Skip to main content

Advertisement

Log in

New mutations in the ATM gene and clinical data of 25 AT patients

  • ORIGINAL ARTICLE
  • Published:
neurogenetics Aims and scope Submit manuscript

Abstract

Ataxia telangiectasia (AT) is an autosomal recessive disorder characterized by cerebellar degeneration, immunodeficiency, oculocutaneous telangiectasias, chromosomal instability, radiosensitivity, and cancer predisposition. The gene mutated in the patients, ATM, encodes a member of the phosphatidylinositol 3-kinase family proteins. The ATM protein has a key role in the cellular response to DNA damage. Truncating and splice site mutations in ATM have been found in most patients with the classical AT phenotype. Here we report of our extensive ATM mutation screening on 25 AT patients from 19 families of different ethnic origin. Previously unknown mutations were identified in six patients including a new homozygous missense mutation, c.8110T>C (p.Cys2704Arg), in a severely affected patient. Comprehensive clinical data are presented for all patients described here along with data on ATM function generated by analysis of cell lines established from a subset of the patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Boder E, Sedgwick RP (1958) Ataxia-telangiectasia; a familial syndrome of progressive cerebellar ataxia, oculocutaneous telangiectasia and frequent pulmonary infection. Pediatrics 21(4):526–554

    PubMed  CAS  Google Scholar 

  2. Lavin MF, Shiloh Y (1997) The genetic defect in ataxia-telangiectasia. Annu Rev Immunol 15:177–202

    Article  PubMed  CAS  Google Scholar 

  3. Taylor AM, Harnden DG, Arlett CF, Harcourt SA, Lehmann AR, Stevens S, Bridges BA (1975) Ataxia telangiectasia: a human mutation with abnormal radiation sensitivity. Nature 258(5534):427–429

    Article  PubMed  CAS  Google Scholar 

  4. Savitsky K, Bar-Shira A, Gilad S, Rotman G, Ziv Y, Vanagaite L, Tagle DA, Smith S, Uziel T, Sfez S, Ashkenazi M, Pecker I, Frydman M, Harnik R, Patanjali SR, Simmons A, Clines GA, Sartiel A, Gatti RA, Chessa L, Sanal O, Lavin MF, Jaspers NG, Taylor AM, Arlett CF, Miki T, Weissman SM, Lovett M, Collins FS, Shiloh Y (1995) A single ataxia telangiectasia gene with a product similar to PI-3 kinase. Science 268(5218):1749–1753

    Article  PubMed  CAS  Google Scholar 

  5. Bakkenist CJ, Kastan MB (2003) DNA damage activates ATM through intermolecular autophosphorylation and dimer dissociation. Nature 421(6922):499–506

    Article  PubMed  CAS  Google Scholar 

  6. Daniel JA, Pellegrini M, Lee JH, Paull TT, Feigenbaum L, Nussenzweig A (2008) Multiple autophosphorylation sites are dispensable for murine ATM activation in vivo. J Cell Biol 183(5):777–783

    Article  PubMed  CAS  Google Scholar 

  7. Matsuoka S, Ballif BA, Smogorzewska A, McDonald ER 3rd, Hurov KE, Luo J, Bakalarski CE, Zhao Z, Solimini N, Lerenthal Y, Shiloh Y, Gygi SP, Elledge SJ (2007) ATM and ATR substrate analysis reveals extensive protein networks responsive to DNA damage. Science 316(5828):1160–1166

    Article  PubMed  CAS  Google Scholar 

  8. Lavin MF (2008) Ataxia-telangiectasia: from a rare disorder to a paradigm for cell signalling and cancer. Nat Rev Mol Cell Biol 9(10):759–769

