Target intelligence / Profile preview

Stimulator of Interferon Genes (STING)

Target
STING
Molecular classification
Receptor (STING is a cytosolic pattern recognition receptor, more specifically an adaptor protein, but often classified as receptor for drug discovery), Enzyme (cGAS: nucleotidyltransferase enzyme), Signal transduction adaptor, Other: innate immune pathway adaptor
01

Overview

The cGAS-STING pathway is a central component of the innate immune system responsible for detecting abnormal cytosolic DNA, typically from viral infection, tumors, or cell damage. cGAS senses double-stranded DNA (dsDNA) in the cytosol and synthesizes the second messenger cGAMP, which binds to and activates STING. Activated STING initiates downstream signaling that leads to the production of type I interferons and pro-inflammatory cytokines. While essential for antimicrobial defense and tumor surveillance, aberrant activation of this pathway is implicated in various autoimmune and inflammatory disorders, cancer, and metabolic diseases. Therapeutically, both inhibition and activation of this pathway are being explored for diverse clinical indications depending on context.

Other names
STINGTMEM173Transmembrane protein 173MPYSERISMITAC6orf150cGAMP receptorFor cGAS: cyclic GMP-AMP synthase
02

Mechanism of action

STING agonists bind to and activate STING, causing translocation and conformational change, leading to TBK1 and IRF3 activation and IFN-β/immune gene expression. cGAS inhibitors block dsDNA sensing and prevent cGAMP synthesis, thus halting downstream STING activation. Some agents act upstream (block DNA binding to cGAS) or downstream (modulate IRF3/NF-κB).

03

Biological functions

Detection of cytosolic DNAInduction of type I interferon responseInnate immune signalingCellular senescenceInflammatory gene activationAutophagy inductionRegulation of apoptosisTumor immune surveillance
04

Disease associations

Cancer (tumor surveillance, tumor immunogenicity)Autoimmunity (e.g. Aicardi-Goutières syndrome, SAVI)Viral infection (defense against DNA viruses and some retroviruses)Inflammation (sterile inflammation)Metabolic disorders (NAFLD, NASH, insulin resistance)Cardiovascular diseaseNeuroinflammation
05

Safety considerations

Excessive activation: risk of cytokine storm, systemic inflammation, autoimmunityChronic activation: associated with inflammatory diseases, tissue damage (e.g., severe cutaneous vasculitis in STING gain-of-function mutations)On-target adverse effects: fever, flu-like symptoms, autoimmunity risk
06

Interacting drugs

STING agonists (e.g., ADU-S100, GSK3745417, MK-1454, cyclic dinucleotides like cGAMP, c-di-GMP)

1 more in the full profile.

07

Biomarkers

Phosphorylation of TBK1 and IRF3Induction of IFN-β (interferon beta)Upregulation of CXCL10, CCL5 (chemokines)cGAMP levels (for pathway activation)Expression of immune activation genes (e.g., ISG15, IFIT1)

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