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Published on: May 23, 2025
27-Hydroxycholesterol triggers microglial senescence subsequent to iron over-loading contributes to brain aging,
Chunyang Yu1,2, Wencheng Wang3, Lei Shi1,4
1School of Basic Medical Sciences, Ningxia Medical University, Yinchuan, PR China.
Abstract:
Brain aging is a major factor in cognitive decline and Alzheimer's disease (AD) progression. Aging-induced microglial senescence critically drives inflammaging and brain aging processes. Nevertheless, the underlying reasons and mechanisms that promote microglial aging remain unclear. This study explores how 27-hydroxycholesterol (27-OHC), a key oxysterol, accelerates brain aging by promoting microglial senescence, iron overload, and neuroinflammation. Clinically, we observed a significant inverse correlation between plasma 27-OHC levels and Mini-Mental State Examination (MMSE) scores in AD patients, accompanied by reduced 24S-OHC concentrations. Experimental studies revealed that 27-OHC administration in mice induced hippocampal-dependent cognitive impairment and anxiety-like behaviors, concurrent with elevated expression of cellular senescence markers (P21, P16, SA-β-Gal) and M1 microglial polarization. In BV-2 cells, 27-OHC disrupted iron homeostasis (DMT1/ferritin/GPX4 dysregulation), elevating ROS and impairing mitochondrial function. Deferoxamine (DFX) mitigated microglial senescence and ferroptosis. These findings establish the 27-OHC-iron axis as a novel therapeutic target for combating cholesterol-driven neurodegeneration.
Insights
High cholesterol oxysterol 27-hydroxycholesterol (27-OHC) accelerates brain aging by causing microglial senescence and iron overload. Targeting this 27-OHC-iron axis may combat neurodegeneration and cognitive decline in Alzheimer's disease.
Area of Science:
- Neuroscience
- Gerontology
- Biochemistry
Background:
- Brain aging is a significant contributor to cognitive decline and Alzheimer's disease (AD).
- Microglial senescence, driven by aging, exacerbates neuroinflammation and brain aging.
- Mechanisms driving microglial aging are not fully understood.
Purpose of the Study:
- To investigate the role of 27-hydroxycholesterol (27-OHC) in promoting microglial senescence, iron overload, and neuroinflammation.
- To explore the association between 27-OHC levels and cognitive function in Alzheimer's patients.
- To identify the 27-OHC-iron axis as a potential therapeutic target.
Main Methods:
- Clinical analysis of plasma 27-OHC levels and Mini-Mental State Examination (MMSE) scores in AD patients.
- Administration of 27-OHC to mice to assess cognitive and behavioral changes, and measure senescence markers.
- In vitro studies using BV-2 cells to examine 27-OHC effects on iron homeostasis, oxidative stress, and mitochondrial function.
- Treatment with deferoxamine (DFX) to evaluate its impact on microglial senescence and ferroptosis.
Main Results:
- A negative correlation was found between plasma 27-OHC levels and MMSE scores in AD patients.
- 27-OHC administration induced cognitive impairment, anxiety, senescence markers, and M1 microglial polarization in mice.
- In vitro, 27-OHC disrupted iron homeostasis, increased reactive oxygen species (ROS), and impaired mitochondrial function in microglial cells.
- Deferoxamine (DFX) treatment reduced microglial senescence and ferroptosis.
Conclusions:
- 27-hydroxycholesterol (27-OHC) accelerates brain aging by inducing microglial senescence and iron overload.
- The 27-OHC-iron axis represents a novel therapeutic target for cholesterol-driven neurodegeneration.
- Targeting microglial senescence and iron dysregulation may offer a strategy to combat cognitive decline in AD.
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