    Article  PubMed  CAS  Google Scholar 

  9. Shiloh Y (2006) The ATM-mediated DNA-damage response: taking shape. Trends Biochem Sci 31(7):402–410

    Article  PubMed  CAS  Google Scholar 

  10. Platzer M, Rotman G, Bauer D, Uziel T, Savitsky K, Bar-Shira A, Gilad S, Shiloh Y, Rosenthal A (1997) Ataxia-telangiectasia locus: sequence analysis of 184 kb of human genomic DNA containing the entire ATM gene. Genome Res 7(6):592–605

    PubMed  CAS  Google Scholar 

  11. Fokkema IF, den Dunnen JT, Taschner PE (2005) LOVD: easy creation of a locus-specific sequence variation database using an “LSDB-in-a-box” approach. Hum Mutat 26(2):63–68

    Article  PubMed  CAS  Google Scholar 

  12. Lakin ND, Weber P, Stankovic T, Rottinghaus ST, Taylor AM, Jackson SP (1996) Analysis of the ATM protein in wild-type and ataxia telangiectasia cells. Oncogene 13(12):2707–2716

    PubMed  CAS  Google Scholar 

  13. Stankovic T, Kidd AM, Sutcliffe A, McGuire GM, Robinson P, Weber P, Bedenham T, Bradwell AR, Easton DF, Lennox GG, Haites N, Byrd PJ, Taylor AM (1998) ATM mutations and phenotypes in ataxia-telangiectasia families in the British Isles: expression of mutant ATM and the risk of leukemia, lymphoma, and breast cancer. Am J Hum Genet 62(2):334–345

    Article  PubMed  CAS  Google Scholar 

  14. Neitzel H (1986) A routine method for the establishment of permanent growing lymphoblastoid cell lines. Hum Genet 73(4):320–326

    Article  PubMed  CAS  Google Scholar 

  15. Demuth I, Digweed M, Concannon P (2004) Human SNM1B is required for normal cellular response to both DNA interstrand crosslink-inducing agents and ionizing radiation. Oncogene 23(53):8611–8618

    Article  PubMed  CAS  Google Scholar 

  16. Kubbies M, Hoehn H, Schindler D, Chen Y, Rabinovitch PS (1989) Cell cycle analysis via BrdU-Hoechst flow cytometry—principles and applications. In: Yen A (ed) Flow cytometry: advanced research and clinical applications, vol 2. CRC Press, Boca Raton, pp 6–28

    Google Scholar 

  17. Rabinovitch PS, Kubbies M, Chen YC, Schindler D, Hoehn H (1988) BrdU-Hoechst flow cytometry: a unique tool for quantitative cell cycle analysis. Exp Cell Res 174(2):309–318

    Article  PubMed  CAS  Google Scholar 

  18. Schindler D, Hoehn H (1999) Flow cytometric testing for syndromes with chromosomal instability, aplastic anemia and related hematological disorders. In: Wegner RD (ed) Diagnostic cytogenetics—Springer lab manual. Springer, Heidelberg, pp 269–281

    Google Scholar 

  19. Seyschab H, Sun Y, Friedl R, Schindler D, Hoehn H (1993) G2 phase cell cycle disturbance as a manifestation of genetic cell damage. Hum Genet 92(1):61–68

    Article  PubMed  CAS  Google Scholar 

  20. Sandoval N, Platzer M, Rosenthal A, Dork T, Bendix R, Skawran B, Stuhrmann M, Wegner RD, Sperling K, Banin S, Shiloh Y, Baumer A, Bernthaler U, Sennefelder H, Brohm M, Weber BH, Schindler D (1999) Characterization of ATM gene mutations in 66 ataxia telangiectasia families. Hum Mol Genet 8(1):69–79

    Article  PubMed  CAS  Google Scholar 

  21. Baumer A, Bernthaler U, Wolz W, Hoehn H, Schindler D (1996) New mutations in the ataxia telangiectasia gene. Hum Genet 98(2):246–249

    Article  PubMed  CAS  Google Scholar 

  22. Gilad S, Bar-Shira A, Harnik R, Shkedy D, Ziv Y, Khosravi R, Brown K, Vanagaite L, Xu G, Frydman M, Lavin MF, Hill D, Tagle DA, Shiloh Y (1996) Ataxia-telangiectasia: founder effect among North African Jews. Hum Mol Genet 5(12):2033–2037

