Evidence map›Paper›PMID 26922074›Full record

ArticleJournal of clinical immunology2016

Deficiency of Adenosine Deaminase 2 Causes Antibody Deficiency.

Johanna Schepp, Alla Bulashevska, Wilma Mannhardt-Laakmann, Hongzhi Cao, Fang Yang, Maximilian Seidl, Susan Kelly, Michael Hershfield, Bodo Grimbacher

Abstract read
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In one paragraph

Article in Journal of clinical immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Decoding neurovascular signatures: advanced imaging insights in DADA2-Related Cerebral Microangiopathy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Towards precision medicine for systemic lupus erythematosus and neuropsychiatric manifestations.Expert review of precision medicine and drug development · 2025
    Article
  8. Human ADA2 Deficiency: Ten Years Later.Current allergy and asthma reports · 2024
    Review
  9. Article
  10. A Cohort Study on Deficiency of ADA2 from China.Journal of clinical immunology · 2023
    Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Observational
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Johanna ScheppCCI-Center for Chronic Immunodeficiency, Universitätsklinikum Freiburg, Engesserstraße 4, 79108, Freiburg, Germany.
Alla BulashevskaCCI-Center for Chronic Immunodeficiency, Universitätsklinikum Freiburg, Engesserstraße 4, 79108, Freiburg, Germany.
Wilma Mannhardt-LaakmannZentrum für Kinder- und Jugendmedizin, Universitätsmedizin Mainz, 55131, Czernyweg, Mainz, Germany.
Hongzhi CaoScience and Technology Department, BGI-Shenzhen, Main Building, Beishan Industrial Zone, Yantian District, Shenzhen, 518083, China.
Fang YangScience and Technology Department, BGI-Shenzhen, Main Building, Beishan Industrial Zone, Yantian District, Shenzhen, 518083, China.
Maximilian SeidlCCI-Center for Chronic Immunodeficiency, Universitätsklinikum Freiburg, Engesserstraße 4, 79108, Freiburg, Germany.
Susan KellyDuke Biochemistry, University of Duke, Nanaline H. Duke, Box 3711, DUMC, Durham, NC, 27710, USA.
Michael HershfieldDuke Biochemistry, University of Duke, Nanaline H. Duke, Box 3711, DUMC, Durham, NC, 27710, USA.
Bodo GrimbacherCCI-Center for Chronic Immunodeficiency, Universitätsklinikum Freiburg, Engesserstraße 4, 79108, Freiburg, Germany. bodo.grimbacher@uniklinik-freiburg.de.
University Medical Center Freiburg · DEBGI Group (China) · CNJohannes Gutenberg University Mainz · DEUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDetermining the monogenic cause of antibody deficiency and immune dysregulation in a non-consanguineous family with healthy parents, two affected children, and one unaffected child.

methodsWhole Exome Sequencing (WES) was performed in the index family. WES results were confirmed by Sanger Sequencing. Dried plasma spots of the male patient and his mother were analyzed for ADA2 enzymatic activity.

resultsFollowing data analysis of WES, we found a compound heterozygous mutation in CECR1 (encoding adenosine deaminase 2, ADA2) that segregated in the two affected children. Enzyme activity measurement confirmed a severely diminished ADA2 activity in our patient. The 32 year old index patient was suffering from recurrent respiratory infections and was previously diagnosed with common variable immunodeficiency (CVID), showing no signs of vasculitis. His sister had a systemic lupus erythematosus (SLE)-like phenotype and died at age 17.

conclusionsDeficiency of ADA2 (DADA2) has been reported to cause vasculopathy and early-onset stroke. Our case suggests that it should also be considered when evaluating patients with antibody deficiencies and immune dysregulation syndromes.

Indexed as

Adenosine DeaminaseAdolescentAdultChildCommon Variable ImmunodeficiencyDried Blood Spot TestingExomeFemaleGene ExpressionHeterozygoteHigh-Throughput Nucleotide SequencingHumansImmunoglobulin AImmunoglobulin GIntercellular Signaling Peptides and ProteinsLupus Erythematosus, SystemicADA2 protein, humanAdenosine DeaminaseImmunoglobulin AImmunoglobulin GIntercellular Signaling Peptides and Proteinsantibody deficiencycommon variable immunodeficiencyDeficiency of ADA2primary immunodeficiencyrecurrent infectionssystemic lupus erythematosus

Identifiers

PMID26922074
OpenAlexW2277049958

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.