A nervous predisposition to unrepaired DNA double strand breaks
Abstract
Ataxia-telangiectasia (A-T) has for a long time stood apart from most other human neurodegenerative syndromes by the characteristic failure of cells derived from these patients to properly repair DNA damage-induced by ionizing radiation. The discovery of mutations in the ATM gene as being the underlying cause for A-T and the demonstration that the ATM protein functions as a DNA damage-responsive kinase has defined current research focusing on decoding how the cell responds to genotoxic stress. Yet, despite significant advances in delineating the cellular DNA damage response pathways coordinated by ATM, very little headway has been made toward understanding how loss of ATM leads to progressive cerebellar ataxia and whether this can be attributed to an underlying defect in DNA double strand break repair (DSBR). Since its identification, A-T has been used as the archetypal model for how a deficiency in DNA repair affects both the development and maintenance of the nervous and immune systems in humans as well as contributing to the process of tumourigenesis. However, following the growing availability and cost effectiveness of next generation sequencing technologies, the increasing recognition of novel human disorders associated with abnormal DNA repair has demonstrated that the neuropathology typified by A-T is an 'exception' rather than the 'rule'. As a consequence, this throws into doubt the longstanding hypothesis that the neurodegeneration seen in A-T is due to the progressive loss of damaged neurons that have acquired toxic levels of unrepaired DNA lesions over time. Therefore, this review aims to address the question: Is defective DNA double strand break repair an underlying cause of neurodegeneration?
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Ataxia telangiectasia results from a mutation in the ATM DNA damage sensing kinase.
“One of the aging syndromes, ataxia telangiectasia (AT), results from a genetic defect in the DNA damage sensing kinase ataxia telangiectasia mutated (ATM) [72,73].”
From T-cell aging in rheumatoid arthritis (2014) · cites this paper as [72]
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The Rad50 coiled-coil domain is indispensable for Mre11 complex functions
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Quantitative neurologic assessment of ataxia-telangiectasia
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Coping with DNA double strand breaks
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Nijmegen breakage syndrome (NBS) with neurological abnormalities and without chromosomal instability
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Brca2, Rad51 and Mre11: Performing balancing acts on replication forks
Costanzo, V. (2011) · DNA repair · doi:10.1016/j.dnarep.2011.07.009 · Cited by 77 · see citing works
Pitts, S. A. (2001) · Human Molecular Genetics · doi:10.1093/hmg/10.11.1155 · Cited by 75 · see citing works
Two Brothers with Ataxia-Telangiectasia-like Disorder with Lung Adenocarcinoma
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Neuropathology in classical and variant ataxia‐telangiectasia
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Requirement for DNA Ligase IV during Embryonic Neuronal Development
Gatz, S. A., Ju, L., Gruber, R., Hoffmann, E. R., Carr, A. M., Wang, Z.-Q., Liu, C., & Jeggo, P. A. (2011) · Journal of Neuroscience · doi:10.1523/jneurosci.1324-11.2011 · Cited by 67 · see citing works
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Two unrelated patients with MRE11A mutations and Nijmegen breakage syndrome-like severe microcephaly
Matsumoto, Y., Miyamoto, T., Sakamoto, H., Izumi, H., Nakazawa, Y., Ogi, T., Tahara, H., Oku, S., Hiramoto, A., Shiiki, T., et al. (2011) · DNA repair · doi:10.1016/j.dnarep.2010.12.002 · Cited by 62 · see citing works
A new locus for Seckel syndrome on chromosome 18p11.31-q11.2
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ATFresno: a phenotype linking ataxia-telangiectasia with the Nijmegen breakage syndrome.
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Adult‐onset ataxia telangiectasia due to ATM 5762ins137 mutation homozygosity
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Further support for digenic inheritance in Bardet-Biedl syndrome
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Rad50 Is Dispensable for the Maintenance and Viability of Postmitotic Tissues
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Severe reaction to radiotherapy for breast cancer as the presenting feature of ataxia telangiectasia
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Self-citationA divalent FHA/BRCT‐binding mechanism couples the MRE11–RAD50–NBS1 complex to damaged chromatin
Hari, F. J., Spycher, C., Jungmichel, S., Pavic, L., & Stucki, M. (2010) · EMBO Reports · doi:10.1038/embor.2010.30 · Cited by 37 · see citing works
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Dutrannoy, V., Demuth, I., Baumann, U., Schindler, D., Konrat, K., Neitzel, H., Gillessen‐Kaesbach, G., Radszewski, J., Rothe, S., Schellenberger, M. T., et al. (2010) · Human Mutation · doi:10.1002/humu.21315 · Cited by 33 · see citing works
New mutations in the ATM gene and clinical data of 25 AT patients
Demuth, I., Dutrannoy, V., Marques, W., Neitzel, H., Schindler, D., Dimova, P. S., Chrzańowska, K., Bojinova, V., Gregorek, H., Graul-Neumann, L. M., et al. (2011) · Neurogenetics · doi:10.1007/s10048-011-0299-0 · Cited by 30 · see citing works
ATM immunolocalization in mouse neuronal endosomes: implications for ataxia-telangiectasia
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Fertility defects revealing germline biallelic nonsense NBN mutations
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Allelic imbalance within the E-cadherin gene is an infrequent event in prostate carcinogenesis
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Flagged first, then by citations
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Sorted by citations
T-cell aging in rheumatoid arthritis
Weyand, C. M., Yang, Z., & Goronzy, J. J. (2014) · Current Opinion in Rheumatology · doi:10.1097/bor.0000000000000011 · Cited by 164 · see citing works
“Patients with RA have ATM-deficient T cells which accumulate DNA breaks and fail to efficiently repair radiationinduced DNA lesions [74].”
