Step 1: ADA-deficiency leads to immunodeficiency and one treatment is gene therapy using engineered lymphocytes. So, Assertion (A) is true.
Step 2: Since lymphocytes have limited lifespan, the treatment must be repeated—making Reason (R) true.
Step 3: As the short life of lymphocytes explains the need for repeated infusion, (R) correctly explains (A).
Thus, both (A) and (R) are true and (R) is the correct explanation of (A).