Abstract
Many inborn errors of metabolism are known to occur in immune defence systems. Most of these involve non-specific immunity, particularly the complement and neutrophil granulocyte systems. Inborn errors of specific immunity were not described until recently. In this discussion, we will review the two most important diseases in this latter group, deficiency of adenosine deaminase (ADA) and purine nucleoside phosphorylase (PNP). Lack of transcobalamine II, leading to hypogammaglobulinaemia, may represent a third disorder in this group1 but we will not consider this entity here.
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References
Hitzig, W. H. and Kenny, A. B. (1975). The role of vitamin B12 and its transport globulins in the production of antibodies. Clin. Exp. Immunol., 20, 105
Giblett, E. R., Anderson, J. E., Cohen, F. et al. (1972). Adenosine deaminase deficiency in two patients with severely impaired cellular immunity. Lancet, ii, 1067
Dissing, J. and Knudsen, B. (1972). Adenosine deaminase deficiency and combined immunodeficiency syndrome. Lancet, ii, 1316
Meuwissen, H. J., Moore, E. C., Pollara, B. et al. (1977). Combined immunodeficiency of the ADA deficient type with re-establishment of B cell function after maternal marrow graft. In preparation.
Meuwissen, H. J., Pickering, R. J., Pollara, B. and Porter, I. H. (eds.) (1975). Combined Immunodeficiency Disease and Adenosine Deaminase Deficiency. A molecular defect. (New York: Academic Press)
Meuwissen, H. J., Pollara, B., Pickering, R. J. et al. (1975). Combined immunodeficiency disease associated with ADA deficiency. J. Pediatr., 86, 169
Hitzig, W. H., Landolt, R., Müller, G. and Bodmer, P. (1971). Heterogeneity of phenotypic expression in a family with Swiss-type agammaglobulinemia. Observations on the acquisition of agammaglobulinemia. J. Pediatr., 78, 968
Stoop, J. W., Zegers, B. J. M., Hendrickx, G. F. M. et al. (1977). Purine nucleoside phosphorylase deficiency associated with selective cellular immunodeficiency. N. Engl. J. Med., 296, 651
Ammann, A. and Hong, R. (1973). Cellular immunodeficiency disorders. In R. Stiehm and V. Fulginiti (eds.). Immunologic Disorders in Infants and Children, p. 236. (Philadelphia: Saunders)
Jenkins, T., Rabson, A., Nurse, G. et al. (1976). Deficiency of adenosine deaminase not associated with severe combined immunodeficiency. J. Pediatr., 89, 732
Scott, C. R., Chen, S. H. and Giblett, E. R. (1974). Detection of the carrier state in combined immunodeficiency disease associated with adenosine deaminase deficiency. J. Clin. Invest., 53, 1194
Ackeret, C., Plüss, H. J. and Hitzig, W. H. (1976). Hereditary severe combined immunodeficiency and adenosine deaminase deficiency. Pediatr. Res., 10, 67
Van Der Weyden, M., Buckley, R. and Kelley, W. (1974). Molecular form of adenosine deaminase in severe combined immunodeficiency. Biochem. Biophys. Res. Comm., 57, 590
Chen, S., Scott, C. and Giblett, E. (1974). Adenosine deaminase: Demonstration of a ‘silent’ gene associated with combined immunodeficiency disease. Am. J. Hum. Gene., 26, 103
Hirschhorn, R., Beratis, N. and Rosen, F. S. (1976). Characterization of residual enzyme activity in fibroblasts from patients with adenosine deaminase deficiency and combined immunodeficiency: Evidence for a mutant enzyme. Proc. Natl. Acad. Sci. US., 73, 213
Trotta, P. P., Smithwick, E. M. and Balis, M. E. (1976). A normal level of adenosine deaminase activity in the red cell lysates of carriers and patients with severe combined immunodeficiency disease. Proc. Natl. Acad. Sci. US., 73, 104
