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Endothelial STING and STAT1 mediate IFN-independent effects of IL-6 in an endotoxemia-induced model of shock.

The Journal of clinical investigation2025-09-16PubMed
Total: 84.0Innovation: 9Impact: 0Rigor: 0Citation: 0

Summary

IL-6 elicits a transient, IFN-independent IFN-like gene program in endothelial cells via STAT1–cGAS–STING and IRFs, uncoupled from STAT3-mediated barrier regulation. Endothelial STING or global STAT1 deficiency attenuates endotoxemia responses and suppresses IFN-like signatures in vivo, revealing parallel IL-6 downstream pathways.

Key Findings

  • IL-6 induces a transient IFN-like gene program in human endothelial cells via a noncanonical, IFN-independent mechanism.
  • This program requires STAT1, cGAS, STING, and IRF1/3/4 but is independent of STAT3.
  • Endothelial STING knockout or global STAT1 knockout mice show attenuated responses to endotoxemia and lack the endotoxin-induced IFN-like signature.
  • SOCS3 loss in endothelium enhances IFN-like responses in kidneys and brains during endotoxemia.

Clinical Implications

Targeting endothelial DNA-sensing components (e.g., STING) or STAT1 may modulate IL-6–driven vascular inflammation in shock and sepsis, potentially complementing IL-6 or JAK pathway inhibitors.

Why It Matters

This study uncovers a noncanonical IL-6–STAT1–cGAS–STING axis in endothelium that drives IFN-like transcriptional responses in shock, redefining IL-6 signaling complexity and suggesting new intervention points.

Limitations

  • Endotoxemia models may not capture the complexity of human polymicrobial sepsis.
  • Therapeutic targeting feasibility and safety of endothelial STING/STAT1 modulation remain to be tested.

Future Directions

Evaluate endothelial-targeted STING/STAT1 modulators in polymicrobial sepsis models and assess synergy with IL-6/JAK pathway inhibitors.

Study Information

Study Type
Basic/Mechanistic research
Research Domain
Pathophysiology
Evidence Level
V - Mechanistic preclinical study using knockout mice and primary human endothelial cells.
Study Design
OTHER