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Imunodeficiência combinada grave por deficiência de adenosina desaminase
ORPHA:277CID-10 · D81.3CID-11 · 4A01.10OMIM 102700DOENÇA RARA

Uma forma de Imunodeficiência Combinada Grave (SCID) que se caracteriza por ter uma quantidade muito baixa de linfócitos (um tipo de célula de defesa) e por muito poucos anticorpos de todos os tipos. Isso faz com que a pessoa tenha infecções graves e que voltam sempre, causadas por germes que, em condições normais, o corpo conseguiria combater facilmente.

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Introdução

O que você precisa saber de cara

📋

Uma forma de Imunodeficiência Combinada Grave (SCID) que se caracteriza por ter uma quantidade muito baixa de linfócitos (um tipo de célula de defesa) e por muito poucos anticorpos de todos os tipos. Isso faz com que a pessoa tenha infecções graves e que voltam sempre, causadas por germes que, em condições normais, o corpo conseguiria combater facilmente.

Pesquisas ativas
5 ensaios
30 total registrados no ClinicalTrials.gov
Publicações científicas
18 artigos
Último publicado: 2024 Sep

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.2
Europe
Início
Infancy
+ neonatal
🏥
SUS: Cobertura mínimaScore: 5%
Triagem neonatal (Fase 4)CID-10: D81.3
Você se identifica com essa condição?
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Entender a doença

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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🛡️
Imunológico
7 sintomas
🩸
Sangue
6 sintomas
🫁
Pulmão
5 sintomas
🫃
Digestivo
4 sintomas
🧬
Pele e cabelo
3 sintomas
📏
Crescimento
3 sintomas

+ 23 sintomas em outras categorias

Características mais comuns

100%prev.
Início neonatal
Obrigatório (100%)
100%prev.
Início na infância
Obrigatório (100%)
100%prev.
Contagem total de linfócitos B diminuída
Frequente (79-30%)
100%prev.
Anormalidade inflamatória da pele
Frequente (79-30%)
100%prev.
Diarreia
Frequente (79-30%)
100%prev.
Pneumonia recorrente
Frequente (79-30%)
54sintomas
Muito frequente (18)
Frequente (15)
Sem dados (21)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 54 características clínicas mais associadas, ordenadas por frequência.

Início neonatalNeonatal onset
Obrigatório (100%)100%
Início na infânciaInfantile onset
Obrigatório (100%)100%
Contagem total de linfócitos B diminuídaDecreased total B cell count
Frequente (79-30%)100%
Anormalidade inflamatória da peleInflammatory abnormality of the skin
Frequente (79-30%)100%
DiarreiaDiarrhea
Frequente (79-30%)100%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa2desde 2024
Total histórico18PubMed
Últimos 10 anos195publicações
Pico202131 papers
Linha do tempo
2024Hoje · 2026🧪 1990Primeiro ensaio clínico📈 2021Ano de pico
Publicações por ano (últimos 10 anos)

Triagem neonatal (Teste do Pezinho)

👶
Teste: TREC (T-cell Receptor Excision Circles)
Fase 4 do PNTNpending
Incidência no Brasil: 1:50.000

A triagem neonatal permite diagnóstico precoce e início imediato do tratamento.

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.

ADAAdenosine deaminaseDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Catalyzes the hydrolytic deamination of adenosine and 2-deoxyadenosine (PubMed:16670267, PubMed:23193172, PubMed:26166670, PubMed:8452534, PubMed:9361033). Plays an important role in purine metabolism and in adenosine homeostasis. Modulates signaling by extracellular adenosine, and so contributes indirectly to cellular signaling events. Acts as a positive regulator of T-cell coactivation, by binding DPP4 (PubMed:20959412). Its interaction with DPP4 regulates lymphocyte-epithelial cell adhesion (

LOCALIZAÇÃO

Cell membraneCell junctionCytoplasmic vesicle lumenCytoplasmLysosome

VIAS BIOLÓGICAS (2)
Purine salvageRibavirin ADME
MECANISMO DE DOENÇA

Severe combined immunodeficiency autosomal recessive T-cell-negative/B-cell-negative/NK-cell-negative due to adenosine deaminase deficiency

An autosomal recessive disorder accounting for about 50% of non-X-linked SCIDs. SCID refers to a genetically and clinically heterogeneous group of rare congenital disorders characterized by impairment of both humoral and cell-mediated immunity, leukopenia, and low or absent antibody levels. Patients with SCID present in infancy with recurrent, persistent infections by opportunistic organisms. The common characteristic of all types of SCID is absence of T-cell-mediated cellular immunity due to a defect in T-cell development. ADA deficiency has been diagnosed in chronically ill teenagers and adults (late or adult onset). Population and newborn screening programs have also identified several healthy individuals with normal immunity who have partial ADA deficiency.

OUTRAS DOENÇAS (2)
severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-negative, due to adenosine deaminase deficiencyOmenn syndrome
HGNC:186UniProt:P00813

Medicamentos aprovados (FDA)

1 medicamento encontrado nos registros da FDA americana.

💊 QIVIGY kthm (HUMAN IMMUNOGLOBULIN G)
Ver no DailyMed/FDA

Variantes genéticas (ClinVar)

219 variantes patogênicas registradas no ClinVar.

