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cGAS - novel therapeutic target for uveitis

Mechanistic insights into how cGAS knockout inhibits uveitis in mice

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GO enrichment analysis and KEGG pathway analysis of co-expressed mRNA targets in the NC and EIU groups

image: 

(AC) GO enrichment analysis of co-expressed mRNA targets, covering biological processes, cellular components, and molecular functions. The top 10 GO terms of each domain are shown. (D) The top 10 enriched KEGG terms. (E) Real-time PCR was used to quantify the number of miDNA copies in the cytoplasm. The released mtDNA was significantly increased at 24 h and 48 h in the EIU groups. ∗∗P < 0.01. n = 3 biological replicates in each group. (F) GSEA snapshots of cytosolic DNA-sensing pathway enrichment analysis. (G) Hierarchical clustering heatmap analysis of cytosolic DNA-sensing pathway mRNAs. (H) The cGAS-STING-TF-inflammatory network. NC, normal control; EIU, endotoxin-induced uveitis; GSEA, gene set enrichment analysis; GO, gene ontology; KEGG, Kyoto Encyclopedia of Genes and Genomes; cGAS, cyclic guanosine monophosphate-adenosine monophosphate synthase; STING, stimulator of interferon genes; TF, transcription factor.

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Credit: Yue Guo, Ruiping Gu, Jiaojiao Wei, Chunhui Jiang

The cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) pathway—a key cytosolic DNA sensor and crucial mediator of inflammation related to infection and cellular stress—has been implicated in the pathogenesis of several ocular diseases, including diabetic retinopathy, age-related macular degeneration, and uveal melanoma.

In a recent study published in Genes & Diseases, researchers from Fudan University, Key Laboratory of Myopia of State Health Ministry, and Peking University People’s Hospital investigated the role of this pathway in mediating inflammatory responses within the EIU model.

Using intravitreal lipopolysaccharide (LPS) injections to induce acute ocular inflammation, the authors first characterized the activation of the cGAS–STING signaling cascade in retinal tissue. Molecular analyses demonstrated that the LPS challenge was associated with the enhanced activation of downstream effectors, including TBK1 and IRF3. Concomitantly, increased levels of cytosolic mitochondrial DNA (mtDNA) were observed, suggesting that mitochondrial stress provides the endogenous ligands necessary to amplify inflammatory signaling during endotoxin exposure. Transcriptomic profiling further revealed an enrichment of DNA-sensing and innate immune response pathways, supporting a functional role for cGAS in the inflammatory milieu.

To evaluate the specific contribution of cGAS, the investigators employed cGAS knockout (cGAS⁻/⁻) mice. Genetic ablation of cGAS markedly attenuated the clinical and histopathological manifestations of uveitis. Compared with wild-type controls, cGAS-deficient mice exhibited reduced vitreous haze, diminished retinal vascular leakage, and decreased inflammatory cell infiltration. Furthermore, leukocyte adhesion and macrophage recruitment were significantly reduced, and microglial activation—a key driver of retinal inflammatory amplification—was substantially suppressed. These phenotypic changes correlated with a significant downregulation of NF-κB and MAPK signaling, preserved blood–retinal barrier integrity, and an inhibition of the large-scale upregulation of genes associated with innate immunity and interferon signaling.

Mechanistically, the study reveals that cGAS senses LPS-induced mtDNA release, catalyzing 2'3'-cGAMP production to activate STING and propagate inflammatory cascades. Inhibiting this axis disrupts the feed-forward loop of pyroptosis, inflammasome activation, and cytokine storms, resulting in reduced inflammation and improved structural preservation. These findings position cGAS inhibitors as promising adjuncts to corticosteroids, particularly for steroid-refractory uveitis.

In conclusion, by delineating the cGAS–STING–TBK1–IRF3 axis, this study identifies cGAS as a pivotal mediator of endotoxin-induced ocular inflammation and highlights it as a high-value therapeutic target for modulating intraocular inflammatory diseases.

Reference

Title of the original paper :  cGAS knockout inhibited endotoxin-induced uveitis in mice

Journal : Genes & Diseases

Genes & Diseases is a journal for molecular and translational medicine. The journal primarily focuses on publishing investigations on the molecular bases and experimental therapeutics of human diseases. Publication formats include full length research article, review article, short communication, correspondence, perspectives, commentary, views on news, and research watch.

DOI : https://doi.org/10.1016/j.gendis.2025.101786

 

 

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