DNA Sensing Pathways in Innate Immunity: Implications for Alzheimer's Disease Progression and Therapy.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: DNA Sensing Pathways in Innate Immunity: Implications for Alzheimer's Disease Progression and Therapy.
Συγγραφείς: Shi C; Center for Rehabilitation Medicine, Department of Rehabilitation Medicine, Rehabilitation & Sports Medicine Research Institute of Zhejiang Province, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China., Liu Y; Neurology Department, The Medical Center of Chinese, Beijing, China. yli26957@gmail.com., Zhu Y; Cancer Center, Department of Medical Oncology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Πηγή: Molecular neurobiology [Mol Neurobiol] 2026 Aug 05; Vol. 63 (1). Date of Electronic Publication: 2026 Aug 05.
Τύπος έκδοσης: Journal Article; Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Humana Press Country of Publication: United States NLM ID: 8900963 Publication Model: Electronic Cited Medium: Internet ISSN: 1559-1182 (Electronic) Linking ISSN: 08937648 NLM ISO Abbreviation: Mol Neurobiol Subsets: MEDLINE
Imprint Name(s): Original Publication: Clifton, NJ : Humana Press, c1987-
Ιατρικοί όροι (MeSH): Alzheimer Disease*/immunology , Alzheimer Disease*/therapy , Alzheimer Disease*/pathology , Immunity, Innate*/immunology , DNA*/metabolism , DNA*/immunology , Disease Progression* , Signal Transduction*, Toll-Like Receptor 9/metabolism ; Humans ; Animals ; Innate Immunity Recognition ; cGAS-STING Signaling Pathway ; Cyclic Guanosine Monophosphate-Adenosine Monophosphate Synthase
Περίληψη: DNA sensors are emerging regulators of innate immune activation in Alzheimer's disease (AD). In addition to detecting microbial DNA, these pattern-recognition receptors can respond to cytosolic or endosomal self-DNA generated by DNA damage, mitochondrial dysfunction, impaired DNA repair, cellular stress, or neuronal injury. Aberrant activation of DNA-sensing pathways may amplify neuroinflammation through type I interferon (IFN-I) signaling, inflammasome activation, pyroptosis, and microglial dysfunction, thereby contributing to amyloid pathology, tau-related inflammation, synaptic loss, and cognitive decline. In this review, we summarize current evidence linking major DNA sensors, including cyclic GMP-AMP synthase-stimulator of interferon genes (cGAS-STING), absent in melanoma 2 (AIM2), toll-like receptor 9 (TLR9) to AD pathogenesis. We emphasize the strongest available evidence for cGAS-STING and AIM2, discuss the context-dependent roles of TLR9, and highlight less-established sensors requiring further validation. Finally, we evaluate therapeutic strategies targeting DNA-sensing pathways, including pathway inhibition and controlled immune activation, and discuss translational challenges such as blood-brain barrier penetration, off-target effects, dose dependency, and disease-stage-specific modulation.
(© 2026. The Author(s).)
Competing Interests: Declarations. Ethical Approval and Consent to Participate: It is not applicable. Consent for Publication: It is not applicable. Competing interests: The authors declare no competing interests. Clinical Trial Number: Not applicable.
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Contributed Indexing: Keywords: AIM2 inflammasome; Alzheimer’s disease; CGAS-STING; DNA sensors; Innate immunity; Neuroinflammation; Therapeutic targeting
Substance Nomenclature: 9007-49-2 (DNA)
0 (Toll-Like Receptor 9)
EC 2.7.7.86 (Cyclic Guanosine Monophosphate-Adenosine Monophosphate Synthase)
Entry Date(s): Date Created: 20260805 Date Completed: 20260805 Latest Revision: 20260813
Update Code: 20260814
PubMed Central ID: PMC13442327
DOI: 10.1007/s12035-026-06081-7
PMID: 42554889
Βάση Δεδομένων: MEDLINE
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  – Url: https://dx.doi.org/doi:10.1007/s12035-026-06081-7
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: DNA Sensing Pathways in Innate Immunity: Implications for Alzheimer's Disease Progression and Therapy.
