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Updated: Oct 17, 2025

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
A pleiotropic ATM variant (rs1800057 C>G) is associated with risk of multiple cancers
Danwen Qian1,2,3, Hongliang Liu2,3, Lingling Zhao2,3
1Department of Medical Oncology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Abstract:
ATM (ataxia-telangiectasia mutated) is an important cell-cycle checkpoint kinase required for cellular response to DNA damage. Activated by DNA double strand breaks, ATM regulates the activities of many downstream proteins involved in various carcinogenic events. Therefore, ATM or its genetic variants may have a pleiotropic effect on cancer development. We conducted a pleiotropic analysis to evaluate associations between genetic variants of ATM and risk of multiple cancers. With genotyping data extracted from previously published genome-wide association studies of various cancers, we performed multivariate logistic regression analysis, followed by a meta-analysis for each cancer site, to identify cancer risk-associated single-nucleotide polymorphisms (SNPs). In the ASSET two-sided analysis, we found that two ATM SNPs were significantly associated with risk of multiple cancers. One tagging SNP (rs1800057 C>G) was associated with risk of multiple cancers (two-sided P = 5.27 × 10-7). Because ATM rs1800057 is a missense variant, we also explored the intermediate phenotypes through which this variant may confer risk of multiple cancers and identified a possible immune-mediated effect of this variant. Our findings indicate that genetic variants of ATM may have a pleiotropic effect on cancer risk and thus provide an important insight into common mechanisms of carcinogenesis.
Insights
Genetic variants in the ATM gene show a significant association with the risk of developing multiple cancers. This suggests a pleiotropic role for ATM in cancer development, potentially involving immune-mediated effects.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- The ataxia-telangiectasia mutated (ATM) kinase is crucial for DNA damage response and cell-cycle regulation.
- ATM's role in DNA repair suggests its genetic variants may influence cancer development.
- ATM's involvement in cellular processes implies a potential pleiotropic effect on multiple cancer types.
Purpose of the Study:
- To investigate the pleiotropic effects of genetic variants in the ATM gene on the risk of multiple cancers.
- To identify specific single-nucleotide polymorphisms (SNPs) in ATM associated with cancer risk.
Main Methods:
- Utilized genotyping data from published genome-wide association studies (GWAS) across various cancer types.
- Performed multivariate logistic regression and meta-analysis to assess associations between ATM SNPs and cancer risk.
- Investigated intermediate phenotypes for significant missense variants to understand risk mechanisms.
Main Results:
- Identified two ATM SNPs significantly associated with the risk of multiple cancers.
- Specifically, the ATM tagging SNP rs1800057 (C>G) showed a strong association with overall cancer risk (P = 5.27 × 10-7).
- The missense variant rs1800057 may confer cancer risk through immune-mediated pathways.
Conclusions:
- Genetic variations in the ATM gene exhibit a pleiotropic effect on the risk of developing multiple cancers.
- The findings highlight ATM genetic variants as potential common factors in carcinogenesis.
- Further research into ATM's role, particularly rs1800057, may reveal novel insights into cancer prevention and treatment.
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