Altered mitochondrial DNA methylation in blood in individuals with mild cognitive impairment

Wuzi Tu1, Ying Jin2, Xiaohong Zhang1

  • 1School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Epigenomics
|August 22, 2025
PubMed
Abstract

Insights

Mitochondrial DNA (mtDNA) methylation is higher in individuals with cognitive decline, suggesting a role in preclinical Alzheimer's disease (AD). This study maps these epigenetic changes, offering insights into early AD pathogenesis.

Area of Science:

  • Epigenetics
  • Neuroscience
  • Genomics

Background:

  • Altered mitochondrial methylation is linked to Alzheimer's disease (AD).
  • The role of mitochondrial genome epigenetic modifications in preclinical AD remains unclear.
  • This study investigates mitochondrial methylation in individuals experiencing cognitive decline.

Purpose of the Study:

  • To examine whole mitochondrial genome methylation patterns in individuals with and without mild cognitive impairment (MCI).
  • To identify specific differentially methylated sites in mitochondrial DNA (mtDNA).
  • To explore the correlation between mtDNA methylation and cognitive function.

Main Methods:

  • Whole mitochondrial genome methylation analysis using bisulfite amplicon sequencing.
  • Assessment of methylation at 366 Cytosine-guanine (CpG) sites in 100 participants (50 MCI, 50 controls).
  • Statistical analysis including Benjamini-Hochberg FDR adjustment for multiple comparisons.

Main Results:

  • Overall mtDNA methylation levels were low (0-15%) but significantly higher in individuals with cognitive decline (3.86% vs. 3.46%, p=0.037).
  • 34 differentially methylated CpG sites were identified, with significant methylation differences at chrM6465 and chrM9612.
  • Methylation at specific sites correlated with Mini-Mental State Examination scores, distinguishing between cognitive decline and control groups.

Conclusions:

  • This study provides a comprehensive map of mtDNA methylation in cognitive decline.
  • Specific mtDNA methylation sites are implicated in preclinical Alzheimer's disease pathogenesis.
  • mtDNA methylation represents a potential biomarker for early detection of AD.