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.
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.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 23 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 54 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
Triagem neonatal (Teste do Pezinho)
A triagem neonatal permite diagnóstico precoce e início imediato do tratamento.
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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.
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 (
Cell membraneCell junctionCytoplasmic vesicle lumenCytoplasmLysosome
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.
Medicamentos aprovados (FDA)
1 medicamento encontrado nos registros da FDA americana.
Variantes genéticas (ClinVar)
219 variantes patogênicas registradas no ClinVar.
Vias biológicas (Reactome)
3 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
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
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Outros ensaios clínicos
30 ensaios clínicos encontrados, 5 ativos.
Publicações mais relevantes
Human adenosine deaminase type 2 deficiency enhances NK cell activation but impairs maturation and function.
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.
Diagnostic Implications and Correlates of Plasma Adenosine Deaminase 2 Activity and ADA2 Variants.
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.
Long-Term Safety and Efficacy of Gene Therapy for Adenosine Deaminase Deficiency.
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.).
Early-onset vasculitis: a toddler with ADA2 deficiency.
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.
Preclinical evaluation of lentiviral gene therapy for adenosine deaminase 2 deficiency (DADA2): engraftment efficiency and biodistribution in humanised NBSGW mice.
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
A Clinical Neurological Approach to the Child With Adenosine Deaminase Deficiency.
A case of T-cell acute lymphoblastic leukemia in retroviral gene therapy for ADA-SCID.
Multicentric dermatofibrosarcoma protuberans in a child with severe combined immunodeficiency due to adenosine deaminase deficiency.
Genetic Engineering and Manufacturing of Hematopoietic Stem Cells.
Investor Outlook: Rising from the Ashes; GSK's European Approval of Strimvelis for ADA-SCID.
📚 EuropePMC10 artigos no totalmostrando 193
Human adenosine deaminase type 2 deficiency enhances NK cell activation but impairs maturation and function.
The Journal of clinical investigationP06 Adenosine deaminase deficient-severe combined immunodeficiency and multicentric dermatofibrosarcoma protuberans: an emerging association.
The British journal of dermatologyDiverse Phenotypic Expressions of ADA2 Deficiency: Two Case Studies.
Iranian journal of allergy, asthma, and immunologyAdult-onset adenosine deaminase-2 deficiency presenting with recurrent juvenile cerebral infarction:A case report.
The journal of medical investigation : JMIDiagnostic Implications and Correlates of Plasma Adenosine Deaminase 2 Activity and ADA2 Variants.
Arthritis & rheumatology (Hoboken, N.J.)Early-onset neutropenia and mixed phenotype in ADA2 deficiency: diagnostic and therapeutic challenges.
Frontiers in immunologyLong-Term Safety and Efficacy of Gene Therapy for Adenosine Deaminase Deficiency.
The New England journal of medicineEarly-onset vasculitis: a toddler with ADA2 deficiency.
BMJ case reportsA rapid antigen test to detect adenosine deaminase 2 (ADA2) in biological fluids and its application in clinical diagnostics.
Frontiers in immunologyDominant negative ADA2 mutations cause ADA2 deficiency in heterozygous carriers.
The Journal of experimental medicineParacentral acute middle maculopathy as a major clinical manifestation of adenosine deaminase-2 deficiency.
BMC ophthalmologyAdenosine and Adenosine Deaminase Contrary Manifestations in Immunity.
Scandinavian journal of immunologyPreclinical evaluation of lentiviral gene therapy for adenosine deaminase 2 deficiency (DADA2): engraftment efficiency and biodistribution in humanised NBSGW mice.
Gene therapyInhibition of lysosomal degradation increases expression of mutant ADA2 in DADA2 monocytes.
The Journal of allergy and clinical immunologyQuantifying the mutational landscape of retroviral and lentiviral vectors in gene therapy patients.
Molecular therapy : the journal of the American Society of Gene Therapy[ADA2, an Adenosine Deaminase Isozyme Acting as a Regulator of Autoinflammation].
Yakugaku zasshi : Journal of the Pharmaceutical Society of JapanMulti-Year Registry Study of Elapegademase Treatment in Patients With Adenosine Deaminase Severe Combined Immunodeficiency (ADA-SCID) Requiring Enzyme Replacement Therapy.
Journal of clinical immunologyMimics and challenging presentations of DADA2.
Clinical and experimental immunologyGetting to know adenosine deaminase 2 deficiency inside and out.
The Journal of allergy and clinical immunologyProlonged diagnostic journey in delayed-onset adenosine deaminase deficiency.
