# Poster Session I - A35 INVESTIGATING THE STING MEDIATED RESPONSE TO ENTERIC ADENOVIRUS INFECTION IN THE HUMAN INTESTINAL EPITHELIUM

**Authors:** E Karam, S Girardin

PMC · DOI: 10.1093/jcag/gwaf042.035 · Journal of the Canadian Association of Gastroenterology · 2026-02-13

## TL;DR

This study explores how the STING pathway in human intestinal cells responds to enteric adenovirus infection, finding that the virus may avoid detection by this immune defense mechanism.

## Contribution

The study is the first to investigate STING-mediated responses to enteric adenovirus in human intestinal epithelium.

## Key findings

- Human duodenal organoids have a functional cGAS-STING pathway activated by diABZI.
- Ad41 infection does not trigger STING phosphorylation in intestinal epithelial cells.
- Ad41 may evade STING-mediated antiviral signaling, allowing replication in intestinal tissue.

## Abstract

Dysregulated STING signalling in intestinal and colonic tissue is associated with dysbiosis and increased susceptibility to enteric pathogens, however, the correlation between the cGAS-STING pathway and IBD appears to be context dependant and requires further investigation. Human adenovirus are non-enveloped dsDNA viruses classified into 7 distinct species. Species F includes both type 40 (Ad40) and type 41 (Ad41); enteric pathogens that specifically infect the intestinal epithelium and are the third leading cause of infantile gastroenteritis. Adenovirus infection has been shown to disrupt the host microbiome disrupting intestinal homeostasis, however, research into the association of viral infection and STING activation in the intestinal epithelium remains poorly characterized.

I hypothesize that epithelial intrinsic STING signalling serves a critically protective role in the host defence response, with dysregulation causing increased susceptibility to viral infection. Aim 1 is to characterize the physiological effect of epithelial intrinsic STING signalling to intestinal homeostasis. Aim 2 is to then investigate the implications of the STING-mediated response to enteric adenovirus infection.

Through our existing collaboration with the Canadian National Organoid Network (CNON) and existing library of patient-derived organoid samples, I utilize ileal and duodenal organoids to serve as a primary human model. To elucidate if the cGAS-STING pathway serves as the primary line of defence against enteric adenovirus, I infected human duodenal and ileal organoids with Ad41 to study the host response to infection through western blot, RT-qPCR, and confocal microscopy.

Human duodenal organoids possess a functional cGAS-STING pathway, activated by diABZI. Despite robust STING activation by agonists, infection of organoid with Ad41 did not trigger STING phosphorylation, even at varying time points or high viral doses. Infection was confirmed by expression of viral transcripts, suggesting Ad41 evades STING-mediated antiviral signaling in intestinal epithelial cells.

Previous studies on adenovirus sensing by cGAS-STING have been limited to cancer or immune cells infected with the respiratory Ad5 strain. My findings indicate that enteric adenovirus evades cGAS-STING detection in human intestinal epithelium, revealing its ability to exploit this tissue as a replicative niche.

CCC, CIHRNew Frontiers in Research Fund

## Linked entities

- **Genes:** STING1 (stimulator of interferon response cGAMP interactor 1) [NCBI Gene 340061], CGAS (cyclic GMP-AMP synthase) [NCBI Gene 115004]
- **Chemicals:** diABZI (PubChem CID 131986624)
- **Diseases:** gastroenteritis (MONDO:0002269), IBD (MONDO:0005265)

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Source: https://tomesphere.com/paper/PMC12900925