Genomic profiling of acute lymphoblastic leukemia in ataxia telangiectasia patients reveals tight link between ATM mutations and chromothripsis
Abstract
Recent developments in sequencing technologies led to the discovery of a novel form of genomic instability, termed chromothripsis. This catastrophic genomic event, involved in tumorigenesis, is characterized by tens to hundreds of simultaneously acquired locally clustered rearrangements on one chromosome. We hypothesized that leukemias developing in individuals with Ataxia Telangiectasia, who are born with two mutated copies of the ATM gene, an essential guardian of genome stability, would show a higher prevalence of chromothripsis due to the associated defect in DNA double-strand break repair. Using whole-genome sequencing, fluorescence in situ hybridization and RNA sequencing, we characterized the genomic landscape of Acute Lymphoblastic Leukemia (ALL) arising in patients with Ataxia Telangiectasia. We detected a high frequency of chromothriptic events in these tumors, specifically on acrocentric chromosomes, as compared with tumors from individuals with other types of DNA repair syndromes (27 cases total, 10 with Ataxia Telangiectasia). Our data suggest that the genomic landscape of Ataxia Telangiectasia ALL is clearly distinct from that of sporadic ALL. Mechanistically, short telomeres and compromised DNA damage response in cells of Ataxia Telangiectasia patients may be linked with frequent chromothripsis. Furthermore, we show that ATM loss is associated with increased chromothripsis prevalence in additional tumor entities.
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Chromothripsis and BFB occur in many tumour types, and germline ATM and TP53 variants have been linked to such complex rearrangements in acute lymphoblastic leukaemia and medulloblastoma.
“Chromothripsis and BFB have been reported in numerous tumour types, and intriguingly, germline variants in ATM and TP53 were associated with such complex structural rearrangements in acute lymphoblastic leukaemia [26] and medulloblastoma [27].”
From Whole-genome sequencing reveals clinically relevant insights into the aetiology of familial breast cancers (2019) · cites this paper as [26]
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- Authors
- Ratnaparkhe, M., Hlevnjak, M., Kolb, T., Jauch, A., Maass, K. K., Devens, F., Rode, A., Hovestadt, V, Korshunov, A., Pastorczak, A., Mlynarski, W., Sungalee, S., Korbel, J., Hoell, J., Fischer, U., Milde, T., Kramm, C., Nathrath, M., Chrzanowska, K., Tausch, E., Takagi, M., Taga, T., Constantini, S., Loeffen, J., Meijerink, J., Zielen, S., Gohring, G., Schlegelberger, B., Maass, E., Siebert, R., Kunz, J., Kulozik, A. E., Worst, B., Jones, D. T., Pfister, S. M., Zapatka, M., Lichter, P., & Ernst, A.
- Affiliations
- German Cancer Research Center (DE)
- Heidelberg University (DE)
- Medical University of Lodz (PL)
- European Molecular Biology Laboratory (DE)
- Heinrich Heine University Düsseldorf (DE)
- University of Göttingen (DE)
- Klinikum Kassel (DE)
- Universität Ulm (DE)
- Tokyo Medical and Dental University (JP)
- Shiga University of Medical Science (JP)
- Tel Aviv University (IL)
- Erasmus MC - Sophia Children’s Hospital (NL)
- Princess Máxima Center (NL)
- Goethe University Frankfurt (DE)
- Medizinische Hochschule Hannover (DE)
- Olgahospital (DE)
- Christian-Albrechts-Universität zu Kiel (DE)
- Corresponding author
- Ernst, A
- ORCID
- Hlevnjak, M
- Kolb, T
- Jauch, A
- Maass, K K
- Hovestadt, V
- Korshunov, A
- Pastorczak, A
- Mlynarski, W
- Sungalee, S
- Korbel, J
- Hoell, J
- Fischer, U
- Milde, T
- Kramm, C
- Nathrath, M
- Tausch, E
- Takagi, M
- Taga, T
- Constantini, S
- Loeffen, J
- Meijerink, J
- Zielen, S
- Schlegelberger, B
- Siebert, R
- Kunz, J
- Kulozik, A E
- Jones, D T
- Pfister, S M
- Zapatka, M
- Lichter, P
- Ernst, A
- Venue
- Leukemia
- Published
- 2017-02-15
- Volume
- 31
- Issue
- 10
- Pages
- 2048-2056
- ISSN
- 0887-6924 (ISSN-L)
- 1476-5551
- OpenAlex
- W2588907340
- Cited by
- 63
- References
- 37
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 8 · 2023: 3 · 2022: 10 · 2021: 10 · 2020: 12 · 2019: 5 · 2018: 8 · 2017: 1
- FWCI
- 6.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Leukemia (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Acute Lymphoblastic Leukemia research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomic variations and chromosomal abnormalities
- Keywords
- acute lymphoblastic leukemia, ataxia telangiectasia, chromothripsis, ATM mutations, genomic instability, DNA double-strand break repair, DNA damage response, short telomeres, acrocentric chromosomes, tumor genomic landscape
- MeSH terms
- Chromothripsis, Adolescent, Ataxia Telangiectasia, Child, Child, Preschool, Chromosomes, Human, DNA Repair, DNA, Neoplasm, Female, Humans, Male, Mutation, Neoplasm Proteins, Neoplasms, RNA, Neoplasm, Genome, Human, In Situ Hybridization, Fluorescence, Sequence Analysis, DNA, Sequence Analysis, RNA, Genomic Instability, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Precursor T-Cell Lymphoblastic Leukemia-Lymphoma, Transcriptome, Telomere Shortening, Ataxia Telangiectasia Mutated Proteins
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