🧬 ADA: NM_000022.4(ADA):c.44A>C (p.His15Pro) ()
🧬 ADA: NM_000022.4(ADA):c.2T>C (p.Met1Thr) ()
🧬 ADA: GRCh37/hg19 20q11.21-13.12(chr20:31010829-44560369)x1 ()
🧬 ADA: NM_000022.4(ADA):c.845G>C (p.Arg282Pro) ()
🧬 ADA: NM_000022.4(ADA):c.844C>G (p.Arg282Gly) ()
Ver todas no ClinVar

Vias biológicas (Reactome)

3 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
3Fase 32
2Fase 25
1Fase 13
·Pré-clínico10
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 20 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Imunodeficiência combinada grave por deficiência de adenosina desaminase

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

5 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

30 ensaios clínicos encontrados, 5 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
5 papers (10 anos)
#1

Human adenosine deaminase type 2 deficiency enhances NK cell activation but impairs maturation and function.

The Journal of clinical investigation2026 Jan 02

NK cells, or natural killer cells, might be interesting players to investigate further in the disease process of patients with deficiency of ADA2, a rare, recently discovered inborn error of immunity.

#2

Diagnostic Implications and Correlates of Plasma Adenosine Deaminase 2 Activity and ADA2 Variants.

Arthritis &amp; rheumatology (Hoboken, N.J.)2026 Mar

Deficiency of adenosine deaminase 2 (DADA2) is a monogenic autoinflammatory disease manifested as polyarteritis nodosa, stroke, and bone marrow failure. Leveraging an international cohort of 200 DADA2 cases, we aimed to characterize the diagnostic utility of a plasma ADA2 enzyme activity assay and understand the implications of residual ADA2 activity. Data were collected from individuals who underwent ADA2 testing from 2018 to 2025. Plasma ADA2 activity was determined using an established spectrophotometric assay. ADA2 variants were analyzed in transfected cells by enzyme assay and western blotting. We determined that plasma ADA2 activity is 99.0% and 96.0% sensitive and 99.7% and 98.8% specific in distinguishing genetically confirmed DADA2 cases from controls and carriers, respectively. Eighteen individuals with DADA2 (9%) possessed detectable ADA2 activity, including several cases with levels seen in carriers. Residual ADA2 activity was associated with the vasculitis/inflammatory phenotype but not with disease severity. Genotype analysis revealed that 14 of 18 cases with residual plasma activity possessed at least one hypomorphic missense variant with greater than 20% residual ADA2 function when overexpressed in 293T cells, often occurring in trans with a more deleterious variant. In vitro analysis revealed that missense ADA2 variants exert variable dominant-negative effects by forming large intracellular protein aggregates via disulfide bond formation at a cysteine residue (Cys408). We confirmed the utility of plasma ADA2 activity as a diagnostic assay and showed that the inflammatory phenotype of DADA2 occurred in cases with residual activity. In vitro findings illustrate potential interactions of ADA2 variants to synergistically disrupt protein function.

#3

Long-Term Safety and Efficacy of Gene Therapy for Adenosine Deaminase Deficiency.

The New England journal of medicine2025 Oct 16

Severe combined immunodeficiency (SCID) due to adenosine deaminase (ADA) deficiency (ADA-SCID) is a life-threatening inborn error of immunity for which lentiviral gene therapy has been investigated in clinical trials. Between 2012 and 2019, we treated patients who had ADA-SCID with busulfan nonmyeloablative conditioning followed by transplantation with autologous CD34+ hematopoietic stem cells transduced ex vivo with a lentiviral vector encoding human ADA. The primary efficacy end points were overall survival and event-free survival (defined as survival free from rescue allogeneic hematopoietic stem-cell transplantation, reinitiation of enzyme-replacement therapy, and additional gene therapy). Secondary end points included no receipt of immunoglobulin-replacement therapy, the presence of protective titers to tetanus or pneumococcal vaccines, and sustained discontinuation of fungal or viral prophylaxis. We now report the long-term results from this cohort representing 474 patient-years of follow-up, with a median follow-up of 7.5 years. We treated 62 patients with ADA-SCID in the United States (33 patients) and the United Kingdom (29 patients). Overall survival was 100%, and event-free survival was 95% (59 of 62 patients). All 59 patients who had successful gene-marked engraftment at 6 months have continued not to receive enzyme-replacement therapy and have had stable gene marking, ADA enzyme activity, metabolic detoxification, and immune reconstitution through the last follow-up; 58 of these patients (98%) discontinued IgG replacement therapy and have evidence of a robust response to vaccinations. None of the patients had a leukoproliferative event or clonal expansion. These long-term findings in a large patient cohort show the sustained clinical efficacy and safety of autologous CD34+ hematopoietic stem-cell lentiviral gene therapy for ADA-SCID, indicating that it is a curative treatment. (Funded by the National Heart, Lung, and Blood Institute and others; ClinicalTrials.gov number, NCT04049084.).

#4

Early-onset vasculitis: a toddler with ADA2 deficiency.

BMJ case reports2025 Sep 28

Deficiency of adenosine deaminase 2 (DADA2) is an autoinflammatory disease caused by autosomal recessive inherited loss of function mutations in the adenosine deaminase 2 (ADA2) encoding gene, which reduces plasma ADA2 concentration levels.ADA2 has a major role in the maturation and differentiation of the immune system. It ensures immune homeostasis with the help of adenosine receptors on the cell surface because ADA2 acts as an extracellular enzyme that has an important role in regulating extracellular adenosine concentration and mediates cellular immune interactions. We report a fatal outcome of an infant with DADA2 as a result of delayed diagnosis and definitive treatment with bone marrow transplantation.

