PT - JOURNAL ARTICLE AU - Giorgia Renga AU - Vasilis Oikonomou AU - Silvia Moretti AU - Claudia Stincardini AU - Marina M Bellet AU - Marilena Pariano AU - Andrea Bartoli AU - Stefano Brancorsini AU - Paolo Mosci AU - Andrea Finocchi AU - Paolo Rossi AU - Claudio Costantini AU - Enrico Garaci AU - Allan L Goldstein AU - Luigina Romani TI - Thymosin β4 promotes autophagy and repair via HIF-1α stabilization in chronic granulomatous disease AID - 10.26508/lsa.201900432 DP - 2019 Dec 01 TA - Life Science Alliance PG - e201900432 VI - 2 IP - 6 4099 - https://www.life-science-alliance.org/content/2/6/e201900432.short 4100 - https://www.life-science-alliance.org/content/2/6/e201900432.full SO - Life Sci. Alliance2019 Dec 01; 2 AB - 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 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)α was underexpressed in CGD but normalized by Tβ4 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 Tβ4 treatment or HIF-1α stabilization. Thus, the promotion of endogenous pathways of inflammation resolution through HIF-1α stabilization is druggable in CGD by Tβ4.