Two siblings presenting with novel ADA2 variants, lymphoproliferation, persistence of large granular lymphocytes, and T-cell perturbations

  • F. Saettini
  • , G. Fazio
  • , P. Corti
  • , M. Quadri
  • , C. Bugarin
  • , G. Gaipa
  • , F. Penco
  • , D. Moratto
  • , M. Chiarini
  • , M. Baronio
  • , L. Gazzurelli
  • , L. Imberti
  • , S. Paghera
  • , S. Giliani
  • , G. Cazzaniga
  • , A. Plebani
  • , R. Badolato
  • , V. Lougaris
  • , M. Gattorno
  • , A. Biondi

Research output: Contribution to journalLetterpeer-review

17 Scopus citations

Abstract

The presence of large granular lymphocytes has been reported in patients with ADA2 deficiency and T-LGL leukemia. Here we describe two siblings with novel ADA2 variants, expanding the mutational spectrum of ADA2 deficiency. We show that lymphoproliferation, persistence of large granular lymphocytes, T-cell perturbations, and activation of PI3K pathway, measured by means of phosphorylation levels of S6, are detectable in DADA2 patients without T-LGL leukemia.

Original languageEnglish
Article number108525
JournalClinical Immunology
Volume218
DOIs
StatePublished - Sep 2020
Externally publishedYes

Keywords

  • ADA2 deficiency
  • DADA2
  • Hypogammaglobulinemia
  • Large granular lymphocytes
  • Lymphopenia
  • Lymphoproliferation
  • T-cell repertoire

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