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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Synaptic Neurosci.</journal-id>
<journal-title>Frontiers in Synaptic Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Synaptic Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1663-3563</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnsyn.2022.1059918</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Cyclic AMP response element-binding protein (CREB) transcription factor in astrocytic synaptic communication</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Kim</surname> <given-names>Jooyoung</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/2077525/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Kaang</surname> <given-names>Bong-Kiun</given-names></name>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2743/overview"/>
</contrib>
</contrib-group>
<aff><institution>School of Biological Sciences, College of Natural Sciences, Seoul National University</institution>, <addr-line>Seoul</addr-line>, <country>South Korea</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: P. Jesper Sj&#x00F6;str&#x00F6;m, McGill University, Canada</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Anastasios Lymperopoulos, Nova Southeastern University, United States</p></fn>
<corresp id="c001">&#x002A;Correspondence: Bong-Kiun Kaang, <email>kaang@snu.ac.kr</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>04</day>
<month>01</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>14</volume>
<elocation-id>1059918</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>10</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>10</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2023 Kim and Kaang.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Kim and Kaang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Astrocytes are known to actively participate in synaptic communication by forming structures called tripartite synapses. These synapses consist of presynaptic axon terminals, postsynaptic dendritic spines, and astrocytic processes where astrocytes release and receive transmitters. Although the transcription factor cyclic AMP response element (CRE)-binding protein (CREB) has been actively studied as an important factor for mediating synaptic activity-induced responses in neurons, its role in astrocytes is relatively unknown. Synaptic signals are known to activate various downstream pathways in astrocytes, which can activate the CREB transcription factor. Therefore, there is a need to summarize studies on astrocytic intracellular pathways that are induced by synaptic communication resulting in activation of the CREB pathway. In this review, we discuss the various neurotransmitter receptors and intracellular pathways that can induce CREB activation and CREB-induced gene regulation in astrocytes.</p>
</abstract>
<kwd-group>
<kwd>astrocyte</kwd>
<kwd>CREB</kwd>
<kwd>tripartite synapse</kwd>
<kwd>GPCR</kwd>
<kwd>PIP<sub>3</sub> signaling</kwd>
</kwd-group>
<counts>
<fig-count count="1"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="98"/>
<page-count count="9"/>
<word-count count="6736"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1" sec-type="intro">
<title>Introduction</title>
<p>Astrocytes are glial cells of the brain that perform diverse functions, including supportive functions such as brain barrier transport, energy molecule transport, ion concentration control, and neurotransmitter recycling. In the last two decades, the role of astrocytes, in addition to their supportive functions, has been largely studied. Molecular and behavioral studies have shown that astrocytes are major participants in information processing and learning in the brain. The astrocytic process establishes a structure morphologically and functionally similar to neuronal synapses, called tripartite synapses, which bidirectionally affect synapses using release factors and contact-dependent factors. Through tripartite synapses, astrocytes respond to neuronal activity and various neurotransmitters. A single astrocyte can occupy up to 100,000 synapses, suggesting that astrocytes may be the center for converging various neuronal inputs and modulating synapses (<xref ref-type="bibr" rid="B10">Bushong et al., 2002</xref>). Many studies have shown that neighboring neuronal activity can elicit calcium activity in astrocytes, which is a major signaling mechanism (<xref ref-type="bibr" rid="B62">Martin et al., 2015</xref>; <xref ref-type="bibr" rid="B63">Martin-Fernandez et al., 2017</xref>; <xref ref-type="bibr" rid="B59">Lezmy et al., 2021</xref>). Astrocytic calcium signals mediate differential gene expression, structural changes, and release of signal molecules called gliotransmitters.</p>
