Despite the fact that astrocytes are the most abundant glial cells, critical for brain function, few studies have dealt with their possible role in neurodegenerative diseases like Parkinson’s disease (PD). This article explores relevant evidence on the involvement of astrocytes in experimental PD neurodegeneration from a molecular signaling perspective. For a long time, astrocytic proliferation was merely considered a byproduct of neuroinflammation, but by the time being, it is clear that astrocytic dysfunction plays a far more important role in PD pathophysiology. Indeed, ongoing experimental evidence suggests the importance of astrocytes and dopaminergic neurons’ cross-linking signaling pathways. The Wnt-1 (wingless-type MMTV integration site family, member 1) pathway regulates several processes including neuron survival, synapse plasticity, and neurogenesis. In PD animal models, Frizzled (Fzd) neuronal receptors’ activation by the Wnt-1 normally released by astrocytes following injuries leads to β-catenin-dependent gene expression, favoring neuron survival and viability. The transient receptor potential vanilloid 1 (TRPV1) capsaicin receptor also participates in experimental PD genesis. Activation of astrocyte TRPV1 receptors by noxious stimuli results in reduced inflammatory response and increased ciliary neurotrophic factor (CNTF) synthesis, which enhances neuronal survival and differentiation. Another major pathway involves IκB kinase (IKK) downregulation by ARL6ip5 (ADP-ribosylation-like factor 6 interacting protein 5, encoded by the cell differentiation-associated, JWA, gene). Typically, IKK releases the proinflammatory NF-κB (nuclear factor kappa-light-chain-enhancer of activated B cells) molecule from its inhibitor. Therefore, by downregulating NF-κB inhibitor, ARL6ip5 promotes an anti-inflammatory response. The evidence provided by neurotoxin-induced PD animal models guarantees further research on the neuroprotective potential of normalizing astrocyte function in PD.
1. Introduction
Parkinson’s disease (PD) is the second most common neurodegenerative disease following Alzheimer’s disease. It is characterized by loss of dopaminergic neurons in the midbrain [1, 2] and bradykinesia, rigidity, and tremor as main clinical symptoms. Regularly, patients also display nonmotor symptoms like cognitive impairment, mood disorders, sleep alterations, dysautonomia, and hallucinations [1].
Typical, though not only, histopathological changes are the progressive loss of the nigrostriatal dopaminergic pathway and hence of the striatal dopaminergic tone [2]. Over the last 40 years, administration of the amino acid precursor of dopamine L-DOPA (L-3,4-dihydroxy-L-phenylalanine) to parkinsonian patients has been considered the most effective symptomatic treatment [3].
Abnormal accumulation of misfolded protein aggregates [4] as the Lewy bodies, made of α-synuclein [5], appears to be one of the physiopathological hallmarks of the disease. One major target of α-synuclein is Rab-1 (a member of the Ras superfamily of monomeric G proteins, Rab GTPase family), a key molecular switch of the endoplasmic reticulum-Golgi traffic pathway [6]. The α-synuclein accumulation-induced endoplasmic reticulum stress is likely a leading disruptive mechanism, responsible for the so-called “unfolded protein response” adaptive reaction [7], cytoprotective when moderate but deleterious when highly activated [8, 9]. Accumulation of α-synuclein may also originate abnormal synaptic connectivity or synaptopathy at nigrostriatal pathways and intrastriatal interneuronal connections, presumably most apparent at the initial stages of the disease.
Notwithstanding the fact that astrocytes are the most abundant glial subtype and are critical for brain function, only a few studies have historically focused on their putative role in neurodegenerative diseases like PD. Recently, however, several studies have reported that genes known to have a causative role in PD are expressed in astrocytes and have important roles in their function [10], suggesting that astrocyte dysfunction may be relevant for PD development. Furthermore, α-synuclein aggregates in astrocytes contributing to such dysfunction [11].
This review aims at summarizing the evidence for astrocyte participation in experimental PD genesis, the probable neuroprotective effect of molecules like GDNF (glial-derived neurotrophic factor), MANF (mesencephalic astrocyte-derived neurotrophic factor), and CNTF (ciliary neurotrophic factor), and the involved pathological cascades described so far, illustrating the potential use of these findings in developing new-generation neuroprotective agents. Following PubMED searches performed using “Parkinson’s Disease, astrocytes, molecular signaling” strings, relevant papers published in English or Spanish before January 1, 2018, were included, while reference sections were also scrutinized out of these publications for new studies.
