“…Studies using astrocyte-conditioned medium also tested the hypothesis whether astrocytic release of soluble factors could mediate toxic gain of function reactions (Nagai et al, 2007;Di Giorgio et al, 2008;Rojas et al, 2014). Multiple factors were proposed including the release of cytokines such as TNF-α, interleukin 6 (IL-6) and interleukin 1β (IL-1β) as well as inorganic polyphosphate (polyP), miRNA-containing extracellular vesicles, prostaglandins, nitric oxide (NO), and ROS (Figure 3) (Nagai et al, 2007;Di Giorgio et al, 2008;Marchetto et al, 2008;Mishra et al, 2016;Kia et al, 2018;Chen et al, 2019;Varcianna et al, 2019;Lee et al, 2020;Arredondo et al, 2022;Baofengfeng et al, 2022;Gomes et al, 2022;Jensen et al, 2022;Stoklund Dittlau et al, 2023). Additionally, upregulation of inflammatory genes targeting proinflammatory cytokines, chemokines and components of the complement cascade have been reported in both fALS and sALS (Di Giorgio et al, 2008;Marchetto et al, 2008;Haidet-Phillips et al, 2011;Stoklund Dittlau , 2023) in addition to inflammatory NF-κβ pathway upregulation in sALS astrocytes (Haidet-Phillips et al, 2011;Gomes et al, 2019).…”