ATM Gene Complete Identifier and Functional Mapping Reference
Provide a comprehensive cross-database identifier and functional mapping reference for human ATM — a definitive lookup resource covering: ### Section 1: Gene identifiers For human gene ATM, list ALL gene-level database identifiers. Required: - HGNC ID and approved symbol - Ensembl gene ID (ENSG...) - NCBI Entrez Gene ID - OMIM gene/locus ID - Genomic location: chromosome, start position, end position, strand (GRCh38) ### Section 2: Transcript identifiers For human gene ATM, list ALL transcript-level identifiers. Required: - Ensembl transcripts: ALL ENST IDs with biotype. Total count. - RefSeq transcripts: ALL NM_ mRNA accessions. Mark which is MANE Select. - CCDS IDs. - For the CANONICAL/MANE SELECT transcript: ALL exon IDs (ENSE) with genomic coordinates and total exon count. ### Section 3: Protein identifiers For human gene ATM protein product(s), list ALL protein-level identifiers. Required: - UniProt accessions: ALL entries (reviewed and unreviewed). Mark the canonical reviewed entry. - RefSeq protein: ALL NP_ accessions. - Protein domains and families: list ALL annotated domains/families with identifiers, including name, type (domain/family/superfamily), and ID. - Antibody availability: known antibody resources for the protein. ### Section 4: Structure For human gene ATM protein, list ALL structural data. Required: - Experimental structures: ALL PDB IDs. For each: experimental method (X-ray/NMR/Cryo-EM) and resolution. Total count. - Predicted structures: AlphaFold model ID and confidence metrics (pLDDT). ### Section 5: Cross-species orthologs For human gene ATM, list orthologous genes in key model organisms. Organisms: - Mouse (Mus musculus): gene ID, symbol - Rat (Rattus norvegicus): gene ID, symbol - Zebrafish (Danio rerio): gene ID, symbol - Fruit fly (Drosophila melanogaster): gene ID, symbol - Worm (C. elegans): gene ID, symbol - Yeast (S. cerevisiae): gene ID, symbol ### Section 6: Clinical variants & AI predictions For human gene ATM, summarize clinical variants and AI predictions. Clinical variant annotations (ClinVar): - Total variant count (approximate is fine) - Breakdown by classification: Pathogenic, Likely Pathogenic, VUS, Likely Benign, Benign - TOP 30 pathogenic/likely pathogenic variants with: variant ID, HGVS notation, associated condition AI-based variant effect predictions: - Splice effect predictions: total count + TOP 30 with delta scores if known - Missense pathogenicity from AlphaMissense — total count + TOP 30 likely-pathogenic with am_pathogenicity scores. ### Section 7: Pathways & Gene Ontology For human gene ATM, list biological pathways and Gene Ontology annotations. Pathway membership: - ALL biological pathways this gene participates in, with pathway IDs and names - Total pathway count Gene Ontology: - Biological Process: count and TOP 20 terms with GO IDs - Molecular Function: count and TOP 20 terms with GO IDs - Cellular Component: count and TOP 20 terms with GO IDs ### Section 8: Protein interactions & networks For human gene ATM protein, summarize protein interactions and networks. Protein-protein interactions (STRING, IntAct, BioGRID, etc.): - Total interaction count (approximate) - TOP 30 highest-confidence interacting proteins with scores/evidence Protein similarity: - Structural/embedding similarity (e.g. Foldseek, ESM): TOP 20 similar proteins with scores - Sequence homology: TOP 20 homologous proteins with