BackgroundInfluentialATM specifically mediates repair of double-strand breaks with blocked DNA ends
Álvarez-Quilón, A., Serrano-Benítez, A., Lieberman, J. A., Quintero, C., Sánchez‐Gutiérrez, D., Escudero, L. M., & Cortés‐Ledesma, F. (2014) · Nature Communications · doi:10.1038/ncomms4347 · Cited by 108 · see citing works
ATM: Expanding roles as a chief guardian of genome stability
Shiloh, Y. (2014) · Experimental Cell Research · doi:10.1016/j.yexcr.2014.09.002 · Cited by 107 · see citing works
“Concerns are expressed, however, about attributing the neurodegenerative aspects of A-T solely to the defective DSB response [78].”
BackgroundChromatin Regulation of DNA Damage Repair and Genome Integrity in the Central Nervous System
Pan, L., Penney, J., & Tsai, L. (2014) · Journal of Molecular Biology · doi:10.1016/j.jmb.2014.08.001 · Cited by 48 · see citing works
“However, ataxia telangiectasia and ataxia-telangiectasia-like disease are the exceptions [97,98].”
The cerebellar degeneration in ataxia-telangiectasia: A case for genome instability
Shiloh, Y. (2020) · DNA repair · doi:10.1016/j.dnarep.2020.102950 · Cited by 47 · see citing works
Coenzyme A, more than ‘just’ a metabolic cofactor
Srinivasan, B., & Sibon, O. C. M. (2014) · Biochemical Society Transactions · doi:10.1042/bst20140125 · Cited by 44 · see citing works
Ataxia telangiectasia syndrome: moonlighting ATM
Zaki‐Dizaji, M., Akrami, S. M., Abolhassani, H., Rezaei, N., & Aghamohammadi, A. (2017) · Expert Review of Clinical Immunology · doi:10.1080/1744666x.2017.1392856 · Cited by 41 · see citing works
“Also, other functions of ATM may be more important for maintenance of the cells in cerebellum from uncontrolled cell cycle reentry [256].”
BackgroundRAD50 phosphorylation promotes ATR downstream signaling and DNA restart following replication stress
Gatei, M. H., Kijas, A. W., Biard, D. S. F., Dörk, T., & Lavin, M. F. (2014) · Human Molecular Genetics · doi:10.1093/hmg/ddu141 · Cited by 36 · see citing works
“All of these proteins together with ATM respond to DNA DSB but differ in response during development and in the adultnervous system (12).”
BackgroundRNF8 deficiency results in neurodegeneration in mice
Ouyang, S., Song, Y., Tian, Y., Chen, Y., Yu, X., & Wang, D. (2015) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2015.07.010 · Cited by 35 · see citing works
“Defects in DSB repair have been detected in the cells of several human neurodegenerative syndromes, such as ataxia-telangiectasia (A-T) (Reynolds and Stewart, 2013).”
BackgroundSalem, M. G., El-ata, S. A. A., Elsayed, E. H., Mali, S. N., Alshwyeh, H. A., Almaimani, G., Almaimani, R. A., Almasmoum, H. A., Altwaijry, N., Al-Olayan, E. M., et al. (2023) · RSC Advances · doi:10.1039/d3ra06189b · Cited by 35 · see citing works
Structure of transcribed chromatin is a sensor of DNA damage
Pestov, N. A., Gerasimova, N. S., Kulaeva, O. I., & Studitsky, V. M. (2015) · Science Advances · doi:10.1126/sciadv.1500021 · Cited by 29 · see citing works
Heinzelmann, M. M., Reddy, S. Y., French, L. M., Wang, D., Lee, H., Barr, T. L., Baxter, T., Mysliwiec, V., & Gill, J. (2014) · Frontiers in Neurology · doi:10.3389/fneur.2014.00198 · Cited by 28 · see citing works
A single strand that links multiple neuropathologies in human disease
Reynolds, J. J., & Stewart, G. S. (2013) · Brain · doi:10.1093/brain/aws310 · Cited by 27 · see citing works
Self-citationCdk12 Regulates Neurogenesis and Late-Arising Neuronal Migration in the Developing Cerebral Cortex
Chen, H., Juan, H.-C., Wong, Y., Tsai, J., & Fann, M. (2016) · Cerebral Cortex · doi:10.1093/cercor/bhw081 · Cited by 25 · see citing works
RAD6B Plays a Critical Role in Neuronal DNA Damage Response to Resist Neurodegeneration
Guo, Z., Tian, Y., Guo, Y., Li, B., Liu, X., Xie, K., Song, Y., & Wang, D. (2019) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2019.00392 · Cited by 19 · see citing works
Introducing the Role of Genotoxicity in Neurodegenerative Diseases and Neuropsychiatric Disorders
Kisby, G. E., Wilson, D. M., & Spencer, P. S. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25137221 · Cited by 16 · see citing works
“…post-mitotic neuronal cell loss, or both, is supported by a collection of disorders with inherited mutations in core DNA repair factors, such as ataxia with oculomotor apraxia (AOA) types 1 and 2 and spinocerebellar atrophy with axonal neuropathy type 1 (SCAN1), amongst others [43,44].”
