Circulating mitochondrial DNA-triggered autophagy dysfunction via STING underlies sepsis-related acute lung injury

Cell Death Dis. 2021 Jul 3;12(7):673. doi: 10.1038/s41419-021-03961-9.

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 sALI patients. Furthermore, STING activation was found to play a pivotal role in mtDNA-mediated lung injury by evoking an inflammatory storm and disturbing autophagy. Mechanistically, STING activation interferes with lysosomal acidification in an interferon (IFN)-dependent manner without affecting autophagosome biogenesis or fusion, aggravating sepsis. Induction of autophagy or STING deficiency alleviated lung injury. These findings provide new insights into the role of STING in the regulatory mechanisms behind extrapulmonary sALI.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Lung Injury / etiology
  • Acute Lung Injury / genetics
  • Acute Lung Injury / metabolism*
  • Acute Lung Injury / pathology
  • Animals
  • Autophagy*
  • Autophagy-Related Proteins / metabolism
  • Cell-Free Nucleic Acids / blood*
  • Cell-Free Nucleic Acids / genetics
  • DNA, Mitochondrial / blood*
  • DNA, Mitochondrial / genetics
  • Disease Models, Animal
  • Humans
  • Hydrogen-Ion Concentration
  • Inflammation Mediators / metabolism
  • Interferons / metabolism
  • Lung / metabolism*
  • Lung / pathology
  • Lysosomes / genetics
  • Lysosomes / metabolism
  • Lysosomes / pathology
  • Membrane Proteins / genetics
  • Membrane Proteins / metabolism*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • RAW 264.7 Cells
  • Sepsis / complications*
  • Sepsis / microbiology

Substances

  • Autophagy-Related Proteins
  • Cell-Free Nucleic Acids
  • DNA, Mitochondrial
  • Inflammation Mediators
  • Membrane Proteins
  • STING1 protein, human
  • Sting1 protein, mouse
  • Interferons