Clinical immunology (Orlando, Fla.)Early bone marrow alterations in patients with adenosine deaminase 2 deficiency across disease phenotypes and severities.
The Journal of allergy and clinical immunologySuccessful Long-Term Enzyme Replacement Therapy in a Patient with Delayed-Onset ADA Deficiency.
Journal of clinical immunologyEvolving spectrum of adenosine deaminase (ADA) deficiency: Assessing genotype pathogenicity according to expressed ADA activity of 46 variants.
The Journal of allergy and clinical immunologyDeficiency of Adenosine Deaminase 2.
Turkish journal of haematology : official journal of Turkish Society of HaematologyOmenn Syndrome can Occur during Enzyme Therapy for Adenosine Deaminase Deficiency.
Journal of clinical immunologyHuman ADA2 Deficiency: Ten Years Later.
Current allergy and asthma reportsA Clinical Neurological Approach to the Child With Adenosine Deaminase Deficiency.
Pediatric neurologyA case of T-cell acute lymphoblastic leukemia in retroviral gene therapy for ADA-SCID.
Nature communicationsTreatment with Elapegademase Restores Immunity in Infants with Adenosine Deaminase Deficient Severe Combined Immunodeficiency.
Journal of clinical immunologyLong-term and real-world safety and efficacy of retroviral gene therapy for adenosine deaminase deficiency.
Nature medicineSevere combined immunodeficiency diagnosis and genetic defects.
Immunological reviewsWhat a Clinician Needs to Know About Genome Editing: Status and Opportunities for Inborn Errors of Immunity.
The journal of allergy and clinical immunology. In practiceProposal for a Disease Activity Score and Disease Damage Score for ADA2 Deficiency: the DADA2AI and DADA2DI.
Journal of clinical immunologyInfliximab as successful treatment option in a case of adenosine deaminase 2 deficiency.
ReumatismoSuccessful management of delayed-onset adenosine deaminase deficiency with novel mutation.
Personalized medicineGene therapy for adenosine deaminase severe combined immune deficiency-An unexpected journey of four decades.
Immunological reviewsCutaneous vasculitis in autoinflammatory diseases.
The Journal of dermatologyNovel ADA2 Variants in a Romanian Case Series of DADA2.
Journal of clinical immunologyVasculitis associated with adenosine deaminase 2 deficiency: at the crossroads between Behçet's disease and autoinflammation. A viewpoint.
ReumatismoOptimized expression and purification of a human adenosine deaminase in E. coli and characterization of its Asp8Asn variant.
Protein expression and purificationA new CECR1 mutation associated with severe hematological involvement in ADA2 deficiency.
Immunity, inflammation and diseaseMetagenomic profiling pipelines improve taxonomic classification for 16S amplicon sequencing data.
Scientific reportsRecurrent flare-associated urticaria in adenosine deaminase type 2 deficiency.
Rheumatology (Oxford, England)Neurological phenotype of adenosine deaminase 2 deficient patients: a cohort study.
European journal of neurologyA Narrative Review of the Neurological Manifestations of Human Adenosine Deaminase 2 Deficiency.
Journal of clinical immunologySafety 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 diseaseAdenosine deaminase 2 deficiency in a Chinese patient: Report of one novel mutation and literature review.
Journal of cosmetic dermatologyHemophagocytic inflammatory syndrome in ADA-SCID: report of two cases and literature review.
Frontiers in immunologyBrainstem Infarction in Immunodeficiency Identified as Adenosine Deaminase 2 Deficiency: Case Report.
Journal of clinical immunologySevere combined immunodeficiency: improved survival leading to detection of underlying liver disease.
BMC gastroenterologyWhole Exome Sequencing Reveals Pathogenic Variants in ADA2 and FAS Causing DADA2 and ALPS.
Journal of clinical immunologyDelayed-onset adenosine deaminase deficiency with a novel synonymous mutation and a case series from China.
World journal of pediatrics : WJPHepatocellular Carcinoma in ADA-SCID Patient After Hematopoietic Stem Cell Transplantation.
Journal of pediatric hematology/oncologyTNF-Blockade for Primary Stroke Prevention in Adenosine Deaminase 2 Deficiency: A Case Series.
Neurology(R) neuroimmunology & neuroinflammationComposition, structure, and functional shifts of prokaryotic communities in response to co-composting of various nitrogenous green feedstocks.
BMC microbiologyPEGylated Recombinant Adenosine Deaminase Maintains Detoxification and Lymphocyte Counts in Patients with ADA-SCID.
