Adenosine deaminase (ADA, EC 3.5.4.4) is an enzyme of the purine metab
olism which has been the object of considerable interest mainly becaus
e the congenital defect causes severe combined immunodeficiency (SCID)
. In the last 10 years, ADA, which was considered to be cytosolic, has
been found on the cell surface of many cells and, therefore, it can b
e considered an ecto-enzyme. There is recent evidence about a specific
role of ecto-ADA, which is different from that of intracellular ADA.
Apart from degrading extracellular adenosine (Ado) or 2'-deoxyadenosin
e (dAdo), which are toxic for lymphocytes, ecto-ADA has an extraenzyma
tic function via its interaction with CD26. ADA/CD26 interaction resul
ts in co-stimulatory signals in T cells. This co-stimulation is blocke
d by HIV-1, thus evidencing a role for ecto-ADA in the pathophysiology
of AIDS. The fact that, besides CD26, ADA can interact with different
cell-surface proteins opens new perspectives in the research for a ro
le of ecto-ADA in the function of the immune system and in the interac
tions that take place between different cells in the development of th
e immune system. The most interesting aspect is the possible participa
tion of the ecto-enzyme in cell-to-cell contacts during ontogenesis an
d maturation of immunocompetent cells.