Concept:
The first successful clinical gene therapy was performed in 1990 for a genetic disorder affecting the immune system.
• Disease: ADA deficiency (Adenosine deaminase deficiency)
• Leads to Severe Combined Immunodeficiency (SCID) Step 1: Understanding the disease.
• ADA enzyme deficiency → toxic metabolite accumulation
• Results in impaired immune function
Step 2: Gene therapy approach.
• Functional ADA gene introduced into patient's cells
• Restores immune function
Step 3: Analyzing options.
• Adenosine deaminase deficiency: Correct → first gene therapy case.
• Other options: Not known gene therapy targets → Incorrect.
Step 4: Selecting the correct answer.
Thus, the first gene therapy was for ADA deficiency.