2020
DOI: 10.1016/j.dnarep.2020.102950
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The cerebellar degeneration in ataxia-telangiectasia: A case for genome instability

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Cited by 40 publications
(37 citation statements)
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“…The increased protein aggregation that occurs after a loss of ATM – including in A-T patient brains – has been recently attributed to an accumulation of DNA damage (Lee et al 2021). As an impaired response to DNA damage is believed to be the primary driving force of A-T phenotypes (Shiloh 2020), these findings have fueled the idea that a disruption of protein homeostasis may be an important disease mechanism in A-T. Our data provide further support for this, as they show that the widespread aggregation caused by a loss of ATM follows a predictable pattern that overlaps strikingly with the aggregation that is believed to underlie many neurodegenerative disorders. Importantly, our findings also provide a proof of principle that other genotoxic conditions – including chemotherapeutic topoisomerase poisons – can have a very similar impact.…”
Section: Discussionsupporting
confidence: 66%
“…The increased protein aggregation that occurs after a loss of ATM – including in A-T patient brains – has been recently attributed to an accumulation of DNA damage (Lee et al 2021). As an impaired response to DNA damage is believed to be the primary driving force of A-T phenotypes (Shiloh 2020), these findings have fueled the idea that a disruption of protein homeostasis may be an important disease mechanism in A-T. Our data provide further support for this, as they show that the widespread aggregation caused by a loss of ATM follows a predictable pattern that overlaps strikingly with the aggregation that is believed to underlie many neurodegenerative disorders. Importantly, our findings also provide a proof of principle that other genotoxic conditions – including chemotherapeutic topoisomerase poisons – can have a very similar impact.…”
Section: Discussionsupporting
confidence: 66%
“…In agreement with this, loss of kinase activity of the yeast ATM/ATR kinase Mec1-or its downstream signaling targets-also causes widespread protein aggregation and confers sensitivity to stresses challenging protein homeostasis (Corcoles-Saez et al 2018). Considering the notion that in A-T, it is-arguably-the absence of ATM's central role in the response to DNA damage which is responsible for the strong cerebellar degeneration observed (Shiloh 2020), this raises the question if genomic instability-induced loss of protein homeostasis could be an underlying pathogenic mechanism in this context.…”
Section: Genome Maintenance Defects Are Causally Linked To a Loss Ofmentioning
confidence: 99%
“…Null mutations in the Atm gene that cause the loss of functional ATM, a 370 kDa protein, results in severe characteristic cerebral ataxia and dilated blood vessels present in the conjunctivae of the eyes, also known as telangiectasia [6]. Moreover, nonfunctional ATM has been associated with an increased risk for cancer, radiation sensitivity, endocrine disruption, progressive neurodegeneration, premature ageing, and chromosomal instability (most recently reviewed by Shiloh [7]). The degree of disease severity is dependent on the type of mutation in the Atm gene (single or bi-allelic) and heterozygous patients, which make up as much as 1.4-2% of the general population, also exhibit a high incidence of ischaemic heart disease and insulin resistance [8,9].…”
Section: Introductionmentioning
confidence: 99%