ADA (adenosine deaminase) – Enzyme Assay

Description
Adenosine deaminase (ADA) catalyses the deamination of adenosine and deoxyadenosine to inosine and deoxyinosine respectively. A deficiency of ADA leads to the accumulation of toxic dATP in T- and B- cells. The enzyme is assayed in red cell lysates as the conversion of adenosine to inosine using an HPLC-based method. This test is not currently included in the laboratory's UKAS scope of accreditation to ISO15189:2022.
Clinical details
Adenosine deaminase (ADA) deficiency is a cause of severe combined immunodeficiency. Patients typically present in the first few weeks of life with recurrent infections and failure to thrive. There is a lack T and B cell immunity and absent lymph nodes. High ADA enzyme activity levels are found in cases of Diamond-Blackfan anaemia (DBA), a congenital erythroid aplasia that usually presents in infancy.
Related condition
Reference range

40 - 100

Units
nmol/h/ mgHb
Testing site
Synnovis : Reference Services : Blackfriars Hub
Laboratory
Reference Chemistry
Sample type and volume required
EDTA (purple top) Mutation analysis and carrier testing available
Storage and transport
Store in fridge, ( don't freeze)to laboratory within 7 days/1st class post
Turnaround time
1 week

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