– Name: Author
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  Data: <searchLink fieldCode="AU" term="%22Shi+C%22">Shi C</searchLink>; Center for Rehabilitation Medicine, Department of Rehabilitation Medicine, Rehabilitation & Sports Medicine Research Institute of Zhejiang Province, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.<br /><searchLink fieldCode="AU" term="%22Liu+Y%22">Liu Y</searchLink>; Neurology Department, The Medical Center of Chinese, Beijing, China. yli26957@gmail.com.<br /><searchLink fieldCode="AU" term="%22Zhu+Y%22">Zhu Y</searchLink>; Cancer Center, Department of Medical Oncology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
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  Data: <searchLink fieldCode="JN" term="%228900963%22">Molecular neurobiology</searchLink> [Mol Neurobiol] 2026 Aug 05; Vol. 63 (1). <i>Date of Electronic Publication: </i>2026 Aug 05.
– Name: TypePub
  Label: Publication Type
  Group: TypPub
  Data: Journal Article; Review
– Name: Language
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  Data: English
– Name: TitleSource
  Label: Journal Info
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Humana+Press%22">Humana Press </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>8900963 <i>Publication Model: </i>Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1559-1182 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2208937648%22">08937648 </searchLink><i>NLM ISO Abbreviation: </i>Mol Neurobiol <i>Subsets: </i>MEDLINE
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  Data: <i>Original Publication</i>: Clifton, NJ : Humana Press, c1987-
– Name: SubjectMESH
  Label: MeSH Terms
  Group: Su
  Data: <searchLink fieldCode="MM" term="%22Alzheimer+Disease%22">Alzheimer Disease*</searchLink>/<searchLink fieldCode="MM" term="%22Alzheimer+Disease+immunology%22">immunology</searchLink> <br /><searchLink fieldCode="MM" term="%22Alzheimer+Disease%22">Alzheimer Disease*</searchLink>/<searchLink fieldCode="MM" term="%22Alzheimer+Disease+therapy%22">therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Alzheimer+Disease%22">Alzheimer Disease*</searchLink>/<searchLink fieldCode="MM" term="%22Alzheimer+Disease+pathology%22">pathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Immunity%2C+Innate%22">Immunity, Innate*</searchLink>/<searchLink fieldCode="MM" term="%22Immunity%2C+Innate+immunology%22">immunology</searchLink> <br /><searchLink fieldCode="MM" term="%22DNA%22">DNA*</searchLink>/<searchLink fieldCode="MM" term="%22DNA+metabolism%22">metabolism</searchLink> <br /><searchLink fieldCode="MM" term="%22DNA%22">DNA*</searchLink>/<searchLink fieldCode="MM" term="%22DNA+immunology%22">immunology</searchLink> <br /><searchLink fieldCode="MM" term="%22Disease+Progression%22">Disease Progression*</searchLink> <br /><searchLink fieldCode="MM" term="%22Signal+Transduction%22">Signal Transduction*</searchLink><br /><searchLink fieldCode="MH" term="%22Toll-Like+Receptor+9%22">Toll-Like Receptor 9</searchLink>/<searchLink fieldCode="MH" term="%22Toll-Like+Receptor+9+metabolism%22">metabolism</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Animals%22">Animals</searchLink> ; <searchLink fieldCode="MH" term="%22Innate+Immunity+Recognition%22">Innate Immunity Recognition</searchLink> ; <searchLink fieldCode="MH" term="%22cGAS-STING+Signaling+Pathway%22">cGAS-STING Signaling Pathway</searchLink> ; <searchLink fieldCode="MH" term="%22Cyclic+Guanosine+Monophosphate-Adenosine+Monophosphate+Synthase%22">Cyclic Guanosine Monophosphate-Adenosine Monophosphate Synthase</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: DNA sensors are emerging regulators of innate immune activation in Alzheimer's disease (AD). In addition to detecting microbial DNA, these pattern-recognition receptors can respond to cytosolic or endosomal self-DNA generated by DNA damage, mitochondrial dysfunction, impaired DNA repair, cellular stress, or neuronal injury. Aberrant activation of DNA-sensing pathways may amplify neuroinflammation through type I interferon (IFN-I) signaling, inflammasome