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Thymosin ?4 promotes autophagy and repair via HIF-1? stabilization in chronic granulomatous disease.


ABSTRACT: Chronic granulomatous disease (CGD) is a genetic disorder of the NADPH oxidase characterized by increased susceptibility to infections and hyperinflammation associated with defective autophagy and increased inflammasome activation. Herein, we demonstrate that thymosin ?4 (T?4), a g-actin sequestering peptide with multiple and diverse intracellular and extracellular activities affecting inflammation, wound healing, fibrosis, and tissue regeneration, promoted in human and murine cells noncanonical autophagy, a form of autophagy associated with phagocytosis and limited inflammation via the death-associated protein kinase 1. We further show that the hypoxia inducible factor-1 (HIF-1)? was underexpressed in CGD but normalized by T?4 to promote autophagy and up-regulate genes involved in mucosal barrier protection. Accordingly, inflammation and granuloma formation were impaired and survival increased in CGD mice with colitis or aspergillosis upon T?4 treatment or HIF-1? stabilization. Thus, the promotion of endogenous pathways of inflammation resolution through HIF-1? stabilization is druggable in CGD by T?4.

SUBMITTER: Renga G 

PROVIDER: S-EPMC6851533 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Chronic granulomatous disease (CGD) is a genetic disorder of the NADPH oxidase characterized by increased susceptibility to infections and hyperinflammation associated with defective autophagy and increased inflammasome activation. Herein, we demonstrate that thymosin β4 (Tβ4), a g-actin sequestering peptide with multiple and diverse intracellular and extracellular activities affecting inflammation, wound healing, fibrosis, and tissue regeneration, promoted in human and murine cells noncanonical  ...[more]

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