BackgroundRAD50 regulates mitotic progression independent of DNA repair functions
Völkening, L., Vatselia, A., Asgedom, G., Bastians, H., Lavin, M. F., Schindler, D., Schambach, A., Bousset, K., & Dörk, T. (2019) · The FASEB Journal · doi:10.1096/fj.201902318r · Cited by 15 · see citing works
DNA repair abnormalities leading to ataxia: shared neurological phenotypes and risk factors
Gilmore, E. C. (2014) · Neurogenetics · doi:10.1007/s10048-014-0415-z · Cited by 13 · see citing works
Structure of an Intranucleosomal DNA Loop That Senses DNA Damage during Transcription
Gerasimova, N. S., Игоревна, В. О., Pestov, N. A., Алексеевич, А. Г., Kirpichnikov, M. P., Shaytan, A. К., Sokolova, O. S., & Studitsky, V. M. (2022) · Cells · doi:10.3390/cells11172678 · Cited by 9 · see citing works
“Therefore, neural tissue is more sensitive to SSBR dysfunction, leading to various neurological disorders, such as age-associated and hereditary neurodegenerative diseases [4,5,13,14].”
BackgroundMicrocephalic primordial dwarfism in an Emirati patient with PNKP mutation
Nair, P., Hamzeh, A. R., Mohamed, M., Saif, F., Tawfiq, N., Halik, M. E., Al‐Ali, M. T., & Bastaki, F. (2016) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.37766 · Cited by 8 · see citing works
Gund, V., Sharma, S., Chandan, S., Garg, S., & Singh, S. (2025) · Journal of Applied Genetics · doi:10.1007/s13353-025-00968-2 · Cited by 6 · see citing works
Microglial inflammation in genome instability: A neurodegenerative perspective
Maliar, N. L., Talbot, E., Edwards, A. R., & Khoronenkova, S. V. (2024) · DNA repair · doi:10.1016/j.dnarep.2024.103634 · Cited by 5 · see citing works
Role of Histone Tails and Single Strand DNA Breaks in Nucleosomal Arrest of RNA Polymerase
Gerasimova, N. S., Pestov, N. A., & Studitsky, V. M. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24032295 · Cited by 4 · see citing works
“Genetic dysfunction of proteins involved in SSB repair (SSBR) cause hereditary diseases (reviewed in [1,4–7]), including neurological disorders [4,5,8,9].”
BackgroundReply: A single strand that links multiple neuropathologies in human disease
Reynolds, J. J., & Stewart, G. S. (2013) · Brain · doi:10.1093/brain/awt198 · Cited by 2 · see citing works
Self-citationDefective antibody production in double-strand DNA breakage syndromes: insights and implications
Shafiei, M., & Jamee, M. (2024) · LymphoSign Journal · doi:10.14785/lymphosign-2023-0013 · Cited by 1 · see citing works
Rerouting 'coenzyme A' biosynthesis
Srinivasan, B. (2015) · University of Groningen research database (University of Groningen / Centre for Information Technology)
- Authors
- Reynolds, J. J., & Stewart, G. S.
- Affiliations
- University of Birmingham (GB)
- Corresponding author
- Stewart, Grant S.
- Venue
- DNA Repair
- Publisher
- Elsevier BV
- Published
- 2013-08
- Volume
- 12
- Issue
- 8
- Pages
- 588-599
- ISSN
- 1568-7856 (ISSN-L)
- 1568-7864
- OpenAlex
- W2092119067
- Cited by
- 26
- References
- 137
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 2 · 2022: 1 · 2020: 1 · 2019: 2 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 7 · 2013: 3
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- DNA repair (publishedVersion)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Funders
- Cancer Research UK (13030)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Genetic Neurodegenerative Diseases
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Effects of Radiation Exposure
- Keywords
- ataxia telangiectasia, ATM kinase, DNA double-strand break repair, neurodegeneration, cerebellar ataxia, radiosensitivity, DNA damage response, genotoxic stress, DNA repair disorders, neuronal loss
- MeSH terms
- Ataxia Telangiectasia, DNA Repair, Growth Disorders, Humans, Microcephaly, Mutation, Nervous System, Neurons, Radiation, Ionizing, Neurodegenerative Diseases, Genetic Predisposition to Disease, DNA Repair-Deficiency Disorders, Nijmegen Breakage Syndrome, DNA Breaks, Double-Stranded, Ataxia Telangiectasia Mutated Proteins
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