activation, pyroptosis, and microglial dysfunction, thereby contributing to amyloid pathology, tau-related inflammation, synaptic loss, and cognitive decline. In this review, we summarize current evidence linking major DNA sensors, including cyclic GMP-AMP synthase-stimulator of interferon genes (cGAS-STING), absent in melanoma 2 (AIM2), toll-like receptor 9 (TLR9) to AD pathogenesis. We emphasize the strongest available evidence for cGAS-STING and AIM2, discuss the context-dependent roles of TLR9, and highlight less-established sensors requiring further validation. Finally, we evaluate therapeutic strategies targeting DNA-sensing pathways, including pathway inhibition and controlled immune activation, and discuss translational challenges such as blood-brain barrier penetration, off-target effects, dose dependency, and disease-stage-specific modulation.<br /> (© 2026. The Author(s).)
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: Declarations. Ethical Approval and Consent to Participate: It is not applicable. Consent for Publication: It is not applicable. Competing interests: The authors declare no competing interests. Clinical Trial Number: Not applicable.
– Name: Ref
  Label: References
  Group: RefInfo
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– Name: SubjectMinor
  Label: Contributed Indexing
  Group:
  Data: <i>Keywords: </i>AIM2 inflammasome; Alzheimer’s disease; CGAS-STING; DNA sensors; Innate immunity; Neuroinflammation; Therapeutic targeting
– Name: NumberCAS
  Label: Substance Nomenclature
  Group: ID
  Data: 9007-49-2 (DNA)<br />0 (Toll-Like Receptor 9)<br />EC 2.7.7.86 (Cyclic Guanosine Monophosphate-Adenosine Monophosphate Synthase)
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  Data: <i>Date Created: </i>20260805 <i>Date Completed: </i>20260805 <i>Latest Revision: </i>20260813
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  Group: Date
  Data: 20260814
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  Data: PMC13442327
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  Group: ID
  Data: 10.1007/s12035-026-06081-7
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  Data: 42554889
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=42554889
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s12035-026-06081-7
    Languages:
      – Code: eng
        Text: English
    Subjects:
      – SubjectFull: Toll-Like Receptor 9 metabolism
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Animals
        Type: general
      – SubjectFull: Innate Immunity Recognition
        Type: general
      – SubjectFull: cGAS-STING Signaling Pathway
        Type: general
      – SubjectFull: Cyclic Guanosine Monophosphate-Adenosine Monophosphate Synthase
        Type: general
      – SubjectFull: Alzheimer Disease immunology
        Type: general
      – SubjectFull: Alzheimer Disease therapy
        Type: general
      – SubjectFull: Alzheimer Disease pathology
        Type: general
      – SubjectFull: Immunity, Innate immunology
        Type: general
      – SubjectFull: DNA metabolism
        Type: general
      – SubjectFull: DNA immunology
        Type: general
      – SubjectFull: Disease Progression
        Type: general
      – SubjectFull: Signal Transduction
        Type: general
    Titles:
      – TitleFull: DNA Sensing Pathways in Innate Immunity: Implications for Alzheimer's Disease Progression and Therapy.
        Type: main
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          Name:
            NameFull: Shi C
      – PersonEntity:
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            NameFull: Liu Y
      – PersonEntity:
          Name:
            NameFull: Zhu Y
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            – D: 05
              M: 08
              Text: 2026 Aug 05
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1559-1182
          Numbering:
            – Type: volume
              Value: 63
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Molecular neurobiology
              Type: main
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