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Research ArticlePediatric Rheumatology

Variable Clinical Phenotypes and Relation of Interferon Signature with Disease Activity in ADA2 Deficiency

Antonella Insalaco, Gian Marco Moneta, Manuela Pardeo, Ivan Caiello, Virginia Messia, Claudia Bracaglia, Chiara Passarelli and Fabrizio De Benedetti
The Journal of Rheumatology May 2019, 46 (5) 523-526; DOI: https://doi.org/10.3899/jrheum.180045
Antonella Insalaco
From the Division of Rheumatology, and the Unit of Medical Genetics, Laboratory of Cytogenetics and Molecular Genetics, Institute for Research and Health Care (IRCCS), Ospedale Pediatrico Bambino Gesù, Rome, Italy.
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  • For correspondence: antonella.insalaco@opbg.net
Gian Marco Moneta
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Manuela Pardeo
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Ivan Caiello
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Virginia Messia
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Claudia Bracaglia
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Chiara Passarelli
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Fabrizio De Benedetti
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Abstract

Objective. An upregulation of type I interferon (IFN) stimulated genes [IFN score (IS)] was described in patients with adenosine deaminase 2 deficiency (DADA2). We describe the clinical course of 5 such patients and the role of IS as a marker of disease activity and severity.

Methods. Expression levels of IS were determined by quantitative real-time PCR.

Results. Five white patients were identified as carrying CECR1 mutations. The IS before treatment was elevated in 4 out of 5 patients and decreased after treatment.

Conclusion. Our data confirm the high variability of DADA2 and suggest type I IS as a biomarker of disease activity.

Key Indexing Terms:
  • INTERFERON
  • ADA2 DEFICIENCY
  • DISEASE BIOMARKER
  • Accepted for publication September 13, 2018.
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The Journal of Rheumatology
Vol. 46, Issue 5
1 May 2019
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Variable Clinical Phenotypes and Relation of Interferon Signature with Disease Activity in ADA2 Deficiency
Antonella Insalaco, Gian Marco Moneta, Manuela Pardeo, Ivan Caiello, Virginia Messia, Claudia Bracaglia, Chiara Passarelli, Fabrizio De Benedetti
The Journal of Rheumatology May 2019, 46 (5) 523-526; DOI: 10.3899/jrheum.180045

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Variable Clinical Phenotypes and Relation of Interferon Signature with Disease Activity in ADA2 Deficiency
Antonella Insalaco, Gian Marco Moneta, Manuela Pardeo, Ivan Caiello, Virginia Messia, Claudia Bracaglia, Chiara Passarelli, Fabrizio De Benedetti
The Journal of Rheumatology May 2019, 46 (5) 523-526; DOI: 10.3899/jrheum.180045
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Keywords

INTERFERON
ADA2 DEFICIENCY
DISEASE BIOMARKER

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Keywords

  • INTERFERON
  • ADA2 DEFICIENCY
  • DISEASE BIOMARKER

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