Conway, E. and Cooke, R. (1939). The deaminases of adenosine and adenylic acid in blood and tissues. Biochem. J., 33, 479
Brady, T. G. and O’Donovan, C. (1965). A study of the tissue distribution of adenosine deaminase in six mammal species. Comp. Biochem. Physiol., 14, 101
Van Der Weyden, M. B. and Kelley, W. N. (1976). Human adenosine deaminase — distribution and properties. J. Biol. Chem., 251, 5448
Adams, A. and Harkness, R. A. (1976). Adenosine deaminase activity in thymus and other human tissues. Clin. Exp. Immunol., 26, 647
Ratech, H. and Meuwissen, H. J. (1977). Adenosine deaminase in chicken thymus and bursa. (Submitted)
Hall, J. G. (1963). Adenosine deaminase activity in lymphoid cells during antibody production. Aust. J. Exp. Biol., 41, 93
Ballet, J. J., Insel, R., Merler, E. et al. (1976). Inhibition of maturation of human precursor lymphocytes by coformycin, an inhibitor of the enzyme adenosine deaminase. J. Exp. Med., 143, 1271
Lum, C. T., Sutherland, D. and Najarian, J. (1977). ADA inhibition and skin graft rejection. ADA inhibition for immunosuppression. N. Engl. J. Med., 296, 819
Chassin, M. M., Chirigos, M. A., Johns, D. et al. (1977). Adenosine deaminase inhibition for immunosuppression. N. Engl. J. Med., 296, 1232
Ochs, H. D. (1975). Combined immunodeficiency and adenosine deaminase deficiency. In H. J. Meuwissen, R. J. Pickering, B. Pollara, I. H. Porter (eds.). Combined Immunodeficiency Disease and Adenosine Deaminase Deficiency, p. 190. (New York: Academic Press)
Carson, D. and Seegmiller, J. (1976). Effect of adenosine deaminase inhibition upon human lymphocyte blastogenesis. J. Clin. Invest., 57, 274
Hovi, T., Smyth, J., Allison, A. et al. (1976). Role of adenosine deaminase in lymphocyte proliferation. Clin. Exp. Immunol., 23, 395
Meuwissen, H. J., Parker, K., Cook, B. and Pollara, B. (1976). Adenosine deaminase in proliferating lymphocytes and fibroblasts. Fed. Proc., 35, 821
Fischer, D., Van Der Weyden, M. B. et al. (1976). A role for adenosine deaminase in human monocyte maturation. J. Clin. Invest., 58, 399
Trotta, P. P. and Balis, M. E. (1977). Structural and kinetic alterations in adenosine deaminase associated with the differentiation of rat intestinal cells. Cancer Res., 37, 2297
Rothman, I., Silber, R. and Klein, K. (1971). Nucleoside deaminase and adenosine deaminase activities in regenerating mouse liver. Biochim. Biophys. Acta, 228, 307
Nishihara, H., Satsuki, I., Shinkai, K. et al. (1973). Multiple forms of human adenosine deaminase. II. Isolation and properties of a conversion factor from human lung. Biochim. Biophys. Acta, 302, 429
Hirschhorn, R. and Levytska, V. (1974). Alterations in isozymes of adenosine deaminase during stimulation of human peripheral blood lymphocytes. Cell. Immunol., 12, 387
Green, H. and Chan, T. S. (1973). Pyrimidine starvation induced by adenosine in fibroblasts and lymphoid cells. Role of adenosine deaminase. Science, 182, 836
Pickering, R. J. Personal communication
Personal observations
Parkman, R., Gelfand, E. W., Rosen, F. et al. (1975). Severe combined immunodeficiency and adenosine deaminase deficiency. N. Engl. J. Med., 292, 714
Polmar, S., Wetzler, E., Stern, R. et al. (1975). Restoration of in vitro lymphocyte responses with exogenous adenosine deaminase in a patient with severe combined immunodeficiency. Lancet, ii, 743
Schmalstieg, F. C., Nelson, J. A., Mills, G. et al. (1977). Increased purine nucleotides in adenosine deaminase-deficient lymphocytes. J. Pediatr., 91, 48
Agarwal, R., Crabtree, G., Parks, R. et al. (1976). Purine nucleoside metabolism in the erythrocytes of patients with adenosine deaminase deficiency and severe combined immunodeficiency. J. Clin. Invest., 57, 1025
