Astrocytic endfeet integrity refers to the structural and functional soundness of the specialized terminal processes of astrocytes, a type of glial cell, that envelop the cerebral capillaries and arterioles. These endfeet are fundamental components of the neurovascular unit and the blood-brain barrier (BBB), playing a critical role in regulating cerebral blood flow and nutrient transport. Maintaining this integrity is essential for preventing pathological leakage and ensuring the proper homeostatic environment necessary for neuronal health. Compromised endfeet function is implicated in various neurodegenerative and cerebrovascular disorders.
Origin
The term is rooted in cellular neuroscience and neuroanatomy, describing a specific cellular structure and its functional state. “Astrocytic” refers to astrocytes, star-shaped glial cells, and “Endfeet” describes their foot-like extensions. “Integrity” denotes the state of being whole and unimpaired.
Mechanism
Astrocytic endfeet regulate the permeability of the blood-brain barrier by controlling the tight junctions between endothelial cells, a process often mediated by aquaporin-4 (AQP4) water channels located on the endfeet membrane. They actively participate in potassium and fluid homeostasis within the perivascular space, which is vital for neuronal excitability. Hormonal and inflammatory signals can directly modulate the expression and localization of AQP4, thus impacting the endfeet’s ability to maintain central nervous system fluid balance and waste clearance.
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