• Ivana Sivakova, Stefan Polak, and Anna Perzelova.
• Bratisl Med J. 2024 Jan 1; 125 (12): 780784780-784.

ObjectiveTraditionally, astrocytes are categorized into fibrous and protoplasmic types based on their morphological appearance.BackgroundFor a long time, glial fibrillary acidic protein (GFAP) has been considered the best astroglial marker. However, protoplasmic astrocytes stain negatively for GFAP using immunohistochemical methods.MethodsImmunohistochemical methods with antibodies to GFAP were used to identify astrocytes. Paraffin sections were prepared from brain biopsy samples of adult patients diagnosed with aneurysm, traumatic contusion, subdural hematoma, gliomas or brain metastases.ResultsIn all samples, the GFAP-positive fibrous astrocytes were located in the subpial area and in the white matter. Several GFAP-positive protoplasmic astrocytes were found only in one brain sample from a patient with ruptured aneurysm. Conversely, GFAP-positive astrocytes of intermediate shape were rarely observed in the cortical gray matter from patients with tumoral diagnoses.ConclusionOur immunohistochemical study demonstrates that GFAP-positive cells with morphology similar to protoplasmic astrocytes rarely occur in injured brain cortex. We conclude that brain tissue contains GFAP-negative glial precursor cells, which can differentiate into GFAP-positive cells under pathological conditions and sometimes exhibit protoplasmic or intermediate morphology. Similarly, GFAP staining is increased in fibrous astrocytes, typically described as reactive to brain noxa. These results raise many questions about astrocytes identification and classification. In addition, these findings may explain the absence of GFAP-positive cells in adult human brain cultures, often termed "glia-like" cells (Fig. 3, Ref. 18).

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