STING: infection, inflammation and cancer.
Open accessAbstract
The rapid detection of microbial agents is essential for the effective initiation of host defence mechanisms against infection. Understanding how cells detect cytosolic DNA to trigger innate immune gene transcription has important implications - not only for comprehending the immune response to pathogens but also for elucidating the causes of autoinflammatory disease involving the sensing of self-DNA and the generation of effective antitumour adaptive immunity. The discovery of the STING (stimulator of interferon genes)-controlled innate immune pathway, which mediates cytosolic DNA-induced signalling events, has recently provided important insights into these processes, opening the way for the development of novel immunization regimes, as well as therapies to treat autoinflammatory disease and cancer.
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IKK activates NF-κB to induce expression of pro-inflammatory cytokines such as IL-6 and IL-8.
“IKK activates transcription factor NF-κB to induce expression of pro-inflammatory cytokines such as IL-6 and IL-8 (Barber, 2015; Sun et al., 2018; Loo et al., 2020).”
From Mechanisms of Cellular Senescence: Cell Cycle Arrest and Senescence Associated Secretory Phenotype (2021) · cites this paper as Barber, 2015
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Salcedo, R., Cataisson, C., Hasan, U. A., Yuspa, S. H., & Trinchieri, G. (2013) · Trends in Immunology · doi:10.1016/j.it.2013.03.008 · Cited by 95 · see citing works
Sunthamala, N., Thierry, F., Teissier, S., et al. (2014) · PLoS ONE · doi:10.1371/journal.pone.0091473 · Cited by 94 · see citing works
Activation of the STING Adaptor Attenuates Experimental Autoimmune Encephalitis
Lemos, H. D. P., Huang, L., Chandler, P., Mohamed, E. T., de Souza, G. R., Li, L., Pacholczyk, G. A., Barber, G. N., Hayakawa, Y., Munn, D. H., et al. (2014) · The Journal of Immunology · doi:10.4049/jimmunol.1303258 · Cited by 91 · see citing works
Self-citationMessage in a bottle: lessons learned from antagonism of STING signalling during RNA virus infection
Maringer, K., & Fernández-Sesma, A. (2014) · Cytokine & Growth Factor Reviews · doi:10.1016/j.cytogfr.2014.08.004 · Cited by 90 · see citing works
Assessment of Mitochondrial Dysfunction in Lymphocytes of Patients with Systemic Lupus Erythematosus
Perl, A., Hanczko, R., & Doherty, E. H. (2012) · Methods in molecular biology · doi:10.1007/978-1-60761-720-4_4 · Cited by 82 · see citing works
Inflammatory clearance of apoptotic remnants in systemic lupus erythematosus (SLE)
Janko, C., Schorn, C., Grossmayer, G. E., Frey, B., i, M. H., Gaipl, U. S., & Munoz, L. E. (2008) · Autoimmunity Reviews · doi:10.1016/j.autrev.2008.07.015 · Cited by 79 · see citing works
Primate-specific miR-576-3p sets host defense signalling threshold
Yarbrough, M. L., Zhang, K., Sakthivel, R., Forst, C. V., Posner, B. A., Barber, G. N., White, M. A., & Fontoura, B. M. A. (2014) · Nature Communications · doi:10.1038/ncomms5963 · Cited by 59 · see citing works
Self-citationThe Exonuclease Trex1 Restrains Macrophage Proinflammatory Activation
Pereira‐Lopes, S., Celhar, T., Sans-Fons, G., Serra, M., Fairhurst, A., Lloberas, J., & Celada, A. (2013) · The Journal of Immunology · doi:10.4049/jimmunol.1301603 · Cited by 54 · see citing works
OASes and STING: Adaptive Evolution in Concert
Mozzi, A., Pontremoli, C., Forni, D., Clerici, M., Pozzoli, U., Bresolin, N., Cagliani, R., & Sironi, M. (2015) · Genome Biology and Evolution · doi:10.1093/gbe/evv046 · Cited by 45 · see citing works
Mitzel, D., Lowry, V. K., Shirali, A. C., Liu, Y., & Stout-Delgado, H. W. (2014) · The Journal of Immunology · doi:10.4049/jimmunol.1303090 · Cited by 41 · see citing works
Innate Recognition of Alphaherpesvirus DNA
Luecke, S., & Paludan, S. R. (2015) · Advances in virus research · doi:10.1016/bs.aivir.2014.11.003 · Cited by 36 · see citing works
Autoinflammation by Endogenous DNA
Nagata, S., & Kawane, K. (2011) · Advances in immunology · doi:10.1016/b978-0-12-387663-8.00004-1 · Cited by 32 · see citing works
Sensing and responding to cytosolic viruses invasions: An orchestra of kaleidoscopic ubiquitinations
Liu, X., Wang, Q., Pan, Y., et al. (2015) · Cytokine & Growth Factor Reviews · doi:10.1016/j.cytogfr.2015.03.001 · Cited by 24 · see citing works
Ohkuri, T., Ghosh, A., Kosaka, A., et al. (2015) · OncoImmunology · doi:10.1080/2162402x.2014.999523 · Cited by 23 · see citing works
STING, nanoparticles, autoimmune disease and cancer: a novel paradigm for immunotherapy?
