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Evaluation · Q3

Q.The genetic defect adenosine deaminase deficiency may be cured permanently by a) Enzyme replacement therapy b) periodic infusion of genetically engineered lymphocytes having ADA cDNA c) administering adenosine deaminase activators d) introducing bone marrow cells producing ADA into embryo at an early stage of development

Puducherry TnboardTextbookSubjectiveImportance★★★★★
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✓ Free question

Step 1. Note the chapter's own distinction: bone marrow transplantation and enzyme replacement therapy can manage ADA deficiency in some patients, and the standard gene-therapy protocol (engineered lymphocytes reinfused into the patient) treats it — but none of these is described as a PERMANENT cure. Step 2. Standard somatic-cell gene therapy uses lymphocytes that are not immortal, so the patient needs periodic repeat infusions of freshly engineered cells — a lifelong, ongoing treatment rather than a one-time fix. Step 3. The text states explicitly that the disease could be cured permanently only if the corrected ADA gene, isolated from bone marrow cells, is introduced into the cells of the early embryonic stages — because that reaches every cell lineage the individual will ever develop, rather than one transient population of blood cells. Step 4. Eliminate the other options: enzyme replacement therapy only supplies the missing protein temporarily; periodic lymphocyte infusion is exactly the non-permanent standard approach; and 'ADA activators' are not a real therapeutic strategy described anywhere in the text.

✓Final answer

The correct option is d) — introducing ADA-producing bone marrow cells into the embryo at an early developmental stage is the only approach the chapter describes as a permanent cure.

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