Balka & De Nardo (FEBS J. 2020) provide a careful, up-to-date (to 2020) narrative review of cGASβSTING molecular mechanisms, spatial regulation, trafficking and disease relevance, highlighting IFN-independent STING outputs and trafficking as central open problems; strengths: clear synthesis of structural, cell-biological and disease literature and practical therapeutic context; limitations: inherent to narrative reviews β selection bias, limited meta-analytic quantitation, and reliance on heterogeneous model systems (in vitro imaging in fibroblasts/macrophages versus in vivo complexity)
Primary review: Balka & De Nardo, The FEBS Journal (DOI: 10.1111/FEBS.15640). All claims below are grounded in that review unless explicitly noted.
Notes: the pie is a qualitative synthesis of the review's emphasis: IRF3/IFN and NF-ΞΊBβdriven inflammation are focal points, with substantial attention to autophagy, cell-death and senescence as IFN-independent outputs (review pages and figures). Source: Balka & De Nardo
| Claim | Evidence cited in review | Blindspot / uncertainty |
|---|---|---|
| STING requires trafficking from ER to ERGIC/Golgi for IFN activation | Review summarizes multiple studies and figure 5 on STEEP, COPII/COPI, STIM1, and palmitoylation promoting Golgi clustering | Most mechanistic work is from in vitro/overexpression and fibroblast/macrophage imagingβgeneralizability to diverse primary cell types and intact tissues remains incompletely tested. |
| NF-ΞΊB activation downstream of STING involves TBK1 and IKKΞ΅ redundantly | Review cites genetic and pharmacological data indicating TBK1 dispensability for NF-ΞΊB in some myeloid cells and redundancy with IKKΞ΅ (figure 4) | Cell-type expression levels of IKKΞ΅ vary; mechanistic biochemistry showing how TBK1/IKKΞ΅ scaffold vs kinase roles produce NF-ΞΊB is incomplete. |
| cGAS sensing is regulated by localization, DNA length and phase separation | Review summarizes structural studies (cGAS ladder oligomers), phase separation promoting 2'3'-cGAMP production and membrane/nuclear localization (Figures 3) | Open questions: how nuclear chromatin-bound cGAS is regulated across cell types; interplay of post-translational modifications during cell cycle; quantitative thresholds for phase separation in vivo. |
| IFN-independent STING outputs (autophagy, senescence, cell death) can be primary defenders in vivo | Review highlights Sting S365A mouse studies where IFN-defective STING retained protective functions against HSV-1, and links to autophagy literature | Phenotypes may be pathogen- and model-specific; the exact effector mechanisms and cell types mediating protection remain to be mapped. |
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