Table 1 Summary of neurological and cognitive alterations detected in untreated ADA-SCID patients (n = 5) and patients under enzyme replacement therapy (n = 15).

From: Alterations in the brain adenosine metabolism cause behavioral and neurological impairment in ADA-deficient mice and patients

 

Sex

Neurological alterations

Behavioural and cognitive alterations

dAXP

Consanguineous parents

Age at last evaluation

Years of PEG-ADA at evaluation

Untreated patients

Patient 1

F

MRI SS; EEG (1)

 

277

Yes

2.3

Patient 2

M

MRI SS

Eating disorder

450

No

1.0

Patient 3

F

MRI SS

 

138

Yes

1.5

Patient 4

M

MRI WM + SS; EEG (2); Motor delay (2), hypotonia (1), hyporeflexia (1), VEP latency (1)

Psychomotor retardation, verbal delay; eating disorder and logotherapy

6*

Yes

1.1

Patient 5

M

MRI WM

 

1639

Yes

0.3

    

mean years:

1.2

 

ADA-SCID patients (<3yrs of age) treated with ERT

Patient 6

F

 

Hyperactivity and attention deficit

2

Yes

1.4

1.1

Patient 7

M

MRI WM + SS; Coordination deficit (2)

Verbal delay; hyperactivity and attention deficit; eating disorder and PEG from 36th MAB

5

No

1.3

0.8

Patient 8

F

MRI WM; Sensorineural hypoacusia (1)

Psychomotor retardation, verbal delay

23

Yes

2.8

2.7

Patient 9

M

Motor delay (1)

 

0

No

1.2

0.8

Patient 10

M

EEG (1)

 

0

Yes

1.2

0.8

Patient 11

F

VEP latency (1)

 

0

No

1.8

0.4

Patient 12

M

EEG (1); MRI WM + VV

Hyperactivity

74

No

1.9

1.3

Patient 13

M

MRI SS; EEG (1)

 

0

Yes

0.5

0.6

    

mean years:

1.5

1.1

ADA-SCID patients (>3yrs of age) treated with ERT

Patient 14

M

Sensorineural hypoacusia (1)

Verbal deficit; hyperactivity and attention deficit

5

Yes

5.3

5.3

Patient 15

M

Sensorineural hypoacusia, requiring hearing device (2)

Verbal deficit

0

No

5.1

5.0

Patient 16

M

Motor delay (1); EEG (1), epilepsy, under anti-epileptic treatment; MRI WM + VV; Sensorineural hypoacusia, requiring hearing device (2)

Verbal deficit

0

No

27.0

25.5

Patient 17

F

Motor delay (1); EEG (1)

Verbal deficit

3

No

16.0

15.9

Patient 18

F

 

Verbal deficit

0

No

25.0

23.2

Patient 19

M

 

Anxiety; Verbal deficit; hyperactivity and attention deficit; eating disorder

0

Yes

15.0

14.8

Patient 20

M

Motor delay (2); EEG (2), epilepsy, under anti-epileptic treatment

Verbal deficit

3

No

3.7

3.4

Patient 21

M

 

Verbal deficit; hyperactivity and attention deficit

0

Yes

8.0

8.0

    

mean years:

13.1

12.6

  1. (1) mild manifestations, (2) severe manifestations, dAXP = deoxyadenosine nucleotide measured in peripheral blood samples, N.D. = Not Done; BAER = brainstem auditory evoked responses, EEG = electroencephalography, ERT = enzyme replacement therapy, MRI = magnetic resonance imaging, PEG = percutaneous endoscopic gastrostomy, MAB = months after birth, SS = subarachnoid spaces, VEP = visual evoked potential, VV = ventricles, WM = white matter; *patient received transfusion of RBC at time of evaluation.