Annika Schneider, Veit Hornung, Melanie Laschinger, Susan Kläger, Norber Hüser, Marcus Brugger, Hans Zischka, Daniel Hartmann, Philippe Schmitt-Kopplin, Marianne K. Janas, Ulrike Protzer, Percy A. Knolle, Dietmar Zehn, Fabiana Perocchi, Kerstin Lohr, Sandra Lampl, Marcus Conrad, Martin Klingenspor, Andreas Pichlmair, Philipp J. Jost, K Manske, Laura E. Sperl, Sainitin Donakonda, Franz Hagn, Hamid Kashkar, Dirk Wohlleber, Bernhard Kuster, Martin Krönke, Sabrina Schreiner, Katja Steiger, Mathias Heikenwalder, Marco Prinz, Jennifer Wettmarshausen, Christoph Borner, Constanze Müller, and Lars Zender
Background & Aims Selective elimination of virus-infected hepatocytes occurs through virus-specific CD8 T cells recognizing peptide-loaded MHC molecules. Herein, we report that virus-infected hepatocytes are also selectively eliminated through a cell-autonomous mechanism. Methods We generated recombinant adenoviruses and genetically modified mouse models to identify the molecular mechanisms determining TNF-induced hepatocyte apoptosis in vivo and used in vivo bioluminescence imaging, immunohistochemistry, immunoblot analysis, RNAseq/proteome/phosphoproteome analyses, bioinformatic analyses, mitochondrial function tests. Results We found that TNF precisely eliminated only virus-infected hepatocytes independently of local inflammation and activation of immune sensory receptors. TNF receptor I was equally relevant for NF-kB activation in healthy and infected hepatocytes, but selectively mediated apoptosis in infected hepatocytes. Caspase 8 activation downstream of TNF receptor signaling was dispensable for apoptosis in virus-infected hepatocytes, indicating an unknown non-canonical cell-intrinsic pathway promoting apoptosis in hepatocytes. We identified a unique state of mitochondrial vulnerability in virus-infected hepatocytes as the cause for this non-canonical induction of apoptosis through TNF. Mitochondria from virus-infected hepatocytes showed normal biophysical and bioenergetic functions but were characterized by reduced resilience to calcium challenge. In the presence of unchanged TNF-induced signaling, reactive oxygen species-mediated calcium release from the endoplasmic reticulum caused mitochondrial permeability transition and apoptosis, which identified a link between extrinsic death receptor signaling and cell-intrinsic mitochondrial-mediated caspase activation. Conclusion Our findings reveal a novel concept in immune surveillance by identifying a cell-autonomous defense mechanism that selectively eliminates virus-infected hepatocytes through mitochondrial permeability transition. Lay summary The liver is known for its unique immune functions. Herein, we identify a novel mechanism by which virus-infected hepatocytes can selectively eliminate themselves through reduced mitochondrial resilience to calcium challenge.