Review Article

The role of the cGAS-STING signaling pathway in viral infections, inflammatory and autoimmune diseases

Ming-ming Wang1, Yue Zhao1, Juan Liu1, Rong-rong Fan2, Yan-qing Tang1, Zheng-yang Guo1, Ting Li1
1 State Key Laboratory of Quality Research in Chinese Medicine, Macau Institute for Applied Research in Medicine and Health, Macau University of Science and Technology, Macao 999078, China
2 Department of Biosciences and Nutrition, Karolinska Institute, Huddinge 14183, Sweden
Correspondence to: Ting Li: tli@must.edu.mo,
DOI: 10.1038/s41401-023-01185-5
Received: 6 August 2023
Accepted: 18 October 2023
Advance online: 1 June 2024

Abstract

Pattern recognition receptors are an essential part of the immune system, which detect pathogen-associated molecular patterns (PAMPs) and damage-associated molecular patterns (DAMPs) and help shape both innate and adaptive immune responses. When dsDNA is present, cyclic GMP-AMP Synthase (cGAS) produces a second messenger called cyclic GMP-AMP (cGAMP), which then triggers an adaptor protein called STING, and eventually activates the expression of type I interferon (IFN) and pro-inflammatory cytokines in immune cells. The cGAS-STING signaling pathway has been receiving a lot of attention lately as a key immune-surveillance mediator. In this review, we summarize the present circumstances of the cGAS-STING signaling pathway in viral infections and inflammatory diseases, as well as autoimmune diseases. Modulation of the cGAS-STING signaling pathway provides potential strategies for treating viral infections, inflammatory diseases, and autoimmune diseases.
Keywords: cGAS-STING signaling pathway; type I interferon (IFN); double-stranded DNA (dsDNA); viral infections; inflammatory diseases; autoimmune diseases

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