<p>The CREB transcription factor, known to be involved in neuronal plasticity, is also activated in astrocytes in response to neurotransmitters (<xref ref-type="bibr" rid="B11">Carriba et al., 2012</xref>). CREB binds to CRE of the promoter to regulate transcription, and is activated by phosphorylation at Ser-133 (<xref ref-type="bibr" rid="B31">Gonzalez and Montminy, 1989</xref>). Cyclic adenosine monophosphate (cAMP)/protein kinase A (PKA) is known to activate CREB <italic>via</italic> the cAMP/PKA pathway; however, other factors such as phosphatidylinositol 3-kinase (PI3K)/Akt can also phosphorylate CREB (<xref ref-type="fig" rid="F1">Figure 1</xref>). In neurons, apart from activating neuronal plasticity genes, including BDNF, overexpression of CREB has been shown to be sufficient to allocate memory-encoding cells (<xref ref-type="bibr" rid="B36">Han et al., 2009</xref>). Although neuronal CREB has been actively studied, in astrocytes, the CREB transcription factor has rarely been reported in relation to synaptic communication and plasticity. Genes related to amino acid processing, cytoskeleton dynamics, and vesicle dynamics have been shown to be differentially expressed after activation of CREB signaling (<xref ref-type="bibr" rid="B76">Pardo et al., 2017</xref>), suggesting that CREB signaling may be an important mediator of astrocytic responses to stimuli. To examine this possibility, it is important to identify upstream elements that activate the CREB pathway and downstream pathways that are affected by the CREB pathway. Therefore, this review summarizes astrocytic receptors and transcriptomic and morphological changes related to CREB signaling.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Activation of CREB pathway in astrocyte. CREB activity regulates gliotransmitter release, cytoskeleton dynamics, synaptic plasticity, neuroprotection, growth factor release, calcium dynamics, metabolism, and generation of reactive oxygen species. Receptor tyrosine kinases produce PIP<sub>3</sub> to activate Akt that can phosphorylate CREB. GPCRs can activate adenylyl cyclase to produce cAMP and activate PKA. Some GPCRs, such as melatonin receptor, can activate CREB <italic>via</italic> Akt. Notch intracellular domain is cleaved upon activation by contact-dependent signals and may activate MAPK pathway.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnsyn-14-1059918-g001.tif"/>
</fig>
<sec id="S1.SS1">
<title>Neuronal CREB in synaptic communication and plasticity</title>
<p>Early studies of synaptic plasticity have shown CREB to be a crucial mediator of long-term potentiation (LTP). In Aplysia, serotonin (5-HT)-induced long-term facilitation (LTF) of synapses activates the cAMP second messenger pathway and phosphorylates CREB (<xref ref-type="bibr" rid="B47">Kaang et al., 1993</xref>; <xref ref-type="bibr" rid="B58">Lee et al., 2009</xref>). Subsequently, other studies in Drosophila (<xref ref-type="bibr" rid="B92">Yin et al., 1994</xref>) and rodents (<xref ref-type="bibr" rid="B8">Bourtchuladze et al., 1994</xref>; <xref ref-type="bibr" rid="B32">Guzowski and McGaugh, 1997</xref>) demonstrated that blockade of CREB can impair long-term memory, confirming that CREB is an important mediator of long-term synaptic plasticity and memory. In the 2000s, CREB studies were expanded using transgenic mice expressing constitutively active CREB, called VP16-CREB (<xref ref-type="bibr" rid="B6">Barco et al., 2002</xref>) or region-specific modulation using viral expression (<xref ref-type="bibr" rid="B46">Josselyn et al., 2001</xref>). VP16-CREB mice show facilitated LTP in the hippocampus (<xref ref-type="bibr" rid="B6">Barco et al., 2002</xref>), which is dependent on brain-derived neurotrophic factor (BDNF) expression (<xref