Gliosis is one of the responses of the central nervous system (CNS) to injury. In this process, glial cells undergo reactive changes, usually referring to the proliferation or hypertrophy of glial cells, which include astrocytes. cells, microglia and oligodendrocytes. In the most extreme cases, proliferation associated with gliosis can lead to the formation of a glial scar. Among the different forms of gliosis, the proliferation of astrocytes plays a very important role and is called reactive astrocytes. This phenomenon accompanies the development of many central nervous system diseases.
"Gliogenesis is a complex process that involves multiple cellular and molecular events and manifests different biological outcomes in different injury scenarios."
The process of gliosis typically begins with the migration of macrophages and local microglia to the injury site within a few hours after injury. This process is called microgliosis and is accompanied by the subsequent recruitment of oligodendrocytes and ultimately the proliferation of surrounding astrocytes a few days later, forming a glial scar. The initial response of gliosis helps to repair neural tissue, but its consequences often have adverse effects on nerve regeneration.
Astrogenesis is the most common form of gliosis and is responsible for maintaining the stability of the extracellular environment and regulating synaptic function. Although reactive astrogliosis helps protect damaged nerves, the rise of this process is also closely associated with neuronal injury because glial cells can enhance neural damage by releasing proinflammatory cytokines.
"Historically, gliosis has been assigned a negative connotation because its presence is often associated with many central nervous system diseases and inhibits axonal regeneration."
Glialization not only has harmful effects, but may also have neuroprotective effects, such as the release of neurotrophic factors (such as GDNF), which help protect cells from apoptosis; at the same time, glialization Metabolism can also repair the function of the blood-brain barrier and limit the spread of infection. However, when the glial scar is too significant, it will limit the regeneration of damaged neurons.
Microglia are known for their macrophage-like cellular roles in the CNS. After injury, they quickly respond to inflammatory signals and launch an immune response to eliminate damaged cells. The microgliosis process shows changes in microglial morphology and abnormal growth after activation, corresponding to the first step of CNS pathology.
Research on gliosis has revealed a number of potential therapeutic opportunities. Understanding the process of gliosis and its signaling pathways could help develop new treatments that may improve recovery after damage to the nervous system. Although gliosis exhibits negative effects in some diseases, its beneficial effects may be transformed into therapeutic effects through appropriate intervention.
"Glialization is a challenging area, and its complexity makes us ask: while emphasizing its negative effects, are we ignoring its potential beneficial effects?"