    Article  PubMed  CAS  Google Scholar 

  23. Teraoka SN, Telatar M, Becker-Catania S, Liang T, Onengut S, Tolun A, Chessa L, Sanal O, Bernatowska E, Gatti RA, Concannon P (1999) Splicing defects in the ataxia-telangiectasia gene, ATM: underlying mutations and consequences. Am J Hum Genet 64(6):1617–1631

    Article  PubMed  CAS  Google Scholar 

  24. Gilad S, Chessa L, Khosravi R, Russell P, Galanty Y, Piane M, Gatti RA, Jorgensen TJ, Shiloh Y, Bar-Shira A (1998) Genotype–phenotype relationships in ataxia-telangiectasia and variants. Am J Hum Genet 62(3):551–561

    Article  PubMed  CAS  Google Scholar 

  25. Hiel JA, van Engelen BG, Weemaes CM, Broeks A, Verrips A, ter Laak H, Vingerhoets HM, van den Heuvel LP, Lammens M, Gabreels FJ, Last JI, Taylor AM (2006) Distal spinal muscular atrophy as a major feature in adult-onset ataxia telangiectasia. Neurology 67(2):346–349

    Article  PubMed  CAS  Google Scholar 

  26. Verhagen MM, Abdo WF, Willemsen MA, Hogervorst FB, Smeets DF, Hiel JA, Brunt ER, van Rijn MA, Majoor Krakauer D, Oldenburg RA, Broeks A, Last JI, van't Veer LJ, Tijssen MA, Dubois AM, Kremer HP, Weemaes CM, Taylor AM, van Deuren M (2009) Clinical spectrum of ataxia-telangiectasia in adulthood. Neurology 73(6):430–437

    Article  PubMed  CAS  Google Scholar 

  27. Scott SP, Bendix R, Chen P, Clark R, Dork T, Lavin MF (2002) Missense mutations but not allelic variants alter the function of ATM by dominant interference in patients with breast cancer. Proc Natl Acad Sci U S A 99(2):925–930

    Article  PubMed  CAS  Google Scholar 

  28. Mitui M, Campbell C, Coutinho G, Sun X, Lai CH, Thorstenson Y, Castellvi-Bel S, Fernandez L, Monros E, Carvalho BT, Porras O, Fontan G, Gatti RA (2003) Independent mutational events are rare in the ATM gene: haplotype prescreening enhances mutation detection rate. Hum Mutat 22(1):43–50

    Article  PubMed  CAS  Google Scholar 

  29. Sasaki T, Tian H, Kukita Y, Inazuka M, Tahira T, Imai T, Yamauchi M, Saito T, Hori T, Hashimoto-Tamaoki T, Komatsu K, Nikaido O, Hayashi K (1998) ATM mutations in patients with ataxia telangiectasia screened by a hierarchical strategy. Hum Mutat 12(3):186–195

    Article  PubMed  CAS  Google Scholar 

  30. Byrd PJ, Cooper PR, Stankovic T, Kullar HS, Watts GD, Robinson PJ, Taylor MR (1996) A gene transcribed from the bidirectional ATM promoter coding for a serine rich protein: amino acid sequence, structure and expression studies. Hum Mol Genet 5(11):1785–1791

    Article  PubMed  CAS  Google Scholar 

  31. Coutinho G, Mitui M, Campbell C, Costa Carvalho BT, Nahas S, Sun X, Huo Y, Lai CH, Thorstenson Y, Tanouye R, Raskin S, Kim CA, Llerena J Jr, Gatti RA (2004) Five haplotypes account for fifty-five percent of ATM mutations in Brazilian patients with ataxia telangiectasia: seven new mutations. Am J Med Genet A 126A(1):33–40