ref-type="bibr" rid="B7">Barco et al., 2005</xref>). Virus-mediated CREB overexpression in the amygdala can increase long-term memory (<xref ref-type="bibr" rid="B46">Josselyn et al., 2001</xref>). Viral modulation of CREB expression has enabled more complex experiments that provide an extensive understanding of CREB. <xref ref-type="bibr" rid="B35">Han et al. (2007)</xref> showed that CREB-expressed subset of neurons can act as memory-encoding neurons, which was later confirmed by inhibition of memory by selective ablation (<xref ref-type="bibr" rid="B36">Han et al., 2009</xref>). In addition, CREB not only regulates plasticity during synaptic activity but also regulates the excitability of neurons (<xref ref-type="bibr" rid="B96">Zhou et al., 2009</xref>).</p>
<p>With increasing evidence of CREB being an important mediator of synaptic communication, the mechanism of CREB activation in neurons has also been investigated. Ser-133 is an important phosphorylation site for CREB activation (<xref ref-type="bibr" rid="B31">Gonzalez and Montminy, 1989</xref>). Phosphorylation of CREB at Ser-133 allows binding of CREB-binding protein to the site, inducing a complex formation (<xref ref-type="bibr" rid="B77">Parker et al., 1996</xref>). In neurons, various kinases have been shown to be involved in phosphorylation of CREB (for review see <xref ref-type="bibr" rid="B85">Sakamoto et al., 2011</xref>). cAMP and PKA are major activators of CREB (<xref ref-type="bibr" rid="B31">Gonzalez and Montminy, 1989</xref>) while Akt is required for some CREB activation pathways (<xref ref-type="bibr" rid="B9">Brami-Cherrier et al., 2002</xref>), and calcium-dependent pathways involving Ca<sup>2+</sup>/calmodulin (CaM) kinases are also responsible for CREB activation (<xref ref-type="bibr" rid="B20">Deisseroth et al., 1996</xref>; <xref ref-type="bibr" rid="B25">Finkbeiner et al., 1997</xref>). CREB can be regulated by mechanisms other than phosphorylation, which have been described previously (for review, see <xref ref-type="bibr" rid="B85">Sakamoto et al., 2011</xref>).</p>
</sec>
<sec id="S1.SS2">
<title>G protein-coupled receptors and cyclic adenosine monophosphate/protein kinase A pathways in astrocytic CREB activation</title>
<p>Identifying the signals and receptors that activate CREB would be the first step in understanding the synaptic communication of the tripartite synapse. Unlike neurons, in astrocytes, CREB transcription is not merely induced by Ca<sup>2+</sup> transients (<xref ref-type="bibr" rid="B67">Murray et al., 2009</xref>), thus, emphasizing the need to identify specific receptors that activate distinct pathways for CREB activation. The G protein-coupled receptor (GPCR)-activated cAMP/PKA pathway is the best-known pathway for CREB activation. Therefore, in this section, we explore the current literature on cAMP/PKA/CREB pathways.</p>
<sec id="S1.SS2.SSS1">
<title>G protein-coupled receptors that induce response to synaptic signals</title>
<p>G protein-coupled receptors are membrane receptors that bind ligands in the extracellular domain and G proteins in the intracellular domain. Upon activation, GPCRs recruit and activate G proteins, which mediate subsequent activation cascades. GPCRs can be classified according to the type of G proteins they bind to. Canonical cAMP-PKA-CREB signaling can be activated by G<sub><italic>s</italic></sub>-GPCRs, where the activated G<sub><italic>s</italic></sub>-protein stimulates the production of cAMP, which in turn activates PKA, which can directly phosphorylate CREB. Various types of GPCR that respond to neurotransmitters are present in astrocytes.</p>
<p>One of the known GPCRs that can evoke astrocytic response is the adenosine receptor. All four types of the adenosine receptors, namely A1, A2A, A2B, and A3, are expressed in astrocytes (<xref ref-type="bibr" rid="B18">Dare et al., 2007</xref>). A1 and A3 receptors are G<sub><italic>i</italic></sub>-coupled, and A2A and A2B receptors are G<sub><italic>s</italic></sub>-coupled (<xref ref-type="bibr" rid="B27">Fredholm et al., 2000</xref>). The ligand of the receptor adenosine is generally produced through the breakdown of adenosine triphosphate (ATP) by ectoenzymes. The application of ATP (<xref ref-type="bibr" rid="B79">Perea and Araque, 2007</xref>; <xref ref-type="bibr" rid="B52">Kawamura and Kawamura, 2011</xref>), adenosine (<xref ref-type="bibr" rid="B88">Tanaka et al., 2021</xref>), and A2A receptor agonists (<xref ref-type="bibr" rid="B48">Kanno and Nishizaki, 2012</xref>) have been reported to evoke astrocytic calcium responses. The calcium response is reduced by A1, A2A, and A2B antagonists (<xref ref-type="bibr" rid="B88">Tanaka et al., 2021</xref>). Adenosine has been shown to be involved in controlling neurotransmitter concentrations in astrocytes. Activation of the A2A receptor inhibits glutamate clearance into astrocytes (<xref ref-type="bibr" rid="B70">Nishizaki et al., 2002</xref>; <xref ref-type="bibr" rid="B64">Matos et al., 2013</xref>) and promotes glutamate release (<xref ref-type="bibr" rid="B70">Nishizaki et al., 2002</xref>). In addition, A2A receptor activation boosts &#x03B3;-aminobutyric acid (GABA) uptake into astrocytes, whereas activation of the A1A receptor depresses GABA uptake by astrocytes (<xref ref-type="bibr" rid="B17">Cristovao-Ferreira et al., 2013</xref>). Another G<sub><italic>s</italic></sub>-coupled adenosine receptor, the A2B receptor, is involved in the downregulation of mGluR5 receptors and a decrease in excitatory synapses during development (<xref ref-type="bibr" rid="B88">Tanaka et al., 2021</xref>). Knockout of the A2A receptor has been shown to enhance memory (<xref ref-type="bibr" rid="B73">Orr et al., 2015</xref>). These studies confirm that astrocytes respond to adenosine signaling in a diverse and complex manner, the effects of which are specific to the types of GPCR. Indeed, the behavioral consequences of activating hippocampal astrocytes by G<sub><italic>q</italic></sub>- (<xref ref-type="bibr" rid="B1">Adamsky et al., 2018</xref>) and G<sub><italic>i</italic></sub>- (<xref ref-type="bibr" rid="B54">Kol et al., 2020</xref>) coupled designer receptors exclusively activated by designer drugs (DREADDs) are different.</p>
<p>Adrenergic receptors can induce calcium transients in astrocytes (<xref ref-type="bibr" rid="B89">Vardjan and Zorec, 2017</xref>; <xref ref-type="bibr" rid="B26">Fischer et al., 2021</xref>). All adrenergic receptor (AR) types are expressed in astrocytes (<xref ref-type="bibr" rid="B39">Hertz et al., 2010</xref>), and have been studied in various aspects of cognitive function, including consolidation of memory (<xref ref-type="bibr" rid="B30">Gibbs and Bowser, 2010</xref>; <xref ref-type="bibr" rid="B29">Gao et al., 2016</xref>). &#x03B1;1-ARs are G<sub><italic>q</italic></sub>-coupled, &#x03B1;2-ARs are G<sub><italic>i</italic></sub>-coupled, and &#x03B2;-ARs are G<sub><italic>s</italic></sub>-coupled (<xref ref-type="bibr" rid="B44">Insel, 1993</xref>), suggesting that each subtype shows different downstream pathways. Indeed, in olfactory bulbs, only &#x03B1;1-AR and &#x03B1;2-AR are involved in the norepinephrine-induced astrocytic calcium transient, whereas &#x03B2;-AR does not participate in calcium activity (<xref ref-type="bibr" rid="B26">Fischer et al., 2021</xref>). Instead, G<sub><italic>s</italic></sub>-coupled &#x03B2;1-AR has been shown to induce CREB phosphorylation and cAMP production in neurons (<xref ref-type="bibr" rid="B66">Meitzen et al., 2011</xref>). Norepinephrine has also been shown to be involved in astrocytic formation. While activation of &#x03B2;-AR promotes process formation, activation of &#x03B1;2-AR inhibits the &#x03B2;-AR effect (<xref ref-type="bibr" rid="B53">Kitano et al., 2021</xref>). In addition, &#x03B2;-AR is involved in glial fibrillary acidic protein (GFAP) plasticity in the soma and processes of astrocytes (<xref ref-type="bibr" rid="B91">Wang et al., 2017</xref>). It is unknown whether CREB mediates norepinephrine-regulated astrocytic morphological changes; therefore, future studies are required to evaluate these changes. In addition to morphological control, the activation of ARs can affect glucose uptake in astrocytes (<xref ref-type="bibr" rid="B12">Catus et al., 2011</xref>).</p>
</sec>
<sec id="S1.SS2.SSS2">
<title>G protein-coupled receptor-induced canonical cyclic adenosine monophosphate/protein kinase A pathway and astrocytic CREB activation</title>
