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Molecular mechanisms regulating cGAS/STING activation in health and disease
Min-Guk Cho1, Rachel Lee1,2, Jaycee Johnson1,2
1Lineberger Comprehensive Cancer Center.
Abstract:
The cGAS/STING pathway enables cells to sense cytosolic DNA and mount rapid innate immune responses to infection, cellular stress, and tissue damage. While essential for host defense and immune surveillance, inappropriate or sustained activation of this pathway can drive chronic inflammation, autoimmunity, and disease-associated immune dysfunction, which can promote cancer growth. Effective immunity therefore depends on precise regulatory control that restrains cGAS/STING activity under homeostatic conditions while preserving the capacity for swift and robust responses to diverse danger signals. In this Review, we synthesize emerging principles that regulate cGAS/STING signaling across cellular contexts to control signal initiation, amplification, and termination. We discuss how disruption, persistence, or pathological rewiring of these regulatory processes contributes to immune imbalance across health and disease, promoting chronic inflammation, immunosuppression, and tissue pathology, with particular relevance to tumor progression and therapeutic resistance. Finally, we consider how restoring appropriate cGAS/STING regulation, rather than simply enhancing or inhibiting pathway activity, may reestablish immune homeostasis and improve therapeutic outcomes in cancer and other inflammatory diseases, framing the pathway as a dynamic regulatory circuit rather than a simple linear signaling cascade.
Insights
The cyclic GMP-AMP synthase/stimulator of interferon genes (cGAS/STING) pathway senses DNA to trigger immune responses. Precise regulation, not just activation or inhibition, is key to controlling inflammation and improving cancer therapy.
Area of Science:
- Immunology
- Molecular Biology
- Cellular Signaling
Background:
- The cGAS/STING pathway is crucial for sensing cytosolic DNA and initiating innate immune responses against pathogens and cellular damage.
- Dysregulated cGAS/STING activation is linked to chronic inflammation, autoimmunity, and immune dysfunction, potentially promoting cancer growth.
- Maintaining immune homeostasis requires strict control over cGAS/STING activity to balance defense and prevent self-damage.
Purpose of the Study:
- To review and synthesize emerging principles governing cGAS/STING signaling regulation.
- To explore how disruptions in regulatory mechanisms contribute to immune imbalance and disease pathogenesis.
- To highlight the potential of restoring cGAS/STING regulation for therapeutic benefit in cancer and inflammatory diseases.
Main Methods:
- Literature review and synthesis of current research on cGAS/STING pathway regulation.
- Analysis of signaling control points: initiation, amplification, and termination.
- Examination of the role of regulatory disruptions in disease contexts, including cancer.
Main Results:
- cGAS/STING signaling is tightly regulated at multiple steps to maintain cellular homeostasis.
- Pathological rewiring or dysregulation of these controls can lead to chronic inflammation, immunosuppression, and tissue damage.
- Aberrant cGAS/STING activity is implicated in tumor progression and resistance to therapies.
Conclusions:
- Restoring appropriate cGAS/STING pathway regulation, rather than simple modulation, is crucial for reestablishing immune homeostasis.
- Understanding cGAS/STING as a dynamic regulatory circuit offers new therapeutic strategies for cancer and inflammatory conditions.
- Targeting regulatory mechanisms holds promise for improving treatment outcomes and managing immune-related diseases.
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