    Article  PubMed  Google Scholar 

  32. Wright J, Teraoka S, Onengut S, Tolun A, Gatti RA, Ochs HD, Concannon P (1996) A high frequency of distinct ATM gene mutations in ataxia-telangiectasia. Am J Hum Genet 59(4):839–846

    PubMed  CAS  Google Scholar 

  33. Gilad S, Khosravi R, Shkedy D, Uziel T, Ziv Y, Savitsky K, Rotman G, Smith S, Chessa L, Jorgensen TJ, Harnik R, Frydman M, Sanal O, Portnoi S, Goldwicz Z, Jaspers NG, Gatti RA, Lenoir G, Lavin MF, Tatsumi K, Wegner RD, Shiloh Y, Bar-Shira A (1996) Predominance of null mutations in ataxia-telangiectasia. Hum Mol Genet 5(4):433–439

    Article  PubMed  CAS  Google Scholar 

  34. Birrell GW, Kneebone K, Nefedov M, Nefedova E, Jartsev MN, Mitsui M, Gatti RA, Lavin MF (2005) ATM mutations, haplotype analysis, and immunological status of Russian patients with ataxia telangiectasia. Hum Mutat 25(6):593

    Article  PubMed  Google Scholar 

  35. Broeks A, de Klein A, Floore AN, Muijtjens M, Kleijer WJ, Jaspers NG, van't Veer LJ (1998) ATM germline mutations in classical ataxia-telangiectasia patients in the Dutch population. Hum Mutat 12(5):330–337

    Article  PubMed  CAS  Google Scholar 

  36. McConville CM, Stankovic T, Byrd PJ, McGuire GM, Yao QY, Lennox GG, Taylor MR (1996) Mutations associated with variant phenotypes in ataxia-telangiectasia. Am J Hum Genet 59(2):320–330

    PubMed  CAS  Google Scholar 

  37. Gilad S, Khosravi R, Harnik R, Ziv Y, Shkedy D, Galanty Y, Frydman M, Levi J, Sanal O, Chessa L, Smeets D, Shiloh Y, Bar-Shira A (1998) Identification of ATM mutations using extended RT-PCR and restriction endonuclease fingerprinting, and elucidation of the repertoire of A-T mutations in Israel. Hum Mutat 11(1):69–75

    Article  PubMed  CAS  Google Scholar 

  38. Mitui M, Nahas SA, Du LT, Yang Z, Lai CH, Nakamura K, Arroyo S, Scott S, Purayidom A, Concannon P, Lavin M, Gatti RA (2009) Functional and computational assessment of missense variants in the ataxia-telangiectasia mutated (ATM) gene: mutations with increased cancer risk. Hum Mutat 30(1):12–21

    Article  PubMed  CAS  Google Scholar 

  39. Larson GP, Zhang G, Ding S, Foldenauer K, Udar N, Gatti RA, Neuberg D, Lunetta KL, Ruckdeschel JC, Longmate J, Flanagan S, Krontiris TG (1997) An allelic variant at the ATM locus is implicated in breast cancer susceptibility. Genet Test 1(3):165–170

    Article  PubMed  CAS  Google Scholar 

  40. Sommer SS, Buzin CH, Jung M, Zheng J, Liu Q, Jeong SJ, Moulds J, Nguyen VQ, Feng J, Bennett WP, Dritschilo A (2002) Elevated frequency of ATM gene missense mutations in breast cancer relative to ethnically matched controls. Cancer Genet Cytogenet 134(1):25–32

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

We are indebted to the families for their participation in this study. We thank Mrs Susanne Rothe for the excellent technical assistance.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ilja Demuth.

Additional information

Ilja Demuth and Véronique Dutrannoy contributed equally to this work.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Demuth, I., Dutrannoy, V., Marques, W. et al. New mutations in the ATM gene and clinical data of 25 AT patients. Neurogenetics 12, 273–282 (2011). https://doi.org/10.1007/s10048-011-0299-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10048-011-0299-0

Keywords

Navigation