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儿童免疫介导性炎症性疾病中cGAS-STING信号通路的研究进展

[Research progress on the cGAS-STING signaling pathway in immune-mediated inflammatory diseases in children].

作者信息

Wei Xin-Yue, Gong Xiao-Juan, Ji Hong

机构信息

Department of Pediatrics, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116000, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2025 Jul 15;27(7):881-887. doi: 10.7499/j.issn.1008-8830.2412098.

DOI:10.7499/j.issn.1008-8830.2412098
PMID:40695524
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12291564/
Abstract

The cyclic GMP-AMP synthase (cGAS)-stimulator of interferon gene (STING) signaling pathway is a crucial component of the immune system. It detects abnormal cytosolic double-stranded DNA and promotes the expression of type I interferons and other inflammatory factors, thereby protecting the body from pathogenic infections. In children, an immature immune system or genetic mutations can lead to immune dysregulation, increasing the risk of autoimmune diseases (AID) and autoinflammatory diseases. Recent studies have shown that aberrant activation of the cGAS-STING signaling pathway is associated with the development of AID and autoinflammatory diseases in children. This review summarizes the research progress on the cGAS-STING signaling pathway in childhood AID and autoinflammatory diseases, aiming to provide new directions for clinical diagnosis and treatment.

摘要

环磷酸鸟苷-腺苷酸合成酶(cGAS)-干扰素基因刺激因子(STING)信号通路是免疫系统的关键组成部分。它能检测到异常的胞质双链DNA,并促进I型干扰素和其他炎症因子的表达,从而保护身体免受病原体感染。在儿童中,免疫系统不成熟或基因突变可导致免疫失调,增加自身免疫性疾病(AID)和自身炎症性疾病的风险。最近的研究表明,cGAS-STING信号通路的异常激活与儿童AID和自身炎症性疾病的发生有关。本文综述了儿童AID和自身炎症性疾病中cGAS-STING信号通路的研究进展,旨在为临床诊断和治疗提供新的方向。

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本文引用的文献

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HO-1 impairs the efficacy of radiotherapy by redistributing cGAS and STING in tumors.血红素加氧酶-1通过在肿瘤中重新分布环鸟苷酸-腺苷酸合成酶和干扰素基因刺激蛋白来削弱放射治疗的疗效。
J Clin Invest. 2024 Dec 2;134(23):e181044. doi: 10.1172/JCI181044.
2
The role of cGAS-STING signaling in rheumatoid arthritis: from pathogenesis to therapeutic targets.环状鸟苷酸-干扰素基因刺激物信号通路在类风湿关节炎中的作用:从发病机制到治疗靶点。
Front Immunol. 2024 Sep 25;15:1466023. doi: 10.3389/fimmu.2024.1466023. eCollection 2024.
3
cGAS activation in classical dendritic cells causes autoimmunity in TREX1-deficient mice.经典树突状细胞中的 cGAS 激活导致 TREX1 缺陷型小鼠发生自身免疫。
Proc Natl Acad Sci U S A. 2024 Sep 17;121(38):e2411747121. doi: 10.1073/pnas.2411747121. Epub 2024 Sep 10.
4
Blockade of the mitochondrial DNA release ameliorates hepatic ischemia-reperfusion injury through avoiding the activation of cGAS-Sting pathway.阻断线粒体 DNA 释放通过避免 cGAS-Sting 通路的激活减轻肝缺血再灌注损伤。
J Transl Med. 2024 Aug 28;22(1):796. doi: 10.1186/s12967-024-05588-8.
5
Type I Interferons in Systemic Autoimmune Rheumatic Diseases: Pathogenesis, Clinical Features and Treatment Options.I型干扰素在系统性自身免疫性风湿病中的作用:发病机制、临床特征及治疗选择
Mediterr J Rheumatol. 2024 Jun 30;35(Suppl 2):365-380. doi: 10.31138/mjr.270324.tis. eCollection 2024 Jun.
6
The molecular mechanism of dsDNA sensing through the cGAS-STING pathway.cGAS-STING 通路感知双链 DNA 的分子机制。
Adv Immunol. 2024;162:1-21. doi: 10.1016/bs.ai.2024.02.003. Epub 2024 Mar 2.
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STING-associated vasculopathy with onset in infancy (SAVI) presenting with skin lesions.婴儿期起病的STING相关血管病(SAVI)伴皮肤损害。
Pediatr Dermatol. 2024 Sep-Oct;41(5):893-896. doi: 10.1111/pde.15620. Epub 2024 Apr 29.
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Immunity. 2024 Apr 9;57(4):718-730. doi: 10.1016/j.immuni.2024.02.019.
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Single-cell RNA-sequencing of PBMCs from SAVI patients reveals disease-associated monocytes with elevated integrated stress response.单细胞 RNA 测序分析 SAVI 患者的 PBMCs,揭示了与疾病相关的单核细胞,其整合应激反应增强。
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