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

Copyright © 2018 Elsevier Inc. All rights reserved.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 193(2018) vom: 01. Aug., Seite 118-120
1. Verfasser: Lanfranchi, Arnalda (VerfasserIn)
Weitere Verfasser: Lougaris, Vassilios, Notarangelo, Lucia Dora, Soncini, Elena, Comini, Marta, Beghin, Alessandra, Bolda, Federica, Montanelli, Alessandro, Imberti, Luisa, Porta, Fulvio
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2018
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Case Reports Journal Article Research Support, Non-U.S. Gov't Adenosine Deaminase EC 3.5.4.4
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245 1 0 |a Maternal T-cell engraftment impedes with diagnosis of a SCID-ADA patient 
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520 |a We describe the case of a child affected by severe combined immunodeficiency (SCID) with adenosine deaminase (ADA) deficiency showing a maternal T-cell engraftment, a finding that has never been reported before. The presence of engrafted maternal T cells was misleading. Although ADA enzymatic levels were suggestive of ADA-SCID, the child did not present the classical signs of ADA deficiency; therefore, the initial diagnosis was of a conventional SCID. However, ADA toxic metabolites and molecular characterization confirmed this diagnosis. Polyethylene glycol-modified bovine (PEG) ADA therapy progressively decreased the number of maternal engrafted T cells. The child was grafted with full bone marrow from a matched unrelated donor, after a reduced conditioning regimen, and the result was the complete immunological reconstitution 
650 4 |a Case Reports 
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650 4 |a Research Support, Non-U.S. Gov't 
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700 1 |a Lougaris, Vassilios  |e verfasserin  |4 aut 
700 1 |a Notarangelo, Lucia Dora  |e verfasserin  |4 aut 
700 1 |a Soncini, Elena  |e verfasserin  |4 aut 
700 1 |a Comini, Marta  |e verfasserin  |4 aut 
700 1 |a Beghin, Alessandra  |e verfasserin  |4 aut 
700 1 |a Bolda, Federica  |e verfasserin  |4 aut 
700 1 |a Montanelli, Alessandro  |e verfasserin  |4 aut 
700 1 |a Imberti, Luisa  |e verfasserin  |4 aut 
700 1 |a Porta, Fulvio  |e verfasserin  |4 aut 
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