Journal of clinical immunologyLong-Term Immune Reconstitution in ADA-Deficient Patients Treated With Elapegademase: A Real-World Experience.
The journal of allergy and clinical immunology. In practiceUpdated Management Guidelines for Adenosine Deaminase Deficiency.
The journal of allergy and clinical immunology. In practiceIschaemic cerebral small vessel disease caused by adenosine deaminase 2 deficiency syndrome.
European journal of neurologyNational experience with adenosine deaminase deficiency related SCID in Polish children.
Frontiers in immunologyA novel frameshift variant in the ADA2 gene of a patient with a neurological phenotype: a case report.
Pediatric rheumatology online journalADA2 Deficiency Mimicking Acute Disseminated Encephalomyelitis.
Journal of clinical immunologyBalancing early detection of adenosine deaminase deficiency with overdiagnosis risk.
Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & ImmunologyCase Report: Consistent disease manifestations with a staggered time course in two identical twins affected by adenosine deaminase 2 deficiency.
Frontiers in immunologyGenotype and Phenotype of Adenosine Deaminase 2 Deficiency: a Report from Saudi Arabia.
Journal of clinical immunologyCase Report: Susceptibility to viral infections and secondary hemophagocytic lymphohistiocytosis responsive to intravenous immunoglobulin as primary manifestations of adenosine deaminase 2 deficiency.
Frontiers in immunologyBreak down the barriers of auto-inflammation: How to deal with a monogenic auto-inflammatory disease and immuno-haematological features in 2022?
ImmunologyELISA based assays to measure adenosine deaminases concentration in serum and saliva for the diagnosis of ADA2 deficiency and cancer.
Frontiers in immunologyNewborn tandem mass spectroscopy screening for adenosine deaminase deficiency.
Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & ImmunologyEvaluation of clonal hematopoiesis in pediatric ADA-SCID gene therapy participants.
Blood advancesAdenosine Deaminase (ADA) Deficiency: Report of Six New Cases and Reappraisal of Cutaneous Hypermelanosis as an Early Feature.
Journal of clinical immunologyAdenosine Deaminase 2 Deficiency (DADA2): A Crosstalk Between Innate and Adaptive Immunity.
Frontiers in immunologyA novel variant in severe disease of DADA2: involving vasculitic and haematologic features.
Scandinavian journal of rheumatologyA 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 FoundationSkeletal dysplasia in adenosine deaminase deficiency.
Pediatrics international : official journal of the Japan Pediatric SocietyOutcomes following treatment for ADA-deficient severe combined immunodeficiency: a report from the PIDTC.
BloodDeficiency of Human Adenosine Deaminase Type 2 - A Diagnostic Conundrum for the Hematologist.
Frontiers in immunologyLentiviral Mediated ADA2 Gene Transfer Corrects the Defects Associated With Deficiency of Adenosine Deaminase Type 2.
Frontiers in immunology[Adenosine deaminase 2 deficiency: a disease with multiple presentations].
Revue medicale suisseHematopoietic Cell Transplantation for Adenosine Deaminase Severe Combined Immunodeficiency-Improved Outcomes in the Modern Era.
Journal of clinical immunologyReversion Mosaicism in Primary Immunodeficiency Diseases.
Frontiers in immunologyMetabolite and thymocyte development defects in ADA-SCID mice receiving enzyme replacement therapy.
Scientific reportsDADA2 presenting as nonimmune hemolytic anemia with recurrent macrophage activation syndrome.
Pediatric blood & cancerTNF inhibition in vasculitis management in adenosine deaminase 2 deficiency (DADA2).
The Journal of allergy and clinical immunologyThe Use of Induced Pluripotent Stem Cells to Study the Effects of Adenosine Deaminase Deficiency on Human Neutrophil Development.
Frontiers in immunologyIntrinsic 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 immunologyA Promising Option for ADA-SCID Patients.
American journal of medical genetics. Part ALong-Term Immune Recovery After Hematopoietic Stem Cell Transplantation for ADA Deficiency: a Single-Center Experience.
Journal of clinical immunologyA Novel LC-MS/MS-Based Method for the Diagnosis of ADA2 Deficiency from Dried Plasma Spot.
Molecules (Basel, Switzerland)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 sciencesA 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 sciencesHematopoietic Cell Transplantation Cures Adenosine Deaminase 2 Deficiency: Report on 30 Patients.
