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American Journal of Human Genetics logoLink to American Journal of Human Genetics
. 1988 Jan;42(1):66–73.

Patients with an inherited syndrome characterized by immunodeficiency, microcephaly, and chromosomal instability: genetic relationship to ataxia telangiectasia.

N G Jaspers 1, R D Taalman 1, C Baan 1
PMCID: PMC1715319  PMID: 3337113

Abstract

Fibroblast cultures from six unrelated patients having a familial type of immunodeficiency combined with microcephaly, developmental delay, and chromosomal instability were studied with respect to their response to ionizing radiation. The cells from five of them resembled those from individuals with ataxia telangiectasia (AT) in that they were two to three times more radiosensitive on the basis of clonogenic cell survival. In addition, after exposure to either X-rays or bleomycin, they showed an inhibition of DNA replication that was less pronounced than that in normal cells and characteristic of AT fibroblasts. However, the patients are clinically very different from AT patients, not showing any signs of neurocutaneous symptoms. Genetic complementation studies in fused cells, with the radioresistant DNA synthesis used as a marker, showed that the patients' cells could complement representatives of all presently known AT complementation groups. Furthermore, they were shown to constitute a genetically heterogeneous group as well. It is concluded that these patients are similar to AT patients with respect to cytological parameters. The clinical differences between these patients and AT patients are a reflection of genetic heterogeneity. The data indicate that the patients suffer from a chromosome-instability syndrome that is distinct from AT.

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Selected References

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  1. Byrne E., Hallpike J. F., Manson J. I., Sutherland G. R., Thong Y. H. Ataxia-without-telangiectasia. Progressive multisystem degeneration with IgE deficiency and chromosomal instability. J Neurol Sci. 1984 Nov-Dec;66(2-3):307–317. doi: 10.1016/0022-510x(84)90019-4. [DOI] [PubMed] [Google Scholar]
  2. Conley M. E., Spinner N. B., Emanuel B. S., Nowell P. C., Nichols W. W. A chromosomal breakage syndrome with profound immunodeficiency. Blood. 1986 May;67(5):1251–1256. [PubMed] [Google Scholar]
  3. Cramer P., Painter R. B. Bleomycin-resistant DNA synthesis in ataxia telangiectasia cells. Nature. 1981 Jun 25;291(5817):671–672. doi: 10.1038/291671a0. [DOI] [PubMed] [Google Scholar]
  4. Daneshbod-Skibba G., Therman E., Shahidi N. T. A boy with congenital malformations and chromosome breakage. Am J Med Genet. 1980;5(3):315–320. doi: 10.1002/ajmg.1320050315. [DOI] [PubMed] [Google Scholar]
  5. Gatti R. A., Bick M., Tam C. F., Medici M. A., Oxelius V. A., Holland M., Goldstein A. L., Boder E. Ataxia-Telangiectasia: a multiparameter analysis of eight families. Clin Immunol Immunopathol. 1982 May;23(2):501–516. doi: 10.1016/0090-1229(82)90134-9. [DOI] [PubMed] [Google Scholar]
  6. Helmerhorst F. M., Heaton D. C., Crossen P. E., von dem Borne A. E., Engelfriet C. P., Natarajan A. T. Familial thrombocytopenia associated with platelet autoantibodies and chromosome breakage. Hum Genet. 1984;65(3):252–256. doi: 10.1007/BF00286512. [DOI] [PubMed] [Google Scholar]
  7. Jaspers N. G., Bootsma D. Genetic heterogeneity in ataxia-telangiectasia studied by cell fusion. Proc Natl Acad Sci U S A. 1982 Apr;79(8):2641–2644. doi: 10.1073/pnas.79.8.2641. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Jaspers N. G., Painter R. B., Paterson M. C., Kidson C., Inoue T. Complementation analysis of ataxia-telangiectasia. Kroc Found Ser. 1985;19:147–162. [PubMed] [Google Scholar]
  9. Jaspers N. G., de Wit J., Regulski M. R., Bootsma D. Abnormal regulation of DNA replication and increased lethality in ataxia telangiectasia cells exposed to carcinogenic agents. Cancer Res. 1982 Jan;42(1):335–341. [PubMed] [Google Scholar]
  10. Maraschio P., Peretti D., Lambiase S., Lo Curto F., Caufin D., Gargantini L., Minoli L., Zuffardi O. A new chromosome instability disorder. Clin Genet. 1986 Nov;30(5):353–365. doi: 10.1111/j.1399-0004.1986.tb01892.x. [DOI] [PubMed] [Google Scholar]
  11. Murnane J. P., Painter R. B. Complementation of the defects of DNA synthesis in irradiated and unirradiated ataxia-telangiectasia cells. Proc Natl Acad Sci U S A. 1982 Mar;79(6):1960–1963. doi: 10.1073/pnas.79.6.1960. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Painter R. B. Radioresistant DNA synthesis: an intrinsic feature of ataxia telangiectasia. Mutat Res. 1981 Nov;84(1):183–190. doi: 10.1016/0027-5107(81)90061-0. [DOI] [PubMed] [Google Scholar]
  13. Seemanová E., Passarge E., Beneskova D., Houstek J., Kasal P., Sevcíková M. Familial microcephaly with normal intelligence, immunodeficiency, and risk for lymphoreticular malignancies: a new autosomal recessive disorder. Am J Med Genet. 1985 Apr;20(4):639–648. doi: 10.1002/ajmg.1320200410. [DOI] [PubMed] [Google Scholar]
  14. Shiloh Y., Tabor E., Becker Y. The response of ataxia-telangiectasia homozygous and heterozygous skin fibroblasts to neocarzinostatin. Carcinogenesis. 1982;3(7):815–820. doi: 10.1093/carcin/3.7.815. [DOI] [PubMed] [Google Scholar]
  15. Taalman R. D., Jaspers N. G., Scheres J. M., de Wit J., Hustinx T. W. Hypersensitivity to ionizing radiation, in vitro, in a new chromosomal breakage disorder, the Nijmegen Breakage Syndrome. Mutat Res. 1983 Feb;112(1):23–32. doi: 10.1016/0167-8817(83)90021-4. [DOI] [PubMed] [Google Scholar]
  16. Taylor A. M. Unrepaired DNA strand breaks in irradiated ataxia telangiectasia lymphocytes suggested from cytogenetic observations. Mutat Res. 1978 Jun;50(3):407–418. doi: 10.1016/0027-5107(78)90045-3. [DOI] [PubMed] [Google Scholar]
  17. Teebi A. S., Al-Awadi S. A., White A. G. Autosomal recessive nonsyndromal microcephaly with normal intelligence. Am J Med Genet. 1987 Feb;26(2):355–359. doi: 10.1002/ajmg.1320260214. [DOI] [PubMed] [Google Scholar]
  18. Weemaes C. M., Hustinx T. W., Scheres J. M., van Munster P. J., Bakkeren J. A., Taalman R. D. A new chromosomal instability disorder: the Nijmegen breakage syndrome. Acta Paediatr Scand. 1981 Jul;70(4):557–564. doi: 10.1111/j.1651-2227.1981.tb05740.x. [DOI] [PubMed] [Google Scholar]

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