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


Journal

Rheumatology international
ISSN: 1437-160X
Titre abrégé: Rheumatol Int
Pays: Germany
ID NLM: 8206885

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 07 04 2019
accepted: 11 09 2019
pubmed: 22 9 2019
medline: 10 11 2021
entrez: 22 9 2019
Statut: ppublish

Résumé

The deficiency of adenosine deaminase 2 (DADA2) has recently been defined as a monogenetic autosomal recessive autoinflammatory disease. DADA2 is mainly characterized by high fever, livedo racemose, early-onset stroke, mild immunodeficiency and clinically polyarteritis nodosa (PAN)-like symptoms. Mutations in CECR1 (cat eye syndrome chromosome region, candidate 1) are responsible for DADA2. Livedoid racemose, lacunar infarct due to involvement in small vessel of the central nervous system, peripheral neuropathy, digital ulcers and loss of fingers are predominantly seen in the disease which could progress to end-stage organ failure and death in some patients. A wide spectrum of severity in phenotype as well as in the age of onset has been reported in the literature. This phenotypic variability is also found in our clinical practice even in patients with the same mutation. Here, we present a family diagnosed with DADA2, with the previously reported p.Gly47Arg mutation in CECR1.

Identifiants

pubmed: 31541281
doi: 10.1007/s00296-019-04444-z
pii: 10.1007/s00296-019-04444-z
doi:

