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Dihydroartemisinin Attenuates Radiation-Induced Lung Injury by Inhibiting the cGAS/STING/NF-κB Signaling Pathway
Cailan Wang1, Xinyi Lin1, Shichun Guan1
1Department of Radiation Oncology, Guangxi Medical University Cancer Hospital, Nanning, China.
Drug Development Research
|April 26, 2025
Summary
Dihydroartemisinin (DHA) reduces radiation-induced lung injury (RILI) by inhibiting the cGAS-STING-NF-κB pathway. This discovery offers new therapeutic targets for lung radiotherapy complications.
Area of Science:
- Biomedical Science
- Radiotherapy Research
- Inflammation and Immunology
Background:
- Dihydroartemisinin (DHA), a derivative of artemisinin, influences inflammation, oxidative stress, and immune responses.
- The precise mechanisms behind DHA's therapeutic effects, particularly in radiation-induced lung injury (RILI), are not fully understood.
- Understanding these mechanisms is crucial for improving lung radiotherapy outcomes.
Purpose of the Study:
- To investigate the underlying mechanism of Dihydroartemisinin (DHA) in mitigating radiation-induced lung injury (RILI).
- To explore the role of the cGAS-STING signaling pathway in RILI and DHA's potential modulation of this pathway.
- To identify potential therapeutic targets for RILI within the elucidated signaling cascade.
Main Methods:
- Utilized a mouse model (C57BL/6J) subjected to whole chest irradiation (15 Gy) to induce RILI.
- Assessed RILI through qRT-PCR, ELISA, histology, Western blot, and immunohistochemistry.
- Employed small interfering RNA (siRNA) to knockdown cGAS in BEAS-2B cells (human bronchial epithelium) for in vitro validation.
Main Results:
- Irradiation activated the cGAS-STING pathway, leading to NF-κB phosphorylation and increased inflammatory factors in both mouse and cell models.
- Knockdown of cGAS using siRNA significantly attenuated RILI in the BEAS-2B cell model.
- Dihydroartemisinin (DHA) demonstrated a protective effect by modulating the cGAS/STING/NF-κB signaling pathway.
Conclusions:
- The study elucidates Dihydroartemisinin's (DHA) mechanism in reducing RILI via the cGAS/STING/NF-κB signaling pathway.
- The cGAS/STING/NF-κB axis represents a promising therapeutic target for managing radiation-induced lung injury.
- Findings provide novel insights into mitigating lung damage during radiotherapy.

