Evolution of synaptic models: from neuronal communication to the role of glial cells in synaptic function and neurological disorders

Era/ModelKey conceptsKey playersMain mechanismsNotable findingsImplications for neurological disordersReferences
Early synaptic modelSynapse as a site of communication between pre- and post-synaptic neuronsNeuronsNeurotransmitter release, receptor activationFocus on direct synaptic communication via neurotransmitter release and downstream effectsLimited scope, failed to account for contributions from glial cells in synaptic function[92, 93]
Tripartite synapse model (astrocytes and neurons) (2000s)Inclusion of astrocytes as active participants in synaptic communicationNeurons, astrocytesGliotransmitter release, astrocyte involvement in synaptic plasticityAstrocytes play an active role in synaptic activity by detecting and responding to neurotransmitter levels, modulating plasticityIntroduced the idea of glial cells’ involvement in synaptic modulation[9496]
Modified tripartite synapse model (neurons and microglia) (2000s–2010s)Recognition of microglia as regulators of synaptic function and plasticityNeurons, microgliaMicroglial surveillance, synaptic pruning, cytokine-mediated signalingMicroglia monitor and eliminate weak synapses, playing a role in synaptic remodelingDysregulated microglial activity contributes to neurodevelopmental disorders and neurodegenerative diseases[97, 98]
Quadripartite synapse model (2010s)Extension to include microglia in synaptic functionNeurons, astrocytes, microgliaATP-driven purinergic signaling, synaptic maintenance and pruningMicroglia actively participate in synaptic signaling and plasticity, contributing to both health and pathologyProvides a more holistic view of synaptic communication, involving immune and neuroinflammatory responses[22, 99]
Purinergic signaling in quadripartite synapseATP as a key signaling molecule among neurons, astrocytes, and microgliaNeurons, astrocytes, microgliaATP release during neuronal activity, microglial recruitment via P2Y12 receptorsATP release directs microglial processes toward active synapses, influencing plasticity and hyperactivity in disorders like epilepsyDisruption of ATP signaling and glial synchronization can lead to disorders like epilepsy and neurodegeneration[75, 80, 100]
Astrocyte-microglial crosstalkDynamic interaction between astrocytes and microglia via ATPAstrocytes, microgliaModulation of microglial responses to neurotransmission (glutamatergic and GABAergic)Astrocytes can enhance or suppress microglial activity, maintaining synaptic balanceDisruptions in crosstalk contribute to pathologies like epilepsy, and neurodegenerative diseases[80, 101]
Neuroimmune modulationRole of glial cells in neuroprotection and response to injuryAstrocytes, microgliaRelease of protective molecules (IL-6) and ATP in response to inflammation or injuryGlial cells coordinate protective responses to neurotoxic stimuli and maintain neuronal healthImbalances in glial responses contribute to inflammatory diseases and worsen neuronal damage in conditions like neurodegeneration and injury[80, 102, 103]
Disruptions in synaptic homeostasisAlterations in glial cell function contribute to diseaseNeurons, astrocytes, microgliaDisruption of synaptic balance via glial dysfunctionLoss of synchrony between astrocytes and microglia can lead to hyperexcitable synapses, as in epilepsyImplicates glial dysfunction in diseases such as epilepsy, neurodegeneration, and neuroinflammatory conditions[74, 104, 105]

IL-6: interleukin-6