Lo F-S, Zhao S, Erzurumlu RS. Astrocytes promote peripheral nerve injury-induced reactive synaptogenesis in the neonatal CNS. J Neurophysiol 106: 2876 -2887. First published September 7, 2011 doi:10.1152/jn.00312.2011.-Neonatal damage to the trigeminal nerve leads to "reactive synaptogenesis" in the brain stem sensory trigeminal nuclei. In vitro models of brain injury-induced synaptogenesis have implicated an important role for astrocytes. In this study we tested the role of astrocyte function in reactive synaptogenesis in the trigeminal principal nucleus (PrV) of neonatal rats following unilateral transection of the infraorbital (IO) branch of the trigeminal nerve. We used electrophysiological multiple input index analysis (MII) to estimate the number of central trigeminal afferent fibers that converge onto single barrelette neurons. In the developing PrV, about 30% of afferent connections are eliminated within 2 postnatal weeks. After neonatal IO nerve damage, multiple trigeminal inputs (2.7 times that of the normal inputs) converge on single barrelette cells within 3-5 days; they remain stable up to the second postnatal week. Astrocyte proliferation and upregulation of astrocyte-specific proteins (GFAP and ALDH1L1) accompany reactive synaptogenesis in the IO nerve projection zone of the PrV. Pharmacological blockade of astrocyte function, purinergic receptors, and thrombospondins significantly reduced or eliminated reactive synaptogenesis without changing the MII in the intact PrV. GFAP immunohistochemistry further supported these electrophysiological results. We conclude that immature astrocytes, purinergic receptors, and thrombospondins play an important role in reactive synaptogenesis in the peripherally deafferented neonatal PrV. trigeminal brain stem; deafferentation; purinergic receptors; thrombospondin; gabapentin; central nervous system IN THE ADULT BRAIN, DEAFFERENTATION results in rapid synaptic loss followed by a prolonged "reactive synaptogenesis" via sprouting of afferent axons that form new synaptic connections (Collazos-Castro and Nieto-Sampedro 2001;Cotman and Anderson 1988;Deller and Frotscher 1997;Dieringer 1995;Hamori 1990;Marrone and Petit 2002;Matthews et al. 1976). The cellular and molecular mechanisms underlying reactive synaptogenesis are poorly understood. In addition, very little is known about reactive synaptogenesis in the neonatal brain during the initial wiring of neural circuits and synaptogenesis. This is partly due to difficulties in dissociating injury-induced synaptogenesis from the normal course of developmental synaptogenesis and synaptic pruning.In the rat, damage to the infraorbital (IO) branch of the trigeminal nerve during the early postnatal critical period of structural plasticity (Erzurumlu 2010) results in synaptic remodeling in the brain stem trigeminal principal nucleus (PrV).Whisker-specific neural patterns (barrelettes) are lost, and apoptosis in both the trigeminal ganglion and the PrV significantly increases (Henderson et al. 1993;Miller et al. 1991;Miller ...