#5

Preclinical evaluation of lentiviral gene therapy for adenosine deaminase 2 deficiency (DADA2): engraftment efficiency and biodistribution in humanised NBSGW mice.

Gene therapy2025 Dec

Adenosine deaminase type 2 deficiency (DADA2) is caused by bi-allelic loss-of-function mutations in ADA2. While anti-TNF therapy is effective for the autoinflamatory and vasculitic components of the disease it does not correct marrow failure or immunodeficiency. Allogeneic stem cell transplantation (HSCT) offers a potential cure but is limited by challenges such as graft-versus-host-disease and donor availability. We previously demonstrated that lentiviral-mediated ADA2 gene therapy could restore ADA2 enzyme activity in patient-derived cells, correct macrophage inflammatory activation and reduce endothelial activation in vitro. Here, we evaluated the biodistribution and engraftment potential of lentivirally transduced healthy donor and patient-derived haematopoietic stem cells (HSC) in vivo using a humanised NBSGW mouse model. Transduced healthy HSC retained multilineage differentiation and engraftment capacity, without functional impairment. PCR analysis confirmed the absence of viral integration in non-haematopoietic organs, and histology showed no abnormal tissue changes, underscoring the safety and precision of this approach. In DADA2 patient-derived HSC, ADA2 transduction restored protein expression and enzyme activity, supporting improved cellular function and enhanced engraftment potential. These findings provide a strong foundation for advancing ADA2 gene therapy as a therapeutic strategy for DADA2, bringing it closer to clinical application.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC10 artigos no totalmostrando 193

2026

Human adenosine deaminase type 2 deficiency enhances NK cell activation but impairs maturation and function.

The Journal of clinical investigation
2025

P06 Adenosine deaminase deficient-severe combined immunodeficiency and multicentric dermatofibrosarcoma protuberans: an emerging association.

The British journal of dermatology
2025

Diverse Phenotypic Expressions of ADA2 Deficiency: Two Case Studies.

Iranian journal of allergy, asthma, and immunology
2025

Adult-onset adenosine deaminase-2 deficiency presenting with recurrent juvenile cerebral infarction:A case report.

The journal of medical investigation : JMI
2026

Diagnostic Implications and Correlates of Plasma Adenosine Deaminase 2 Activity and ADA2 Variants.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2025

Early-onset neutropenia and mixed phenotype in ADA2 deficiency: diagnostic and therapeutic challenges.

Frontiers in immunology
2025

Long-Term Safety and Efficacy of Gene Therapy for Adenosine Deaminase Deficiency.

The New England journal of medicine
2025

Early-onset vasculitis: a toddler with ADA2 deficiency.

BMJ case reports
2025

A rapid antigen test to detect adenosine deaminase 2 (ADA2) in biological fluids and its application in clinical diagnostics.

Frontiers in immunology
2025

Dominant negative ADA2 mutations cause ADA2 deficiency in heterozygous carriers.

The Journal of experimental medicine
2025

Paracentral acute middle maculopathy as a major clinical manifestation of adenosine deaminase-2 deficiency.

BMC ophthalmology
2025

Adenosine and Adenosine Deaminase Contrary Manifestations in Immunity.

Scandinavian journal of immunology
2025

Preclinical evaluation of lentiviral gene therapy for adenosine deaminase 2 deficiency (DADA2): engraftment efficiency and biodistribution in humanised NBSGW mice.

Gene therapy
2025

Inhibition of lysosomal degradation increases expression of mutant ADA2 in DADA2 monocytes.

The Journal of allergy and clinical immunology
2025

Quantifying the mutational landscape of retroviral and lentiviral vectors in gene therapy patients.

Molecular therapy : the journal of the American Society of Gene Therapy
2025

[ADA2, an Adenosine Deaminase Isozyme Acting as a Regulator of Autoinflammation].

Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan
2025

Multi-Year Registry Study of Elapegademase Treatment in Patients With Adenosine Deaminase Severe Combined Immunodeficiency (ADA-SCID) Requiring Enzyme Replacement Therapy.

Journal of clinical immunology
2025

Mimics and challenging presentations of DADA2.

Clinical and experimental immunology
2025

Getting to know adenosine deaminase 2 deficiency inside and out.

The Journal of allergy and clinical immunology
2025

Prolonged diagnostic journey in delayed-onset adenosine deaminase deficiency.

Clinical immunology (Orlando, Fla.)
2025

Early bone marrow alterations in patients with adenosine deaminase 2 deficiency across disease phenotypes and severities.

The Journal of allergy and clinical immunology
2024

Successful Long-Term Enzyme Replacement Therapy in a Patient with Delayed-Onset ADA Deficiency.

Journal of clinical immunology
2025

Evolving spectrum of adenosine deaminase (ADA) deficiency: Assessing genotype pathogenicity according to expressed ADA activity of 46 variants.

The Journal of allergy and clinical immunology
2024

Deficiency of Adenosine Deaminase 2.

Turkish journal of haematology : official journal of Turkish Society of Haematology
2024

Omenn Syndrome can Occur during Enzyme Therapy for Adenosine Deaminase Deficiency.

Journal of clinical immunology
2024

Human ADA2 Deficiency: Ten Years Later.

Current allergy and asthma reports
2024

A Clinical Neurological Approach to the Child With Adenosine Deaminase Deficiency.

Pediatric neurology
2024

A case of T-cell acute lymphoblastic leukemia in retroviral gene therapy for ADA-SCID.

