Astrocyte
Also known as: astroglia, astrocytes, protoplasmic astrocyte, fibrous astrocyte
The most abundant glial cell of the CNS. It is star-shaped, with processes whose end-feet ensheathe capillaries and synapses. Astrocytes maintain the blood–brain barrier and the ionic and neurotransmitter environment, and they form glial scars after injury.
Overview
Astrocytes have numerous radiating processes packed with glial fibrillary acidic protein (GFAP) intermediate filaments, the immunohistochemical marker. Protoplasmic astrocytes in grey matter have short, highly branched processes that enwrap synapses. Fibrous astrocytes in white matter have long, thin processes. Each astrocyte occupies its own non-overlapping domain, contacting hundreds of thousands of synapses, and astrocytes are coupled into a syncytium by gap junctions (connexin 43). Specialised forms include Müller cells of the retina, Bergmann glia of the cerebellum and pituicytes of the posterior pituitary.
Their perivascular end-feet cover almost the whole capillary surface. They induce and maintain the endothelial tight junctions of the blood–brain barrier and regulate water flux through aquaporin-4. Their processes also form the glia limitans beneath the pia. At synapses, astrocytes take up glutamate (EAAT1/GLAST and EAAT2/GLT-1) and convert it to glutamine (glutamine synthetase), which they return to neurons. This glutamate–glutamine cycle prevents excitotoxicity. Together with the pre- and postsynaptic elements they form the tripartite synapse, releasing "gliotransmitters" such as D-serine and ATP.
Astrocytes also redistribute K⁺ released by active neurons (spatial buffering via Kir4.1 channels), store the brain's only significant glycogen, and supply lactate to neurons (the astrocyte–neuron lactate shuttle). They couple local blood flow to neuronal activity (neurovascular coupling, the basis of the fMRI BOLD signal). After injury they become reactive, proliferating, upregulating GFAP and forming a glial scar (gliosis) that walls off damage but inhibits axon regeneration.
Anatomy
- Histology
Pale, oval nuclei with no visible cytoplasm on H&E. GFAP immunostaining or classic gold sublimate stains show the star shape. Reactive (gemistocytic) astrocytes have abundant pink cytoplasm. Alzheimer type II astrocytes have large, pale, clear nuclei and are seen in hyperammonaemia.
- Development
Derived from radial glia of the neuroepithelium (neuroectoderm).
Function
- Induce and maintain the blood–brain barrier (perivascular end-feet).
- Buffer extracellular K⁺ and regulate water (aquaporin-4).
- Take up and recycle glutamate and GABA (glutamate–glutamine cycle).
- Provide metabolic support: glycogen storage and lactate supply.
- Couple blood flow to neuronal activity (neurovascular coupling).
- Promote synapse formation and modulate transmission (tripartite synapse).
- Repair and scar formation (reactive gliosis); detoxification of ammonia.
Clinical significance
Astrocytic tumours
Glioblastoma (IDH-wildtype, GFAP+) is the most common malignant primary brain tumour in adults. Pilocytic astrocytoma is the most common paediatric CNS tumour: cerebellar, cystic with a mural nodule, Rosenthal fibres, good prognosis.
Neuromyelitis optica spectrum disorder
An autoimmune astrocytopathy caused by anti-aquaporin-4 IgG. It produces severe optic neuritis and longitudinally extensive transverse myelitis (≥3 vertebral segments), and must be distinguished from MS.
Hepatic encephalopathy
Astrocytes detoxify ammonia by synthesising glutamine. In liver failure, glutamine accumulates, causing astrocyte swelling, cerebral oedema and Alzheimer type II changes.
Compiled from standard anatomy and physiology references — see the Nervous System sources. For education only; not medical advice.