Mills, G., Schmalstieg, F., Trimmer, K. et al. (1976). Purine metabolism in adenosine deaminase deficiency. Proc. Natl. Acad. Sci. USA, 73, 2867
Polmar, S., Stern, R., Schwartz, A. et al. (1976). Enzyme replacement therapy for adenosine deaminase deficiency and severe combined immunodeficiency. N. Engl. J. Med., 295, 1337
Lardy, H. and Parks, R. (1956). Influence of ATP concentration on rates of some phosphorylation reaction. In O. H. Gaebler (ed.). Enzymes: Units of Biological Structure and Function, p. 584. (New York: Academic Press)
Bourne, H., Lichtenstein, L., Melmon, K. et al. (1974). Modulation of inflammation and immunity by cyclic AMP. Science, 184, 19
Wolberg, G., Zimmerman, T. P. and Hiemstra, K. (1975). Adenosine inhibition of lymphocyte-mediated cytolysis. Possible role of cyclic adenosine monophosphate. Scienc., 187, 957
Hershfield, M. S., Snyder, F. F. and Seegmiller, J. E. (1977). Adenine and adenosine are toxic to human lymphoblast mutants defective in purine salvage enzymes. Science, 197, 1284
Hacker, B. and Feldbush, T. (1969). N6-(Δ2-isopentenyl) adenosine — effects upon nucleic acid synthesis in lymphocytes in vitro and the development of immunologic hypersensitivity in vivo. Biochem. Pharmacol., 18, 847
Carter, R. Personal communication
Hirschhorn, R. Personal communication
Giblett, E., Ammann, A., Wara, D. et al. (1975). Nucleoside phosphorylase deficiency in a child with severe defective T-cell immunity and normal B-cell immunity. Lancet, i, 1010
Cohen, A., Doyle, D., Martin, D. et al. (1976). Abnormal purine metabolism and purine overproduction in a patient deficient in purine nucleoside phosphorylase. N. Engl. J. Med., 295, 1449
Stoop, J. W., Eijsvoogel, V. P., Zegers, B. et al. (1976). Selective severe cellular immunodeficiency — effect of thymus transplantation and transfer factor administration. Clin. Immunol. Immunopathol., 6, 289
Griscelli, C., Hauret, M., Ballet, J. et al. (1976). Inosine phosphorylase deficiency with fatal vaccinia gangrenosa. Presented at the 3rd International Workshop of the Cooperative Group for Bone Marrow Transplantation in Man, August 19–21, New York.
Biggar, W. D. (1977). A new form of nucleoside phosphorylase deficiency in two brothers with defective T cell function. Presented at the National Pediatric Conference Honoring Dr J. Anderson, June 16–18, Minneapolis, Minnesota
Fox, I. H., Andres, C. M., Gelfand, E. et al. (1977). Purine nucleoside phosphorylase deficiency: Altered kinetic properties of a mutant enzyme. Science, 197, 1084
Parker, K., Schreinemachers, D. and Meuwissen, H. J. (1972). Lymphocyte recovery, purification and stimulation: A prospective study. Transplantation, 14, 135
Kalckar, H. (1947). Differential spectrophotometry of purine compounds by means of specific enzymes. J. Biol. Chem., 167, 429
Lowry, O. H. and Rosebrough, N. J. (1951). Protein measurement with the folin phenol reagent. J. Biol. Chem., 193, 265
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Meuwissen, H.J., Parker, K., Cook, B. (1979). Inborn errors of specific immunity: adenosine deaminase deficiency and purine nucleoside phosphorylase deficiency. In: Güttler, F., Seakins, J.W.T., Harkness, R.A. (eds) Inborn Errors of Immunity and Phagocytosis. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-6197-8_3
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DOI: https://doi.org/10.1007/978-94-011-6197-8_3
Publisher Name: Springer, Dordrecht
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