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Migliavacca, Maddalena; Assanelli, Andrea; Ponzoni, Maurilio; Pajno, Roberta; Barzaghi, Federica; Giglio, Fabio; Ferrua, Francesca; Frittoli, Marta; Brigida, Immacolata; Dionisio, Francesca; Nicoletti, Roberto; Casiraghi, Miriam; Roncarolo, Maria Grazia; Doglioni, Claudio; Peccatori, Jacopo; Ciceri, Fabio; Cicalese, Maria Pia; Aiuti, Alessandro
Frontiers in immunology, 02/2018, Letnik: 9Journal Article
Adenosine deaminase-deficient severe combined immunodeficiency disease (ADA-SCID) is a primary immune deficiency characterized by mutations in the ADA gene resulting in accumulation of toxic compounds affecting multiple districts. Hematopoietic stem cell transplantation (HSCT) from a matched donor and hematopoietic stem cell gene therapy are the preferred options for definitive treatment. Enzyme replacement therapy (ERT) is used to manage the disease in the short term, while a decreased efficacy is reported in the medium-long term. To date, eight cases of lymphomas have been described in ADA-SCID patients. Here we report the first case of plasmablastic lymphoma occurring in a young adult with ADA-SCID on long-term ERT, which turned out to be Epstein-Barr virus associated. The patient previously received infusions of genetically modified T cells. A cumulative analysis of the eight published cases of lymphoma from 1992 to date, and the case here described, reveals a high mortality (89%). The most common form is diffuse large B-cell lymphoma, which predominantly occurs in extra nodal sites. Seven cases occurred in patients on ERT and two after haploidentical HSCT. The significant incidence of immunodeficiency-associated lymphoproliferative disorders and poor survival of patients developing this complication highlight the priority in finding a prompt curative treatment for ADA-SCID.
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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in: SICRIS
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