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Blood, 24 September 2009, Vol. 114, No. 13, pp. 2619-2622.
Prepublished online as a Blood First Edition Paper on July 9, 2009; DOI 10.1182/blood-2009-05-221606.


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GENE THERAPY

Brief report

Restoration of NET formation by gene therapy in CGD controls aspergillosis

Matteo Bianchi1,*, Abdul Hakkim2,*, Volker Brinkmann3, Ulrich Siler1, Reinhard A. Seger1, Arturo Zychlinsky2,{dagger}, and Janine Reichenbach1,{dagger}

1 Division of Immunology/Haematology/BMT, University Children's Hospital Zurich, Zurich, Switzerland; and 2 Department of Cellular Microbiology and 3 Microscopy Core Facility, Max Planck Institute for Infection Biology, Berlin, Germany

Chronic granulomatous disease (CGD) patients have impaired nicotinamide adenine dinucleotide phosphate (NADPH) oxidase function, resulting in poor antimicrobial activity of neutrophils, including the inability to generate neutrophil extracellular traps (NETs). Invasive aspergillosis is the leading cause of death in patients with CGD; it is unclear how neutrophils control Aspergillus species in healthy persons. The aim of this study was to determine whether gene therapy restores NET formation in CGD by complementation of NADPH oxidase function, and whether NETs have antimicrobial activity against Aspergillus nidulans. Here we show that reconstitution of NET formation by gene therapy in a patient with CGD restores neutrophil elimination of A nidulans conidia and hyphae and is associated with rapid cure of preexisting therapy refractory invasive pulmonary aspergillosis, underlining the role of functional NADPH oxidase in NET formation and antifungal activity.


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Reconstitution of protection against Aspergillus infection in chronic granulomatous disease (CGD)
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Q. Remijsen, P. Vandenabeele, J. Willems, and T. W. Kuijpers
Reconstitution of protection against Aspergillus infection in chronic granulomatous disease (CGD)
Blood, October 15, 2009; 114(16): 3497 - 3497.
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A. Hakkim, R. Hurwitz, M. Bianchi, V. Brinkmann, U. Siler, R. A. Seger, A. Zychlinsky, and J. Reichenbach
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