Evidence map›Paper›PMID 38953896›Full record

ArticleThe Journal of experimental medicine2024

A novel STING variant triggers endothelial toxicity and SAVI disease.

Erika Valeri, Sara Breggion, Federica Barzaghi, Monah Abou Alezz, Giovanni Crivicich, Isabel Pagani, Federico Forneris, Claudia Sartirana, Matteo Costantini, Stefania Costi and 8 more

Abstract readCase Reports
In one paragraph

Article in The Journal of experimental medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Review
  2. Natural Selection of the CommonbioRxiv : the preprint server for biology · 2026
    Article
  3. Article
  4. Endothelial cell expression of STINGThe Journal of investigative dermatology · 2026
    Article
  5. Innate immunity: current understandings and future perspectives.Signal transduction and targeted therapy · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Cell biological insights into human STING variants.Cell structure and function · 2025
    Review
  18. Review
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

18 authors.

Erika ValeriSan Raffaele Telethon Institute for Gene Therapy, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Scientific Institute , Milan, Italy.ORCID 0009-0008-4358-1403
Sara BreggionVita-Salute San Raffaele University, IRCCS San Raffaele Scientific Institute , Milan, Italy.ORCID 0009-0006-6655-5043
Federica BarzaghiVita-Salute San Raffaele University, IRCCS San Raffaele Scientific Institute , Milan, Italy.ORCID 0000-0003-4498-1712
Monah Abou AlezzSan Raffaele Telethon Institute for Gene Therapy, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Scientific Institute , Milan, Italy.ORCID 0000-0002-2006-4250
Giovanni CrivicichVita-Salute San Raffaele University, IRCCS San Raffaele Scientific Institute , Milan, Italy.ORCID 0009-0006-6150-2049
Isabel PaganiViral Pathogenesis and Biosafety Unit, IRCCS San Raffaele Scientific Institute , Milan, Italy.ORCID 0000-0001-5396-0740
Federico FornerisDepartment of Biology and Biotechnology, University of Pavia, Pavia, Italy.ORCID 0000-0002-7818-1804
Claudia SartiranaVita-Salute San Raffaele University, IRCCS San Raffaele Scientific Institute , Milan, Italy.ORCID 0000-0002-5837-0480
Matteo CostantiniVita-Salute San Raffaele University, IRCCS San Raffaele Scientific Institute , Milan, Italy.ORCID 0009-0007-8916-5862
Stefania CostiUnit of Pediatric Rheumatology, ASST Gaetano Pini-CTO , Milan, Italy.ORCID 0000-0002-4468-6839
Achille MarinoUnit of Pediatric Rheumatology, ASST Gaetano Pini-CTO , Milan, Italy.ORCID 0000-0002-3027-8009
Eleonora ChiarottoR&I Genetics Srl , Padua, Italy.ORCID 0009-0008-8389-3778
Davide ColavitoR&I Genetics Srl , Padua, Italy.ORCID 0000-0003-4025-6441
Rolando CimazUnit of Pediatric Rheumatology, ASST Gaetano Pini-CTO , Milan, Italy.
Ivan MerelliSan Raffaele Telethon Institute for Gene Therapy, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Scientific Institute , Milan, Italy.ORCID 0000-0003-3587-3680
Elisa VicenziViral Pathogenesis and Biosafety Unit, IRCCS San Raffaele Scientific Institute , Milan, Italy.ORCID 0000-0003-0051-3968
Alessandro AiutiVita-Salute San Raffaele University, IRCCS San Raffaele Scientific Institute , Milan, Italy.ORCID 0000-0002-5398-1717
Anna Kajaste-RudnitskiSan Raffaele Telethon Institute for Gene Therapy, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Scientific Institute , Milan, Italy.ORCID 0000-0003-1549-2426

Funding

European Research Council ERC-CoG 819815Telethon Foundation TELE22-AK
6 · The paper itself

Abstract

Gain-of-function mutations in STING cause STING-associated vasculopathy with onset in infancy (SAVI) characterized by early-onset systemic inflammation, skin vasculopathy, and interstitial lung disease. Here, we report and characterize a novel STING variant (F269S) identified in a SAVI patient. Single-cell transcriptomics of patient bone marrow revealed spontaneous activation of interferon (IFN) and inflammatory pathways across cell types and a striking prevalence of circulating naïve T cells was observed. Inducible STING F269S expression conferred enhanced signaling through ligand-independent translocation of the protein to the Golgi, protecting cells from viral infections but preventing their efficient immune priming. Additionally, endothelial cell activation was promoted and further exacerbated by cytokine secretion by SAVI immune cells, resulting in inflammation and endothelial damage. Our findings identify STING F269S mutation as a novel pathogenic variant causing SAVI, highlight the importance of the crosstalk between endothelial and immune cells in the context of lung disease, and contribute to a better understanding of how aberrant STING activation can cause pathology.

Indexed as

Endothelial CellsMembrane ProteinsChild, PreschoolFemaleGain of Function MutationGolgi ApparatusHumansInfantInfant, NewbornInterferonsLung Diseases, InterstitialMutationSignal TransductionSTING ProteinVascular DiseasesInterferonsMembrane ProteinsSTING1 protein, humanSTING Protein

Identifiers

PMID38953896
PMCPMC11217899

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Registered trials

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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.