Evidence map›Paper›PMID 35902564›Full record

ArticleCell death & disease2022

The interaction between STING and NCOA4 exacerbates lethal sepsis by orchestrating ferroptosis and inflammatory responses in macrophages.

Jie Wu, Qinjie Liu, Xufei Zhang, Miaomiao Tan, Xuanheng Li, Peizhao Liu, Lei Wu, Fan Jiao, Zhaoyu Lin, Xiuwen Wu and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed
12.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

106 citing papers in PubMed, 163 citations in OpenAlex.

  1. Ferroptosis in heatstroke: Mechanisms and therapeutic perspectives (Review).International journal of molecular medicine · 2026
    Review
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  14. BZW1 Drives Immune Evasion in Lung Adenocarcinoma via Ferroptosis Suppression.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  15. AgJournal of nanobiotechnology · 2026
    Article
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46 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Jie Wu *Department of General Surgery, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing Medical University, Nanjing, China.ORCID 0000-0002-7494-2979
Qinjie Liu *Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.ORCID 0000-0001-5857-6510
Xufei Zhang *Research Institute of General Surgery, Jinling Hospital, School of Medicine, Southeast University, Nanjing, China.
Miaomiao Tan *Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, SAR, China.
Xuanheng LiResearch Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Peizhao LiuResearch Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Lei WuResearch Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China.
Fan JiaoDepartment of General Surgery, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing Medical University, Nanjing, China.
Zhaoyu LinMOE Key Laboratory of Model Animals for Disease Study, Model Animal Research Center, State Key Laboratory of Pharmaceutical Biotechnology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing University, Nanjing, China.
Xiuwen WuResearch Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China. wuxiuwen@nju.edu.cn.ORCID 0000-0002-3813-3867
Xin WangDepartment of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, SAR, China. xinwang@cuhk.edu.hk.ORCID 0000-0002-5122-2418
Yun ZhaoDepartment of General Surgery, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing Medical University, Nanjing, China. zhaoyun0562019@163.com.ORCID 0000-0001-6109-4520
Jianan RenResearch Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China. jiananr@nju.edu.cn.ORCID 0000-0002-4697-4762
Nanjing General Hospital of Nanjing Military Command · CNNanjing Medical University · CNCity University of Hong Kong · HKNanjing Drum Tower Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The discovery of STING-related innate immunity has recently provided a deep mechanistic understanding of immunopathy. While the detrimental effects of STING during sepsis had been well documented, the exact mechanism by which STING causes lethal sepsis remains obscure. Through single-cell RNA sequence, genetic approaches, and mass spectrometry, we demonstrate that STING promotes sepsis-induced multiple organ injury by inducing macrophage ferroptosis in a cGAS- and interferon-independent manner. Mechanistically, Q237, E316, and S322 in the CBD domain of STING are critical binding sites for the interaction with the coiled-coil domain of NCOA4. Their interaction not only triggers ferritinophagy-mediated ferroptosis, but also maintains the stability of STING dimers leading to enhanced inflammatory response, and reduces the nuclear localization of NCOA4, which impairs the transcription factor coregulator function of NCOA4. Meanwhile, we identified HET0016 by high throughput screening, a selective 20-HETE synthase inhibitor, decreased STING-induced ferroptosis in peripheral blood mononuclear cells from patients with sepsis and mortality in septic mice model. Our findings uncover a novel mechanism by which the interaction between STING and NCOA4 regulates innate immune response and ferroptosis, which can be reversed by HET0016, providing mechanistic and promising targets insights into sepsis.

Indexed as

FerroptosisSepsisAnimalsImmunity, InnateLeukocytes, MononuclearMacrophagesMembrane ProteinsMiceNuclear Receptor CoactivatorsSTING ProteinTranscription FactorsMembrane ProteinsNcoA4 protein, mouseNuclear Receptor CoactivatorsSting1 protein, mouseSTING ProteinTranscription Factors

Identifiers

PMID35902564
PMCPMC9334269
OpenAlexW4288075260

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.