assembly, suppressed the release of some of these proteins. This indicates that astrocytes secrete these proteins by a classic vesicular mechanism and others by an alternative pathway. Astrocytes isolated from different brain regions secreted a similar pattern of proteins. However, the secretion of some of them, including metalloproteinase inhibitors and apolipoprotein E, was region-specific. In addition, pro-inflammatory treatments modified the profile of astrocytic protein secretion. Finally, more than two thirds of the proteins identified in the astrocyte-conditioned medium were detectable in the mouse cerebrospinal fluid, suggesting that astrocytes contribute to the cerebrospinal fluid protein content. In conclusion, this study provides the first unbiased characterization of the major proteins released by astrocytes, which may play a crucial role in the modulation of neuronal survival and function.Glial cells represent the largest cell population in the central nervous system (CNS).1 They are divided into three categories:astrocytes, the most abundant glial cell type, oligodendrocytes, the central equivalent of Schwann cells, and microglial cells, which share features with immune cells. For decades, astrocytes were essentially considered to be passive elements providing a structural support for neurons and contributing to the blood-brain barrier by wrapping processes around CNS microvessels. Several physiological properties related to CNS homeostasis (clearance and metabolism of neurotransmitters, regulation of extracellular pH, and K ϩ level) have also been attributed to astrocytes, which thereby contribute to the maintenance of an ideal environment for neuronal cell function (1).Many recent studies have established that astrocytes, which are intimately associated with synapses, are active integrators and regulators of neuronal activity and synaptic transmission (2-6). These astrocytic functions are mediated, at least in part, by the release of various substances, including amino acids and polypeptides. Indeed, glutamate released from synaptic terminals not only binds to glutamate receptors on the post-synaptic neurons but also activates ␣-amino-3-hydroxy-5-methylisoxazole-4-propionic acid receptors on the surrounding astrocytes. This activation induces a rapid increase in intracellular Ca 2ϩ and a Ca 2ϩ -dependent release of glutamate from astrocytes that in turn activates post-synaptic glutamate receptors on neighboring neurons, thereby enhancing excitatory synaptic transmi...