cGAS/STING pathway and gastrointestinal cancer: Mechanisms and diagnostic and therapeutic targets (Review)

Oncol Rep. 2025 Jan;53(1):15. doi: 10.3892/or.2024.8848. Epub 2024 Nov 29.

Abstract

The health of individuals is seriously threatened by intestinal cancer, which includes pancreatic, colorectal, esophageal, gastric and gallbladder cancer. Most gastrointestinal cancers do not have typical and specific early symptoms, and lack specific and effective diagnostic markers and treatment methods. It is critical to understand the etiology of gastrointestinal cancer and develop more efficient methods of diagnosis and treatment. The cyclic GMP‑AMP synthase (cGAS)/stimulator of interferon genes (STING) pathway serves a crucial role in the occurrence, progression and treatment of gastrointestinal cancer. The present review focuses on the latest progress regarding the role and mechanism of the cGAS/STING pathway in gastrointestinal cancer, and discusses treatment approaches and related applications based on the cGAS/STING signaling pathway. In order to improve the knowledge of the connection between the cGAS/STING pathway and gastrointestinal cancer, aid the diagnosis and treatment of gastrointestinal cancer, and lessen the burden on patients and society, the present review also discusses future research directions and existing challenges regarding cGAS/STING in the study of gastrointestinal cancer.

Keywords: cyclic GMP‑AMP synthase/stimulator of interferon genes pathway; development; gastrointestinal cancer; mechanisms; occurrence.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor / metabolism
  • Gastrointestinal Neoplasms* / diagnosis
  • Gastrointestinal Neoplasms* / drug therapy
  • Gastrointestinal Neoplasms* / metabolism
  • Gastrointestinal Neoplasms* / therapy
  • Humans
  • Membrane Proteins* / metabolism
  • Molecular Targeted Therapy / methods
  • Nucleotidyltransferases* / metabolism
  • Signal Transduction*

Substances

  • Nucleotidyltransferases
  • cGAS protein, human
  • Membrane Proteins
  • STING1 protein, human
  • Biomarkers, Tumor