Ataxia telangiectasia: more variation at clinical and cellular levels

A M R Taylor, Z Lam, J I Last, P J Byrd

Research output: Contribution to journalArticlepeer-review

54 Citations (Scopus)

Abstract

Ataxia telangiectasia (A-T) is a rare recessively inherited disorder resulting in a progressive neurological decline. It is caused by biallelic mutation of the ATM gene that encodes a 370 kDa serine/threonine protein kinase responsible for phosphorylating many target proteins. ATM is activated by auto(trans)phosphorylation in response to DNA double strand breaks and leads to the activation of cell cycle checkpoints and either DNA repair or apoptosis as part of the cellular response to DNA damage. The allelic heterogeneity in A-T is striking. While the majority of mutations are truncating, leading to instability and loss of the ATM protein from the allele, a significant proportion of patients carry one of a small number of mutations that are either missense or leaky splice site mutations resulting in retention of some ATM with activity. The allelic heterogeneity in ATM, therefore, results in an equally striking clinical heterogeneity. There is also locus heterogeneity because mutation of the MRE11 gene can cause an obvious A-T like disorder both clinically and also at the cellular level and mutation of the RNF168 gene results in a much milder clinical phenotype, neurologically, with the major clinical feature being an immunological defect.

Original languageEnglish
Pages (from-to)199-208
Number of pages10
JournalClinical Genetics
Volume87
Issue number3
Early online date8 Sep 2014
DOIs
Publication statusPublished - Mar 2015

Bibliographical note

© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

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