Information on ATM

Basic details

Alt. symbols: ATA | ATDC | ATC | ATD | TEL1 | TELO1

Approved name: ATM serine/threonine kinase
Alt. names: ataxia telangiectasia mutated (includes complementation groups A, C and D), ataxia telangiectasia mutated | TEL1, telomere maintenance 1, homolog (S. cerevisiae)

Location: 11q22.3: 108222804 - 108369102 (+)
Gene type: protein_coding, 62 transcripts.

Scores: LoFtool: 0.782000 | pLI: 0.00000000 | LOEUF: 0.710

HGNC: 795

NCBI: 472, RefSeq: NG_009830.1

Ensembl: ENSG00000149311.22

LRG_135 | Status: public

OMIM: 607585

Expression | ProteinAtlas

Normal function

The ATM gene encodes an evolutionarily ancient and important Ser/Thr PI3/PI4-kinase. ATM is an important cell cycle checkpoint that acts as a regulator of a wide variety of downstream proteins, including tumor suppressor proteins p53 and BRCA1, checkpoint kinase CHK2, checkpoint proteins RAD17 and RAD9, and DNA repair protein NBS1 - located primarily in the nucleus of cells - where it helps control the rate at which cells grow and divide. ATM also plays an important role in the normal development and activity of several body systems, including the nervous system and the immune system. Additionally, the ATM protein assists cells in recognizing damaged or broken DNA strands. ATM coordinates DNA repair by activating enzymes that fix the broken strands.

Dysfunction and disease

Bi-allelic splice site, frameshift, nonsense, missense and intronic mutations in ATM have been associated with autosomal recessive (AR) ataxia telangiectasia (A-T) [OMIM:208900], though a second variant may not always be identifiable for patients with a clinical diagnosis of A-T. A-T is a multi-system disease known for its broad spectrum of neurological and immune phenotypes, but also affecting other organs such as the liver. However, mono-allelic germline heterozygous variants may be associated with increased risk for certain malignancies, especially breast cancer in female carriers [MIM:114480]. Somatic mutations in ATM have also been associated with T-cell prolymphocytic leukemia, mantle cell lymphoma, and B-cell non-Hodgkin lymphoma. Selective IgA deficiency (sIgAD) is the main immunological problem detected in nearly half of A-T patients (PMID: 27266541). A review of the literature by Albohassani et al. (2016) noted 30 unique patients with confirmed ATM mutations who were found to be IgA deficient, while some siblings with the same ATM mutation(s) were immunologically normal or had either sIgAD or CVID (PMID: 11068401, 11981817, 15196260, 15880721, 23807571, 19705055, 22006793, 25614872). [Load More]

[Reviewed by Xiao P. Peng on 2022-07-08 22:00:50]

Associated conditions

Acronym Condition's_name MOI Mode_of_actionwww icon OMIM_ID No.cases
ATM Ataxia-telangiectasia ARdict. icon Loss of Function 208900www icon 0 (0 fams)

Please mind that full curation (inclusion of all published patients) of this gene has not started yet. Please contact us if you want to volunteer.

Transcripts of ATM

Name ENSEMBL_ID LRG_ID CCDS_ID MANE Transcript.type Exons Canonical CDS_length REFSEQ_ID
201 ENST00000278616.10 CCDS31669 protein_coding 63 No 13147 XM_005271562
231 ENST00000675843.1 1 CCDS31669 Select protein_coding 63 Yes 12915 NM_000051
224 ENST00000601453.3 protein_coding 64 No 582 XM_011542840
204 ENST00000524792.5 retained_intron No XM_006718845
203 ENST00000452508.7 CCDS31669 protein_coding 64 No 12954 NM_001351834
215 ENST00000531525.3 protein_coding 30 No 1513 XM_047426981
246 ENST00000683914.2 protein_coding No NM_001351835
254 ENST00000713593.1 nonsense_mediated_decay No XM_054368882
260 ENST00000713845.1 protein_coding No NM_001351836

Published variants

Found 6 variants

Var.name Exon/Intron cDNA_pos. CDS_change Prot.change Var.type Var.class. Patients
H674R EX13 2327 c.2021A>G p.His674Arg missense_variant Uncertain significance 0
H674R EX13 2171 c.2021A>G p.His674Arg missense_variant Uncertain significance 0
S707P EX13 2425 c.2119T>C p.Ser707Pro missense_variant Risk allele 1
EXIn15+1G>T In15 c.2376+1G>T splice_donor_variant Pathogenic 0
K1992T EX40 6281 c.5975A>C p.Lys1992Thr missense_variant Uncertain significance 0
K1992T EX40 6125 c.5975A>C p.Lys1992Thr missense_variant Uncertain significance 0

Please mind that full curation (inclusion of all published variants) of this gene has not started yet. Please contact us if you want to volunteer.

Diagnostic pitfalls & paradigms

Considerations to take into account when analyzing this gene

Year Paradigm ⓘ PMID Notes
- Regions of Homology -
2004Cryptic splicing14695534Authors report 9 atypical splicing variants in 12 A-T patients of diverse ethnical background. 5 variants were intronic near a splice-site, 1 variant (IVS20-579delAAGT) was deep intronic, and 3 were missense variants (W2483X,A2622V,Y171Y). They all resulted in virtually absent ATM protein levels.
1999Cryptic splicing10330348Authors reported many splice-altering variants, most of them affecting nucleotides near splice-sites; however 2 of them were silent (K750=, K1192=) resulting in skipping of exons 16 and 26 respectively.
2015Somatic reversion26677768Authors report the finding of a spontaneously reverted iPSC line generated from an A-T patient (Q3) who inherited 2 heterozygous germline truncating ATM mutations. This reverted iPSC line expressed ATM protein and was capable of radiation-induced phosphorylation of CHK2 and H2A.X. Authors concluded that gene correction of one of the mutations (c.217_218 delGA) likely occurred early in the reprogramming process.
-Uniparental disomy-Unreported or not recorded in our DB.
-Mosaicism-Unreported or not recorded in our DB.
-Incomplete penetrance-Unreported or not recorded in our DB.
-Di-/oligo-genic inheritance-Unreported or not recorded in our DB.

References linked to variants in ATM

ID Year Title Journal PMID Variants
98 2009 Rare, Evolutionarily Unlikely Missense Substitutions in ATM ... Am. J. Med. Genet. 19781682 1
99 2015 Patterns and functional implications of rare germline varian... Nat. Commun. 26689913 1
282 2001 Spectrum of ATM gene mutations in a hospital-based series of... Cancer Res. 11606401 1
392 2013 ATM mutations uniformly lead to ATM dysfunction in chronic l... Haematol. J. 23585524 1
393 2017 Deleterious germline mutations in patients with apparently s... J. Clin. Oncol. 28767289 1
394 2019 Familial breast cancer and DNA repair genes: Insights into k... Int. J. Caner 30303537 1
395 2019 Analysis of hereditary cancer syndromes by using a panel of ... BMC Cancer 31159747 1
396 2018 Germline mutation in the TP53 gene in uveal melanoma... Sci. Rep. 29769598 1
555 2016 Pathogenic and likely pathogenic variant prevalence among th... Genet. Med. 26681312 1

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