Astrocytic Allies: Rethinking Support Cells in Alzheimer’s

### Astrocytic Allies: Rethinking Support Cells in Alzheimer’s

Alzheimer’s disease is a complex condition that affects the brain, causing memory loss and cognitive decline. While neurons are often the focus of research, another type of brain cell called astrocytes plays a crucial role in the disease. These support cells, once thought to be mere bystanders, are now recognized as key players in the progression of Alzheimer’s.

### What Are Astrocytes?

Astrocytes are the most abundant type of glial cells in the brain. They are like the brain’s maintenance crew, helping to keep neurons healthy and functioning properly. Astrocytes perform various functions, including providing nutrients to neurons, removing waste, and regulating the chemical environment around neurons.

### How Do Astrocytes Contribute to Alzheimer’s?

In Alzheimer’s disease, astrocytes can become reactive, meaning they change their behavior in response to stress. This reactivity can lead to inflammation and the formation of amyloid plaques, which are characteristic of the disease. When astrocytes are stressed, they can release chemicals that harm neurons and contribute to the spread of tau protein, another hallmark of Alzheimer’s.

### The Role of SORCS2

A recent study has highlighted the importance of a protein called SORCS2 in astrocytes. SORCS2 acts as a protective factor that helps astrocytes cope with stress. When SORCS2 is absent, astrocytes become more sensitive to amyloid-beta, leading to increased inflammation and amyloid and tau pathologies. This suggests that maintaining healthy astrocytes through protective mechanisms like SORCS2 is crucial in preventing the progression of Alzheimer’s.

### Astrocytes and Tau Pathology

Tau pathology is another critical aspect of Alzheimer’s. Research has shown that astrocytes play a role in the spread of tau protein through the brain. When tau accumulates, it can trigger astrocytes to become reactive, leading to the ingestion of synapses by these support cells. This process contributes to synaptic degeneration and further neuronal loss.

### Upregulation of HDAC7

A study on the upregulation of HDAC7 in astrocytes has also shed light on how these cells contribute to Alzheimer’s-like tau pathologies. HDAC7 deacetylates TFEB, a protein involved in lysosomal biogenesis, which is essential for clearing tau. When HDAC7 is overexpressed, it inhibits lysosomal biogenesis, leading to impaired tau clearance and increased tau pathology.

### Blood Vessel Growth Genes

Altered expression of genes involved in blood vessel growth, such as FLT1 and VEGFB, has been observed in Alzheimer’s disease. These genes play different roles depending on the type of brain cell expressing them. For instance, higher expression of FLT1 in immune cells is associated with higher levels of amyloid-beta, while higher expression of VEGFB in nerve cells inhibits amyloid-beta accumulation.

### Conclusion

Astrocytes are not just passive bystanders in Alzheimer’s disease; they actively contribute to the progression of the disease. By understanding how astrocytes respond to stress and how they interact with other brain cells, researchers can develop new therapeutic strategies to combat Alzheimer’s. Maintaining healthy astrocytes through protective mechanisms like SORCS2 and ensuring proper lysosomal function via HDAC7 regulation are crucial steps towards preventing the spread of tau and amyloid-beta in the brain.

In summary, the role of astrocytes in Alzheimer’s disease is complex and multifaceted. By rethinking these support cells as active participants in the disease process, we can uncover new avenues for treatment and potentially slow down the progression of this debilitating condition.