Lemos, H. D. P., Huang, L., McGaha, T. L., & Mellor, A. L. (2014) · Expert Review of Clinical Immunology · doi:10.1586/1744666x.2015.995097 · Cited by 21 · see citing works
Genetic variation in Trex1 affects HIV-1 disease progression
Booiman, T., Setiawan, L. C., & Kootstra, N. A. (2014) · AIDS · doi:10.1097/qad.0000000000000436 · Cited by 10 · see citing works
Flagged first, then by citations
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Sorted by citations
cGAS surveillance of micronuclei links genome instability to innate immunity
Mackenzie, K. J., Carroll, P., Martin, C.-A., Murina, O., Fluteau, A., Simpson, D. J., Olova, N., Sutcliffe, H., Rainger, J. K., Leitch, A., et al. (2017) · Nature · doi:10.1038/nature23449 · Cited by 1,752 · see citing works
Mechanisms of Cellular Senescence: Cell Cycle Arrest and Senescence Associated Secretory Phenotype
Kumari, R., & Jat, P. (2021) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2021.645593 · Cited by 1,622 · see citing works
The Cytosolic DNA-Sensing cGAS–STING Pathway in Cancer
Kwon, J., & Bakhoum, S. F. (2020) · Cancer Discovery · doi:10.1158/2159-8290.cd-19-0761 · Cited by 1,293 · see citing works
Cytoplasmic chromatin triggers inflammation in senescence and cancer
Dou, Z., Ghosh, K., Vizioli, M. G., Zhu, J., Sen, P., Wangensteen, K. J., Simithy, J., Lan, Y., Lin, Y., Zhou, Z., et al. (2017) · Nature · doi:10.1038/nature24050 · Cited by 1,335 · see citing works
Self-citationInnate immune sensing of cytosolic chromatin fragments through cGAS promotes senescence
Glück, S., Guey, B., Gulen, M. F., Wolter, K., Kang, T.-W., Schmacke, N. A., Bridgeman, A., Rehwinkel, J., Zender, L., & Ablasser, A. (2017) · Nature Cell Biology · doi:10.1038/ncb3586 · Cited by 1,196 · see citing works
“Upon activation, cGAS synthesizes the second messenger molecule 2`3`cyclic GMP-AMP (cGAMP), which engages STING, thereby leading to the production of inflammatory cytokines, chemokines and type I interferons (IFNs) 19 20 21 22, 23 24 25.”
Targeting STING with covalent small-molecule inhibitors
Haag, S. M., Gulen, M. F., Reymond, L., Gibelin, A., Abrami, L., Decout, A., Heymann, M., van der Goot, F. G., Turcatti, G., Behrendt, R., et al. (2018) · Nature · doi:10.1038/s41586-018-0287-8 · Cited by 1,178 · see citing works
Mitochondrial DNA in innate immune responses and inflammatory pathology
West, A. P., & Shadel, G. S. (2017) · Nature Reviews Immunology · doi:10.1038/nri.2017.21 · Cited by 1,115 · see citing works
Sen, T., Rodriguez, B. L., Chen, L., Corte, C. M. D., Morikawa, N., Fujimoto, J., Cristea, S., Nguyen, T., Diao, L., Li, L., et al. (2019) · Cancer Discovery · doi:10.1158/2159-8290.cd-18-1020 · Cited by 902 · see citing works
Xian, H., Watari, K., Sanchez-Lopez, E., Offenberger, J., Onyuru, J., Sampath, H., Ying, W., Hoffman, H. M., Shadel, G. S., & Karin, M. (2022) · Immunity · doi:10.1016/j.immuni.2022.06.007 · Cited by 850 · see citing works
The role of myeloid cells in cancer therapies
Engblom, C., Pfirschke, C., & Pittet, M. J. (2016) · Nature Reviews Cancer · doi:10.1038/nrc.2016.54 · Cited by 788 · see citing works
