Evidence map›Paper›PMID 18218852›Full record

Trial reportBlood2008

Altered intracellular and extracellular signaling leads to impaired T-cell functions in ADA-SCID patients.

Barbara Cassani, Massimiliano Mirolo, Federica Cattaneo, Ulrike Benninghoff, Michael Hershfield, Filippo Carlucci, Antonella Tabucchi, Claudio Bordignon, Maria Grazia Roncarolo, Alessandro Aiuti

Erratum issued Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT00598481 (ADA Gene Transfer Into Hematopoietic Stem/Progenitor Cells for the Treatment of ADA-SCID), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00598481 phase2completednot on this map

ADA Gene Transfer Into Hematopoietic Stem/Progenitor Cells for the Treatment of ADA-SCID

TypeinterventionalSponsorFondazione TelethonRan2002 to 2019Enrolled12ConditionsImmunologic Deficiency SyndromesArmsGene Therapy, Busulfan
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 75 citations in OpenAlex.

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  17. A map of human circular RNAs in clinically relevant tissues.Journal of molecular medicine (Berlin, Germany) · 2017
    Article
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  20. Review
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Barbara CassaniSan Raffaele Telethon Institute for Gene Therapy, Milan, Italy.
Massimiliano Mirolo
Federica Cattaneo
Ulrike Benninghoff
Michael Hershfield
Filippo Carlucci
Antonella Tabucchi
Claudio Bordignon
Maria Grazia Roncarolo
Alessandro Aiuti
The San Raffaele Telethon Institute for Gene Therapy · ITUniversity of Siena · ITDuke Medical Center · USVita-Salute San Raffaele University · IT

Funding

PHS HHS 20 902Telethon GAT0205
6 · The paper itself

Abstract

Mutations in the adenosine deaminase (ADA) gene are responsible for a form of severe combined immunodeficiency (SCID) caused by the lymphotoxic accumulation of ADA substrates, adenosine and 2'-deoxy-adenosine. The molecular mechanisms underlying T-cell dysfunction in humans remain to be elucidated. Here, we show that CD4(+) T cells from ADA-SCID patients have severely compromised TCR/CD28-driven proliferation and cytokine production, both at the transcriptional and protein levels. Such an impairment is associated with an intrinsically reduced ZAP-70 phosphorylation, Ca(2+) flux, and ERK1/2 signaling and to defective transcriptional events linked to CREB and NF-kappaB. Moreover, exposure to 2'-deoxy-adenosine results in a stronger inhibition of T-cell activation, mediated by the aberrant A(2A) adenosine receptor signaling engagement and PKA hyperactivation, or in a direct apoptotic effect at higher doses. Conversely, in T cells isolated from patients after gene therapy with retrovirally transduced hematopoietic stem/progenitor cells, the biochemical events after TCR triggering occur properly, leading to restored effector functions and normal sensitivity to apoptosis. Overall, our findings provide a better understanding of the pathogenesis of the immune defects associated with an altered purine metabolism and confirm that ADA gene transfer is an efficacious treatment for ADA-SCID. The trials in this study are enrolled at www.ClinicalTrials.gov as #NCT00598481 and #NCT0059978.

Indexed as

Signal TransductionAdenosine DeaminaseApoptosisCD4-Positive T-LymphocytesCyclic AMP-Dependent Protein KinasesCyclic AMP Response Element-Binding ProteinCytokinesDeoxyadenosinesEnzyme ActivationExtracellular Signal-Regulated MAP KinasesExtracellular SpaceGene Expression RegulationGenetic TherapyHumansIntracellular SpaceLymphocyte ActivationAdenosine DeaminaseCyclic AMP-Dependent Protein KinasesCyclic AMP Response Element-Binding ProteinCytokinesDeoxyadenosinesExtracellular Signal-Regulated MAP KinasesReceptor, Adenosine A2AReceptors, Antigen, T-Cell

Identifiers

PMID18218852
PMCPMC2288726
OpenAlexW2030122155

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.