Adenosine Deaminase (ADA)-Deficient Severe Combined Immune Deficiency (SCID) in the US Immunodeficiency Network (USIDNet) Registry.

Details

Serval ID
serval:BIB_D4F5DD043A76
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Adenosine Deaminase (ADA)-Deficient Severe Combined Immune Deficiency (SCID) in the US Immunodeficiency Network (USIDNet) Registry.
Journal
Journal of clinical immunology
Author(s)
Kuo C.Y., Garabedian E., Puck J., Cowan M.J., Sullivan K.E., Buckley R.H., Cunningham-Rundles C., Marsh R., Candotti F., Kohn D.B.
ISSN
1573-2592 (Electronic)
ISSN-L
0271-9142
Publication state
Published
Issued date
11/2020
Peer-reviewed
Oui
Volume
40
Number
8
Pages
1124-1131
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Clinical data from ADA-SCID patients registered in the U.S. Immunodeficiency Network (USIDNet) Repository were analyzed. Sixty-four ADA-SCID patients born between 1981 and 2017 had clinical data entered by their local (or home) enrolling institution. Median age at diagnosis was 1 month for those with a positive family history and 3 months for those without a prior family history, with some diagnosed at birth and one as late as 9 years of age. Overall survival was 79.7%, which increased to 94.1% since 2010. These patients had multiple infections and pulmonary, gastrointestinal, and neurological complications. The majority received enzyme replacement therapy (ERT) at some time, including 88% of those born since 2010. Twenty-six patients underwent allogeneic hematopoietic stem cell transplant (HSCT). HSCT successfully supported survival (17/26, 65%) using a variety of cell sources (bone marrow, mobilized peripheral blood, and cord blood) from sibling, family and unrelated donors. Nineteen patients underwent autologous HSCT with gene therapy (GT) using retroviral and lentiviral vectors and all are surviving. The prognosis for patients with ADA-SCID has continued to improve but these patients do have multiple early and potentially long-term conditions that require medical monitoring and management.
Keywords
ADA-SCID, Adenosine deaminase–deficient severe combined immune deficiency, US Immunodeficiency Network (USIDNet), gene therapy, hematopoietic stem cell transplant, immunodeficiency
Pubmed
Web of science
Create date
14/09/2020 12:55
Last modification date
23/11/2020 6:24
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