Cited by 413interferon and immune responsesCancer Immunotherapy and BiomarkersImmunotherapy and Immune Responses

Activating cGAS-STING pathway for the optimal effect of cancer immunotherapy

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Li, Anping, Yi, Ming, Qin, Shuang, Song, Yongping, Chu, Qian, Wu, Kongming·2019·Journal of Hematology & Oncology

Abstract

During tumor progression, a subset of cancer cells escape from immune surveillance and eventually develop into measurable tumor mass. Cancer immunotherapy eradicates tumor cells by enhancing multiple steps in cancer-immunity cycle including antigen presentation, T cell priming, activation, and immune killing activity. Immunotherapy has been verified as an effective strategy in multiple cancers, but some problems still exist in actual clinical practice such as frequent primary and adaptive resistance. Combination with other adjuvant therapies gives us a new perspective to overcome the emerging obstacles in immunotherapy application. Recently, a series of studies demonstrated that the vital component of host innate immunity - cGAS-STING pathway might play an important role in anti-cancer immunity. It is generally acknowledged that the downstream signals of cGAS-STING especially type I interferon (IFN) bridge innate immunity and adaptive immunity. Given the functions of type I IFN in promoting the maturation and migration of dendritic cells, enhancing cytotoxic T lymphocyte- or natural killer cell-mediated cytotoxicity effect, and protecting effector cells from apoptosis, we believe cGAS-STING agonist might be used as sensitizer for multiple immunotherapies such as cancer vaccine, immune checkpoint blockade, and chimeric antigen receptor T cell therapy. In this review, we highlight the latest understanding of cGAS-STING pathway and the advances of the combination therapy of STING agonist and immunotherapy.

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  • Accumulating evidence indicates that chemotherapy, radiotherapy, angiogenesis inhibitor, STING agonist, FMT, epigenetic modulators, or other immunomodulators could synergize α-PD-1/PD-L1, by enhancing cancer antigen release, APC function, or effector activity.

    “Accumulating evidence indicates that chemotherapy, radiotherapy, angiogenesis inhibitor, stimulator of interferon genes (STING) agonist, fecal microbiota transplantation (FMT), epigenetic modulators, or other immunomodulators could synergize α-PD-1/PD-L1, by enhancing cancer antigen release, APC function, or effector activity [22–31].”

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Authors
Li, A., Yi, M., Qin, S., Song, Y., Chu, Q., & Wu, K.
Affiliations
  • First Affiliated Hospital of Zhengzhou University (CN)
  • Tongji Hospital (CN)
  • Zhengzhou University (CN)
Corresponding author
Wu, Kongming
Venue
Journal of Hematology & Oncology
Published
2019-04-01
Volume
12
Issue
1
Pages
35-35
ISSN
1756-8722 (ISSN-L)
OpenAlex
W2936435806
Cited by
413
References
114
Citations by year
2026: 35 · 2025: 69 · 2024: 87 · 2023: 70 · 2022: 63 · 2021: 40 · 2020: 38 · 2019: 11
FWCI
3.30
Type
journal article
Language
en
Open access
Locations
  • Journal of Hematology & Oncology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • National Natural Science Foundation of China (81874120, 81572608, 81672984)
  • Wuhan Municipal Science and Technology Bureau (2017060201010170)
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, STING agonist, cancer immunotherapy, type I interferon, innate immunity, cancer vaccines, immune checkpoint blockade, CAR T-cell therapy, combination therapy, immunotherapy resistance, dendritic cell maturation, tumor immune evasion
MeSH terms
Cyclic Guanosine Monophosphate-Adenosine Monophosphate Synthase, Animals, Humans, Immunotherapy, Neoplasms, Nucleotidyltransferases, Mice

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