Yao Yuxuan, He Xu, Zhu Yidan, Gong Yiru, Song Xuchen, Chen Jiali, Guo Nan, Zhao Yinyu, Guo Jing, Luo Xingxian, Zhang Xiaohong, Huang Lin
Department of Pharmacy, Peking University People's Hospital, Beijing, China; School of Life Science and Biopharmaceutics, Shenyang Pharmaceutical University, Shenyang, China.
Department of Pharmacy, Peking University People's Hospital, Beijing, China.
Autoimmun Rev. 2025 Jul 19;24(10):103877. doi: 10.1016/j.autrev.2025.103877.
The STING signaling pathway is a central component of the innate immune system, primarily responsible for sensing cytosolic DNA and triggering type I interferon responses to regulate innate immune signaling. Recent studies have revealed that, beyond its roles in immune responses, inflammation, and infection, STING can also regulate metabolism and cell death through classical or non-classical signaling pathways. Ferroptosis, a unique iron-dependent form of cell death characterized by intracellular iron accumulation and lipid peroxidation, has been implicated in various diseases, including cancer, autoimmune diseases, neurodegenerative disorders, and infections. Emerging research has demonstrated a correlation between STING and ferroptosis. STING activation induces the production of inflammatory factors and cytokines, which disrupt iron homeostasis, lipid metabolism, and oxidative balance, thereby triggering ferroptosis. Meanwhile, key proteins like GPX4 and ACSL4 in ferroptosis along with certain metabolic products can also influence the activity of the STING signaling pathway. The regulatory direction and signaling intensity of these interactions significantly impact disease states. As a result, deciphering their molecular mechanisms is critical for developing precise therapeutic strategies. Here, we provide a comprehensive overview of the latest research advances related to the STING signaling pathway and ferroptosis, with a particular emphasis on the molecular mechanisms underlying their mutual regulation. In addition, we discuss therapeutic strategies targeting STING signaling and ferroptosis in disease pathology, thereby highlighting their prospective clinical significance in conditions such as cancer and autoimmune diseases.
STING信号通路是固有免疫系统的核心组成部分,主要负责感知胞质DNA并触发I型干扰素反应以调节固有免疫信号。最近的研究表明,除了在免疫反应、炎症和感染中的作用外,STING还可通过经典或非经典信号通路调节代谢和细胞死亡。铁死亡是一种独特的铁依赖性细胞死亡形式,其特征在于细胞内铁积累和脂质过氧化,与包括癌症、自身免疫性疾病、神经退行性疾病和感染在内的各种疾病有关。新兴研究表明STING与铁死亡之间存在关联。STING激活会诱导炎症因子和细胞因子的产生,这些因子会破坏铁稳态、脂质代谢和氧化平衡,从而触发铁死亡。同时,铁死亡中的关键蛋白如GPX4和ACSL4以及某些代谢产物也会影响STING信号通路的活性。这些相互作用的调节方向和信号强度会显著影响疾病状态。因此,破译它们的分子机制对于制定精确的治疗策略至关重要。在此,我们全面概述了与STING信号通路和铁死亡相关的最新研究进展,特别强调了它们相互调节的分子机制。此外,我们还讨论了在疾病病理学中针对STING信号和铁死亡的治疗策略,从而突出了它们在癌症和自身免疫性疾病等病症中的潜在临床意义。
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