Nature communications
2024

Treatment with Elapegademase Restores Immunity in Infants with Adenosine Deaminase Deficient Severe Combined Immunodeficiency.

Journal of clinical immunology
2024

Long-term and real-world safety and efficacy of retroviral gene therapy for adenosine deaminase deficiency.

Nature medicine
2024

Severe combined immunodeficiency diagnosis and genetic defects.

Immunological reviews
2024

What a Clinician Needs to Know About Genome Editing: Status and Opportunities for Inborn Errors of Immunity.

The journal of allergy and clinical immunology. In practice
2023

Proposal for a Disease Activity Score and Disease Damage Score for ADA2 Deficiency: the DADA2AI and DADA2DI.

Journal of clinical immunology
2023

Infliximab as successful treatment option in a case of adenosine deaminase 2 deficiency.

Reumatismo
2024

Successful management of delayed-onset adenosine deaminase deficiency with novel mutation.

Personalized medicine
2024

Gene therapy for adenosine deaminase severe combined immune deficiency-An unexpected journey of four decades.

Immunological reviews
2024

Cutaneous vasculitis in autoinflammatory diseases.

The Journal of dermatology
2023

Novel ADA2 Variants in a Romanian Case Series of DADA2.

Journal of clinical immunology
2023

Vasculitis associated with adenosine deaminase 2 deficiency: at the crossroads between Behçet's disease and autoinflammation. A viewpoint.

Reumatismo
2024

Optimized expression and purification of a human adenosine deaminase in E. coli and characterization of its Asp8Asn variant.

Protein expression and purification
2023

A new CECR1 mutation associated with severe hematological involvement in ADA2 deficiency.

Immunity, inflammation and disease
2023

Metagenomic profiling pipelines improve taxonomic classification for 16S amplicon sequencing data.

Scientific reports
2024

Recurrent flare-associated urticaria in adenosine deaminase type 2 deficiency.

Rheumatology (Oxford, England)
2024

Neurological phenotype of adenosine deaminase 2 deficient patients: a cohort study.

European journal of neurology
2023

A Narrative Review of the Neurological Manifestations of Human Adenosine Deaminase 2 Deficiency.

Journal of clinical immunology
2023

Safety and efficacy of elapegademase in patients with adenosine deaminase deficiency: A multicenter, open-label, single-arm, phase 3, and postmarketing clinical study.

Immunity, inflammation and disease
2024

Adenosine deaminase 2 deficiency in a Chinese patient: Report of one novel mutation and literature review.

Journal of cosmetic dermatology
2023

Hemophagocytic inflammatory syndrome in ADA-SCID: report of two cases and literature review.

Frontiers in immunology
2023

Brainstem Infarction in Immunodeficiency Identified as Adenosine Deaminase 2 Deficiency: Case Report.

Journal of clinical immunology
2023

Severe combined immunodeficiency: improved survival leading to detection of underlying liver disease.

BMC gastroenterology
2023

Whole Exome Sequencing Reveals Pathogenic Variants in ADA2 and FAS Causing DADA2 and ALPS.

Journal of clinical immunology
2023

Delayed-onset adenosine deaminase deficiency with a novel synonymous mutation and a case series from China.

World journal of pediatrics : WJP
2023

Hepatocellular Carcinoma in ADA-SCID Patient After Hematopoietic Stem Cell Transplantation.

Journal of pediatric hematology/oncology
2023

TNF-Blockade for Primary Stroke Prevention in Adenosine Deaminase 2 Deficiency: A Case Series.

Neurology(R) neuroimmunology &amp; neuroinflammation
2023

Composition, structure, and functional shifts of prokaryotic communities in response to co-composting of various nitrogenous green feedstocks.

BMC microbiology
2023

PEGylated Recombinant Adenosine Deaminase Maintains Detoxification and Lymphocyte Counts in Patients with ADA-SCID.

Journal of clinical immunology
2023

Long-Term Immune Reconstitution in ADA-Deficient Patients Treated With Elapegademase: A Real-World Experience.

The journal of allergy and clinical immunology. In practice
2023

Updated Management Guidelines for Adenosine Deaminase Deficiency.

The journal of allergy and clinical immunology. In practice
2023

Ischaemic cerebral small vessel disease caused by adenosine deaminase 2 deficiency syndrome.

European journal of neurology
2022

National experience with adenosine deaminase deficiency related SCID in Polish children.

Frontiers in immunology
2022

A novel frameshift variant in the ADA2 gene of a patient with a neurological phenotype: a case report.

Pediatric rheumatology online journal
2023

ADA2 Deficiency Mimicking Acute Disseminated Encephalomyelitis.

Journal of clinical immunology
2022

Balancing early detection of adenosine deaminase deficiency with overdiagnosis risk.

Annals of allergy, asthma &amp; immunology : official publication of the American College of Allergy, Asthma, &amp; Immunology
2022

Case Report: Consistent disease manifestations with a staggered time course in two identical twins affected by adenosine deaminase 2 deficiency.

Frontiers in immunology
2023

Genotype and Phenotype of Adenosine Deaminase 2 Deficiency: a Report from Saudi Arabia.

Journal of clinical immunology
2022

Case Report: Susceptibility to viral infections and secondary hemophagocytic lymphohistiocytosis responsive to intravenous immunoglobulin as primary manifestations of adenosine deaminase 2 deficiency.

