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Published on: October 27, 2020
Neuroglia in anxiety disorders
Robin E Bonomi1, Robert Pietrzak1, Kelly P Cosgrove1
1Department of Psychiatry, Yale University, New Haven, CT, United States.
Handbook of Clinical Neurology
|March 27, 2025
Summary
Glial cells, including microglia, astrocytes, and oligodendrocytes, are crucial in understanding anxiety disorders like PTSD. Targeting these cells offers new avenues for precision treatments and pharmacologic development.
Area of Science:
- Neuroscience
- Pathophysiology
- Cell Biology
Background:
- Anxiety disorders, particularly posttraumatic stress disorder (PTSD), are highly prevalent and disabling globally.
- Understanding the cellular mechanisms underlying these conditions is essential for developing effective treatments.
- Glial cells (microglia, astrocytes, oligodendrocytes) are increasingly recognized for their role in anxiety disorder pathophysiology.
Purpose of the Study:
- To review the literature on the role of glial cells in the neurobiology and pathology of anxiety disorders, with a specific focus on PTSD.
- To explore the interactions of glial cells with neuro-epigenetics, neuroimmune, and neuronal signaling pathways.
- To discuss current and novel treatment strategies for PTSD, including the potential of tetrahydrocannabinol and MDMA.
Main Methods:
- Literature review and synthesis of existing research on glial cells and anxiety disorders.
- Analysis of the neurobiological and pathological contributions of microglia, astrocytes, and oligodendrocytes.
- Examination of current therapeutic approaches and emerging pharmacologic targets.
Main Results:
- Glial cells significantly influence the neurobiology and pathology of anxiety disorders, including PTSD.
- These cells modulate neuro-epigenetic, neuroimmune, and neuronal signaling pathways relevant to anxiety.
- Current treatments for PTSD are limited, highlighting the need for novel therapeutic strategies.
Conclusions:
- Glial cells represent a critical target for understanding and treating anxiety disorders like PTSD.
- Emerging treatments targeting glial cell function show promise for precision medicine.
- Future research should focus on neuroglia-centric pharmacologic development for improved anxiety disorder therapies.
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Glial Cells
Overview
Nervous Tissue: Glial Cells
Glia, or neuroglia, are vital support cells that assist neurons in their functions. The term "glia" originates from the Greek word for "glue," reflecting their role in holding the nervous system together. These cells can be categorized into six types: four in the central nervous system (CNS) and two in the peripheral nervous system (PNS).
The CNS glial cell includes the astrocytes, the oligodendrocytes, the microglia, and the ependymal cells.
Astrocytes are star-shaped glial cells that interact...
The CNS glial cell includes the astrocytes, the oligodendrocytes, the microglia, and the ependymal cells.
Astrocytes are star-shaped glial cells that interact...
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Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
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