🦠microbiology review

Adenosine deaminase deficiency

Written by the Fiveable Content Team • Last updated August 2025
Written by the Fiveable Content Team • Last updated August 2025

Definition

Adenosine deaminase deficiency (ADA deficiency) is a genetic disorder that affects the immune system by impairing the breakdown of adenosine and deoxyadenosine. This leads to severe combined immunodeficiency (SCID), making individuals highly susceptible to infections.

5 Must Know Facts For Your Next Test

  1. ADA deficiency is caused by mutations in the ADA gene on chromosome 20.
  2. It results in the accumulation of toxic metabolites, which are harmful to lymphocytes.
  3. Gene therapy has been used to treat ADA deficiency by inserting a functional copy of the ADA gene into hematopoietic stem cells.
  4. The first successful gene therapy trial for ADA deficiency was conducted in the early 1990s.
  5. Patients with untreated ADA deficiency typically exhibit severe infections within the first few months of life.
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