Frontiers in immunology
2023

Break down the barriers of auto-inflammation: How to deal with a monogenic auto-inflammatory disease and immuno-haematological features in 2022?

Immunology
2022

ELISA based assays to measure adenosine deaminases concentration in serum and saliva for the diagnosis of ADA2 deficiency and cancer.

Frontiers in immunology
2022

Newborn tandem mass spectroscopy screening for adenosine deaminase deficiency.

Annals of allergy, asthma &amp; immunology : official publication of the American College of Allergy, Asthma, &amp; Immunology
2022

Evaluation of clonal hematopoiesis in pediatric ADA-SCID gene therapy participants.

Blood advances
2022

Adenosine Deaminase (ADA) Deficiency: Report of Six New Cases and Reappraisal of Cutaneous Hypermelanosis as an Early Feature.

Journal of clinical immunology
2022

Adenosine Deaminase 2 Deficiency (DADA2): A Crosstalk Between Innate and Adaptive Immunity.

Frontiers in immunology
2023

A novel variant in severe disease of DADA2: involving vasculitic and haematologic features.

Scandinavian journal of rheumatology
2022

A Report of 2 Cases of Kidney Involvement in ADA2 Deficiency: Different Disease Phenotypes and the Tissue Response to Type I Interferon.

American journal of kidney diseases : the official journal of the National Kidney Foundation
2022

Skeletal dysplasia in adenosine deaminase deficiency.

Pediatrics international : official journal of the Japan Pediatric Society
2022

Outcomes following treatment for ADA-deficient severe combined immunodeficiency: a report from the PIDTC.

Blood
2022

Deficiency of Human Adenosine Deaminase Type 2 - A Diagnostic Conundrum for the Hematologist.

Frontiers in immunology
2022

Lentiviral Mediated ADA2 Gene Transfer Corrects the Defects Associated With Deficiency of Adenosine Deaminase Type 2.

Frontiers in immunology
2022

[Adenosine deaminase 2 deficiency: a disease with multiple presentations].

Revue medicale suisse
2022

Hematopoietic Cell Transplantation for Adenosine Deaminase Severe Combined Immunodeficiency-Improved Outcomes in the Modern Era.

Journal of clinical immunology
2021

Reversion Mosaicism in Primary Immunodeficiency Diseases.

Frontiers in immunology
2021

Metabolite and thymocyte development defects in ADA-SCID mice receiving enzyme replacement therapy.

Scientific reports
2022

DADA2 presenting as nonimmune hemolytic anemia with recurrent macrophage activation syndrome.

Pediatric blood &amp; cancer
2022

TNF inhibition in vasculitis management in adenosine deaminase 2 deficiency (DADA2).

The Journal of allergy and clinical immunology
2021

The Use of Induced Pluripotent Stem Cells to Study the Effects of Adenosine Deaminase Deficiency on Human Neutrophil Development.

Frontiers in immunology
2021

Intrinsic Defects in B Cell Development and Differentiation, T Cell Exhaustion and Altered Unconventional T Cell Generation Characterize Human Adenosine Deaminase Type 2 Deficiency.

Journal of clinical immunology
2021

A Promising Option for ADA-SCID Patients.

American journal of medical genetics. Part A
2022

Long-Term Immune Recovery After Hematopoietic Stem Cell Transplantation for ADA Deficiency: a Single-Center Experience.

Journal of clinical immunology
2021

A Novel LC-MS/MS-Based Method for the Diagnosis of ADA2 Deficiency from Dried Plasma Spot.

Molecules (Basel, Switzerland)
2021

Atypical Hemolytic Uremic Syndrome (aHUS) and Adenosine Deaminase (ADA)-Deficient Severe Combined Immunodeficiency (SCID)-Two Diseases That Exacerbate Each Other: Case Report.

International journal of molecular sciences
2021

A Novel Germline Mutation of ADA2 Gene in Two "Discordant" Homozygous Female Twins Affected by Adenosine Deaminase 2 Deficiency: Description of the Bone-Related Phenotype.

International journal of molecular sciences
2021

Hematopoietic Cell Transplantation Cures Adenosine Deaminase 2 Deficiency: Report on 30 Patients.

Journal of clinical immunology
2021

Deficiency of Adenosine Deaminase 2-a Monogenic Cause of Wunderlich Syndrome.

Journal of clinical immunology
2021

Promising Results with Ex Vivo Lentiviral HSPC Gene Therapy in ADA-SCID.

American journal of medical genetics. Part A
2021

Normal IgH Repertoire Diversity in an Infant with ADA Deficiency After Gene Therapy.

Journal of clinical immunology
2021

Analysis of deficiency of adenosine deaminase 2 pathogenesis based on single-cell RNA sequencing of monocytes.

Journal of leukocyte biology
2021

Autologous Ex Vivo Lentiviral Gene Therapy for Adenosine Deaminase Deficiency.

The New England journal of medicine
2021

Long-term outcomes after gene therapy for adenosine deaminase severe combined immune deficiency.

Blood
2021

Hematopoietic stem cell transplant for the treatment of adenosine deaminase-deficient severe combined immune deficiency.

Annals of allergy, asthma &amp; immunology : official publication of the American College of Allergy, Asthma, &amp; Immunology
2021

Multicentric dermatofibrosarcoma protuberans in a child with severe combined immunodeficiency due to adenosine deaminase deficiency.

Pediatric dermatology
2021

Inborn errors of immunity and metabolic disorders: current understanding, diagnosis, and treatment approaches.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2021

Widening the Neuroimaging Features of Adenosine Deaminase 2 Deficiency.

AJNR. American journal of neuroradiology
2021

Detailed analysis of Japanese patients with adenosine deaminase 2 deficiency reveals characteristic elevation of type II interferon signature and STAT1 hyperactivation.

The Journal of allergy and clinical immunology
2021

ADA2 deficiency (DADA2) associated with Evans syndrome and a severe ADA2 genotype.

Rheumatology (Oxford, England)
2021

Anti-tumour necrosis factor treatment for the prevention of ischaemic events in patients with deficiency of adenosine deaminase 2 (DADA2).

Rheumatology (Oxford, England)
2021

Successful engraftment of haploidentical stem cell transplant with post-transplantation cyclophosphamide in a patient with adenosine deaminase deficiency.

Pediatric transplantation
2021

Outcomes of 3 patients with adenosine deaminase deficiency on long-term enzyme replacement therapy.

Annals of allergy, asthma &amp; immunology : official publication of the American College of Allergy, Asthma, &amp; Immunology
2021

Gene therapy for primary immunodeficiencies.

British journal of haematology
2021

Deficiency of Adenosine Deaminase 2 in Adults and Children: Experience From India.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2020

Gene therapy: An updated overview on the promising success stories.

The Malaysian journal of pathology
2021

Emapalumab treatment in an ADA-SCID patient with refractory hemophagocytic lymphohistiocytosis-related graft failure and disseminated bacillus Calmette-Guérin infection.

Haematologica
2021

Successful treatment with cyclosporine and anti-tumour necrosis factor agent for deficiency of adenosine deaminase-2.

Scandinavian journal of rheumatology
2021

Dysregulation in B-cell responses and T follicular helper cell function in ADA2 deficiency patients.

European journal of immunology
2020

Busulfan Pharmacokinetics in Adenosine Deaminase-Deficient Severe Combined Immunodeficiency Gene Therapy.

Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation
2020

Late-Onset EBV Susceptibility and Refractory Pure Red Cell Aplasia Revealing DADA2.

Journal of clinical immunology
2020

[Treatment of deficiency of adenosine deaminase 2 caused by CECR1 mutation with myeloablative hematopoietic stem cell transplantation].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2020

Urogenital Abnormalities in Adenosine Deaminase Deficiency.

Journal of clinical immunology
2020

Choroidal vascularity index as a biomarker of systemic inflammation in childhood Polyarteritis Nodosa and adenosine deaminase-2 deficiency.

Pediatric rheumatology online journal
2020

A Novel Non-frameshift ADA Deletion Detected by Whole Exome Sequencing in an Iranian Family with Severe Combined Immunodeficiency.

Iranian journal of allergy, asthma, and immunology
2020

Cutaneous nodules and livedo reticularis in a 3-year-old boy.

Pediatric dermatology
2020

Comparison of elapegademase and pegademase in ADA-deficient patients and mice.

Clinical and experimental immunology
2019

Atypical phenotype of an old disease or typical phenotype of a new disease: deficiency of adenosine deaminase 2.

The Turkish journal of pediatrics
2020

Chest Radiographs for Distinguishing ADA-SCID from Other Forms of SCID.

Journal of clinical immunology
2022

In case of recurrent wheezing and bronchiolitis: Think again, it may be a primary immunodeficiency.

Asian Pacific journal of allergy and immunology
2020

Gene therapy for severe combined immunodeficiencies and beyond.

The Journal of experimental medicine
2020

Morbidity in an adenosine deaminase-deficient patient during 27 years of enzyme replacement therapy.

Clinical immunology (Orlando, Fla.)
2020

Unreported Missense Mutation in the Dimerization Domain of ADA2 Leads to ADA2 Deficiency Associated with Severe Oral Ulcers and Neutropenia in a Female Somalian Patient-Addendum to the Genotype-Phenotype Puzzle.

Journal of clinical immunology
2021

Treatment of Two Boys Suffering From Deficiency of Adenosine Deaminase Type 2 (DADA2) With TNF-Inhibitor Etanercept.

Journal of clinical rheumatology : practical reports on rheumatic &amp; musculoskeletal diseases
2019

Management of ADA-Deficient SCID Patient on Adagen During Pregnancy.

Journal of clinical immunology
2019

Homozygous Splice ADA2 Gene Mutation Causing ADA-2 Deficiency.

Journal of clinical immunology
2019

ADA2 deficiency in a patient with Noonan syndrome-like disorder with loose anagen hair: The co-occurrence of two rare syndromes.

American journal of medical genetics. Part A
2021

The same mutation in a family with adenosine deaminase 2 deficiency.

Rheumatology international
2019

Looking into a Crystal Ball: An Interview with Ron Crystal.

Human gene therapy. Clinical development
2020

Deficiency of adenosine deaminase 2: a case series revealing clinical manifestations, genotypes and treatment outcomes from Turkey.

Rheumatology (Oxford, England)
2019

In vivo dynamics of human hematopoietic stem cells: novel concepts and future directions.

Blood advances
2020

A Monogenic Disease with a Variety of Phenotypes: Deficiency of Adenosine Deaminase 2.

The Journal of rheumatology
2019

Deficiency of adenosine deaminase 2 triggers adenosine-mediated NETosis and TNF production in patients with DADA2.

Blood
2019

RNAseq Supports the Molecular Genetic Diagnosis of Late-Onset ADA Deficiency.

Journal of clinical immunology
2019

Teaching NeuroImages: Lacunar stroke and polyarteritis nodosa: Consider ADA2 deficiency (DADA2).

Neurology
2019

ADA2 deficiency due to a novel structural variation in 22q11.1.

Clinical genetics
2019

Early Enzyme Replacement Therapy Improves Hearing and Immune Defects in Adenosine Deaminase Deficient-Mice.

Frontiers in immunology
2019

Diagnostic utility of a targeted next-generation sequencing gene panel in the clinical suspicion of systemic autoinflammatory diseases: a multi-center study.

Rheumatology international
2019

Variable Clinical Phenotypes and Relation of Interferon Signature with Disease Activity in ADA2 Deficiency.

The Journal of rheumatology
2019

A Chinese DADA2 patient: report of two novel mutations and successful HSCT.

Immunogenetics
2018

Warts and DADA2: a Mere Coincidence?

Journal of clinical immunology
2019

Consensus approach for the management of severe combined immune deficiency caused by adenosine deaminase deficiency.

The Journal of allergy and clinical immunology
2018

A misleading case of deficiency of adenosine deaminase 2 (DADA2): the magnifying glass of the scientific knowledge drives the tailored medicine in real life.

Clinical and experimental rheumatology
2018

Successful Treatment With Ledipasvir/Sofosbuvir in an Infant With Severe Combined Immunodeficiency Caused by Adenosine Deaminase Deficiency With HCV Allowed Gene Therapy with Strimvelis.

Hepatology (Baltimore, Md.)
2018

Disrupted N-linked glycosylation as a disease mechanism in deficiency of ADA2.

The Journal of allergy and clinical immunology
2019

Neutropenia among patients with adenosine deaminase deficiency.

The Journal of allergy and clinical immunology
2018

ADA Deficiency: Evaluation of the Clinical and Laboratory Features and the Outcome.

Journal of clinical immunology
2018

Adenosine deaminase deficiency: a review.

Orphanet journal of rare diseases
2018

A decision tree for the genetic diagnosis of deficiency of adenosine deaminase 2 (DADA2): a French reference centres experience.

European journal of human genetics : EJHG
2018

Gene therapy in rare diseases: the benefits and challenges of developing a patient-centric registry for Strimvelis in ADA-SCID.

Orphanet journal of rare diseases
2019

"Immune" Thrombocytopenia as Key Feature of a Novel ADA2 Deficiency Variant: Implication on Differential Diagnostics of ITP in Children.

Journal of pediatric hematology/oncology
2018

A Novel Approach to the Treatment of Plasma Protein Deficiency: Ex Vivo-Manipulated Adipocytes for Sustained Secretion of Therapeutic Proteins.

Chemical &amp; pharmaceutical bulletin
2018

First Occurrence of Plasmablastic Lymphoma in Adenosine Deaminase-Deficient Severe Combined Immunodeficiency Disease Patient and Review of the Literature.

Frontiers in immunology
2018

Gene Therapy for Adenosine Deaminase Deficiency: A Comprehensive Evaluation of Short- and Medium-Term Safety.

Molecular therapy : the journal of the American Society of Gene Therapy
2018

Maternal T-cell engraftment impedes with diagnosis of a SCID-ADA patient.

Clinical immunology (Orlando, Fla.)
2018

[Multiple facets of ADA2 deficiency: Vasculitis, auto-inflammatory disease and immunodeficiency: A literature review of 135 cases from literature].

La Revue de medecine interne
2017

Autoimmune phenotype with type I interferon signature in two brothers with ADA2 deficiency carrying a novel CECR1 mutation.

Pediatric rheumatology online journal
2017

Long-Term Outcome of Adenosine Deaminase-Deficient Patients-a Single-Center Experience.

Journal of clinical immunology
2017

Cupping at the ends of ribs is not always rickets.

BMJ case reports
2018

Clinical, imaging and genotypical features of three deceased and five surviving cases with ADA2 deficiency.

Rheumatology international
2017

Genetic Engineering and Manufacturing of Hematopoietic Stem Cells.

Molecular therapy. Methods &amp; clinical development
2017

Perspectives on Manufacturing of High-Quality Cell Therapies.

Molecular therapy : the journal of the American Society of Gene Therapy
2017

Gene therapy for ADA-SCID, the first marketing approval of an ex vivo gene therapy in Europe: paving the road for the next generation of advanced therapy medicinal products.

EMBO molecular medicine
2017

Cytoreductive conditioning intensity predicts clonal diversity in ADA-SCID retroviral gene therapy patients.

Blood
2017

Clinical efficacy of gene-modified stem cells in adenosine deaminase-deficient immunodeficiency.

The Journal of clinical investigation
2017

Good Laboratory Practice Preclinical Safety Studies for GSK2696273 (MLV Vector-Based Ex Vivo Gene Therapy for Adenosine Deaminase Deficiency Severe Combined Immunodeficiency) in NSG Mice.

Human gene therapy. Clinical development
2017

How We Manage Adenosine Deaminase-Deficient Severe Combined Immune Deficiency (ADA SCID).

Journal of clinical immunology
2016

ADA-SCID Gene Therapy Endorsed By European Medicines Agency For Marketing Authorization.

Molecular therapy : the journal of the American Society of Gene Therapy
2016

Gene therapy's out-of-body experience.

Nature biotechnology
2016

Investor Outlook: Rising from the Ashes; GSK's European Approval of Strimvelis for ADA-SCID.