<p>The CREB pathway has been studied as a downstream pathway of adenosine and adrenergic signaling in astrocytes. Norepinephrine and ATP increase CREB-dependent signaling in astrocytes (<xref ref-type="bibr" rid="B11">Carriba et al., 2012</xref>). There is evidence that adrenergic and adenosine receptors activate the cAMP-PKA-CREB pathway in astrocytes; inhibiting PKA blocked adenosine-induced gliotransmitter release in astrocytes (<xref ref-type="bibr" rid="B70">Nishizaki et al., 2002</xref>). In addition, PKA blockade inhibits modulation of GABA uptake by the A2A receptor and A1A receptor (<xref ref-type="bibr" rid="B17">Cristovao-Ferreira et al., 2013</xref>), suggesting that the astrocytic response to adenosine involves the PKA pathway. Norepinephrine has been shown to induce BDNF in a CREB-dependent manner (<xref ref-type="bibr" rid="B56">Koppel et al., 2018</xref>). Transcriptional changes induced by CREB manipulation provide further evidence that the adrenergic receptor pathway is involved in CREB activation. <xref ref-type="bibr" rid="B76">Pardo et al. (2017)</xref> expressed constitutively active CREB, VP16-CREB, in astrocytes and compared their transcriptional profiles with norepinephrine- and forskolin-treated astrocytes. Transcription profiles related to amino acid processing, cytoskeleton dynamics, and vesicle dynamics undergo alterations in VP16-CREB cells, similar to the transcriptional profiles induced by norepinephrine and forskolin.</p>
</sec>
<sec id="S1.SS2.SSS3">
<title>G protein-coupled receptor-induced CREB and synaptic plasticity</title>
<p>The cAMP/PKA pathway is a canonical pathway that activates CREB. <xref ref-type="bibr" rid="B97">Zhou et al. (2021)</xref> showed that astrocytic cAMP was sufficient to modulate memory and synaptic plasticity. The study used photoactivatable adenylyl cyclase to increase cAMP levels in astrocytes during blue light irradiation, which successfully increased pCREB in target astrocytes. Light stimulation during and immediately after learning significantly increased learning, whereas light stimulation during the retention period impaired memory. These results show that CREB signaling in astrocytes is important for learning, and that its activated time window is important for accurate memory processing. The same study showed that the activation of the cAMP pathway was sufficient to induce <italic>de novo</italic> synaptic plasticity. This is consistent with the results of <xref ref-type="bibr" rid="B1">Adamsky et al. (2018)</xref>, who showed that G<sub><italic>q</italic></sub>-DREADD-mediated astrocytic activation resulted in <italic>de novo</italic> synaptic plasticity. It is possible that the CREB pathway in astrocytes mediates <italic>de novo</italic> synaptic plasticity during learning.</p>
</sec>
</sec>
<sec id="S1.SS3">
<title>Non-canonical pathways</title>
<p>Non-canonical CREB activation is known to be mediated by various cascades, such as ERK, MSK, GSK, p90RSK, PI3K/Akt, CaMKII, and CaMKIV (for review, see <xref ref-type="bibr" rid="B85">Sakamoto et al., 2011</xref>; <xref ref-type="bibr" rid="B90">Wang et al., 2018</xref>). Indeed, one study reported that ATP- and norepinephrine-induced CREB activation in astrocytes is not mediated by the canonical cAMP pathway, but by protein kinase C (PKC) in culture conditions (<xref ref-type="bibr" rid="B11">Carriba et al., 2012</xref>). In addition, various receptors other than GPCR may directly activate CREB or may affect CREB <italic>via</italic> crosstalk between signaling pathways in astrocytes. This section discusses the receptor tyrosine kinase, Notch signaling, and PI3K/Akt pathways.</p>
<sec id="S1.SS3.SSS1">
<title>Receptor tyrosine kinases (RTKs)</title>
<p>Receptor tyrosine kinases are membrane proteins with an intracellular tyrosine kinase domain, which activates various downstream molecules that can regulate the CREB pathway. Various receptor tyrosine kinases that mediate synaptic communication are expressed in astrocytes, such as the IGF1R, which has been shown to induce calcium responses, ATP release, and affect synaptic plasticity (<xref ref-type="bibr" rid="B72">Noriega-Prieto et al., 2021</xref>). Astrocytic IGF1R modulates PTEN, which is involved in the PI3K/Akt pathway (<xref ref-type="bibr" rid="B23">Fernandez et al., 2008</xref>). Another type of receptor tyrosine kinase expressed