Journal of clinical immunologyDeficiency of Adenosine Deaminase 2-a Monogenic Cause of Wunderlich Syndrome.
Journal of clinical immunologyPromising Results with Ex Vivo Lentiviral HSPC Gene Therapy in ADA-SCID.
American journal of medical genetics. Part ANormal IgH Repertoire Diversity in an Infant with ADA Deficiency After Gene Therapy.
Journal of clinical immunologyAnalysis of deficiency of adenosine deaminase 2 pathogenesis based on single-cell RNA sequencing of monocytes.
Journal of leukocyte biologyAutologous Ex Vivo Lentiviral Gene Therapy for Adenosine Deaminase Deficiency.
The New England journal of medicineLong-term outcomes after gene therapy for adenosine deaminase severe combined immune deficiency.
BloodHematopoietic stem cell transplant for the treatment of adenosine deaminase-deficient severe combined immune deficiency.
Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & ImmunologyMulticentric dermatofibrosarcoma protuberans in a child with severe combined immunodeficiency due to adenosine deaminase deficiency.
Pediatric dermatologyInborn errors of immunity and metabolic disorders: current understanding, diagnosis, and treatment approaches.
Journal of pediatric endocrinology & metabolism : JPEMWidening the Neuroimaging Features of Adenosine Deaminase 2 Deficiency.
AJNR. American journal of neuroradiologyDetailed 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 immunologyADA2 deficiency (DADA2) associated with Evans syndrome and a severe ADA2 genotype.
Rheumatology (Oxford, England)Anti-tumour necrosis factor treatment for the prevention of ischaemic events in patients with deficiency of adenosine deaminase 2 (DADA2).
Rheumatology (Oxford, England)Successful engraftment of haploidentical stem cell transplant with post-transplantation cyclophosphamide in a patient with adenosine deaminase deficiency.
Pediatric transplantationOutcomes of 3 patients with adenosine deaminase deficiency on long-term enzyme replacement therapy.
Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & ImmunologyGene therapy for primary immunodeficiencies.
British journal of haematologyDeficiency of Adenosine Deaminase 2 in Adults and Children: Experience From India.
Arthritis & rheumatology (Hoboken, N.J.)Gene therapy: An updated overview on the promising success stories.
The Malaysian journal of pathologyEmapalumab treatment in an ADA-SCID patient with refractory hemophagocytic lymphohistiocytosis-related graft failure and disseminated bacillus Calmette-Guérin infection.
HaematologicaSuccessful treatment with cyclosporine and anti-tumour necrosis factor agent for deficiency of adenosine deaminase-2.
Scandinavian journal of rheumatologyDysregulation in B-cell responses and T follicular helper cell function in ADA2 deficiency patients.
European journal of immunologyBusulfan 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 TransplantationLate-Onset EBV Susceptibility and Refractory Pure Red Cell Aplasia Revealing DADA2.
Journal of clinical immunology[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 pediatricsUrogenital Abnormalities in Adenosine Deaminase Deficiency.
Journal of clinical immunologyChoroidal vascularity index as a biomarker of systemic inflammation in childhood Polyarteritis Nodosa and adenosine deaminase-2 deficiency.
Pediatric rheumatology online journalA Novel Non-frameshift ADA Deletion Detected by Whole Exome Sequencing in an Iranian Family with Severe Combined Immunodeficiency.
Iranian journal of allergy, asthma, and immunologyCutaneous nodules and livedo reticularis in a 3-year-old boy.
Pediatric dermatologyComparison of elapegademase and pegademase in ADA-deficient patients and mice.
Clinical and experimental immunologyAtypical phenotype of an old disease or typical phenotype of a new disease: deficiency of adenosine deaminase 2.
The Turkish journal of pediatricsChest Radiographs for Distinguishing ADA-SCID from Other Forms of SCID.
Journal of clinical immunologyIn case of recurrent wheezing and bronchiolitis: Think again, it may be a primary immunodeficiency.
Asian Pacific journal of allergy and immunologyGene therapy for severe combined immunodeficiencies and beyond.
The Journal of experimental medicineMorbidity in an adenosine deaminase-deficient patient during 27 years of enzyme replacement therapy.
Clinical immunology (Orlando, Fla.)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 immunologyTreatment of Two Boys Suffering From Deficiency of Adenosine Deaminase Type 2 (DADA2) With TNF-Inhibitor Etanercept.
Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseasesManagement of ADA-Deficient SCID Patient on Adagen During Pregnancy.
Journal of clinical immunologyHomozygous Splice ADA2 Gene Mutation Causing ADA-2 Deficiency.
