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TFAM Dependent Mitochondrial Fitness Limits CD8⁺ T Cell Immunopathology and Sustains Protective Immunity during Viral Pneumonia
Z. Navaeiseddighi, K. Guo, S. S. Hasan, Z. Wang, R. Mishra, T. Schmit, J. Ahsan, E. J. Moser, J. Hur, J. S. Yount, R. Mathur, L. Zhou, N. Khan
Abstract: During respiratory virus infections, CD8 T cells kill virus-infected cells and establish antigen-specific immune memory, but excessive or dysregulated responses can also contribute to lung immunopathology. The development and maintenance of optimal CD8 T cell effector and memory responses depend on mitochondrial fitness, which can be compromised across multiple physiologic and pathologic conditions. However, how impaired mitochondrial fitness affect antiviral CD8 T cell responses remains poorly understood. Here, we used a CD8 T cell-specific TFAM-haploinsufficient mouse model to induce moderate mitochondrial stress without the severe mitochondrial dysfunction associated with complete TFAM loss, providing a genetically controlled model of mitochondrial perturbations relevant to physiologic conditions. TFAM insufficiency disrupted mitochondrial integrity and cellular bioenergetics and increased mitochondrial DNA and oxidative stress in CD8 T cells. During primary influenza A virus (IAV) infection, TFAM-insufficient CD8 T cells exhibited heightened cytotoxic activity and inflammatory responses associated with lung immunopathology, followed by progressive functional exhaustion, diminished antigen-specific responses, and impaired protective immunity. Consistent with the physiologic relevance of these findings, CD8 T cells from older individuals exhibited reduced TFAM expression and mitochondrial function. Collectively, our findings demonstrate that moderate mitochondrial stress can alter the trajectory of antiviral CD8 T cell responses, promoting pathogenic effector activity during acute infection while compromising subsequent protective immunity.