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Primary microcephaly, impaired DNA replication, and genomic instability caused by compound heterozygous ATR mutations
Houda Mokrani-Benhelli1, Laetitia Gaillard, Patricia Biasutto
1Genome Dynamics in the Immune System, INSERM, Paris, France.
Abstract:
Ataxia telangiectasia-mutated (ATM) and ataxia telangiectasia and Rad3-related (ATR) kinases are two key regulators of DNA-damage responses (DDR) that are mainly activated in response to DNA double-strand breaks and single-stranded DNA damages, respectively. Seckel syndrome, a rare genetic disorder characterized by a microcephaly and a markedly reduced body size, has been associated with defective ATR-dependent DNA damage signaling. However, the only human genetic ATR defect reported so far is a hypomorphic splicing mutation identified in five related individuals with Seckel syndrome. Here, we report the first case of primary microcephaly with compound heterozygous mutations in ATR: a 540 kb genomic deletion on one allele and a missense mutation leading to splice dysregulation on the other, which ultimately lead to a sharp decrease in ATR expression. DNA combing technology revealed a profound spontaneous alteration of several DNA replication parameters in patient's cells and FISH analyses highlighted the genomic instability caused by ATR deficiency. Collectively, our results emphasize the crucial role for ATR in the control of DNA replication, and reinforce the complementary and nonredundant contributions of ATM and ATR in human cells to face DNA damages and warrant genome integrity.
Insights
Ataxia telangiectasia and Rad3-related (ATR) kinase deficiency causes primary microcephaly and genomic instability. This study identifies new ATR mutations, highlighting its critical role in DNA replication and genome integrity.
Area of Science:
- Genetics
- Molecular Biology
- Cell Biology
Background:
- Ataxia telangiectasia-mutated (ATM) and ataxia telangiectasia and Rad3-related (ATR) are crucial kinases regulating DNA-damage responses (DDR).
- ATR signaling defects are linked to Seckel syndrome, a rare genetic disorder featuring microcephaly and growth retardation.
- Previously, only one hypomorphic ATR splicing mutation was reported in Seckel syndrome patients.
Observation:
- This study reports the first case of primary microcephaly with compound heterozygous ATR mutations.
- The identified mutations include a large genomic deletion and a missense mutation affecting ATR splicing, leading to significantly reduced ATR expression.
- Patient cells exhibited altered DNA replication parameters and genomic instability, confirmed by DNA combing and FISH analyses.
Findings:
- ATR plays a critical role in controlling DNA replication fidelity.
- ATR deficiency profoundly impacts DNA replication parameters and leads to genomic instability.
- The findings reveal novel compound heterozygous mutations in ATR associated with primary microcephaly.
Implications:
- This research underscores the essential function of ATR in maintaining genome integrity during DNA replication.
- It highlights the nonredundant roles of ATM and ATR in cellular responses to DNA damage.
- The study provides new insights into the genetic basis of Seckel syndrome and related disorders.
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