Journal of clinical immunologyADA2 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 AThe same mutation in a family with adenosine deaminase 2 deficiency.
Rheumatology internationalLooking into a Crystal Ball: An Interview with Ron Crystal.
Human gene therapy. Clinical developmentDeficiency of adenosine deaminase 2: a case series revealing clinical manifestations, genotypes and treatment outcomes from Turkey.
Rheumatology (Oxford, England)In vivo dynamics of human hematopoietic stem cells: novel concepts and future directions.
Blood advancesA Monogenic Disease with a Variety of Phenotypes: Deficiency of Adenosine Deaminase 2.
The Journal of rheumatologyDeficiency of adenosine deaminase 2 triggers adenosine-mediated NETosis and TNF production in patients with DADA2.
BloodRNAseq Supports the Molecular Genetic Diagnosis of Late-Onset ADA Deficiency.
Journal of clinical immunologyTeaching NeuroImages: Lacunar stroke and polyarteritis nodosa: Consider ADA2 deficiency (DADA2).
NeurologyADA2 deficiency due to a novel structural variation in 22q11.1.
Clinical geneticsEarly Enzyme Replacement Therapy Improves Hearing and Immune Defects in Adenosine Deaminase Deficient-Mice.
Frontiers in immunologyDiagnostic utility of a targeted next-generation sequencing gene panel in the clinical suspicion of systemic autoinflammatory diseases: a multi-center study.
Rheumatology internationalVariable Clinical Phenotypes and Relation of Interferon Signature with Disease Activity in ADA2 Deficiency.
The Journal of rheumatologyA Chinese DADA2 patient: report of two novel mutations and successful HSCT.
ImmunogeneticsWarts and DADA2: a Mere Coincidence?
Journal of clinical immunologyConsensus approach for the management of severe combined immune deficiency caused by adenosine deaminase deficiency.
The Journal of allergy and clinical immunologyA 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 rheumatologySuccessful 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.)Disrupted N-linked glycosylation as a disease mechanism in deficiency of ADA2.
The Journal of allergy and clinical immunologyNeutropenia among patients with adenosine deaminase deficiency.
The Journal of allergy and clinical immunologyADA Deficiency: Evaluation of the Clinical and Laboratory Features and the Outcome.
Journal of clinical immunologyAdenosine deaminase deficiency: a review.
Orphanet journal of rare diseasesA decision tree for the genetic diagnosis of deficiency of adenosine deaminase 2 (DADA2): a French reference centres experience.
European journal of human genetics : EJHGGene therapy in rare diseases: the benefits and challenges of developing a patient-centric registry for Strimvelis in ADA-SCID.
Orphanet journal of rare diseases"Immune" Thrombocytopenia as Key Feature of a Novel ADA2 Deficiency Variant: Implication on Differential Diagnostics of ITP in Children.
Journal of pediatric hematology/oncologyA Novel Approach to the Treatment of Plasma Protein Deficiency: Ex Vivo-Manipulated Adipocytes for Sustained Secretion of Therapeutic Proteins.
Chemical & pharmaceutical bulletinFirst Occurrence of Plasmablastic Lymphoma in Adenosine Deaminase-Deficient Severe Combined Immunodeficiency Disease Patient and Review of the Literature.
Frontiers in immunologyGene Therapy for Adenosine Deaminase Deficiency: A Comprehensive Evaluation of Short- and Medium-Term Safety.
Molecular therapy : the journal of the American Society of Gene TherapyMaternal T-cell engraftment impedes with diagnosis of a SCID-ADA patient.
Clinical immunology (Orlando, Fla.)[Multiple facets of ADA2 deficiency: Vasculitis, auto-inflammatory disease and immunodeficiency: A literature review of 135 cases from literature].
La Revue de medecine interneAutoimmune phenotype with type I interferon signature in two brothers with ADA2 deficiency carrying a novel CECR1 mutation.
Pediatric rheumatology online journalLong-Term Outcome of Adenosine Deaminase-Deficient Patients-a Single-Center Experience.
Journal of clinical immunologyCupping at the ends of ribs is not always rickets.
BMJ case reportsClinical, imaging and genotypical features of three deceased and five surviving cases with ADA2 deficiency.
Rheumatology internationalGenetic Engineering and Manufacturing of Hematopoietic Stem Cells.
Molecular therapy. Methods & clinical developmentPerspectives on Manufacturing of High-Quality Cell Therapies.
