Activating cGAS-STING pathway for the optimal effect of cancer immunotherapy
Open accessAbstract
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].”
From Combination strategies with PD-1/PD-L1 blockade: current advances and future directions (2022) · cites this paper as [30]
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Combination strategies with PD-1/PD-L1 blockade: current advances and future directions
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Self-citationTargeting the tumor microenvironment in renal cell cancer biology and therapy
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Prospects for combining immune checkpoint blockade with PARP inhibition
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“Therefore, immunotherapy-based combination strategy attracts extensive attention for synergistic efficacy and lower risk of resistance [20, 21].”
BackgroundSelf-citationAdvances and perspectives of PARP inhibitors
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Self-citationManipulating Gut Microbiota Composition to Enhance the Therapeutic Effect of Cancer Immunotherapy
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Self-citationTargeting DNA Damage Response and Immune Checkpoint for Anticancer Therapy
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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)
- PMC
- PMC6444510
- 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
- gold
- doi.org
- Licence
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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