Human gene therapy. Clinical development
2016

Medallion-Like Dermal Dendrocytic Hamartoma, Dermatofibrosarcoma Protuberans, and Adenosine Deaminase-Deficient Severe Combined Immunodeficiency.

Pediatric dermatology
2016

EMA greenlights second gene therapy.

Nature reviews. Drug discovery
2016

Adenosine deaminase type 2 deficiency masquerading as GATA2 deficiency: Successful hematopoietic stem cell transplantation.

The Journal of allergy and clinical immunology
2016

Update on the safety and efficacy of retroviral gene therapy for immunodeficiency due to adenosine deaminase deficiency.

Blood
2016

Adenosine Deaminase Deficiency with a Novel Gene Mutation.

Indian journal of pediatrics
2016

Adenosine deaminase 2 deficiency presenting as spastic paraplegia and systemic vasculitis.

Journal of neurology
2016

Phenotypic variability in patients with ADA2 deficiency due to identical homozygous R169Q mutations.

Rheumatology (Oxford, England)
2016

A 24-Year Enzyme Replacement Therapy in an Adenosine-deaminase-Deficient Patient.

Pediatrics
2015

A Journey in the Development of Gene Therapy for Inherited Disorders of the Bone Marrow.

Human gene therapy. Clinical development
2015

Impulse oscillometry identifies peripheral airway dysfunction in children with adenosine deaminase deficiency.

Orphanet journal of rare diseases
2015

Medicine: Expanding possibilities.

Nature
2015

Diagnosis, Treatment and Long-Term Follow Up of Patients with ADA Deficiency: a Single-Center Experience.

Journal of clinical immunology
2015

Spectrum of mutations in a cohort of UK patients with ADA deficient SCID: Segregation of genotypes with specific ethnicities.

Clinical immunology (Orlando, Fla.)
2015

Effects of enzyme replacement therapy on immune function in ADA deficiency patient.

Clinical immunology (Orlando, Fla.)
2015

Toll-like receptor signaling in primary immune deficiencies.

Annals of the New York Academy of Sciences
2015

Adenosine deaminase deficient severe combined immunodeficiency presenting as atypical haemolytic uraemic syndrome.

Journal of clinical immunology
2015

Outcomes in two Japanese adenosine deaminase-deficiency patients treated by stem cell gene therapy with no cytoreductive conditioning.

Journal of clinical immunology
2015

[Adenosine deaminase 1 deficiency, an inborn error of metabolism underlying a severe form of combined immunodeficiency].

Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
2015

Elevated adenosine signaling via adenosine A2B receptor induces normal and sickle erythrocyte sphingosine kinase 1 activity.

Blood

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Human adenosine deaminase type 2 deficiency enhances NK cell activation but impairs maturation and function.
    The Journal of clinical investigation· 2026· PMID 41480770mais citado
  2. Diagnostic Implications and Correlates of Plasma Adenosine Deaminase 2 Activity and ADA2 Variants.
    Arthritis &amp; rheumatology (Hoboken, N.J.)· 2026· PMID 41147740mais citado
  3. Long-Term Safety and Efficacy of Gene Therapy for Adenosine Deaminase Deficiency.
    The New England journal of medicine· 2025· PMID 41092330mais citado
  4. Early-onset vasculitis: a toddler with ADA2 deficiency.
    BMJ case reports· 2025· PMID 41022419mais citado
  5. Preclinical evaluation of lentiviral gene therapy for adenosine deaminase 2 deficiency (DADA2): engraftment efficiency and biodistribution in humanised NBSGW mice.
    Gene therapy· 2025· PMID 40555830mais citado
  6. A Clinical Neurological Approach to the Child With Adenosine Deaminase Deficiency.
    Pediatr Neurol· 2024· PMID 38959649recente
  7. A case of T-cell acute lymphoblastic leukemia in retroviral gene therapy for ADA-SCID.
    Nat Commun· 2024· PMID 38688902recente
  8. Multicentric dermatofibrosarcoma protuberans in a child with severe combined immunodeficiency due to adenosine deaminase deficiency.
    Pediatr Dermatol· 2021· PMID 33931899recente
  9. Genetic Engineering and Manufacturing of Hematopoietic Stem Cells.
    Mol Ther Methods Clin Dev· 2017· PMID 28480310recente
  10. Investor Outlook: Rising from the Ashes; GSK's European Approval of Strimvelis for ADA-SCID.
    Hum Gene Ther Clin Dev· 2016· PMID 27267267recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:277(Orphanet)
  2. OMIM OMIM:102700(OMIM)
  3. MONDO:0007064(MONDO)
  4. GARD:5748(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Artigo Wikipedia(Wikipedia)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Imunodeficiência combinada grave por deficiência de adenosina desaminase
Compêndio · Raras BR

Imunodeficiência combinada grave por deficiência de adenosina desaminase

ORPHA:277 · MONDO:0007064
🇧🇷 Brasil SUS
Triagem
TREC (T-cell Receptor Excision Circles)
PNTN
Fase 4
Incidência BR
1:50.000
Geral
Prevalência
1-9 / 1 000 000
Herança
Autosomal recessive
CID-10
D81.3 · Deficiência de adenosina-deaminase [ADA]
CID-11
Ensaios
5 ativos
Início
Infancy, Neonatal
Prevalência
0.2 (Europe)
MedGen
UMLS
C0392607
EuropePMC
Wikipedia
Papers 10a
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