27-Hydroxycholesterol inhibits muscle cell viability via mitochondrial dysfunction: Protective role of ROS-induced
Bakhovuddin Azamov1, Wan-Seog Shim1, Chanhee Lee1
1Department of Convergence Medicine, Pusan National University School of Medicine, Yangsan, 50612, Republic of Korea.
Free Radical Biology & Medicine
|March 15, 2026
Summary
Oxysterol 27-hydroxycholesterol (27OHC) impairs skeletal muscle viability and function by promoting cell death and hindering muscle differentiation. Inhibiting 27OHC may treat age-related muscle atrophy and sarcopenia.
Area of Science:
- Biochemistry
- Molecular Biology
- Muscle Physiology
Background:
- Oxysterol 27-hydroxycholesterol (27OHC) is implicated in various pathologies, but its role in muscle pathophysiology, particularly sarcopenia, is unclear.
- Sarcopenia and muscle atrophy are age-related conditions significantly impacting health and mobility.
Purpose of the Study:
- To investigate the effects of 27OHC on skeletal muscle viability, cellular pathways, and in vivo muscle function.
- To explore the potential of targeting 27OHC for therapeutic interventions against age-related muscle loss.
Main Methods:
- Utilized myoblast cell culture treated with 27OHC, followed by RNA sequencing and analysis of apoptotic and mitochondrial pathways.
- Assessed reactive oxygen species (ROS) generation, mitochondrial membrane potential, and gene expression related to muscle differentiation.
- Evaluated in vivo effects in mice, including exercise endurance, muscle morphology, and injury recovery after 27OHC administration.
Main Results:
- 27OHC decreased myoblast viability by activating pro-apoptotic pathways and inducing ROS, leading to mitochondrial dysfunction.
- RNA sequencing revealed significant upregulation of hypoxia-inducible factor 1-alpha (HIF-1α) response genes and downregulation of pathways crucial for muscle differentiation and PI3K signaling.
- 27OHC treatment in mice resulted in reduced exercise capacity, smaller muscle size, and impaired muscle regeneration, correlating with increased plasma 27OHC levels in elderly individuals.
Conclusions:
- 27OHC directly impairs skeletal muscle cells, contributing to muscle atrophy and sarcopenia through apoptosis and disrupted differentiation.
- HIF-1α activation and mitochondrial dysfunction are key mechanisms underlying 27OHC-induced muscle damage.
- Pharmacological inhibition of 27OHC production presents a potential therapeutic strategy for combating age-related muscle decline.
Keywords:
27-HydroxycholesterolExercise performanceMitochondrial abnormalityMuscle atrophyReactive oxygen species (ROS)More Related Videos
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