Miao, L., Li, L., Huang, Y., Delcassian, D., Chahal, J., Han, J., Shi, Y., Sadtler, K., Gao, W., Lin, J., et al. (2019) · Nature Biotechnology · doi:10.1038/s41587-019-0247-3 · Cited by 723 · see citing works
cGAS-STING, an important pathway in cancer immunotherapy
Jiang, M., Chen, P., Wang, L., Li, W., Chen, B., Liu, Y., Wang, H., Zhao, S., Ye, L., He, Y., et al. (2020) · Journal of Hematology & Oncology · doi:10.1186/s13045-020-00916-z · Cited by 647 · see citing works
Mitochondrial Damage Causes Inflammation via cGAS-STING Signaling in Acute Kidney Injury
Maekawa, H., Inoue, T., Ouchi, H., Jao, T.-M., Inoue, R., Nishi, H., Fujii, R., Ishidate, F., Tanaka, T., Tanaka, Y., et al. (2019) · Cell Reports · doi:10.1016/j.celrep.2019.09.050 · Cited by 586 · see citing works
PARP inhibition elicits STING-dependent antitumor immunity in brca1-deficient ovarian cancer
Ding, L., Kim, H.-J., Wang, Q., Kearns, M., Jiang, T., Ohlson, C. E., Li, B. B., Xie, S., Liu, J. F., Stover, E. H., et al. (2018) · Cell Reports · doi:10.1016/j.celrep.2018.11.054 · Cited by 572 · see citing works
“The cGAS-cGAMP-STING pathway plays a vital role not only in protecting the cell against a variety of pathogens but also in the antitumor immune responses in cancers (Barber, 2015; Li and Chen, 2018).”
BackgroundSuppression of STING Associated with LKB1 Loss in KRAS-Driven Lung Cancer
Kitajima, S., Ivanova, E., Guo, S., Yoshida, R., Campisi, M., Sundararaman, S. K., Tange, S., Mitsuishi, Y., Thai, T. C., Masuda, S., et al. (2019) · Cancer Discovery · doi:10.1158/2159-8290.cd-18-0689 · Cited by 526 · see citing works
cGAS senses long and HMGB/TFAM-bound U-turn DNA by forming protein-DNA ladders
Andreeva, L., Hiller, B., Kostrewa, D., Lässig, C., de Oliveira Mann, C. C., Jan Drexler, D., Maiser, A., Gaidt, M., Leonhardt, H., Hornung, V., et al. (2017) · Nature · doi:10.1038/nature23890 · Cited by 511 · see citing works
Senescent cell clearance by the immune system: Emerging therapeutic opportunities
Prata, L. G. P. L., Ovsyannikova, I. G., Tchkonia, T., & Kirkland, J. L. (2018) · Seminars in Immunology · doi:10.1016/j.smim.2019.04.003 · Cited by 497 · see citing works
STING: a master regulator in the cancer-immunity cycle
Zhu, Y., An, X., Zhang, X., Qiao, Y., Zheng, T., & Li, X. (2019) · Molecular Cancer · doi:10.1186/s12943-019-1087-y · Cited by 431 · see citing works
Activating cGAS-STING pathway for the optimal effect of cancer immunotherapy
Li, A., Yi, M., Qin, S., Song, Y., Chu, Q., & Wu, K. (2019) · Journal of Hematology & Oncology · doi:10.1186/s13045-019-0721-x · Cited by 413 · see citing works
Mitochondria, Oxidative Stress and Innate Immunity
Chen, Y., Zhou, Z., & Min, W. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.01487 · Cited by 315 · see citing works
“…infection, it is also essential to orchestrate type I interferon (IFN) and proinflammatory responses to self-DNA, driving type I IFN induction and ultimately resulting in autoimmune responses as well as antitumor immunity (Barber, 2015; Crow and Manel, 2015; Gray et al., 2015; Roers et al., 2016).”
