RT Journal Article SR Electronic T1 Thymosin β4 promotes autophagy and repair via HIF-1α stabilization in chronic granulomatous disease JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e201900432 DO 10.26508/lsa.201900432 VO 2 IS 6 A1 Giorgia Renga A1 Vasilis Oikonomou A1 Silvia Moretti A1 Claudia Stincardini A1 Marina M Bellet A1 Marilena Pariano A1 Andrea Bartoli A1 Stefano Brancorsini A1 Paolo Mosci A1 Andrea Finocchi A1 Paolo Rossi A1 Claudio Costantini A1 Enrico Garaci A1 Allan L Goldstein A1 Luigina Romani YR 2019 UL https://www.life-science-alliance.org/content/2/6/e201900432.abstract 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.