PT - JOURNAL ARTICLE AU - Atsuko Wakabayashi AU - Masanori Yoshinaga AU - Osamu Takeuchi TI - TANK prevents IFN-dependent fatal diffuse alveolar hemorrhage by suppressing DNA-cGAS aggregation AID - 10.26508/lsa.202101067 DP - 2022 Feb 01 TA - Life Science Alliance PG - e202101067 VI - 5 IP - 2 4099 - https://www.life-science-alliance.org/content/5/2/e202101067.short 4100 - https://www.life-science-alliance.org/content/5/2/e202101067.full SO - Life Sci. Alliance2022 Feb 01; 5 AB - Diffuse alveolar hemorrhage (DAH) is one of the serious complications associated with systemic lupus erythematosus, an autoimmune disease whose pathogenesis involves type I IFNs and cytokines. Here, we show that TANK, a negative regulator of the NF-κB signaling via suppression of TRAF6 ubiquitination, is critical for the amelioration of fatal DAH caused by lung vascular endothelial cell death in a mouse model of systemic lupus erythematosus. The development of fatal DAH in the absence of TANK is mediated by type I IFN signaling, but not IL-6. We further uncover that STING, an adaptor essential for the signaling of cytoplasmic DNA sensor cyclic GMP-AMP (cGAMP) synthase (cGAS), plays a critical role in DAH under Tank deficiency. TANK controls cGAS-mediated cGAMP production and suppresses DNA-mediated induction of IFN-stimulated genes in macrophages by inhibiting the formation of DNA-cGAS aggregates containing ubiquitin. Collectively, TANK inhibits the cGAS-dependent recognition of cytoplasmic DNA to prevent fatal DAH in the murine lupus model.