2. Role of Astrocyte Dysfunction in the Genesis of Experimental Parkinson’s Disease
The glia accounts for over 50% of brain cells, comprising various cell subtypes, of which astrocytes are the most abundant [12, 13]. Although astrocytes were documented 100 years ago, relatively few studies have been designed to dig into their role in neurological disorders and diseases over time. Astrocytes can be both helpful and harmful in PD [14, 15], and a key aspect of PD pathophysiology is neuroinflammation in the central nervous system (CNS), for long considered a downstream response to dopaminergic neuronal death, definitely including the concurrence of reactive astrocytes [16, 17]. However, ongoing evidence suggests that astrocytes have a role in setting up PD pathophysiology. Astrocytes may have neuroprotective effects by producing factors like the glial cell line-derived neurotrophic factor (GDNF) [18], the mesencephalic astrocyte-derived neurotrophic factor (MANF) [19], and the ciliary neurotrophic factor (CNTF) [20]. Recently, a relative increase in the astrocytic level of senescence markers, inflammatory cytokines, and metalloproteinases was observed on postmortem substantia nigra specimens of five PD patients compared with five controls, illustrating astrocytes’ relevance in PD [21]. Furthermore, astrocytes and fibroblasts developed senescent phenotypes when exposed to the neurotoxin paraquat in human cell cultures, and conversely, neurodegeneration was attenuated in response to paraquat in a senescent astrocyte-selectively depleted mouse model [21].
This section reviews evidence from a molecular signaling perspective about the participation of astrocytes in the genesis of experimental PD and the involved molecular cascades.
2.1. Wnt/β-Catenin Signaling Cascade
The Wnt1 (wingless-type MMTV (mouse mammary tumor virus) integration site family, member 1) pathway has emerged as an essential signaling cascade regulating differentiation, neuron survival, axonal extension, synapse formation, neurogenesis, and many other processes in developing and adult tissues [22]. Little is known on the role of Wnt agonists in the midbrain [23]. In healthy human progenitor-derived astrocytes (PDAs), β-catenin leads to modulation of genes relevant to regulating aspects of glutamate neurotransmission [24]. However, the expression of Wnt components in adult astrocytes [25, 26] and the identification of activated midbrain astrocytes as candidate components of Wnt1 signaling suggest that astrocytes may be relevant sources of Wnt1 [27]. Using the proneurotoxin MPTP- (1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-) lesioned mouse model, 92 mRNA species molecular profiling in the midbrain revealed a specific, robust, and persistent increase in the expression of the canonical Wnt1 agonist, but not of Wnt3a or Wnt5a, during MPTP-induced dopaminergic degeneration [28]. The activated astrocytes rescued mesencephalic dopaminergic neurons from MPP+-induced tyrosine hydroxylase-positive (TH⁺) neuron toxicity promoting dopaminergic neurogenesis through Wnt1/β-catenin signaling activation [28]. Further evidence supports that the Wnt signaling system may be reinforced following injury in the adult CNS [29]. Likewise, some studies suggest that Wnt/β-catenin activation reduces neurodegeneration in mouse models of Alzheimer’s disease [30, 31].
Growing evidence endorses the critical participation of Wnt1 in PD genesis. The neuroprotective effects of the Wnt pathway could be blocked by a Wnt1 antibody [28], and also, the Wnt1-targeted interfering RNA-induced Wnt1 depletion in midbrain astrocytes resulted in a substantial decrease in TH⁺ neuron survival upon serum deprivation and 6-OHDA or MPP+ treatment in neuron-astrocyte cocultures [32].
Furthermore, the Fzd-1 immunofluorescent signal largely increased in the rescued TH⁺ neurons in dopaminergic DA neurons cocultured with midbrain astrocytes, oppositely to the dramatic Fzd-1 receptor downregulation observed in purified neurons, either in vitro or in vivo, following the neurotoxic insult [32].
Interestingly, exogenous activation of Wnt signaling with a specific GSK-3β (glycogen synthase kinase 3) antagonist sharply amplified astrocyte-induced DA neuroprotection in MPP+-treated astroglia-neuron cocultures. Glial inserts or Wnt1 direct addition to purified DA neurons just before MPP+ insult largely conferred neuroprotection, which was blocked by a Wnt1 antibody or the Wnt antagonist Fzd-1-cysteine-rich domain, supporting the critical role of Wnt1 in dopaminergic neuron survival [28]. Over and above, pharmacological inhibition of GSK-3β activity increased neuroblasts’ population and promoted their migration towards the rostral migratory stream and the lesioned striatum in PD animal models [33]. Inhibiting GSK-3β enhanced dendritic arborization and survival of the granular neurons and stimulated neural stem cell-to-neuronal phenotype differentiation in the hippocampus of PD animal models. Figure 1 summarily illustrates the Wnt/β-catenin/Fdz-1 pathway.