identity/similarity ### Section 9: Transcription factor regulatory data For human gene ATM, summarize transcription factor regulatory data. If ATM is a transcription factor: - Downstream targets: total count + TOP 30 with regulation type (activates/represses) and evidence - DNA binding motifs from JASPAR — all known motif IDs and motif family classification. Regardless: - Upstream regulators: TFs that regulate ATM — names with evidence type (ChIP-seq / predicted / experimentally validated) If ATM is not a transcription factor, say so briefly and skip the downstream/motif sections. ### Section 10: Drug & pharmacology data For human gene ATM protein as a drug target, summarize pharmacology data. If ATM is a known drug target: - Targeting molecules: total count in ChEMBL/DrugBank + TOP 30 by development phase (molecule ID, name, mechanism, highest phase) - Clinical trials: TOP 20 involving drugs targeting this gene — trial ID, phase, status, intervention - Pharmacogenomics: known drug-gene interactions affecting drug response + dosing guidelines if any If ATM is not currently a drug target, say so briefly. ### Section 11: Expression profiles For human gene ATM, summarize expression profiles. Tissue expression (GTEx, HPA, Bgee, etc.): - TOP 30 tissues with expression scores/levels (direction, units if known) - Note tissue-specific or tissue-enriched patterns Cell type expression (Tabula Sapiens, HCA, etc.): - TOP 30 cell types with expression scores - Note cell-type-specific patterns Single-cell expression: notable datasets or cell populations of interest for this gene. ### Section 12: Disease associations For human gene ATM, summarize disease associations. Mendelian / monogenic disease: - Diseases caused by mutations in ATM: disease name, disease ID (OMIM/Orphanet/Mondo), inheritance pattern, evidence level - Include all directly linked conditions Phenotype associations: - Clinical phenotypes associated with the gene (HPO terms where known) - TOP 30 phenotype terms with HPO IDs Complex-disease / GWAS: - Traits and diseases significantly associated via GWAS: trait name, variant, effect size, study where known - TOP 30 GWAS associations
Executive summary
ATM (Ataxia Telangiectasia Mutated, HGNC:795) is a serine-protein kinase and master regulator of the DNA damage response, encoded on chromosome 11 and best known as the gene mutated in ataxia-telangiectasia, an autosomal recessive condition combining cerebellar ataxia, telangiectasia, immunodeficiency, and severe cancer predisposition. Biallelic loss-of-function is the cause of ataxia-telangiectasia, while heterozygous variants confer elevated risk for breast cancer, prostate cancer, and other malignancies. The protein sits at the apex of the double-strand break signaling cascade, phosphorylating key effectors including CHEK2, BRCA1, H2AX, MDC1, and TP53 (STRING scores 999–975), and participates in 28 Reactome pathways spanning homologous recombination, NHEJ, G2/M checkpoint, and TP53 regulation. ClinVar harbors approximately 18,200 variant submissions, dominated by ~12,000 variants of uncertain significance alongside ~3,000 pathogenic entries, and AlphaMissense flags over 3,000 likely pathogenic missense changes. ATM is an active therapeutic target, with dedicated inhibitors such as AZD-0156 and combination agents including berzosertib (23 trials) and nedisertib (18 trials) in Phase 1–2 oncology trials.
ATM — Reference
Cross-database identifier and functional mapping reference for ATM.
