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ACR on Air

Deficiency of Adenosine Deaminase 2 (DADA 2)

Dec 17, 2024
Dr. Pui Y. Lee, a pediatric rheumatologist at Boston Children's Hospital and assistant professor at Harvard Medical School, shares his expertise on Deficiency of Adenosine Deaminase 2 (DADA2). He discusses the rarity of this hereditary auto-inflammatory disease and its diverse symptoms. The conversation dives into the significance of genetic testing and the challenges in diagnosis and treatment, including the ethical concerns surrounding pre-symptomatic care. Lee highlights innovative treatments like gene therapy and the importance of collaborative care for better patient outcomes.
50:22

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Quick takeaways

  • DADA 2, an often underdiagnosed autoinflammatory disease, affects approximately 1 in 220,000 individuals and presents with severe symptoms.
  • Challenging diagnosis of DADA 2 requires awareness of diverse phenotypes and the importance of genetic testing for early identification.

Deep dives

Understanding DATA2 and Its Impact

DATA2, or deficiency of adenosine deaminase 2, is a significant but often underdiagnosed autoinflammatory condition that presents a variety of symptoms, including vasculitis, immunodeficiency, and bone marrow failure. The disease is not as rare as one might think, with estimates suggesting about 1 in 220,000 individuals may be affected. The condition results from mutations affecting the ADA2 enzyme, which plays a crucial role in the immune system. Early recognition is vital, as some patients can experience severe symptoms such as early onset strokes, necessitating a collaborative approach across various medical specialties for diagnosis and care.

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