Gene Therapy and ADA Deficiency
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Questions and Answers

Which of the following is true about adenosine deaminase (ADA) deficiency?

  • It is completely curable by enzyme replacement therapy.
  • It is caused by a mutation in the gene for adenosine deaminase. (correct)
  • It is a disorder of the immune system.
  • It can only be treated by bone marrow transplantation.
  • What is the first step in the gene therapy process for ADA deficiency?

  • Introducing the gene isolate from marrow cells into cells at early embryonic stages.
  • Growing lymphocytes from the patient's blood in a culture outside the body. (correct)
  • Injecting functional ADA into the patient.
  • Infusing genetically engineered lymphocytes periodically.
  • Why is enzyme replacement therapy not completely curative for ADA deficiency?

  • The enzyme replacement therapy does not address the underlying genetic cause. (correct)
  • The patient requires periodic infusion of genetically engineered lymphocytes.
  • The functional ADA is not effective in the patient's body.
  • The patient's immune system rejects the injected ADA.
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