in astrocytes, the ephrin receptors (<xref ref-type="bibr" rid="B98">Zhuang et al., 2010</xref>), have been reported to regulate the astrocytic cytoskeleton (<xref ref-type="bibr" rid="B81">Puschmann and Turnley, 2010</xref>) and is involved in gliotransmitter release (<xref ref-type="bibr" rid="B98">Zhuang et al., 2010</xref>). Ephrin signaling is known to induce CREB activation in neurons (<xref ref-type="bibr" rid="B2">Alapin et al., 2018</xref>; <xref ref-type="bibr" rid="B93">Yuan et al., 2021</xref>); however, there is a lack of direct evidence of its involvement in astrocytic ephrin receptors and CREB. Instead, the astrocytic ephrin receptor has been reported to modulate PKC (<xref ref-type="bibr" rid="B98">Zhuang et al., 2010</xref>), which may be related to CREB-binding protein (CBP) interaction (<xref ref-type="bibr" rid="B45">Johnson et al., 2007</xref>). RTK may transactivate other types of receptors that activate CREB pathway. In PC12 cells, TrkA receptor transactivates sustained CREB activation by &#x03B1;2-AR in GPCR kinase 2 (GRK2)-dependent fashion (<xref ref-type="bibr" rid="B49">Karkoulias et al., 2020</xref>). GRK2 is known to mediate crosstalk between RTKs and GPCRs (<xref ref-type="bibr" rid="B28">Fu et al., 2017</xref>). GRK2 is expressed in astrocyte, known to regulate glutamate transport (<xref ref-type="bibr" rid="B69">Nijboer et al., 2013</xref>).</p>
</sec>
<sec id="S1.SS3.SSS2">
<title>Notch signaling</title>
<p>Notch signaling interacts with and represses the CREB pathway (<xref ref-type="bibr" rid="B34">Hallaq et al., 2015</xref>). It is a juxtracrine signaling system, mostly between membrane-bound ligands and receptors of adjacent cells. It can be mediated by the cleavage of the intracellular domain, and has been shown to induce CREB activation in the brain and is involved in long-term memory (<xref ref-type="bibr" rid="B94">Zhang et al., 2013</xref>). Heterogeneous Notch signaling molecules, including Notch1, Bmp4, Hes1, and Nrarp, are expressed in astrocytes (<xref ref-type="bibr" rid="B43">Hu et al., 2019</xref>). Expression of NICD were shown to be involved in CREB activation <italic>via</italic> MAPK in astroglia culture (<xref ref-type="bibr" rid="B60">Lim et al., 2019</xref>). While neuronal Notch signaling is known to be activity-responsive and necessary for learning (<xref ref-type="bibr" rid="B16">Costa et al., 2003</xref>; <xref ref-type="bibr" rid="B3">Alberi et al., 2011</xref>), little is known about the astrocyte-neuron communication. Astrocytic Notch signaling has mainly been studied for its role in development and differentiation. Considering that astrocytes are in close proximity to neurons, Notch signaling could also be a potential mediator of contact-dependent cell-to-cell communication in tripartite synapses. An <italic>in vitro</italic> study showed that an astrocyte-neuron co-culture differentially expressed Notch signaling pathway-related genes, which were blocked by a Notch pathway inhibitor (<xref ref-type="bibr" rid="B38">Hasel et al., 2017</xref>). In addition, <italic>ex vivo</italic> hippocampal astrocytes showed differential expression of Nrarp after late LTP (<xref ref-type="bibr" rid="B14">Chen et al., 2017</xref>), suggesting the effect of neuronal activity and synaptic communication on astrocytic Notch signaling. Many studies have reported the pathological involvement of astrocytic Notch signaling, which is activated in reactive astrocytes (<xref ref-type="bibr" rid="B83">Ribeiro et al., 2021</xref>), and the Notch ligand of reactive astrocytes has been shown to mediate symptoms in a neurodegenerative model (<xref ref-type="bibr" rid="B71">Nonneman et al., 2018</xref>). The NFIA transcription factor, which stimulates basal transcription, is known to be activated downstream of Notch signaling in astrocytes during development (<xref ref-type="bibr" rid="B68">Namihira et al., 2009</xref>); however, it is not known if a similar downstream system is present in the adult brain. NFIA can interact with CREB indirectly <italic>via</italic> CBP (<xref ref-type="bibr" rid="B57">Leahy et al., 1999</xref>), which may be the mechanism of CREB repression by Notch signaling. In addition, PKA signaling is known to regulate expression of Notch (<xref ref-type="bibr" rid="B4">Angulo-Rojo et al., 2013</xref>), suggesting bidirectional involvement between pathways.</p>
