Astrocyte Dysfunctions in Obsessive Compulsive Disorder: Rethinking Neurobiology and Therapeutic Targets

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Titel: Astrocyte Dysfunctions in Obsessive Compulsive Disorder: Rethinking Neurobiology and Therapeutic Targets
Autoren: Gonzalez L., Bezzi P.
Quelle: J Neurochem
Journal of neurochemistry, vol. 169, no. 5, pp. e70092
Verlagsinformationen: Wiley, 2025.
Publikationsjahr: 2025
Schlagwörter: Obsessive-Compulsive Disorder, OCD, astrocytes, psychiatric disorders, Neuronal Plasticity, Neurobiology, Astrocytes, REVIEW, Humans, Animals, Astrocytes/metabolism, Astrocytes/drug effects, Astrocytes/pathology, Obsessive-Compulsive Disorder/metabolism, Obsessive-Compulsive Disorder/physiopathology, Obsessive-Compulsive Disorder/drug therapy, Obsessive-Compulsive Disorder/therapy, Obsessive-Compulsive Disorder/pathology, Neuronal Plasticity/physiology
Beschreibung: Obsessive‐compulsive disorder (OCD) has long been conceptualized as a neuron‐centric disorder of cortico‐striato‐thalamo‐cortical (CSTC) circuit dysregulation. However, a growing body of evidence is now reframing this narrative, placing astrocytes—once relegated to passive support roles—at the center of OCD pathophysiology. Astrocytes are critical regulators of glutamate and GABA homeostasis, calcium signaling, and synaptic plasticity, all of which are disrupted in OCD. Recent high‐resolution molecular and proteomic studies reveal that specific astrocyte subpopulations, including Crym‐positive astrocytes, directly shape excitatory/inhibitory balance and control perseverative behaviors by modulating presynaptic inputs from the orbitofrontal cortex. Disruptions in astrocytic neurotransmitter clearance and dopamine metabolism amplify CSTC circuit hyperactivity and reinforce compulsions. This review reframes OCD as a disorder of neuro‐glial dysfunctions, proposing that targeting astrocytic signaling, metabolism, and structural plasticity may unlock transformative therapeutic strategies. By integrating human and animal data, we advocate for a glial‐centric model of OCD that not only enhances mechanistic understanding but also opens new frontiers for precision treatment.image
Publikationsart: Article
Other literature type
Dateibeschreibung: application/pdf
Sprache: English
ISSN: 1471-4159
0022-3042
DOI: 10.1111/jnc.70092
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/40400176
https://serval.unil.ch/notice/serval:BIB_B14759715279
https://serval.unil.ch/resource/serval:BIB_B14759715279.P001/REF.pdf
http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_B147597152794
https://hdl.handle.net/11573/1749038
https://doi.org/10.1111/jnc.70092
Rights: CC BY
Dokumentencode: edsair.doi.dedup.....6cd9c68b06ef6fdc4c30cd6ff9448e53
Datenbank: OpenAIRE
Beschreibung
Abstract:Obsessive‐compulsive disorder (OCD) has long been conceptualized as a neuron‐centric disorder of cortico‐striato‐thalamo‐cortical (CSTC) circuit dysregulation. However, a growing body of evidence is now reframing this narrative, placing astrocytes—once relegated to passive support roles—at the center of OCD pathophysiology. Astrocytes are critical regulators of glutamate and GABA homeostasis, calcium signaling, and synaptic plasticity, all of which are disrupted in OCD. Recent high‐resolution molecular and proteomic studies reveal that specific astrocyte subpopulations, including Crym‐positive astrocytes, directly shape excitatory/inhibitory balance and control perseverative behaviors by modulating presynaptic inputs from the orbitofrontal cortex. Disruptions in astrocytic neurotransmitter clearance and dopamine metabolism amplify CSTC circuit hyperactivity and reinforce compulsions. This review reframes OCD as a disorder of neuro‐glial dysfunctions, proposing that targeting astrocytic signaling, metabolism, and structural plasticity may unlock transformative therapeutic strategies. By integrating human and animal data, we advocate for a glial‐centric model of OCD that not only enhances mechanistic understanding but also opens new frontiers for precision treatment.image
ISSN:14714159
00223042
DOI:10.1111/jnc.70092