STING-mediated disruption of calcium homeostasis chronically activates ER stress and primes T cell death

J Wu, YJ Chen, N Dobbs, T Sakai, J Liou… - Journal of Experimental …, 2019 - rupress.org
J Wu, YJ Chen, N Dobbs, T Sakai, J Liou, JJ Miner, N Yan
Journal of Experimental Medicine, 2019rupress.org
STING gain-of-function mutations cause lung disease and T cell cytopenia through unknown
mechanisms. Here, we found that these mutants induce chronic activation of ER stress and
unfolded protein response (UPR), leading to T cell death by apoptosis in the StingN153S/+
mouse and in human T cells. Mechanistically, STING-N154S disrupts calcium homeostasis
in T cells, thus intrinsically primes T cells to become hyperresponsive to T cell receptor
signaling–induced ER stress and the UPR, leading to cell death. This intrinsic priming effect …
STING gain-of-function mutations cause lung disease and T cell cytopenia through unknown mechanisms. Here, we found that these mutants induce chronic activation of ER stress and unfolded protein response (UPR), leading to T cell death by apoptosis in the StingN153S/+ mouse and in human T cells. Mechanistically, STING-N154S disrupts calcium homeostasis in T cells, thus intrinsically primes T cells to become hyperresponsive to T cell receptor signaling–induced ER stress and the UPR, leading to cell death. This intrinsic priming effect is mediated through a novel region of STING that we name “the UPR motif,” which is distinct from known domains required for type I IFN signaling. Pharmacological inhibition of ER stress prevented StingN153S/+ T cell death in vivo. By crossing StingN153S/+ to the OT-1 mouse, we fully restored CD8+ T cells and drastically ameliorated STING-associated lung disease. Together, our data uncover a critical IFN-independent function of STING that regulates calcium homeostasis, ER stress, and T cell survival.
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