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Updated: Jul 19, 2026

Modeling Breast Cancer in Human Breast Tissue using a Microphysiological System
Published on: April 23, 2021
The role of ATM in breast cancer development
Jana Prokopcova1, Zdenek Kleibl, Claire M Banwell
1Department of Biochemistry and Experimental Oncology, First Faculty of Medicine, Charles University, Prague, Czech Republic. jproko@lf1.cuni.cz
Abstract:
Complete or partial inability to sense and repair DNA damage increases the risk of developing cancer. The ataxia telangiectasia mutated (ATM) protein kinase has a crucial role in response to DNA double-strand breaks. Hereditary mutations in the ATM gene are the cause of a rare genomic instability syndrome ataxia telangiectasia (AT) characterized, among others, by elevated cancer risk. Although clear in homozygotes, numerous studies have failed to find a link between heterozygotes and cancer. However, there is increasing evidence that ATM heterozygotes have an increased risk of developing breast cancer. First, epidemiological studies conferred an increased risk of breast cancer among AT relatives. Second, in vitro studies of heterozygous cells provide strong evidence of hyperradiosensitivity. Third, some clinical studies found an increased frequency of ATM mutations among high-risk breast cancer families.
Insights
Individuals with mutations in the ataxia telangiectasia mutated (ATM) gene may face a higher risk of breast cancer. Research suggests ATM heterozygotes exhibit increased sensitivity to DNA damage, linking them to elevated cancer susceptibility.
Area of Science:
- Genetics
- Oncology
- DNA Repair
Background:
- DNA damage sensing and repair are critical for preventing cancer.
- The ataxia telangiectasia mutated (ATM) protein kinase is vital for responding to DNA double-strand breaks.
- Mutations in the ATM gene cause ataxia telangiectasia (AT), a syndrome linked to increased cancer risk.
Purpose of the Study:
- To investigate the association between ATM gene mutations and breast cancer risk.
- To explore the role of ATM heterozygosity in cancer predisposition.
- To consolidate evidence supporting an increased breast cancer risk in ATM heterozygotes.
Main Methods:
- Review of epidemiological studies on AT relatives and breast cancer incidence.
- In vitro analysis of DNA repair and radiosensitivity in heterozygous cells.
- Clinical examination of ATM mutation frequency in high-risk breast cancer families.
Main Results:
- Epidemiological data indicate a higher breast cancer risk in relatives of AT patients.
- Cellular studies demonstrate hyperradiosensitivity in ATM heterozygous cells.
- Clinical findings reveal an increased prevalence of ATM mutations in families with a history of breast cancer.
Conclusions:
- ATM heterozygosity is increasingly recognized as a risk factor for breast cancer.
- The cellular hyperradiosensitivity observed in heterozygotes supports their increased cancer susceptibility.
- Further research into ATM's role in sporadic and familial breast cancer is warranted.
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