Ballweg K, Mutze K, Königshoff M, Eickelberg O, Meiners S. Cigarette smoke extract affects mitochondrial function in alveolar epithelial cells. Am J Physiol Lung Cell Mol Physiol 307: L895-L907, 2014. First published October 17, 2014 doi:10.1152/ajplung.00180.2014.-Cigarette smoke is the main risk factor for chronic obstructive pulmonary disease (COPD). Exposure of cells to cigarette smoke induces an initial adaptive cellular stress response involving increased oxidative stress and induction of inflammatory signaling pathways. Exposure of mitochondria to cellular stress alters their fusion/fission dynamics. Whereas mild stress induces a prosurvival response termed stressinduced mitochondrial hyperfusion, severe stress results in mitochondrial fragmentation and mitophagy. In the present study, we analyzed the mitochondrial response to mild and nontoxic doses of cigarette smoke extract (CSE) in alveolar epithelial cells. We characterized mitochondrial morphology, expression of mitochondrial fusion and fission genes, markers of mitochondrial proteostasis, as well as mitochondrial functions such as membrane potential and oxygen consumption. Murine lung epithelial (MLE)12 and primary mouse alveolar epithelial cells revealed pronounced mitochondrial hyperfusion upon treatment with CSE, accompanied by increased expression of the mitochondrial fusion protein mitofusin 2 and increased metabolic activity. We did not observe any alterations in mitochondrial proteostasis, i.e., induction of the mitochondrial unfolded protein response or mitophagy. Therefore, our data indicate an adaptive prosurvival response of mitochondria of alveolar epithelial cells to nontoxic concentrations of CSE. A hyperfused mitochondrial network, however, renders the cell more vulnerable to additional stress, such as sustained cigarette smoke exposure. As such, cigarette smoke-induced mitochondrial hyperfusion, although part of a beneficial adaptive stress response in the first place, may contribute to the pathogenesis of COPD. chronic obstructive pulmonary disease; emphysema; proteostasis; stress-induced mitochondrial hyperfusion CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) is one of the leading causes of death worldwide. It is characterized by progressive and irreversible airflow limitation (4, 44). In the Western world, the main risk factor for development of COPD is cigarette smoke (CS) (4, 44), which is a complex mixture of thousands of injurious agents and reactive oxidants (7,33,44). Exposure of lung epithelial cells to CS initiates an adaptive cell response, such as induction of autophagy, impaired proteasome function, and proinflammatory and oxidative responses (7,33,35).Mitochondria are crucial cellular organelles for cellular energetics, signaling, and apoptosis. Differences in cellular energy demands or cellular stress rapidly alter mitochondrial behavior mainly by changing mitochondrial fusion and fission dynamics (5, 9, 26). Mitochondrial hyperfusion provides a stress-resolving mechanism for the cell, as elongated mitochondria are pr...