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Sex-specific KDM6A-HNF4A-CREBH network controls lipoprotein cholesterol metabolism and atherosclerosis via epigenetic reprograming of hepatocytes

GSE287736 Homo sapiens; Mus musculus Genome binding/occupancy profiling by high throughput sequencing 138 samples Submitted 2026/02/19 Platform GPL34290Platform GPL34284
Summary
The liver is a central organ controlling lipid and cholesterol metabolism and plays a key role in regulating lipoprotein profiles and cardiovascular disease risk. Males and females show clear differences in cholesterol handling and susceptibility to atherosclerosis, but the molecular basis for these sex-specific effects remains incompletely understood. Here we show that the X-linked histone demethylase 6A (KDM6A) is essential for maintaining healthy cholesterol metabolism in the liver. Reducing KDM6A levels in human liver cells disrupts gene programs involved in lipoprotein regulation linked to cardiovascular disorders. Consistently, female mice lacking KDM6A specifically in hepatocytes develops pro-atherogenic blood lipoprotein profiles and increased atherosclerosis under genetic and dietary stress, whereas males are largely unaffected. Mechanistically, KDM6A cooperates with Hepatocyte Nuclear Factor 4 Alpha (HNF4A) to promote chromatin activation and enable CREBH (encoded by CREB3L3)-dependent transcription of lipid metabolic genes. These findings identify KDM6A as a sex-linked regulator of hepatic cholesterol metabolism.
Published in
Sex-specific KDM6A-HNF4A-CREBH network controls lipoprotein cholesterol metabolism and atherosclerosis via epigenetic reprograming of hepatocytes
Chen L, Kang Z, Härdfeldt J et al. · Nature communications 2026 · PMID 41872164 · doi:10.1038/s41467-026-70846-w
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Direct links to NCBI, no account and no request form: the whole study as GSE287736_RAW.tar, processed values as the series matrix, the supplementary file directory, and per-sample supplementary files for any of the 138 samples. Raw sequencing reads are also available from ENA.

Also filed as BioProject PRJNA1214364 and SRA study SRP559280. Searching any of these in the dataset finder brings you back here.

Study design
12 conditions, mostly in triplicate
PCSK9_mice_WT_antiCREBH ×4 mice_flox_H3K4me1 ×3 mice_flox_H3K4me2 ×3 mice_flox_H3K27ac ×3 mice_flox_H3K27me3 ×3 mice_LKO_H3K4me1 ×3 mice_LKO_H3K4me2 ×3 mice_LKO_H3K27ac ×3 +8 more

Supports a between-group comparison across 36 samples.

12 replicated groups read from the first 40 of 138 sample titles; they account for 36 of them. Check it against the sample list below before relying on it.

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