Substances chimiques

Adrenal Cortex Hormones 0
Immunosuppressive Agents 0

Types de publication

Case Reports Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

227-233

Références

Zhou Q, Yang D, Ombrello AK, Zavialov AV, Toro C, Zavialov AV et al (2014) Early-onset stroke and vasculopathy associated with mutations in ADA2. N Engl J Med 370(10):911–920
doi: 10.1056/NEJMoa1307361
Navon Elkan P, Pierce SB, Segel R, Walsh T, Barash J, Padeh S et al (2014) Mutant adenosine deaminase 2 in a polyarteritis nodosa vasculopathy. N Engl J Med 370(10):921–931
doi: 10.1056/NEJMoa1307362
Meyts I, Aksentijevich I (2018) Deficiency of adenosine deaminase 2 (DADA2): updates on the phenotype, genetics, pathogenesis, and treatment. J Clin Immunol 38(5):569–578
doi: 10.1007/s10875-018-0525-8
Hershfield MS (2005) New insights into adenosine-receptor-mediated immunosuppression and the role of adenosine in causing the immunodeficiency associated with adenosine deaminase deficiency. Eur J Immunol 35(1):25–30
doi: 10.1002/eji.200425738
Minguet S, Dopfer EP, Pollmer C, Freudenberg MA, Galanos C, Reth M et al (2008) Enhanced B-cell activation mediated by TLR4 and BCR crosstalk. Eur J Immunol 38(9):2475–2487
doi: 10.1002/eji.200738094
Majumdar S, Aggarwal BB (2003) Adenosine suppresses activation of nuclear factor-kappaB selectively induced by tumor necrosis factor in different cell types. Oncogene 22(8):1206–1218
doi: 10.1038/sj.onc.1206184
Simmonds HA, Webster DR, Perrett D, Reiter S, Levinsky RJ (1982) Formation and degradation of deoxyadenosine nucleotides in inherited adenosine deaminase deficiency. Biosci Rep 2(5):303–314
doi: 10.1007/BF01115116
Zavialov AV, Gracia E, Glaichenhaus N, Franco R, Zavialov AV, Lauvau G (2010) Human adenosine deaminase 2 induces differentiation of monocytes into macrophages and stimulates proliferation of T helper cells and macrophages. J Leukoc Biol 88(2):279–290
doi: 10.1189/jlb.1109764
Iwaki-Egawa S, Yamamoto T, Watanabe Y (2006) Human plasma adenosine deaminase 2 is secreted by activated monocytes. Biol Chem 387(3):319–321
doi: 10.1515/BC.2006.042
Schrader WP, Pollara B, Meuwissen HJ (1978) Characterization of the residual adenosine deaminating activity in the spleen of a patient with combined immunodeficiency disease and adenosine deaminase deficiency. Proc Natl Acad Sci USA 75(1):446–450
doi: 10.1073/pnas.75.1.446
Van Eyck L, Jr Hershfield MS, Pombal D, Kelly SJ, Ganson NJ, Moens L et al (2015) Hematopoietic stem cell transplantation rescues the immunologic phenotype and prevents vasculopathy in patients with adenosine deaminase 2 deficiency. J Allergy Clin Immunol 135(1):283–287
doi: 10.1016/j.jaci.2014.10.010
Bae MJ, Ryu S, Kim HJ, Cha SI, Kim CH, Lee J (2017) Mycobacterium tuberculosis ESAT6 and CPF10 induce adenosine deaminase 2 mRNA expression in monocyte-derived macrophages. Tuberc Respir Dis (Seoul) 80(1):77–82
doi: 10.4046/trd.2017.80.1.77
Valdes L, San Jose E, Alvarez D, Valle JM (1996) Adenosine deaminase (ADA) isoenzyme analysis in pleural effusions: diagnostic role, and relevance to the origin of increased ADA in tuberculous pleurisy. Eur Respir J 9(4):747–751
doi: 10.1183/09031936.96.09040747
Sari RA, Taysi S, Yilmaz O, Bakan N (2003) Correlation of serum levels of adenosine deaminase activity and its isoenzymes with disease activity in rheumatoid arthritis. Clin Exp Rheumatol 21(1):87–90
pubmed: 12673895
Fernandez E, Rodrigo L, Riestra S, Carcia S, Gutierrez F, Ocio G (2000) Adenosine deaminase isoenzymes and neopterin in liver cirrhosis. J Clin Gastroenterol 30(2):181–186
doi: 10.1097/00004836-200003000-00011
Gasparyan AY, Ayvazyan L, Blackmore H (2011) Kitas GD Writing a narrative biomedical review: considerations for authors, peer reviewers, and editors. Rheumatol Int 31:1409–1417
doi: 10.1007/s00296-011-1999-3
Ozen S, Bilginer Y, Batu ED, Taşkıran E, Özkara HA, Ünal Ş, Güleray N, Erden A, Karadağ Ö, Gümrük F, Çetin M, Sönmez HE, Ayvaz DÇ, Tezcan I (2019) A monogenic disease with a variety of phenotypes: deficiency of adenosine deaminase 2 Subtitle: Deficiency of adenosine deaminase. J Rheumatol. https://doi.org/10.3899/jrheum.181384
doi: 10.3899/jrheum.181384 pubmed: 31203219
Garg N, Kasapcopur O, Foster J 2nd, Barut K, Tekin A, Kizilkilic O et al (2014) Novel adenosine deaminase 2 mutations in a child with a fatal vasculopathy. Eur J Pediatr 173(6):827–830
doi: 10.1007/s00431-014-2320-8
Batu ED, Karadag O, Taskiran EZ, Kalyoncu U, Aksentijevich I, Alikasifoglu M et al (2015) A case series of adenosine deaminase 2- deficient patients emphasizing treatment and genotype-phenotype correlations. J Rheumatol 42(8):1532–1534
doi: 10.3899/jrheum.150024
Trotta L, Martelius T, Siitonen T, Hautala T, Hamalainen S, Juntti H et al (2018) ADA2 deficiency: clonal lymphoproliferation in a subset of patients. J Allergy Clin Immunol 141(1534–1537):e8
Sundin M, Marits P, Nierkens S, Kolios AGA, Nilsson J (2019) "Immune" thrombocytopenia as key feature of a novel ADA2 deficiency variant: implication on differential diagnostics of ITP in children. J Pediatr Hematol Oncol 41(2):155–157
doi: 10.1097/MPH.0000000000001132
Van Eyck L, Liston A, Wouters C (2014) Mutant ADA2 in vasculopathies. N Engl J Med 371(5):480
pubmed: 25075848
Nanthapisal S, Murphy C, Omoyinmi E, Hong Y, Standing A, Berg S et al (2016) Deficiency of adenosine deaminase type 2: a description of phenotype and genotype in fifteen cases. Arthritis Rheumatol 68(9):2314–2322
doi: 10.1002/art.39699
Ombrello ASD, Hoffmann P, Jones A, Barham B, Barron K, Flegel W et al (2015) The deficiency of adenosine deaminase type 2-results of therapeutic intervention. Pediatr Rheumatol 13(1):O40
doi: 10.1186/1546-0096-13-S1-O40
Bucciol G, Delafontaine S, Segers H, Bossuyt X, Hershfield MS, Moens L et al (2017) Hematopoietic stem cell transplantation in ADA2 deficiency: early restoration of ADA2 enzyme activity and disease relapse upon drop of donor chimerism. J Clin Immunol 37(8):746–750
doi: 10.1007/s10875-017-0449-8
Van Montfrans JM, Hartman EA, Braun KP, Hennekam EA, Hak EA, Nederkoorn PJ et al (2016) Phenotypic variability in patients with ADA2 deficiency due to identical homozygous R169Q mutations. Rheumatology (Oxford) 55(5):902–910
doi: 10.1093/rheumatology/kev439
Caorsi R, Penco F, Grossi A, Insalaco A, Omenetti A, Alessio M et al (2017) ADA2 deficiency (DADA2) as an unrecognised cause of early onset polyarteritis nodosa and stroke: a multicentre national study. Ann Rheum Dis 76(10):1648–1656
doi: 10.1136/annrheumdis-2016-210802

Auteurs

Betul Sozeri (B)

Department of Pediatric Rheumatology, Umraniye Training and Research Hospital, Health Sciences University, Elmalıkent Cad 34100, Umraniye, Istanbul, Turkey. drbetulsozeri@gmail.com.

Gozde Ercan (G)

Department of Pediatric Rheumatology, Umraniye Training and Research Hospital, Health Sciences University, Elmalıkent Cad 34100, Umraniye, Istanbul, Turkey.

Ozlem Akgun Dogan (OA)

Department of Pediatric Genetics, Umraniye Training and Research Hospital, Health Sciences University, Istanbul, Turkey.

Jale Yıldız (J)

Genomic Laboratory (GLAB), Umraniye Training and Research Hospital, Health Sciences University, Istanbul, Turkey.

Ferhat Demir (F)

Department of Pediatric Rheumatology, Umraniye Training and Research Hospital, Health Sciences University, Elmalıkent Cad 34100, Umraniye, Istanbul, Turkey.

Levent Doğanay (L)

Genomic Laboratory (GLAB), Umraniye Training and Research Hospital, Health Sciences University, Istanbul, Turkey.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH