Epigenetic control of microglial mitochondrial immunity by KAT7 drives Alzheimer's disease pathogenesis

Yongqing Liu1, Yingzhi Ye1, Minghua Fan2

  • 1Department of Physiology, Pharmacology and Therapeutics, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.

Neuron
|June 9, 2026
PubMed

Insights

The histone acetyltransferase KAT7 regulates mitochondrial DNA immune signaling in microglia, a key factor in Alzheimer's disease (AD) neuroinflammation. Inhibiting KAT7 reduces AD pathology and improves cognitive function, suggesting it as a therapeutic target.

Area of Science:

  • Neuroscience
  • Immunology
  • Epigenetics

Background:

  • Mitochondrial DNA (mtDNA)-driven innate immune signaling contributes to chronic neuroinflammation in Alzheimer's disease (AD).
  • The precise regulation of this pathway in microglia, the brain's resident immune cells, is not well understood.

Purpose of the Study:

  • To identify epigenetic regulators of mitochondrial immune activation in microglia.
  • To investigate the role of histone acetyltransferase KAT7 (HBO1) in AD pathogenesis.

Main Methods:

  • Integrative transcriptomic and epigenomic analyses in 5×FAD mouse models and human AD brains.
  • Assessment of KAT7's effect on Cmpk2 expression, mtDNA replication, and innate immune signaling pathways (cGAS-STING, NLRP3).
  • Evaluation of microglia-specific KAT7 deletion and pharmacological inhibition in 5×FAD mice.

Main Results:

  • KAT7 and H3K14ac are elevated in microglia from AD models and patients.
  • KAT7 epigenetically activates Cmpk2, a kinase crucial for mtDNA synthesis.
  • Loss of KAT7 suppresses mtDNA release and downstream cGAS-STING/NLRP3 signaling.
  • KAT7 inhibition mitigates neuroinflammation, reduces amyloid burden, and improves cognitive deficits in AD mice.

Conclusions:

  • KAT7 acts as a critical epigenetic regulator linking chromatin remodeling to mitochondrial immune activation in microglia.
  • The identified epigenetic-mitochondrial axis drives microglial pathogenicity in AD.
  • KAT7 represents a promising therapeutic target for Alzheimer's disease.