BackgroundLi, W., Lu, L., Lu, J., Wang, X., Yang, C., Jin, J., Wu, L., Hong, X., Li, F., Cao, D., et al. (2020) · Science Translational Medicine · doi:10.1126/scitranslmed.aay9013 · Cited by 305 · see citing works
Trial watch: STING agonists in cancer therapy
Le Naour, J., Zitvogel, L., Galluzzi, L., Vacchelli, E., & Kroemer, G. (2020) · OncoImmunology · doi:10.1080/2162402x.2020.1777624 · Cited by 289 · see citing works
Niraparib activates interferon signaling and potentiates anti-PD-1 antibody efficacy in tumor models
Wang, Z., Sun, K., Xiao, Y., Feng, B., Mikule, K., Ma, X., Feng, N., Vellano, C. P., Federico, L., Marszalek, J. R., et al. (2019) · Scientific Reports · doi:10.1038/s41598-019-38534-6 · Cited by 253 · see citing works
Trial watch: TLR3 agonists in cancer therapy
Le Naour, J., Galluzzi, L., Zitvogel, L., Kroemer, G., & Vacchelli, E. (2020) · OncoImmunology · doi:10.1080/2162402x.2020.1771143 · Cited by 239 · see citing works
Sheng, H., Huang, Y., Xiao, Y., Zhu, Z., Shen, M., Zhou, P., Guo, Z., Wang, J., Wang, H., Dai, W., et al. (2020) · Journal for ImmunoTherapy of Cancer · doi:10.1136/jitc-2019-000340 · Cited by 228 · see citing works
Role of the cGAS–STING pathway in cancer development and oncotherapeutic approaches
Khoo, L. T., & Chen, L. (2018) · The EMBO Reports · doi:10.15252/embr.201846935 · Cited by 204 · see citing works
Absence of RNase H2 triggers generation of immunogenic micronuclei removed by autophagy
Bartsch, K., Knittler, K., Borowski, C., Rudnik, S., Damme, M., Aden, K., Spehlmann, M. E., Frey, N., Saftig, P., Chalaris, A., et al. (2017) · Human Molecular Genetics · doi:10.1093/hmg/ddx283 · Cited by 196 · see citing works
Senescence in the pathogenesis of age-related macular degeneration
Blasiak, J. (2020) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-019-03420-x · Cited by 183 · see citing works
ATG16L1 orchestrates interleukin-22 signaling in the intestinal epithelium via cGAS–STING
Aden, K., Tran, F., Ito, G., Sheibani-Tezerji, R., Lipinski, S., Kuiper, J. W., Tschurtschenthaler, M., Saveljeva, S., Bhattacharyya, J., Häsler, R., et al. (2018) · Journal of Experimental Medicine · doi:10.1084/jem.20171029 · Cited by 167 · see citing works
Mathur, V., Burai, R., Vest, R. T., Bonanno, L. N., Lehallier, B., Zardeneta, M. E., Mistry, K. N., Do, D., Marsh, S. E., Abud, E. M., et al. (2017) · Neuron · doi:10.1016/j.neuron.2017.11.032 · Cited by 175 · see citing works
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Prospects for combining immune checkpoint blockade with PARP inhibition
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“CDN is a second messenger which promotes the conformational change of stimulator of interferon genes (STING) [99].”
BackgroundPARP1 inhibitors trigger innate immunity via PARP1 trapping-induced DNA damage response
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Mitophagy and cGAS–STING crosstalk in neuroinflammation
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Hepatic senescence, the good and the bad
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Type I interferons and endoplasmic reticulum stress in health and disease
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Short-term gain, long-term pain: the senescence life cycle and cancer
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Macrophage STING signaling promotes fibrosis in benign airway stenosis via an IL6-STAT3 pathway
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Mitochondrial DNA and Exercise: Implications for Health and Injuries in Sports
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- Authors
- Barber, G. N.
- Affiliations
- University of Miami (US)
- Corresponding author
- Barber, Glen N.
- ORCID
- Barber, Glen N.
- Venue
- Nature Reviews Immunology
- Published
- 2015-11-25
- Volume
- 15
- Issue
- 12
- Pages
- 760-770
- ISSN
- 1474-1733 (ISSN-L)
- 1474-1741
- PMC
- PMC5004891
- OpenAlex
- W2237797200
- Cited by
- 1,313
- References
- 106
- Citations by year
- 2026: 84 · 2025: 155 · 2024: 160 · 2023: 167 · 2022: 156 · 2021: 178 · 2020: 140 · 2019: 88 · 2018: 84 · 2017: 72 · 2016: 29
- FWCI
- 5.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Nature reviews. Immunology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (R01CA194404)
- National Institute of Allergy and Infectious Diseases (R01AI079336, P30AI073961)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › interferon and immune responses
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Keywords
- STING, cytosolic DNA sensing, cyclic dinucleotides, innate immune signaling, interferon genes, autoinflammatory disease, antitumor immunity, infection, inflammation, cancer immunotherapy
- MeSH terms
- STING Protein, Bacterial Infections, DNA Damage, Humans, Immunity, Innate, Inflammation, Membrane Proteins, Neoplasms, Virus Diseases, Signal Transduction, Models, Immunological
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