Evidence map›Paper›PMID 41419617›Full record

ArticleDiabetologia2026

Aberrant STING signalling promotes endothelial dysfunction and neurovascular injury in diabetic retinopathy.

Xinran Qin, Shuli Chen, Yu Sun, Zhenglin Ma, Chen Niu, Fangzhou Lou, Haidong Zou

Abstract read
PubMed Publisher
In one paragraph

Article in Diabetologia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Xinran QinDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0001-9235-4356
Shuli ChenDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0002-4091-9965
Yu SunShanghai MicroH Therapeutics, LLC, Shanghai, China.ORCID http://orcid.org/0000-0001-6032-6326
Zhenglin MaShanghai MicroH Therapeutics, LLC, Shanghai, China.ORCID http://orcid.org/0000-0002-9590-8841
Chen NiuShanghai MicroH Therapeutics, LLC, Shanghai, China.ORCID http://orcid.org/0000-0001-8251-4336
Fangzhou LouDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. veralou@vip.163.com.ORCID http://orcid.org/0000-0002-7127-1743
Haidong ZouDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. zouhaidong@sjtu.edu.cn.ORCID http://orcid.org/0000-0002-6831-7560

Funding

Chinese National key research and development program 2021YFC270210National Natural Science Foundation of China 82071012National Natural Science Foundation of China 82371110Shanghai Engineering Research Center of Precise Diagnosis and Treatment of Eye Diseases 19DZ2250100
6 · The paper itself

Abstract

aims/hypothesisDiabetic retinopathy is a common complication of diabetes mellitus that is characterised by neurovascular dysfunction and chronic inflammation. The stimulator of IFN genes (STING) signalling pathway plays a key role in inflammatory diseases. However, its cell-specific function and value as an early-intervention target for diabetic retinopathy remain unclear.

methodsWe analysed public single-cell (sc)RNA-seq datasets from fibrous membranes of individuals with proliferative diabetic retinopathy and idiopathic macular hole, normal post-mortem retinas and retinal endothelial cells from diabetic and non-diabetic mice. A type 2 diabetes mouse model was established using a high-fat diet and streptozocin to assess STING localisation and expression differences. Using adeno-associated virus (serotype 2/1), siRNA or STING inhibitor H-151, we evaluated the effects of STING on inflammation and cell function both in vivo and in vitro.

resultsscRNA-seq analysis revealed increased STING expression and enriched IFN signalling in endothelial cells from samples of both humans and mice with diabetes. Our mouse model exhibited increased STING expression, along with its co-localisation with CD31, and upregulated IFNs in retinal tissues. Flow cytometry confirmed diabetes-induced endothelial cell-specific phosphorylation of TBK1, a downstream effector of STING. Genetic deletion or pharmacological inhibition of STING significantly ameliorated retinal inflammation and neurovascular dysfunction in diabetic mice. CONCLUSIONS/

interpretationOur findings demonstrate endothelial-intrinsic activation of the cyclic GMP-AMP synthase (cGAS)/STING/IFN pathway as a key driver of retinal inflammation and neurovascular dysfunction in diabetes. Targeting this pathway may offer a potential therapeutic approach for early intervention in diabetic retinopathy.

Indexed as

Diabetic RetinopathyEndothelial CellsMembrane ProteinsAnimalsDiabetes Mellitus, ExperimentalDiabetes Mellitus, Type 2FemaleHumansMaleMiceMice, Inbred C57BLRetinaSignal TransductionSTING ProteinMembrane ProteinsSTING1 protein, humanSting1 protein, mouseSTING ProteinAAV2/1Diabetic retinopathyEndothelialNeurovascular dysfunctionSTING signalling

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.