Similar to astrocytes at CNS synapses, perisynaptic Schwann cells (PSCs) su
rround nerve terminals at the neuromuscular junction (NMJ). These special t
eloglial cells are sensitive to neurotransmitters and upregulate glial fibr
illary acidic protein (GFAP) when deprived of synaptic activity. We found t
hat activation of muscarinic acetylcholine receptors (mAChRs) at PSCs, but
not purinergic (ATP and adenosine) or peptidergic [substance P (SP) and cal
citonin gene-related peptide (CGRP)] receptors, prevented this upregulation
. When applied onto single PSCs, muscarine evoked Ca2+ responses that fatig
ued but prevented upregulation of this glial cytoskeletal protein. Applicat
ion of ATP onto single PSCs evoked Ca2+ signals that showed little fatigue,
and GFAP upregulation occurred. Thus, Ca2+ signals alone cannot prevent GF
AP upregulation in the PSCs. After blockade of cholinergic receptors by gal
lamine, neuronal activity was not effective in maintaining low GFAP levels
in the perisynaptic glia. Last, immunohistochemistry disclosed mAChRs on PS
Cs and nearby fibroblasts. Thus, acetylcholine secreted by the nerve termin
al acts on the PSCs via mAChRs to regulate GFAP. Cytoskeletal changes may i
nfluence perisynaptic glial functions, including growth, remodeling, and mo
dulation of the synapse.