Molecular therapy : the journal of the American Society of Gene TherapyGene 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 medicineCytoreductive conditioning intensity predicts clonal diversity in ADA-SCID retroviral gene therapy patients.
BloodClinical efficacy of gene-modified stem cells in adenosine deaminase-deficient immunodeficiency.
The Journal of clinical investigationGood 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 developmentHow We Manage Adenosine Deaminase-Deficient Severe Combined Immune Deficiency (ADA SCID).
Journal of clinical immunologyADA-SCID Gene Therapy Endorsed By European Medicines Agency For Marketing Authorization.
Molecular therapy : the journal of the American Society of Gene TherapyGene therapy's out-of-body experience.
Nature biotechnologyInvestor Outlook: Rising from the Ashes; GSK's European Approval of Strimvelis for ADA-SCID.
Human gene therapy. Clinical developmentMedallion-Like Dermal Dendrocytic Hamartoma, Dermatofibrosarcoma Protuberans, and Adenosine Deaminase-Deficient Severe Combined Immunodeficiency.
Pediatric dermatologyEMA greenlights second gene therapy.
Nature reviews. Drug discoveryAdenosine deaminase type 2 deficiency masquerading as GATA2 deficiency: Successful hematopoietic stem cell transplantation.
The Journal of allergy and clinical immunologyUpdate on the safety and efficacy of retroviral gene therapy for immunodeficiency due to adenosine deaminase deficiency.
BloodAdenosine Deaminase Deficiency with a Novel Gene Mutation.
Indian journal of pediatricsAdenosine deaminase 2 deficiency presenting as spastic paraplegia and systemic vasculitis.
Journal of neurologyPhenotypic variability in patients with ADA2 deficiency due to identical homozygous R169Q mutations.
Rheumatology (Oxford, England)A 24-Year Enzyme Replacement Therapy in an Adenosine-deaminase-Deficient Patient.
PediatricsA Journey in the Development of Gene Therapy for Inherited Disorders of the Bone Marrow.
Human gene therapy. Clinical developmentImpulse oscillometry identifies peripheral airway dysfunction in children with adenosine deaminase deficiency.
Orphanet journal of rare diseasesMedicine: Expanding possibilities.
NatureDiagnosis, Treatment and Long-Term Follow Up of Patients with ADA Deficiency: a Single-Center Experience.
Journal of clinical immunologySpectrum of mutations in a cohort of UK patients with ADA deficient SCID: Segregation of genotypes with specific ethnicities.
Clinical immunology (Orlando, Fla.)Effects of enzyme replacement therapy on immune function in ADA deficiency patient.
Clinical immunology (Orlando, Fla.)Toll-like receptor signaling in primary immune deficiencies.
Annals of the New York Academy of SciencesAdenosine deaminase deficient severe combined immunodeficiency presenting as atypical haemolytic uraemic syndrome.
Journal of clinical immunologyOutcomes in two Japanese adenosine deaminase-deficiency patients treated by stem cell gene therapy with no cytoreductive conditioning.
Journal of clinical immunology[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 pediatrieElevated adenosine signaling via adenosine A2B receptor induces normal and sickle erythrocyte sphingosine kinase 1 activity.
BloodAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
Ainda não temos associações cadastradas para Imunodeficiência combinada grave por deficiência de adenosina desaminase.
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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.
- Human adenosine deaminase type 2 deficiency enhances NK cell activation but impairs maturation and function.
- Diagnostic Implications and Correlates of Plasma Adenosine Deaminase 2 Activity and ADA2 Variants.
- Long-Term Safety and Efficacy of Gene Therapy for Adenosine Deaminase Deficiency.
- Early-onset vasculitis: a toddler with ADA2 deficiency.
- Preclinical evaluation of lentiviral gene therapy for adenosine deaminase 2 deficiency (DADA2): engraftment efficiency and biodistribution in humanised NBSGW mice.
- A Clinical Neurological Approach to the Child With Adenosine Deaminase Deficiency.
- A case of T-cell acute lymphoblastic leukemia in retroviral gene therapy for ADA-SCID.
- Multicentric dermatofibrosarcoma protuberans in a child with severe combined immunodeficiency due to adenosine deaminase deficiency.
- Genetic Engineering and Manufacturing of Hematopoietic Stem Cells.
- Investor Outlook: Rising from the Ashes; GSK's European Approval of Strimvelis for ADA-SCID.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:277(Orphanet)
- OMIM OMIM:102700(OMIM)
- MONDO:0007064(MONDO)
- GARD:5748(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- 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
