Evidence map›Paper›PMID 40864493›Full record

ArticleThe Journal of experimental medicine2025

Dominant negative ADA2 mutations cause ADA2 deficiency in heterozygous carriers.

Marjon Wouters, Lisa Ehlers, Wout Van Eynde, Meltem Ece Kars, Selket Delafontaine, Verena Kienapfel, Mariia Dzhus, Rik Schrijvers, Petra De Haes, Sofie Struyf and 8 more

Erratum issuedAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. DADA2 as an autosomal dominant disease.Nature reviews. Rheumatology · 2025
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Marjon WoutersDepartment of Microbiology, Laboratory Inborn Errors of Immunity, Immunology and Transplantation, KU Leuven, Leuven, Belgium.ORCID 0000-0002-4675-1665
Lisa EhlersDepartment of Microbiology, Laboratory Inborn Errors of Immunity, Immunology and Transplantation, KU Leuven, Leuven, Belgium.ORCID 0000-0001-8737-001X
Wout Van EyndeDepartment of Chemistry, Biochemistry, Molecular and Structural Biology, KU Leuven, Leuven, Belgium.ORCID 0000-0001-9426-862X
Meltem Ece KarsThe Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai , New York, NY, USA.ORCID 0000-0001-5922-5608
Selket DelafontaineDepartment of Microbiology, Laboratory Inborn Errors of Immunity, Immunology and Transplantation, KU Leuven, Leuven, Belgium.ORCID 0000-0002-8985-8155
Verena KienapfelDepartment of Microbiology, Laboratory Inborn Errors of Immunity, Immunology and Transplantation, KU Leuven, Leuven, Belgium.ORCID 0009-0002-5476-2257
Mariia DzhusDepartment of Microbiology, Laboratory Inborn Errors of Immunity, Immunology and Transplantation, KU Leuven, Leuven, Belgium.ORCID 0000-0002-2077-4295
Rik SchrijversDepartment of Microbiology, Allergy and Clinical Immunology Research Group, Immunology and Transplantation, KU Leuven, Leuven, Belgium.ORCID 0000-0002-4261-6220
Petra De HaesDepartment of Dermatology, UZ Leuven, Leuven, Belgium.ORCID 0000-0001-6503-6088
Sofie StruyfDepartment of Microbiology, Immunology and Transplantation, Molecular Immunology (Rega Institute), KU Leuven, Leuven, Belgium.ORCID 0000-0003-4558-0769
Giorgia BucciolDepartment of Microbiology, Laboratory Inborn Errors of Immunity, Immunology and Transplantation, KU Leuven, Leuven, Belgium.ORCID 0000-0001-5004-0738
Yuval ItanDepartment of Chemistry, Biochemistry, Molecular and Structural Biology, KU Leuven, Leuven, Belgium.ORCID 0000-0003-4966-3238
Alexandre BolzeHelix , San Mateo, CA, USA.ORCID 0000-0001-7399-2766
Arnout VoetDepartment of Chemistry, Biochemistry, Molecular and Structural Biology, KU Leuven, Leuven, Belgium.ORCID 0000-0002-3329-2703
Anneleen HombrouckDepartment of Microbiology, Laboratory Inborn Errors of Immunity, Immunology and Transplantation, KU Leuven, Leuven, Belgium.ORCID 0009-0003-5236-6063
Leen MoensDepartment of Microbiology, Laboratory Inborn Errors of Immunity, Immunology and Transplantation, KU Leuven, Leuven, Belgium.ORCID 0000-0002-5347-6526
Benson OgunjimiDepartment of Pediatrics, Antwerp University Hospital, Antwerp, Belgium.ORCID 0000-0002-0831-2063
Isabelle MeytsDepartment of Microbiology, Laboratory Inborn Errors of Immunity, Immunology and Transplantation, KU Leuven, Leuven, Belgium.ORCID 0000-0003-1214-0302

Funding

Conduits: Mount Sinai Health System Translational Science HubUL1TR004419 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2022 to 2026
$46.4M
Berlin Institute of HealthCharité - Universitätsmedizin BerlinEuropean Reference Center for Primary Immunodeficiency Disorders, Autoinflammatory Disorders, Autoimmune Diseases and Pediatric RheumatologyEuropean Research Council 948959Icahn School of Medicine at Mount SinaiJeffrey Modell FoundationKU LeuvenNCATS NIH HHS UL1 TR004419NCATS NIH HHS UL1TR004419Research Foundation Flanders 11E0123NResearch Foundation Flanders 1805523NResearch Foundation Flanders G095522NResearch Foundation Flanders G0B5120NResearch Foundation Flanders G0C8517NResearch Foundation Flanders G0E8420N
6 · The paper itself

Abstract

Human ADA2 deficiency (DADA2) is an inborn error of immunity with a broad clinical phenotype, which encompasses vasculopathy and hemato-immunological features. Diagnosis is based on the combination of decreased serum ADA2 activity and the identification of biallelic deleterious alleles in the ADA2 gene. DADA2 carriers harbor a single pathogenic variant in ADA2 and are mostly considered healthy and asymptomatic. Here, we report ten patients from seven kindreds presenting with a phenotype indicative of DADA2, in whom only a single pathogenic variant was identified. We investigated the effect of these and additional reported ADA2 missense variants on ADA2 protein expression, secretion, and enzymatic activity. Our studies indicate that p.G47A, p.G47R, p.G47V, p.R169Q, p.E328K, p.H424N, and p.Y453C exert a dominant negative effect on ADA2 enzymatic activity, dimerization, and/or secretion. We conclude that humans with heterozygous dominant negative missense variants in ADA2 are at risk of DADA2.

Indexed as

Adenosine DeaminaseAgammaglobulinemiaGenes, DominantHeterozygoteIntercellular Signaling Peptides and ProteinsMutationSevere Combined ImmunodeficiencyAdultChildChild, PreschoolFemaleHereditary Autoinflammatory DiseasesHumansMaleMutation, MissensePedigreeADA2 protein, humanAdenosine DeaminaseIntercellular Signaling Peptides and Proteins

Identifiers

PMID40864493
PMCPMC12382605

What Socratic holds

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LicenceCC BY
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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 Socratic graph.