Impact of DNA Damage Response on Anti-tumor Immunity

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03 January 2022
The cGAS/STING Pathway: A Novel Target for Cancer Therapy
Yu Gan
6 more and 
Wei Li
In the presence of various cytoplasmic DNAs, as a natural immunosensor, cGAS can bind to dsDNA to form a 2:2 cGAS-dsDNA complex, generating a second messenger cGAMP, which activates the STING protein at the endoplasmic reticulum. STING is then transferred from the endoplasmic reticulum via ERGIC to the Golgi apparatus, palmitoylated at two cysteine residues Cys88 and Cys91. Modified STING recruits TBK1 and IRF3. At the same time, STING also binds and stimulates IKK, triggering the transcriptional activation of NF-kB. Ultimately, it regulates the expression and secretion of pro-inflammatory cytokines such as IFN. Binding of IFN to IFNAR1/IFNAR2 activates JAK1, phosphorylates STAT, and induces the expression of ISG. Created with BioRender.com.

As a DNA receptor, cyclic GMP-AMP synthase (cGAS) plays a crucial role in the immune system by recognizing abnormal DNA in the cytoplasm and activating the stimulator of interferon genes (STING) signaling pathway. This signaling cascade reaction leads to an immune response produced by type I interferon and other immune mediators. Recent advances in research have enhanced our current understanding of the potential role of the cGAS/STING pathway in anticancer therapy; however, in some cases, chronic STING activation may promote tumorigenesis. The present review article discusses the biological mechanisms of the cGAS/STING pathway, its dichotomous role in tumors, and the latest advances with respect to STING agonists and antagonists.

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