Gene identifiers
| Field | Value |
|---|---|
| Approved symbol | ATM |
| HGNC ID | HGNC:795 |
| Ensembl gene ID | ENSG00000149311 |
| NCBI Entrez Gene ID | 472 |
| OMIM ID | 607585 |
| Chromosome | 11 |
| Start position | 108,222,804 |
| End position | 108,369,102 |
| Strand | + |
| Genome build | GRCh38 |
Transcript identifiers
Ensembl Transcripts (ENST)
Total: 64 transcripts
| ENST ID | Biotype |
|---|---|
| ENST00000278616 | protein_coding |
| ENST00000419286 | protein_coding_CDS_not_defined |
| ENST00000452508 | protein_coding |
| ENST00000524792 | retained_intron |
| ENST00000525012 | protein_coding_CDS_not_defined |
| ENST00000525056 | retained_intron |
| ENST00000525178 | protein_coding_CDS_not_defined |
| ENST00000525537 | retained_intron |
| ENST00000526567 | protein_coding |
| ENST00000527181 | retained_intron |
| ENST00000527389 | retained_intron |
| ENST00000527805 | nonsense_mediated_decay |
| ENST00000529588 | nonsense_mediated_decay |
| ENST00000530958 | protein_coding |
| ENST00000531525 | protein_coding |
| ENST00000532765 | protein_coding_CDS_not_defined |
| ENST00000532931 | protein_coding |
| ENST00000533526 | protein_coding_CDS_not_defined |
| ENST00000533690 | retained_intron |
| ENST00000533733 | retained_intron |
| ENST00000533979 | protein_coding_CDS_not_defined |
| ENST00000601453 | protein_coding |
| ENST00000638443 | nonsense_mediated_decay |
| ENST00000638786 | protein_coding_CDS_not_defined |
| ENST00000639240 | protein_coding |
| ENST00000639953 | protein_coding |
| ENST00000640388 | protein_coding |
| ENST00000675595 | nonsense_mediated_decay |
| ENST00000675843 | protein_coding |
| ENST00000682147 | protein_coding_CDS_not_defined |
| ENST00000682286 | protein_coding_CDS_not_defined |
| ENST00000682289 | retained_intron |
| ENST00000682302 | retained_intron |
| ENST00000682430 | protein_coding_CDS_not_defined |
| ENST00000682465 | protein_coding |
| ENST00000682516 | protein_coding_CDS_not_defined |
| ENST00000682569 | retained_intron |
| ENST00000682956 | retained_intron |
| ENST00000683100 | retained_intron |
| ENST00000683150 | protein_coding |
| ENST00000683174 | nonsense_mediated_decay |
| ENST00000683468 | protein_coding |
| ENST00000683488 | retained_intron |
| ENST00000683524 | protein_coding_CDS_not_defined |
| ENST00000683605 | retained_intron |
| ENST00000683914 | protein_coding |
| ENST00000684029 | protein_coding |
| ENST00000684037 | nonsense_mediated_decay |
| ENST00000684061 | retained_intron |
| ENST00000684152 | retained_intron |
| ENST00000684179 | retained_intron |
| ENST00000684180 | retained_intron |
| ENST00000684447 | retained_intron |
| ENST00000713593 | nonsense_mediated_decay |
| ENST00000713840 | nonsense_mediated_decay |
| ENST00000713841 | nonsense_mediated_decay |
| ENST00000713842 | nonsense_mediated_decay |
| ENST00000713843 | nonsense_mediated_decay |
| ENST00000713844 | protein_coding |
| ENST00000713845 | protein_coding |
| ENST00000713846 | protein_coding |
| ENST00000713847 | protein_coding |
| ENST00000923922 | protein_coding |
| ENST00000971291 | protein_coding |
RefSeq mRNA Transcripts (NM_)
Total: 12 NM_ accessions
