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Here, we show that WASp deficiency is associated with impaired rapamycin-induced autophagosome formation and trafficking to lysosomes in primary human monocyte-derived macrophages (MDMs). WASp reconstitution in vitro and in WAS patients following clinical gene therapy restores autophagic flux and is dependent on the actin-related protein complex ARP2\/3. Induction of mitochondrial damage with CCCP, as a model of selective autophagy, also reveals a novel ARP2\/3-dependent role for WASp in formation of sequestrating actin cages and maintenance of mitochondrial network integrity. Furthermore, mitochondrial respiration is suppressed in WAS patient MDMs and unable to achieve normal maximal activity when stressed, indicating profound intrinsic metabolic dysfunction. Taken together, we provide evidence of new and important roles of human WASp in autophagic processes and immunometabolic regulation, which may mechanistically contribute to the complex WAS immunophenotype.<\/jats:p>","DOI":"10.7554\/elife.55547","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T08:00:22Z","timestamp":1604304022000},"update-policy":"https:\/\/doi.org\/10.7554\/elife.55547","source":"Crossref","is-referenced-by-count":22,"title":["Wiskott Aldrich syndrome protein regulates non-selective autophagy and mitochondrial homeostasis in human myeloid cells"],"prefix":"10.7554","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5814-8014","authenticated-orcid":true,"given":"Elizabeth","family":"Rivers","sequence":"first","affiliation":[{"name":"Infection, Immunity and Inflammation Programme, University College London Great Ormond Street Institute of Child Health, London, United Kingdom"},{"name":"Department of Immunology, Great 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