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Updated: Oct 23, 2025

Author Spotlight: Deciphering the Role of ATM in Ataxia-Telangiectasia and the Associated Cerebellar Degeneration
Published on: December 27, 2024
Cellular functions of the protein kinase ATM and their relevance to human disease
1The Department of Molecular Biosciences, The University of Texas at Austin, Austin, TX, USA.
Abstract:
The protein kinase ataxia telangiectasia mutated (ATM) is a master regulator of double-strand DNA break (DSB) signalling and stress responses. For three decades, ATM has been investigated extensively to elucidate its roles in the DNA damage response (DDR) and in the pathogenesis of ataxia telangiectasia (A-T), a human neurodegenerative disease caused by loss of ATM. Although hundreds of proteins have been identified as ATM phosphorylation targets and many important roles for this kinase have been identified, it is still unclear how ATM deficiency leads to the early-onset cerebellar degeneration that is common in all individuals with A-T. Recent studies suggest the existence of links between ATM deficiency and other cerebellum-specific neurological disorders, as well as the existence of broader similarities with more common neurodegenerative disorders. In this Review, we discuss recent structural insights into ATM regulation, and possible aetiologies of A-T phenotypes, including reactive oxygen species, mitochondrial dysfunction, alterations in transcription, R-loop metabolism and alternative splicing, defects in cellular proteostasis and metabolism, and potential pathogenic roles for hyper-poly(ADP-ribosyl)ation.
Insights
Ataxia telangiectasia mutated (ATM) kinase is crucial for DNA repair. ATM deficiency causes neurodegeneration in Ataxia-Telangiectasia (A-T) by disrupting cellular processes, though the exact mechanisms remain under investigation.
Area of Science:
- Molecular Biology
- Neuroscience
- Genetics
Background:
- The protein kinase ataxia telangiectasia mutated (ATM) is a key regulator of DNA damage response (DDR).
- Loss of ATM function causes Ataxia-Telangiectasia (A-T), a neurodegenerative disorder characterized by cerebellar degeneration.
- Despite extensive research, the precise mechanisms linking ATM deficiency to cerebellar degeneration are not fully understood.
Purpose of the Study:
- To review recent structural insights into ATM regulation.
- To discuss potential etiologies of A-T phenotypes stemming from ATM deficiency.
- To explore links between ATM deficiency and other neurological disorders.
Main Methods:
- Literature review of recent structural and mechanistic studies on ATM.
- Synthesis of findings on ATM's role in DNA damage signaling and stress responses.
- Analysis of proposed mechanisms contributing to A-T pathogenesis.
Main Results:
- ATM regulates double-strand DNA break (DSB) signaling and cellular stress responses.
- ATM deficiency is linked to cerebellar degeneration in A-T patients.
- Potential contributing factors to A-T phenotypes include oxidative stress, mitochondrial dysfunction, altered transcription, R-loop metabolism, and proteostasis defects.
Conclusions:
- Understanding ATM regulation and its deficiency's impact is critical for A-T research.
- Multiple cellular pathways are implicated in ATM-deficiency-induced neurodegeneration.
- Further research may reveal broader connections to common neurodegenerative diseases.
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