</sec>
<sec id="S1.SS3.SSS3">
<title>Phosphatidylinositol 3-kinase pathway</title>
<p>The PI3K/Akt pathway is involved in cellular proliferation and survival. The activation of PI3K-Akt signaling is known to activate CREB downstream and is involved in brain function. In the PI3K pathway, activated receptors stimulate PI3Ks, which in turn mediate the conversion of 4,5-bisphosphate (PIP<sub>2</sub>) to phosphatidylinositol 3,4,5-trisphosphate (PIP<sub>3</sub>), leading to Akt activation (<xref ref-type="bibr" rid="B40">Hemmings and Restuccia, 2012</xref>). Akt is involved in multiple signaling pathways, including CREB, where it mediates fibroblast growth factor (FGF)-2-induced activation (<xref ref-type="bibr" rid="B78">Peltier et al., 2007</xref>). In addition, alcohol withdrawal activates the PI3K-Akt-CREB pathway (<xref ref-type="bibr" rid="B82">Qiao et al., 2018</xref>). Receptors that activate the PI3K/Akt pathway include receptor tyrosine kinase and GPCR, depending on the PI3K isoforms. Notch signaling is known to affect PTEN (<xref ref-type="bibr" rid="B74">Palomero et al., 2007</xref>; <xref ref-type="bibr" rid="B86">Serra et al., 2015</xref>), which inhibits the PI3K/Akt pathway. In astrocytes, stimulation of the melatonin receptor, a type of GPCR, activates CREB <italic>via</italic> the Akt pathway (<xref ref-type="bibr" rid="B55">Kong et al., 2008</xref>).</p>
</sec>
<sec id="S1.SS3.SSS4">
<title>Ion channels</title>
<p>Intracellular calcium signaling is involved in CREB activation in neurons (<xref ref-type="bibr" rid="B13">Chawla et al., 1998</xref>; <xref ref-type="bibr" rid="B37">Hardingham et al., 2001</xref>), and calcium-induced activation in turn is mediated by CaM kinases (<xref ref-type="bibr" rid="B20">Deisseroth et al., 1996</xref>; <xref ref-type="bibr" rid="B25">Finkbeiner et al., 1997</xref>). However, in astrocytes, increasing calcium itself does not induce CREB activation (<xref ref-type="bibr" rid="B67">Murray et al., 2009</xref>).</p>
</sec>
</sec>
<sec id="S1.SS4">
<title>Transcriptional effect of synaptic communication and CREB activation in astrocyte</title>
<p>Molecular pathways that mediate astrocyte-neuron communication may be activated by neuron-released or contact-dependent factors, induce calcium signals, to regulate transcription. A few studies have analyzed activity-induced differential gene expression in astrocytes. Neuronal activity can induce Nuclear factor erythroid 2-related factor 2 (Nfr2) pathway in astrocytes in a calcium-dependent manner (<xref ref-type="bibr" rid="B33">Habas et al., 2013</xref>), which has two CBP binding sites that are crucial for its activity (<xref ref-type="bibr" rid="B50">Katoh et al., 2001</xref>). Nrf2 is involved in the upregulation of glutathione metabolism gene expression (<xref ref-type="bibr" rid="B65">McGann and Mandel, 2018</xref>), which is known to be involved in protection against oxidative stress, and CREB-dependent transcription is observed in astrocytes after neuronal activation, upregulating glucose and lactate metabolism, and lactate shuttle-related genes (<xref ref-type="bibr" rid="B38">Hasel et al., 2017</xref>). The neuron-astrocyte lactate shuttle is required for learning (<xref ref-type="bibr" rid="B87">Suzuki et al., 2011</xref>), and its inhibition blocks learning-induced mRNA translation in neurons (<xref ref-type="bibr" rid="B21">Descalzi et al., 2019</xref>). In addition, transcriptional changes in astrocytes after learning, which are natural conditions that elicit neuronal activity, have been reported. After inhibitory avoidance training, synaptic function-related genes are differentially expressed in astrocytes, including NadK2 upregulation (<xref ref-type="bibr" rid="B51">Katzman et al., 2021</xref>).</p>
