The Cytosolic DNA-Sensing cGAS–STING Pathway in Cancer
Open accessAbstract
The recognition of DNA as an immune-stimulatory molecule is an evolutionarily conserved mechanism to initiate rapid innate immune responses against microbial pathogens. The cGAS–STING pathway was discovered as an important DNA-sensing machinery in innate immunity and viral defense. Recent advances have now expanded the roles of cGAS–STING to cancer. Highly aggressive, unstable tumors have evolved to co-opt this program to drive tumorigenic behaviors. In this review, we discuss the link between the cGAS–STING DNA-sensing pathway and antitumor immunity as well as cancer progression, genomic instability, the tumor microenvironment, and pharmacologic strategies for cancer therapy. Significance: The cGAS–STING pathway is an evolutionarily conserved defense mechanism against viral infections. Given its role in activating immune surveillance, it has been assumed that this pathway primarily functions as a tumor suppressor. Yet, mounting evidence now suggests that depending on the context, cGAS–STING signaling can also have tumor and metastasis-promoting functions, and its chronic activation can paradoxically induce an immune-suppressive tumor microenvironment.
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Activation of cytosolic nucleic acid sensing pathways is a promising strategy to stimulate innate anti-tumour immune responses to inflame immunologically 'cold' tumours.
“Activation of cytosolic nucleic acid sensing pathways has emerged as a promising strategy to stimulate innate anti-tumour immune responses to inflame immunologically 'cold' tumours 13 , thus it is surprising that TBK1 has been nominated as a candidate immune evasion gene 4,9-11 and that disrupting TBK1 signaling has shown early promise enhancing response to ICB in murine tumour models 14,15 .”
From Targeting TBK1 to overcome resistance to cancer immunotherapy (2023) · cites this paper as [13]
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“Unlike acute STING-driven SASP, chronic SASP-related inflammation is correlated with malignant behaviors, such as evasion of oncogene-induced senescence and immune-suppression (51,105).”
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- Authors
- Kwon, J., & Bakhoum, S. F.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Corresponding author
- Bakhoum, Samuel F.
- Venue
- Cancer Discovery
- Published
- 2020-01-01
- Volume
- 10
- Issue
- 1
- Pages
- 26-39
- ISSN
- 2159-8274 (ISSN-L)
- 2159-8290
- PMC
- PMC7151642
- OpenAlex
- W2995171541
- Cited by
- 1,293
- References
- 156
- Citations by year
- 2026: 196 · 2025: 248 · 2024: 284 · 2023: 222 · 2022: 184 · 2021: 113 · 2020: 46
- FWCI
- 7.41
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cancer Discovery (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (DP5OD026395)
- National Cancer Institute (P30CA008748)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › interferon and immune responses
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Keywords
- cGAS-STING pathway, cytosolic DNA sensing, antitumor immunity, tumor microenvironment, genomic instability, tumor progression, metastasis, immune evasion, tumor suppressor function, innate immunity, cancer immunotherapy
- MeSH terms
- STING Protein, Cyclic Guanosine Monophosphate-Adenosine Monophosphate Synthase, Cytosol, DNA, Neoplasm, Humans, Immunity, Innate, Membrane Proteins, Neoplasms, Nucleotidyltransferases, Tumor Microenvironment
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