Impaired efferocytosis in human chronic granulomatous disease is reversed by pioglitazone treatment  Ruby F. Fernandez-Boyanapalli, PhD, Emilia Liana.

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Impaired efferocytosis in human chronic granulomatous disease is reversed by pioglitazone treatment  Ruby F. Fernandez-Boyanapalli, PhD, Emilia Liana Falcone, MD, Christa S. Zerbe, MD, Beatriz E. Marciano, MD, S. Courtney Frasch, PhD, Peter M. Henson, DVD, PhD, Steven M. Holland, MD, Donna L. Bratton, MD  Journal of Allergy and Clinical Immunology  Volume 136, Issue 5, Pages 1399-1401.e3 (November 2015) DOI: 10.1016/j.jaci.2015.07.034 Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 Impaired efferocytosis by CGD monocytes is restored by pioglitazone treatment ex vivo. A, Freshly isolated monocytes from patients with CGD and normal (NL) subjects were “fed” fluorescently labeled apoptotic Jurkat cells (left) or carboxylated beads (right) (N = 9 subjects/group). B, Overnight-shipped CGD and normal monocytes, plated and treated for 24 hours with pioglitazone or vehicle, were then “fed” carboxylated beads as in Fig 1, A (N = 5 subjects/group). pio, Pioglitazone. Journal of Allergy and Clinical Immunology 2015 136, 1399-1401.e3DOI: (10.1016/j.jaci.2015.07.034) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 2 Efferocytosis is restored and mitochondrial oxidant production enhanced in monocytes isolated from patients with CGD during treatment with pioglitazone. A, Efferocytosis by CGD monocytes appears to be restored (compared with normal monocytes) after treatment with pioglitazone for at least 30 days in 2 subjects with CGD. Patient data are shown as mean ± range for duplicate wells at each time point. B, Mitochondrial oxidant production by stimulated CGD monocytes was enhanced during treatment with pioglitazone. ctr, Control; MFI, mean fluorescence index; NL, normal; pio, pioglitazone; pre, before; Pt, patient. Journal of Allergy and Clinical Immunology 2015 136, 1399-1401.e3DOI: (10.1016/j.jaci.2015.07.034) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E1 A, Carboxylated beads taken up by monocytes in efferocytosis assays (magnification 40×). B, Phagocytosis of heat-killed Candida by normal (NL) and CGD monocytes is not different. Journal of Allergy and Clinical Immunology 2015 136, 1399-1401.e3DOI: (10.1016/j.jaci.2015.07.034) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions