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. Author manuscript; available in PMC: 2021 Aug 1.
Published in final edited form as: Nat Rev Gastroenterol Hepatol. 2021 Mar 17;18(8):571–587. doi: 10.1038/s41575-021-00423-7

Table 2 |.

Criteria for and examples of activated glia, reactive glia or gliopathy

Glial phenotype Criteria Examples from experimental evidence
Activated enteric glia Response to physiological stimuli; normal signalling mechanisms whereby enteric glia monitor the activity of cells in the surrounding tissue; primarily enacts glial mechanisms that exert beneficial, homeostatic effects Enteric glia exhibit activity encoded by intracellular Ca2+ signalling in response to neurotransmitters released by intrinsic (enteric)16,60,64,66,68,70,71,179 and extrinsic12,18 neurons; enteric glial activation encoded by intracellular Ca2+ responses modulates enteric excitatory motor10,14,17,60 and secretomotor11 neurocircuits; enteric glia modulate local immune response in vitro and in vivo37,48,151,157; enteric glia influence the maturation and differentiation of the intestinal epithelium in vitro46,104106,180
Reactive enteric glia Response to pathophysiological perturbation of any severity; involves altered molecular composition, structure and/or function; changes undergone are progressive and depend on the type and severity of injury, glial subtype and specific molecular signals received; changes have the potential to alter glial activities through both gain and loss of functions that can be either beneficial or detrimental to the surrounding neural and non-neuronal cells Enteric glia respond to intestinal inflammation12,13,62,116,148,155 and infection in vitro and in vivo22,148,170,172; enteric glia undergo changes in GFAP expression, morphology, cytokine release and gene expression profile during intestinal inflammation in vitro and in vivo 12,113,133; enteric glia contribute to neuron death during acute intestinal inflammation13,147; enteric glia contribute to vagal anti-inflammatory effects on resident intestinal immune cells following intestinal injury19,157; enteric glia influence visceral sensitivity through interactions with muscularis macrophages48
Enteric gliopathy Dysfunctional or maladaptive response and/or survival of glial cells; might be primary and result from genetic or acquired dysfunction emanating from glia, or secondary whereby glial dysfunction results from effects in the surrounding tissue; exerts detrimental effects that contribute to disease Glial support of epithelial barrier homeostasis is impaired in Crohn’s disease in vitro122,181; enteric glial networks are impaired and display dysfunctional responses in patients with Crohn’s disease77,90