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Role of the cGAS-STING pathway in cancer development and oncotherapeutic approaches
1Institute of Molecular Biology, Academia Sinica, Taipei, Taiwan.
Abstract:
The cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) pathway mediates anti-microbial innate immunity by inducing the production of type I interferons (IFNs) and inflammatory cytokines upon recognition of microbial DNA. Recent studies reveal that self-DNA from tumors and by-products of genomic instability also activates the cGAS-STING pathway and either promotes or inhibits tumor development. This has led to the development of cancer therapeutics using STING agonists alone and in combination with conventional cancer treatment or immune checkpoint targeting. On the other hand, for cancers lacking the cGAS-STING pathway and thus a regular innate immunity response, oncolytic virus therapy has been shown to have therapeutic potential. We here review and discuss the dichotomous roles of the cGAS-STING pathway in cancer development and therapeutic approaches.
Insights
The cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) pathway plays a dual role in cancer, influencing tumor development and response to therapies like STING agonists and oncolytic viruses.
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- The cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) pathway is crucial for innate immunity against microbes.
- This pathway can be activated by self-DNA in tumors, impacting cancer development.
- Dysregulation of the cGAS-STING pathway is implicated in various cancers.
Purpose of the Study:
- To review and discuss the dual roles of the cGAS-STING pathway in cancer.
- To explore therapeutic strategies targeting the cGAS-STING pathway in cancer treatment.
- To examine the potential of oncolytic virus therapy in cancers with deficient cGAS-STING signaling.
Main Methods:
- Literature review of studies on the cGAS-STING pathway in cancer.
- Analysis of research on STING agonists and their combination therapies.
- Evaluation of oncolytic virus therapy in the context of cGAS-STING pathway deficiency.
Main Results:
- The cGAS-STING pathway exhibits dichotomous effects, promoting or inhibiting tumor growth.
- STING agonists are being developed as cancer therapeutics, alone or in combination.
- Oncolytic virus therapy shows promise for cancers lacking functional cGAS-STING signaling.
Conclusions:
- The cGAS-STING pathway is a critical regulator in cancer immunity and development.
- Targeting the cGAS-STING pathway offers promising therapeutic avenues for cancer treatment.
- Understanding cGAS-STING pathway status is essential for selecting appropriate cancer therapies.
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