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ATM: Functions of ATM Kinase and Its Relevance to Hereditary Tumors
Sayaka Ueno1,2, Tamotsu Sudo1, Akira Hirasawa2
1Section of Translational Research, Hyogo Cancer Center, 13-70 Kita-Oji-cho, Akashi-shi 673-8558, Japan.
Abstract:
Ataxia-telangiectasia mutated (ATM) functions as a key initiator and coordinator of DNA damage and cellular stress responses. ATM signaling pathways contain many downstream targets that regulate multiple important cellular processes, including DNA damage repair, apoptosis, cell cycle arrest, oxidative sensing, and proliferation. Over the past few decades, associations between germline ATM pathogenic variants and cancer risk have been reported, particularly for breast and pancreatic cancers. In addition, given that ATM plays a critical role in repairing double-strand breaks, inhibiting other DNA repair pathways could be a synthetic lethal approach. Based on this rationale, several DNA damage response inhibitors are currently being tested in ATM-deficient cancers. In this review, we discuss the current knowledge related to the structure of the ATM gene, function of ATM kinase, clinical significance of ATM germline pathogenic variants in patients with hereditary cancers, and ongoing efforts to target ATM for the benefit of cancer patients.
Insights
Germline ATM variants increase cancer risk, particularly breast and pancreatic cancers. Targeting ATM-deficient cancers with DNA damage response inhibitors shows promise for new hereditary cancer therapies.
Area of Science:
- Genetics and Molecular Biology
- Cancer Biology
- DNA Damage Response
Background:
- The Ataxia-telangiectasia mutated (ATM) protein is crucial for cellular responses to DNA damage and stress.
- ATM signaling regulates DNA repair, apoptosis, cell cycle, and proliferation.
- Germline pathogenic variants in the ATM gene are linked to increased hereditary cancer risk, especially breast and pancreatic cancers.
Purpose of the Study:
- To review the structure and function of the ATM gene and kinase.
- To discuss the clinical significance of ATM germline variants in hereditary cancers.
- To explore the therapeutic potential of targeting ATM in cancer treatment.
Main Methods:
- Literature review of ATM gene structure, function, and clinical associations.
- Analysis of ATM's role in DNA double-strand break repair.
- Examination of synthetic lethal strategies and ongoing clinical trials involving DNA damage response inhibitors.
Main Results:
- ATM is a central regulator of DNA damage response pathways.
- Germline ATM variants confer susceptibility to specific cancers.
- Targeting DNA repair pathways in ATM-deficient cancers is a promising therapeutic strategy.
Conclusions:
- Understanding ATM's role is vital for diagnosing and treating hereditary cancers.
- Inhibitors targeting DNA damage response pathways offer potential for ATM-deficient cancer therapy.
- Further research into ATM-targeted therapies could improve patient outcomes.
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