Cutting edge: cGAS is required for lethal autoimmune disease in the Trex1-deficient mouse model of Aicardi–Goutières syndrome

EE Gray, PM Treuting, JJ Woodward… - The Journal of …, 2015 - journals.aai.org
EE Gray, PM Treuting, JJ Woodward, DB Stetson
The Journal of Immunology, 2015journals.aai.org
Detection of intracellular DNA triggers activation of the stimulator of IFN genes–dependent
IFN-stimulatory DNA (ISD) pathway, which is essential for antiviral immune responses.
However, chronic activation of this pathway is implicated in autoimmunity. Mutations in
TREX1, a 3′ repair exonuclease that degrades cytosolic DNA, cause Aicardi–Goutières
syndrome and chilblain lupus. Trex1−/− mice develop lethal, IFN-driven autoimmune
disease that is dependent on activation of the ISD pathway, but the DNA sensors that detect …
Abstract
Detection of intracellular DNA triggers activation of the stimulator of IFN genes–dependent IFN-stimulatory DNA (ISD) pathway, which is essential for antiviral immune responses. However, chronic activation of this pathway is implicated in autoimmunity. Mutations in TREX1, a 3′ repair exonuclease that degrades cytosolic DNA, cause Aicardi–Goutières syndrome and chilblain lupus. Trex1−/− mice develop lethal, IFN-driven autoimmune disease that is dependent on activation of the ISD pathway, but the DNA sensors that detect the endogenous DNA that accumulates in Trex1−/− mice have not been defined. Multiple DNA sensors have been proposed to activate the ISD pathway, including cyclic GMP–AMP synthase (cGAS). In this study, we show that Trex1−/− mice lacking cGAS are completely protected from lethality, exhibit dramatically reduced tissue inflammation, and fail to develop autoantibodies. These findings implicate cGAS as a key driver of autoimmune disease and suggest that cGAS inhibitors may be useful therapeutics for Aicardi–Goutières syndrome and related autoimmune diseases.
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