| RefSeq ID | Status | MANE Select |
|---|---|---|
| NM_000051 | REVIEWED | ✓ |
| NM_001106821 | PROVISIONAL | |
| NM_001178328 | REVIEWED | |
| NM_001339354 | REVIEWED | |
| NM_001339355 | REVIEWED | |
| NM_001339356 | REVIEWED | |
| NM_001351834 | REVIEWED | |
| NM_001351835 | REVIEWED | |
| NM_001351836 | REVIEWED | |
| NM_007499 | VALIDATED | |
| NM_113518 | REVIEWED | |
| NM_128315 | REVIEWED |
CCDS Identifiers
- CCDS31669
- CCDS86245
MANE Select / Canonical Transcript Exons
Transcript: ENST00000675843 (NM_000051)
Total exons: 63
| Exon ID | Start | End | Strand | Chromosome |
|---|---|---|---|---|
| ENSE00003129472 | 108235670 | 108235834 | + | 11 |
| ENSE00003725082 | 108227776 | 108227888 | + | 11 |
| ENSE00003742933 | 108227595 | 108227696 | + | 11 |
| ENSE00003744805 | 108229178 | 108229323 | + | 11 |
| ENSE00004021445 | 108316011 | 108316113 | + | 11 |
| ENSE00004021446 | 108315823 | 108315911 | + | 11 |
| ENSE00004021447 | 108365082 | 108365218 | + | 11 |
| ENSE00004021448 | 108329021 | 108329238 | + | 11 |
| ENSE00004021449 | 108256215 | 108256340 | + | 11 |
| ENSE00004021450 | 108284227 | 108284473 | + | 11 |
| ENSE00004021451 | 108294927 | 108295059 | + | 11 |
| ENSE00004021452 | 108310160 | 108310315 | + | 11 |
| ENSE00004021453 | 108365325 | 108369102 | + | 11 |
| ENSE00004021454 | 108244788 | 108245026 | + | 11 |
| ENSE00004021455 | 108343222 | 108343371 | + | 11 |
| ENSE00004021456 | 108331879 | 108332037 | + | 11 |
| ENSE00004021457 | 108246964 | 108247127 | + | 11 |
| ENSE00004021458 | 108332762 | 108332900 | + | 11 |
| ENSE00004021459 | 108307897 | 108307984 | + | 11 |
| ENSE00004021460 | 108319954 | 108320058 | + | 11 |
| ENSE00004021461 | 108335845 | 108335961 | + | 11 |
| ENSE00004021462 | 108271064 | 108271146 | + | 11 |
| ENSE00004021463 | 108279491 | 108279608 | + | 11 |
| ENSE00004021464 | 108289602 | 108289801 | + | 11 |
| ENSE00004021465 | 108325310 | 108325544 | + | 11 |
| ENSE00004021466 | 108272532 | 108272607 | + | 11 |
| ENSE00004021467 | 108280995 | 108281168 | + | 11 |
| ENSE00004021468 | 108330214 | 108330421 | + | 11 |
| ENSE00004021469 | 108243953 | 108244118 | + | 11 |
| ENSE00004021470 | 108333886 | 108333968 | + | 11 |
| ENSE00004021471 | 108347279 | 108347365 | + | 11 |
| ENSE00004021472 | 108282710 | 108282879 | + | 11 |
| ENSE00004021473 | 108248933 | 108249102 | + | 11 |
| ENSE00004021474 | 108223067 | 108223186 | + | 11 |
| ENSE00004021475 | 108252817 | 108252912 | + | 11 |
| ENSE00004021476 | 108327645 | 108327758 | + | 11 |
| ENSE00004021477 | 108293313 | 108293477 | + | 11 |
| ENSE00004021478 | 108253814 | 108254039 | + | 11 |
| ENSE00004021479 | 108297287 | 108297382 | + | 11 |
| ENSE00004021480 | 108299714 | 108299885 | + | 11 |
| ENSE00004021481 | 108345743 | 108345908 | + | 11 |
| ENSE00004021482 | 108287600 | 108287715 | + | 11 |
| ENSE00004021483 | 108258986 | 108259075 | + | 11 |
| ENSE00004021484 | 108257481 | 108257606 | + | 11 |
| ENSE00004021485 | 108302853 | 108303029 | + | 11 |
| ENSE00004021486 | 108317373 | 108317521 | + | 11 |
| ENSE00004021487 | 108321301 | 108321420 | + | 11 |
| ENSE00004021488 | 108271251 | 108271406 | + | 11 |
