A human gain-of-function STING mutation causes immunodeficiency and gammaherpesvirus-induced pulmonary fibrosis in mice

Brock G. Bennion, Washington University School of Medicine in St. Louis
Harshad Ingle, Washington University School of Medicine in St. Louis
Teresa L. Ai, Washington University School of Medicine in St. Louis
Cathrine A. Miner, Washington University School of Medicine in St. Louis
Derek J. Platt, Washington University School of Medicine in St. Louis
Amber M. Smith, Washington University School of Medicine in St. Louis
Megan T. Baldridge, Washington University School of Medicine in St. Louis
Jonathan J. Miner, Washington University School of Medicine in St. Louis

Abstract

We previously generated STING N153S knock-in mice that have a human disease-associated gain-of-function mutation in STING. Patients with this mutation (STING N154S in humans) develop STING-associated vasculopathy with onset in infancy (SAVI), a severe pediatric autoinflammatory disease characterized by pulmonary fibrosis. Since this mutation promotes the upregulation of antiviral type I interferon-stimulated genes (ISGs), we hypothesized that STING N153S knock-in mice may develop more severe autoinflammatory disease in response to a virus challenge. To test this hypothesis, we infected heterozygous STING N153S mice with murine gammaherpesvirus 68 (γHV68). STING N153S mice were highly vulnerable to infection and developed pulmonary fibrosis after infection. In addition to impairing CD8