TTV Species Diversity as a Novel Biomarker of Immune Dysregulation in Aging
Torquetenovirus (TTV) is a prevalent virus whose clinical significance remains unclear, potentially linked to immunosenescence. This study examines TTV species in relation to immune impairment, inflammation, and cellular stress response in aging. A subset of recruited age-stratified individuals (RASIG) from the MARK-AGE study was divided into three groups: Cohort 1 A (healthy young adults), Cohort 1B (older adults with mild immune decline), and Cohort 1 C (older adults with marked immune impairment). Analyses included TTV load, species diversity, lymphocyte subpopulations, inflammatory markers, Poly-(ADP-ribose) polymerase (PARP-1) expression/activity. Alpha- and beta-diversity analyses showed the highest TTV species diversity in Cohort 1 C, with significant cohort-dependent differences and partially cohort-specific clustering patterns. Increased TTV species number correlated with higher TTV load, elevated CMV IgG levels, and greater immune impairment risk. Specific TTV species were associated with CD4/CD8, and reduced T-cell receptor excision circles, suggesting impaired T-cell homeostasis. TTV viremia positively correlated with C-reactive protein (CRP) and α2-macroglobulin. PARP-1 expression and activity increased in individuals with higher TTV diversity, particularly in the presence of TTV9 and TTV20. TTV load and species diversity are associated with immunosenescence, inflammation, and PARP-1 activation suggesting their potential as biomarkers of age-related immune decline. Longitudinal studies are needed to clarify underlying mechanisms.
Authors
- Paolo Grossi (ORCID: https://orcid.org/0000-0003-2883-5061)
- Marco Malavolta (ORCID: https://orcid.org/0000-0002-8442-1763)
- Wolfgang Stuetz (ORCID: https://orcid.org/0000-0002-8011-5849)
- Laura Cianfruglia (ORCID: https://orcid.org/0000-0002-0322-0282)
- Efstathios S. Gonos (ORCID: https://orcid.org/0000-0001-8956-9954)
- Alexander Bürkle (ORCID: https://orcid.org/0000-0003-1069-2656)
- Angelo Genoni (ORCID: https://orcid.org/0000-0001-9848-2981)
- Francesco Piacenza (ORCID: https://orcid.org/0000-0001-7440-804X)
- Nicasio Mancini (ORCID: https://orcid.org/0000-0003-0637-0910)
- Martijn E.T. Dollé (ORCID: https://orcid.org/0000-0001-6137-6544)
- Pietro Giorgio Spezia (ORCID: https://orcid.org/0000-0002-6743-014X)
- Michele Zampieri (ORCID: https://orcid.org/0000-0002-6799-2492)
- Robertina Giacconi (ORCID: https://orcid.org/0000-0002-1468-2140)
- Mikko Hurme (ORCID: https://orcid.org/0000-0002-8614-1044)
- Fabrizio Maggi (ORCID: https://orcid.org/0000-0001-7489-5271)
- Birgit Weinberger (ORCID: https://orcid.org/0000-0002-7084-946X)
- Fabio Ciccarone (ORCID: https://orcid.org/0000-0002-2425-2240)
- Olivieri Fabiola (ORCID: https://orcid.org/0000-0002-9606-1144)
- Anna Reale (ORCID: https://orcid.org/0000-0001-8988-2342)
- Florence Debacq‐Chainiaux (ORCID: https://orcid.org/0000-0003-3949-395X)
- Eugène Jansen (ORCID: https://orcid.org/0000-0002-3151-5897)
- Carlo Fortunato (ORCID: https://orcid.org/0009-0006-9591-7920)
- Paola Caiafa
- Ewa Sikora (ORCID: https://orcid.org/0000-0002-1111-1748)
- Miriam Capri (ORCID: https://orcid.org/0000-0001-9077-0401)
- Serena Marcozzi (ORCID: https://orcid.org/0000-0001-5873-5753)
- Gretta Veronica Badillo Pazmay (ORCID: https://orcid.org/0000-0002-8108-663X)
- María Moreno‐Villanueva (ORCID: https://orcid.org/0000-0002-7143-0871)
- P. Eline Slagboom (ORCID: https://orcid.org/0000-0002-2875-4723)
- Federica Novazzi (ORCID: https://orcid.org/0000-0002-2741-8840)
- Francesca Drago Ferrante (ORCID: https://orcid.org/0000-0003-4950-0703)
- Claudio Franceschi (ORCID: https://orcid.org/0000-0001-9841-6386)
- Tilman Grune (ORCID: https://orcid.org/0000-0003-4775-9973)
- Fabio Filippini (ORCID: https://orcid.org/0009-0006-3309-763X)
- Jürgen Bernhardt
- Marta Ballietti
Institutions
- University of Pisa (IT)
- University of Hohenheim (DE)
- University of Insubria (IT)
- University of Rome Tor Vergata (IT)
- Marche Polytechnic University (IT)
- University of Namur (BE)
- Vita-Salute San Raffaele University (IT)
- Tampere University (FI)
- Instytut Biologii Doświadczalnej im. Marcelego Nenckiego (PL)
- University of Konstanz (DE)
- Universität Innsbruck (AT)
- Leiden University Medical Center (NL)
- Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani (IT)
- National Institute for Public Health and the Environment (NL)
- Ospedali Riuniti di Ancona (IT)
- BioTeSys (Germany) (DE)
- National Hellenic Research Foundation (GR)
- IRCCS Ospedale San Raffaele (IT)
- Fondazione Audiologica Varese (IT)
- Istituto Nazionale di Riposo e Cura per Anziani (IT)
- German Institute of Human Nutrition (DE)
- Aziende Socio Sanitarie Territoriale dei Sette Laghi
- N. I. Lobachevsky State University of Nizhny Novgorod (RU)
- Sapienza University of Rome (IT)
- University of Bologna (IT)
- HTWG Hochschule Konstanz - Technik, Wirtschaft und Gestaltung (DE)
- Polish Academy of Sciences (PL)
Publication Details
- Journal
- Journal of Medical Virology
- Published
- 2025-10-23
- DOI
- https://doi.org/10.1002/jmv.70656
- Citations
- 2
- Primary Topic
- Animal Virus Infections Studies
- Type
- article
- Field-Weighted Citation Impact
- 2.39