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.

Npj Aging
|December 3, 2025
PubMed

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.