2021
DOI: 10.1038/s41419-021-03961-9
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Circulating mitochondrial DNA-triggered autophagy dysfunction via STING underlies sepsis-related acute lung injury

Abstract: The STING pathway and its induction of autophagy initiate a potent immune defense response upon the recognition of pathogenic DNA. However, this protective response is minimal, as STING activation worsens organ damage, and abnormal autophagy is observed during progressive sepsis. Whether and how the STING pathway affects autophagic flux during sepsis-induced acute lung injury (sALI) are currently unknown. Here, we demonstrate that the level of circulating mtDNA and degree of STING activation are increased in s… Show more

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Cited by 78 publications
(51 citation statements)
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“…Strikingly, the induction of inflammation and autophagy seems to be cross-talking via STING, as activation of STING interfered with lysosomal acidification, hence disturbing autophagy in mtDNA mediated sepsis-induced acute lung injury. As a consequence, the induction of autophagy or STING deficiency alleviated lung injury (Liu et al, 2021). The proper functioning of the mitophagy also seems to be of great importance for the preservation of renal function.…”
Section: Discussion and Perspectivesmentioning
confidence: 99%
“…Strikingly, the induction of inflammation and autophagy seems to be cross-talking via STING, as activation of STING interfered with lysosomal acidification, hence disturbing autophagy in mtDNA mediated sepsis-induced acute lung injury. As a consequence, the induction of autophagy or STING deficiency alleviated lung injury (Liu et al, 2021). The proper functioning of the mitophagy also seems to be of great importance for the preservation of renal function.…”
Section: Discussion and Perspectivesmentioning
confidence: 99%
“…Hu et al ( 58 ) showed that inhibition of mtDNA release attenuated sepsis-induced inflammatory responses and intestinal injury; therefore, it was hypothesized that inhibition of the mtDNA/cGAS/STING signaling pathway could protect against sepsis-induced organ damage and intestinal barrier dysfunction. Liu et al ( 61 ) revealed that levels of cyclic mtDNA and STING activation were enhanced in patients with severe ALI. In addition, STING activation may serve a key role in mtDNA-mediated lung injury, which promotes inflammatory storm and is involved in autophagy via decreasing lysosomal acidification in an IFN-dependent manner ( 61 ).…”
Section: Effect Of Mtdna On the Occurrence And Development Of Sirsmentioning
confidence: 99%
“…STING is a universal receptor for cyclic dinucleotides, including the bacterial second messengers 3â€Č-5â€Č-cyclic-di-adenosine-monophosphate (CDA), 3â€Č-5â€Č-cyclic-di-guanosine-monophosphate (CDG), and the newly discovered metazoan second messenger ring GMP–AMP [ 108 ]. The STING pathway is activated by mtDNA and operates in the liver as well as in other tissues, such as in the lungs (in sepsis-induced acute lung injury) and kidneys (in acute kidney injury) [ 109 , 110 ]. In the NASH mouse model, the lack of STING alleviates hepatic steatosis, fibrosis, and nuclear factor (NF)-ÎșB-dependent inflammation even in the presence of mtDNA-induced stimulation of KCs.…”
Section: The Mechanism Of Oxidative Stress Of Kupffer Cells In Nashmentioning
confidence: 99%