ADA2

Chr 22AR

adenosine deaminase 2

Also known as: ADGF, CECR1, IDGFL, PAN, SNEDS, VAIHS

The protein is a secreted adenosine deaminase that degrades extracellular adenosine and regulates cell proliferation and differentiation. Biallelic mutations cause vasculitis, autoinflammation, immunodeficiency, and hematologic defects syndrome and Sneddon syndrome, both inherited in an autosomal recessive pattern. The gene is highly intolerant to loss-of-function variants, reflecting its critical role in immune and vascular function.

OMIMResearchSummary from RefSeq, OMIM, UniProt
DNmechanismARLOEUF 1.072 OMIM phenotypes
Clinical SummaryADA2
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Gene-Disease Validity (ClinGen)
deficiency of adenosine deaminase 2 · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.07LOEUF
pLI 0.000
Z-score 1.32
OE 0.68 (0.451.07)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.36Z-score
OE missense 0.94 (0.851.04)
280 obs / 297.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.68 (0.451.07)
00.351.4
Missense OE0.94 (0.851.04)
00.61.4
Synonymous OE0.96
01.21.6
LoF obs/exp: 14 / 20.5Missense obs/exp: 280 / 297.3Syn Z: 0.37
DN
0.7325th %ile
GOF
0.6052th %ile
LOF
0.2387th %ile

The highest-scoring mechanism for this gene is dominant-negative.

DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

ADA2 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold
Clinical Literature
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