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靶向cGAS-STING为肺部疾病提供了治疗选择。

cGAS-STING targeting offers therapy choice in lung diseases.

作者信息

Wang Yu, Zhang Xuan, Wang Weixue, Zhang Yi, Fleishman Joshua S, Wang Hongquan

机构信息

Department of Geriatrics, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, 100049, China.

Clinical Pharmacology Research Center, Peking Union Medical College Hospital, State Key Laboratory of Complex Severe and Rare Diseases, NMPA Key Laboratory for Clinical Research and Evaluation of Drug, Beijing Key Laboratory of Clinical PK & PD Investigation for Innovative Drugs, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China.

出版信息

Biol Direct. 2025 Feb 7;20(1):20. doi: 10.1186/s13062-025-00611-4.

Abstract

Cyclic GMP/AMP (cGAMP) synthase (cGAS), along with the endoplasmic reticulum (ER)-associated stimulator of interferon genes (STING), are crucial elements of the type 1 interferon response. cGAS senses microbial DNA and self-DNA, labeling cGAS-STING as a crucial mechanism in autoimmunity, sterile inflammatory responses, and cellular senescence. However, chronic and aberrant activation of the cGAS-STING axis results in inflammatory and autoimmune diseases. cGAS-STING has emerged as a vital mechanism driving inflammation-related diseases, including lung diseases. Insights into the biology of the cGAS-STING pathway have enabled the discovery of small-molecule agents which have the potential to inhibit the cGAS-STING axis in lung diseases. In this review, we first outline the principal components of the cGAS-STING signaling cascade. Then, we discuss recent research that highlights general mechanisms by which cGAS-STING contributes to lung diseases. Then, we focus on summarizing a list of bioactive small-molecule compounds which inhibit the cGAS-STING pathway, reviewing their potential mechanisms.These review highlights a novel groundbreaking therapeutic possibilities through targeting cGAS-STING in lung diseases.

摘要

环鸟苷酸/腺苷酸(cGAMP)合酶(cGAS)与内质网(ER)相关的干扰素基因刺激因子(STING)一起,是1型干扰素反应的关键要素。cGAS能感知微生物DNA和自身DNA,这使cGAS-STING成为自身免疫、无菌性炎症反应和细胞衰老中的一种关键机制。然而,cGAS-STING轴的慢性和异常激活会导致炎症和自身免疫性疾病。cGAS-STING已成为驱动包括肺部疾病在内的炎症相关疾病的重要机制。对cGAS-STING通路生物学的深入了解促使人们发现了有可能在肺部疾病中抑制cGAS-STING轴的小分子药物。在这篇综述中,我们首先概述cGAS-STING信号级联反应的主要成分。然后,我们讨论最近的研究,这些研究突出了cGAS-STING导致肺部疾病的一般机制。接着,我们重点总结了一系列抑制cGAS-STING通路的生物活性小分子化合物,并回顾它们的潜在机制。本综述强调了通过靶向肺部疾病中的cGAS-STING实现新型突破性治疗的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1db1/11806777/5d9ad6df023c/13062_2025_611_Fig1_HTML.jpg

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