# Regulation of Lupus by Cytosolic DNA Sensors

> **NIH NIH R01** · UNIV OF MASSACHUSETTS MED SCH WORCESTER · 2020 · $535,551

## Abstract

Abstract.
Cytosolic and endosomal DNA sensing pathways are known to play a critical role in host defense against
microbial pathogens. The same pattern recognition receptors also detect endogenous ligands and thereby
promote the onset and progression of autoimmune and autoinflammatory diseases. For example, endosomal
TLRs contribute to the pathogenesis of Systemic Lupus Erythematosis (SLE), in part by promoting the
production of type I IFNs. Cytosol DNA can be detected by a variety of receptors, including cGAS, which in
turn generates an unusual cyclic dinucleotide that activates pathways downstream of STING. Overactivation
of STING, either by loss of nuclease activity or STING gain-of-function mutations, also drives a strong type I
IFN response now associated with diseases such as Aicardi-Goutieres Syndrome. We have explored the
potential crosstalk between cytosolic and endosomal sensors in murine SLE. Quite unexpectedly, we found
that STING-deficient SLE-prone mice developed more severe, not less severe, clinical disease. These obser-
vations point to a novel role for STING in the negative regulation of TLR-driven systemic autoimmunity. Our
preliminary studies have led us to propose that constitutive activation of the STING pathway in hemato-
poietic cells limits the inflammatory response of myeloid cells to TLR ligands, promotes the production
of negative regulators of immune activation such as A20 and immunomodulatory enzymes such as
Indoleamine-pyrrole 2,3-dioxygenase (IDO), and contributes to B cell tolerance induction; the nucleotidyl
transferase DNA sensor cGAS acts upstream to recognize host DNA and regulate these STING-mediated
effects. We will validate and explore this hypothesis through the following specific aims: (1) identify the cell
types directly activated as a result of STING-deficiency; (2) explore the molecular mechanisms responsible for
STING-mediated suppression of TLR-driven inflammation; and (3) determine the role of cGAS in the negative
regulatory role of STING. To precisely compare STING-sufficient and STING-deficient macrophages, dendritic
cells and B cells in models of SLE, we will utilize autoimmune-prone CD45 and Igh allelically distinct mixed
bone marrow chimeras.This strategy will preclude any potential confounding factors arising from subclinical
infection, changes in microbiome, or effects of disease driven inflammation. SLE is a complex chronic systemic
autoimmune disease that afflicts over 1.5 million Americans. Current treatments involve immuno-suppressive
regimens associated with debilitating adverse side effects. Attempts to develop safe and efficient therapies that
block TLR activation have been stymied by the relative short in vivo half lives of known inhibitors and the
potential dangerous outcome of complete MyD88 blockade. Better understanding of the natural regulators of
the disease process will provide major insights toward the design of more disease-specific therapeutic options
and also avoid the use o...

## Key facts

- **NIH application ID:** 9841893
- **Project number:** 5R01AI128358-04
- **Recipient organization:** UNIV OF MASSACHUSETTS MED SCH WORCESTER
- **Principal Investigator:** Katherine A. Fitzgerald
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $535,551
- **Award type:** 5
- **Project period:** 2017-01-10 → 2021-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9841893

## Citation

> US National Institutes of Health, RePORTER application 9841893, Regulation of Lupus by Cytosolic DNA Sensors (5R01AI128358-04). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9841893. Licensed CC0.

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