Evidence map›Paper›PMID 41612427›Full record

ReviewJournal of translational medicine2026

The cGAS-STING pathway and mitochondrial metabolism: from mechanistic insights to therapeutic potential in tumor.

Kui Zhao, Siyuan Cui, Na Wang, Qi Wei, Xuerui Wang, Ke Hou, Jinli Zhu, Fanming Kong

Abstract readReview
In one paragraph

Review in Journal of translational medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
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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

8 authors.

Kui Zhao *Department of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 300381, China.
Siyuan Cui *Department of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 300381, China.
Na Wang *Department of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 300381, China.
Qi WeiNational Clinical Research Center for Chinese Medicine, Tianjin, 300381, China.
Xuerui WangDepartment of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 300381, China.
Ke HouCollege of Traditional Chinese and Western Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 301600, China.
Jinli ZhuDepartment of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 300381, China. juju1130@126.com.
Fanming KongDepartment of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 300381, China. kongfanming08@163.com.

Funding

Hebei Provincial Administration of Traditional Chinese Medicine Research Project T2025083 & No.T2025059National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion Open Funding Project NCRCOP2023007Noncommunicable Chronic Diseases-National Science and Technology Major Project 2024ZD0521103Pilot Demonstration Project for the Inheritance and Innovative Development of Traditional Chinese Medicine in Nankai District 20240204019Tianjin Key Research Projects in Traditional Chinese Medicine 2025011Tianjin Municipal Key Disciplines and Key Specialties Construction Program in Medicine TJYXZDXK-010ATianjin Public Health Science and Technology Major Youth Project 24ZXGQSY00090
6 · The paper itself

Abstract

backgroundThe cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) pathway serves as the core cytoplasmic DNA-sensing signaling pathway and represents a pivotal node within the immune-metabolic regulatory network through its coordination with mitochondrial metabolism. MAIN BODY: Emerging evidence suggests that the cGAS-STING pathway plays a dual role in the tumor microenvironment (TME), promoting both anti-tumor immunity and tumor progression. These opposing effects are governed by the spatiotemporal dynamics of STING activation and the metabolic state of mitochondria. Recent studies have revealed that the clinical efficacy of STING agonists is constrained not only by the induction of chronic inflammatory responses but also by tumor metabolic heterogeneity. A comprehensive understanding of the mechanistic crosstalk between the cGAS-STING pathway and mitochondrial metabolism could provide a robust theoretical foundation for developing novel STING-targeted therapeutic strategies based on metabolic modulation.

conclusionThis review provides a systematic overview of the interactive regulatory mechanisms connecting the cGAS-STING pathway with mitochondrial metabolism and assesses the translational potential of targeting this immune-metabolic axis in the context of precision oncology. The insights discussed herein are intended to support the rational optimization and clinical application of STING agonists.

Indexed as

Membrane ProteinsMitochondriaNeoplasmsNucleotidyltransferasesSignal TransductionAnimalscGAS-STING Signaling PathwayCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseHumansSTING ProteinTumor MicroenvironmentcGAS protein, humanCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseMembrane ProteinsNucleotidyltransferasesSTING1 protein, humanSTING ProteinCancer immunotherapycGAS-STING pathwayMetabolic reprogrammingMitochondrial metabolismTumor microenvironment

Identifiers

PMID41612427
PMCPMC12930971

What OpenQuestion holds

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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.