<p>Gene expression by direct manipulation of the CREB transcription factor will further explain the importance of astrocytic participation in synaptic activity and cognitive function. Various transcriptional changes were induced by CREB activation in astrocytes (<xref ref-type="bibr" rid="B76">Pardo et al., 2017</xref>). BDNF is one of the proteins that are upregulated by CREB-dependent pathway in astrocytes (<xref ref-type="bibr" rid="B56">Koppel et al., 2018</xref>). Astrocytes express both BDNF (<xref ref-type="bibr" rid="B84">Saha et al., 2006</xref>; <xref ref-type="bibr" rid="B56">Koppel et al., 2018</xref>) and TrkB (<xref ref-type="bibr" rid="B41">Holt et al., 2019</xref>), which have been widely studied for their neuroprotective properties in epilepsy (<xref ref-type="bibr" rid="B24">Fernandez-Garcia et al., 2020</xref>), Alzheimer&#x2019;s disease (<xref ref-type="bibr" rid="B19">de Pins et al., 2019</xref>), and Huntington&#x2019;s disease (<xref ref-type="bibr" rid="B42">Hong et al., 2016</xref>).</p>
<p>Although CREB may or may not be activated by calcium signaling itself, CREB activity may modulate astrocytic calcium signaling. With regard to astrocytic calcium signaling, a study by <xref ref-type="bibr" rid="B22">Eraso-Pichot et al. (2017)</xref> showed that activating CREB signaling by transmitters and VP16-CREB reduced cytosolic astrocytic calcium by upregulating the sigma-1 receptor that participates in endoplasmic reticulum calcium transfer.</p>
</sec>
<sec id="S1.SS5">
<title>CREB in reactive astrocyte and pathology</title>
<p>The CREB transcription factor is involved in various neurodegenerative disorders, including Alzheimer&#x2019;s disease. Reactive astrocytes have recently gained attention as a cause of neurodegenerative diseases, and CREB expression in reactive astrocytes has been reported to be neuroprotective (<xref ref-type="bibr" rid="B75">Pardo et al., 2016</xref>). High GFAP expression, a reporter of astrocytic reactivity, is inversely associated with CREB content, as shown in a neurodegenerative disease model (<xref ref-type="bibr" rid="B80">Pugazhenthi et al., 2011</xref>). MAO-B is another enzyme involved in reactive astrogliosis (<xref ref-type="bibr" rid="B15">Chun et al., 2022</xref>) and neurodegeneration (<xref ref-type="bibr" rid="B61">Mallajosyula et al., 2008</xref>), and MAO-B promoter is known to be regulated by the CREB transcription factor (<xref ref-type="bibr" rid="B5">Arige et al., 2019</xref>). Astrocytic CREB is activated during melatonin-induced neuroprotection (<xref ref-type="bibr" rid="B55">Kong et al., 2008</xref>), and is also involved in inflammatory conditions. Astrocytes produce chemokines in response to CCL5, which is mediated by the CREB activity (<xref ref-type="bibr" rid="B95">Zhang et al., 2002</xref>).</p>
</sec>
</sec>
<sec id="S2" sec-type="conclusion">
<title>Conclusion</title>
<p>We summarize various types of receptors and pathways involved in synaptic communication that may activate CREB in astrocytes and briefly discusses the consequences of CREB activation. Adenosine and adrenergic receptors are GPCRs mainly studied for neuron-astrocyte communication and subsequent CREB activation, which is mediated by the cAMP-PKA pathway. Although other types of receptors, such as RTKs and Notch receptors, have been documented, these studies have scarcely focused on the CREB pathway. Different receptors are involved in separate downstream pathways; however, it is yet to be determined whether they participate in CREB activation. Finally, this review summarizes CREB-mediated gene expression in astrocytes. It is to be noted that only the genes that are known to be important for astrocytic and synaptic functions were selected for discussion, and there are many more genes regulated by CREB activation involving complex mechanisms, which should be examined thoroughly. In summary, the evidence presented in this mini-review suggests the importance of CREB activation in astrocytic communication with neuronal synapses and the possible pathways that mediate such effects.</p>
</sec>
<sec id="S3">
<title>Author contributions</title>
<p>JK wrote the initial draft in consultation with B-KK. JK and B-KK reviewed and edited the manuscript. Both authors contributed to the writing of this review manuscript.</p>
</sec>
</body>
<back>
<sec id="S4" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by the National Honor Scientist Program (NRF-2012R1A3A1050385) of the National Research Foundation of Korea.</p>
</sec>
<sec id="S5" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="S6" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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