已发表论文

肝缺血再灌注损伤的新视角:cGAS-STING 通路

 

Authors Chen R , Yang T , Jiang Z , Long Y , Qian B, Fu W

Received 25 June 2025

Accepted for publication 3 November 2025

Published 24 November 2025 Volume 2025:18 Pages 16427—16448

DOI https://doi.org/10.2147/JIR.S549406

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Fatih Türker

Runsheng Chen,1,* Tingfeng Yang,1,* Zhonghao Jiang,1 Yang Long,2 Baolin Qian,1,3 Wenguang Fu1,3 

1Department of Biliary-Pancreatic Center, The Affiliated Hospital of Southwest Medical University, Luzhou, People’s Republic of China; 2Department of Endocrinology and Metabolism, The Affiliated Hospital of Southwest Medical University, Luzhou, People’s Republic of China; 3Metabolic Hepatobiliary and Pancreatic Diseases Key Laboratory of Luzhou City, Academician (Expert) Workstation of Sichuan Province, The Affiliated Hospital of Southwest Medical University, Luzhou, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Wenguang Fu, Email fuwg@swmu.edu.cn Baolin Qian, Email qianbl@swmu.edu.cn

Abstract: In hepatic ischemia-reperfusion injury (HIRI), the cGAS-STING pathway serves as a central regulatory hub by sensing aberrant mitochondrial DNA (mtDNA) release. Ischemia-reperfusion triggers mtDNA leakage through mechanisms including mitochondrial permeability transition pore (mPTP) opening, voltage-dependent anion channel (VDAC) oligomerization, and excessive fission. Cytosolic mtDNA activates cyclic GMP-AMP synthase (cGAS), catalyzing the synthesis of cGAMP, which stimulates stimulator of interferon genes (STING) oligomerization and translocation. This activates the TBK1-IRF3/NF-κB axis, driving expression of type I interferons (IFN-I) and pro-inflammatory cytokines, thereby amplifying neutrophil infiltration, macrophage pyroptosis, and hepatocyte apoptosis. The pathway bidirectionally interacts with oxidative stress and mitophagy, exhibiting cell-type specificity: in hepatocytes, cGAS promotes protective STING-independent autophagy, whereas in macrophages, STING drives inflammatory activation. Targeted inhibition of cGAS-STING signaling and mitochondrial stabilization represent promising therapeutic strategies.

Keywords: cGAS-STING pathway, hepatic ischemia/reperfusion injury, inflammatory response, oxidative stress, cell death