T cell activation contributes to purifying selection against the MELAS-associated m.3243A>G pathogenic variant in

Melissa A Walker1,2,3, Shuqiang Li3,4,5, Kenneth J Livak4,5

  • 1Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.

Insights

T cells with the m.3243A>G mitochondrial variant show reduced levels after activation. This suggests T cell activation drives purifying selection against cells with high variant heteroplasmy.

Area of Science:

  • Mitochondrial genetics
  • Immunology
  • Cell biology

Background:

  • The m.3243A>G variant in MT-TL1 is linked to maternally inherited diabetes and deafness (MIDD) and mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes (MELAS).
  • T cells exhibit lower heteroplasmy of this pathogenic variant, but the underlying mechanisms are unclear.

Purpose of the Study:

  • To investigate the mechanisms of purifying selection against the m.3243A>G variant in T cells.
  • To determine if T cell activation influences variant heteroplasmy.

Main Methods:

  • Comparison of m.3243A>G heteroplasmy in purified memory and naïve CD4+ T cells from patients.
  • In vitro activation and proliferation assays of patient T cells.
  • T cell receptor repertoire sequencing.

Main Results:

  • Memory CD4+ T cells showed lower m.3243A>G heteroplasmy than naïve CD4+ T cells.
  • In vitro T cell activation led to decreased heteroplasmy after proliferation.
  • T cell receptor sequencing indicated oligoclonality in patient T cells compared to controls.

Conclusions:

  • T cell activation plays a role in peripheral, cell-autonomous purifying selection against T cells with high m.3243A>G heteroplasmy.
  • These findings provide insights into the regulation of mitochondrial DNA variants within the immune system.