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Human Molecular Genetics Advance Access published online on July 21, 2004

Human Molecular Genetics, doi:10.1093/hmg/ddh221
© 2004 by Oxford University Press
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Article

MRE11 mutations and impaired ATM-dependent responses in an Italian family with Ataxia-Telangiectasia Like Disorder (ATLD)

Domenico Delia 1, Maria Piane 2, Giacomo Buscemi 1, Camilla Savio 2, Silvia Palmeri 3, Patrizia Lulli 2, Luigi Carlessi 1, Enrico Fontanella 1, Luciana Chessa 4*

1 Department of Experimental Oncology, Istituto Nazionale Tumori, Via G. Venezian 1, 20133 Milano, Italy
2 Department of Experimental Medicine Pathology, II Faculty of Medicine, University "La Sapienza", Roma, Italy
3 Department of Neurological Sciences, Policlinico Le Scotte, University of Siena, 53100 Siena, Italy
4 Department of Experimental Medicine Pathology, II Faculty of Medicine, University "La Sapienza", A.O. S. Andrea, Via di Grottarossa 1035, I-00189 Roma, Italy

* To whom correspondence should be addressed. E-mail: luciana.chessa{at}uniroma1.it.


   Abstract

Hypomorphic mutations of the MRE11 gene are the hallmark of the radiosensitive ataxia-telangiectasia-like disorder (ATLD). Here we describe a new family with two affected siblings, ATLD5 and ATLD6, now aged 37 and 36 respectively. They presented with late onset cerebellar degeneration slowly progressing until puberty and absence of telangiectasias and were cancer-free. Both patients were wild type for ATM and NBS1, but compound heterozygotes for MRE11 gene mutations [1422C->A, T481K; 1714C->T, R571X]. The 1422C->A allele was inherited from the mother, whereas the 1714C->T, paternally inherited, was apparently null as result of non-sense mediated mRNA decay (NMD). Interestingly, the 1714C->T mutation is the same previously identified in an unrelated English ATLD family (probands ATLD3 and ATLD4), suggesting an important role for NMD in saving potentially lethal mutations. Lymphoblastoid cells (LCLs) derived from ATLD5 and ATLD6 were normal for ATM, but defective for Mre11, Rad50 and Nbs1 (the MRN complex) protein expression. Their response to {gamma}-radiation was abnormal, as evidenced by the enhanced radiosensitivity, attenuated autophosphorylation of ATM-S1981 and phosphorylation of the ATM targets p53-S15 and Smc1-S966, failure to form Mre11 nuclear foci, and defective G1 checkpoint arrest. The fibroblasts but not LCLs from ATLD5 and ATLD6 showed an impaired ATM-dependent Chk2 phosphorylation. These findings further underscore the interconnection between ATM activity and MRN function, that rationalizes the clinical similarity between A-T and ATLD.


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