Evidence map›Paper›PMID 28748310›Full record

ArticleJournal of clinical immunology2017

Long-Term Outcome of Adenosine Deaminase-Deficient Patients-a Single-Center Experience.

Ori Scott, Vy Hong-Diep Kim, Brenda Reid, Anne Pham-Huy, Adelle R Atkinson, Alessandro Aiuti, Eyal Grunebaum

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In one paragraph

Article in Journal of clinical immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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  13. Treating genes and patients.Gene therapy · 2020
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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

7 authors at 4 institutions in 2 countries.

Ori ScottDivision of Immunology and Allergy, Hospital for Sick Children, Toronto, ON, M5G 1X8, Canada.
Vy Hong-Diep KimDivision of Immunology and Allergy, Hospital for Sick Children, Toronto, ON, M5G 1X8, Canada.
Brenda ReidDivision of Immunology and Allergy, Hospital for Sick Children, Toronto, ON, M5G 1X8, Canada.
Anne Pham-HuyDivision of Pediatric Infectious Diseases, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Adelle R AtkinsonDivision of Immunology and Allergy, Hospital for Sick Children, Toronto, ON, M5G 1X8, Canada.
Alessandro AiutiSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget) and Pediatric Immunohematology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Eyal GrunebaumDivision of Immunology and Allergy, Hospital for Sick Children, Toronto, ON, M5G 1X8, Canada. eyal.grunebaum@sickkids.ca.
University of Toronto · CAHospital for Sick Children · CAChildren's Hospital of Eastern Ontario · CAVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInherited defects in the adenosine deaminase (ADA) enzyme can cause severe combined immune deficiency (SCID) and systemic abnormalities. Management options for ADA-deficient patients include enzyme replacement therapy (ERT), hematopoietic stem cell transplantation (HSCT), and gene therapy (GT). Here, we describe the long-term benefits of these treatments.

methodsSurvival, infections, systemic sequelae, and laboratory assessments were recorded for all ADA-deficient SCID patients, managed at a single center since 1985, who survived 5 or more years following treatment.

resultsOf 20 ADA-deficient patients, the 8 (40%) who survived 5 or more years (range 6-29.5 years, median 14 years) were included in the study. Among the long-term survivors, two patients were treated exclusively with ERT, five underwent HSCT (three from HLA-matched sibling donors, two from HLA-mismatched related donors), and one received GT. The long-term survivors often suffered from recurrent respiratory infections; however, opportunistic infections occurred in only one patient. Systemic sequelae included lung disease such as bronchiectasis and asthma (four patients), neurologic abnormalities (six patients), metabolic disturbances (two patients), allergy and autoimmunity (six patients), and neoplasms (three patients). Normal CD4

conclusionsADA-deficient patients commonly suffer from long-term complications, emphasizing the need for improved management and for multi-disciplinary follow-up.

Indexed as

Enzyme Replacement TherapyGenetic TherapyHematopoietic Stem Cell TransplantationAdenosine DeaminaseAdolescentAdultAgammaglobulinemiaAutoimmunityBronchiectasisChildFemaleHumansMaleRespiratory Tract InfectionsSevere Combined ImmunodeficiencySurvival AnalysisAdenosine Deaminaseadenosine deaminasebone marrow transplantenzyme replacementgene therapyImmune deficiencyPEG-ADA

Identifiers

PMID28748310
OpenAlexW2738936453

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.