Missense mutation and defective function of ATM in a childhood acute leukemia patient with MLL gene rearrangement

Blood. 2003 May 1;101(9):3622-7. doi: 10.1182/blood-2002-02-0570. Epub 2003 Jan 2.

Abstract

The possible involvement of germline mutation of the ataxia telangiectasia mutated (ATM) gene in childhood acute leukemia with mixed lineage leukemia (MLL) gene rearrangement (MLL(+)) was investigated. Of the 7 patients studied, 1 showed a germline missense ATM mutation (8921C>T; Pro2974Leu), located in the phosphatidylinositol-3 (PI-3) kinase domain. In reconstitution assays, the ATM mutant 8921T could only partially rescue the radiosensitive phenotype of AT fibroblasts, and in an in vitro kinase assay, it showed a defective phosphorylation of p53-Ser15. Furthermore, the introduction of 8921T in U2OS cells, characterized by a normal ATM/p53 signal transduction, caused a significant reduction of in vivo p53-Ser15 phosphorylation, suggesting a dominant-negative effect of the mutant ATM over the wild-type protein. Our finding in this patient suggests that altered function of ATM plays some pathogenic roles in the development of MLL(+) leukemia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ataxia Telangiectasia / pathology
  • Ataxia Telangiectasia Mutated Proteins
  • Bone Neoplasms / pathology
  • Cell Cycle Proteins
  • Cell Line / radiation effects
  • Cell Transformation, Neoplastic / genetics
  • Chromosomes, Human, Pair 11 / genetics
  • DNA Mutational Analysis
  • DNA, Neoplasm / genetics
  • DNA-Binding Proteins / genetics*
  • Female
  • Genes, Dominant
  • Genetic Complementation Test
  • Germ-Line Mutation
  • Histone-Lysine N-Methyltransferase
  • Humans
  • Infant
  • Leukemia, Monocytic, Acute / genetics
  • Male
  • Mutation, Missense*
  • Myeloid-Lymphoid Leukemia Protein
  • Osteosarcoma / pathology
  • Phosphatidylinositol 3-Kinases / metabolism
  • Phosphorylation
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / genetics*
  • Protein Processing, Post-Translational
  • Protein Serine-Threonine Kinases / genetics*
  • Protein Structure, Tertiary
  • Proto-Oncogenes*
  • Radiation Tolerance / genetics
  • Signal Transduction
  • Transcription Factors*
  • Translocation, Genetic
  • Tumor Cells, Cultured / metabolism
  • Tumor Suppressor Protein p53 / metabolism
  • Tumor Suppressor Proteins

Substances

  • Cell Cycle Proteins
  • DNA, Neoplasm
  • DNA-Binding Proteins
  • KMT2A protein, human
  • Transcription Factors
  • Tumor Suppressor Protein p53
  • Tumor Suppressor Proteins
  • Myeloid-Lymphoid Leukemia Protein
  • Histone-Lysine N-Methyltransferase
  • ATM protein, human
  • Ataxia Telangiectasia Mutated Proteins
  • Protein Serine-Threonine Kinases