Abstract

Mood disorders have multiple phenotypes and complex underlying biological mechanisms and, as such, there are no effective therapeutic strategies. A review of recent work on the role of astrocytes in mood disorders is thus warranted, which we embark on here. We argue that there is tremendous potential for novel strategies for therapeutic interventions based on the role of astrocytes. Astrocytes are traditionally considered to have supporting roles within the brain, yet emerging evidence has shown that astrocytes have more direct roles in influencing brain function. Notably, evidence from postmortem human brain tissues has highlighted changes in glial cell morphology, density and astrocyte-related biomarkers and genes following mood disorders, indicating astrocyte involvement in mood disorders. Findings from animal models strongly imply that astrocytes not only change astrocyte morphology and physiological characteristics but also influence neural circuits via synapse structure and formation. This review pays particular attention to interactions between astrocytes and neurons and argues that astrocyte dysfunction affects the monoaminergic system, excitatory–inhibitory balance and neurotrophic states of local networks. Together, these studies provide a foundation of knowledge about the exact role of astrocytes in mood disorders. Importantly, we then change the focus from neurons to glial cells and the interactions between the two, so that we can understand newly proposed mechanisms underlying mood disorders, and to identify more diagnostic indicators or effective targets for treatment of these diseases.

Highlights

  • Mood disorders are a group of illnesses that describe a serious disturbance in a person’s mood (Sadock and Sadock, 2011), such as major depression disorder (MDD) and bipolar disorder (American Psychiatric Pub Association, 2013), and are a worldwide problem in modern society

  • According to the World Health Organization (WHO), more than 300 million people are living with depression disorder and this disorder has been ranked as the largest contributor to non-fatal health loss (World Health Organization [WHO], 2017)

  • Mainly on the mechanisms involving mood disorders through which astrocytes are thought to function, with a particular emphasis on depression

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Summary

INTRODUCTION

Mood disorders are a group of illnesses that describe a serious disturbance in a person’s mood (Sadock and Sadock, 2011), such as major depression disorder (MDD) and bipolar disorder (American Psychiatric Pub Association, 2013), and are a worldwide problem in modern society. According to the World Health Organization (WHO), more than 300 million people are living with depression disorder and this disorder has been ranked as the largest contributor to non-fatal health loss (World Health Organization [WHO], 2017)

Mood Disorder Interventions Through Astrocytes
ASTROCYTE INVOLVEMENT IN MOOD DISORDERS THROUGH DYSFUNCTION OF SYNAPSES
ASTROCYTES INFLUENCE MOOD DISORDERS THROUGH INTERACTION WITH NEURONS
The Physiological Basis by Which Astrocytes Modulate Neurons
The Monoaminergic Hypothesis in Depression and Anxiety Disorder
The Neurotrophic Hypothesis in Depression and Anxiety Disorder
Findings
DISCUSSION AND CONCLUSION
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