A conserved ion channel function of STING mediates non-canonical autophagy and cell death

The cGAS/STING pathway triggers inflammation in response to diverse cellular stresses such as infection, cellular damage, senescence, normal aging, and age-related disease. Besides inflammation, STING also triggers non-canonical autophagy and cell death, the former of which requires the proton pump V-ATPase- mediated LC3 lipidation to single membrane STING vesicles. V-ATPase is known to sense organelle de- acidification in other contexts and recruits the ATG16L1 complex for direct conjugation of LC3/ATG8 to single membranes (CASM). However, it is unclear how STING activates V-ATPase for non-canonical autophagy. Here we report that upon STING activation, the transmembrane domain (TMD) of STING significantly reorganizes and forms an electron-sparse pore in the center. Cellular imaging and in vitro ion flux assays revealed that STING is critical for proton efflux and pH neutralization of Golgi-derived STING vesicles. A chemical ligand of STING, C53, which binds to and blocks the channel of STING strongly inhibited STING-mediated proton flux in vitro and vesicular de-acidification in cells. C53 also abolished STING-dependent LC3 lipidation and cell death. Thus, the ion channel function of STING activates non-canonical autophagy and cell death through vesicle de-acidification.