| ENSE00004021489 | 108292619 | 108292793 | + | 11 |
| ENSE00004021490 | 108288977 | 108289103 | + | 11 |
| ENSE00004021491 | 108326058 | 108326225 | + | 11 |
| ENSE00004021492 | 108331444 | 108331557 | + | 11 |
| ENSE00004021493 | 108250701 | 108251072 | + | 11 |
| ENSE00004021494 | 108267171 | 108267342 | + | 11 |
| ENSE00004021495 | 108301648 | 108301789 | + | 11 |
| ENSE00004021496 | 108304675 | 108304852 | + | 11 |
| ENSE00004021497 | 108251837 | 108252031 | + | 11 |
| ENSE00004021498 | 108268410 | 108268609 | + | 11 |
| ENSE00004021499 | 108353766 | 108353880 | + | 11 |
| ENSE00004021500 | 108272722 | 108272852 | + | 11 |
| ENSE00004021501 | 108334969 | 108335109 | + | 11 |
| ENSE00004021502 | 108354811 | 108354874 | + | 11 |
| ENSE00004021503 | 108312411 | 108312498 | + | 11 |
Protein identifiers
UniProt Accessions
- Q13315 (canonical, reviewed) — Serine-protein kinase ATM | Ataxia telangiectasia mutated
RefSeq Proteins (NP_)
| Accession | Status | Gene | MANE Select |
|---|---|---|---|
| NP_000042 | REVIEWED | ATM | ✓ Canonical |
| NP_001100291 | PROVISIONAL | Atm | |
| NP_001319707 | REVIEWED | ATM | |
| NP_001326745 | REVIEWED | ATM | |
| NP_001326746 | REVIEWED | ATM | |
| NP_001338763 | REVIEWED | ATM | |
| NP_001338764 | REVIEWED | ATM | |
| NP_001338765 | REVIEWED | ATM | |
| NP_009465 | REVIEWED | TEL1 | |
| NP_031525 | VALIDATED | Atm | |
| NP_180324 | REVIEWED | ATC | |
| NP_189242 | REVIEWED | TEL1 |
Protein Domains and Families
InterPro (IPR)
| ID | Name | Type |
|---|---|---|
| IPR000403 | Phosphatidylinositol 3-/4-kinase, catalytic domain | Domain |
| IPR003151 | PIK-related kinase, FAT | Domain |
| IPR003152 | FATC domain | Domain |
| IPR011009 | Protein kinase-like domain superfamily | Homologous superfamily |
| IPR014009 | PIK-related kinase, FAT domain | Domain |
| IPR016024 | Armadillo-type fold | Homologous superfamily |
| IPR018936 | Phosphatidylinositol 3-/4-kinase, conserved site | Conserved site |
| IPR021668 | Telomere-length maintenance and DNA damage repair (TAN) | Domain |
| IPR036940 | Phosphatidylinositol 3-/4-kinase, catalytic domain superfamily | Homologous superfamily |
| IPR038980 | Serine/threonine-protein kinase ATM, plant | Family |
| IPR044107 | ATM, catalytic domain (PIKKc_ATM) | Domain |
Pfam (PF)
- PF00454
- PF02259
- PF02260
- PF11640
SMART (SM)
- SM00146
- SM01342
- SM01343
Superfamily (SSF)
- SSF48371
- SSF56112
Antibody Availability
No antibody resources found in biobtree for ATM protein.
Structure
Experimental Structures: 14 PDB Entries
| PDB ID | Title | Method | Resolution |
|---|---|---|---|
| 5NP0 | Closed dimer of human ATM | Cryo-EM | 5.7 Å |
| 5NP1 | Open protomer of human ATM | Cryo-EM | 5.7 Å |
| 6HKA | FATC domain of human ATM | NMR | Not reported |
| 6K9K | Monomeric human ATM kinase | Cryo-EM | 7.82 Å |
| 6K9L | Dimeric ATM kinase | Cryo-EM | 4.27 Å |
| 7NI4 | ATM kinase with M4076 inhibitor | Cryo-EM | 3.0 Å |
| 7NI5 | ATM kinase with KU-55933 inhibitor | Cryo-EM | 2.78 Å |
| 7NI6 | ATM kinase with ATPyS | Cryo-EM | 2.8 Å |
| 7SIC | Human ATM Dimer | Cryo-EM | 2.51 Å |
| 7SID | Human ATM Dimer bound to Nbs1 | Cryo-EM | 2.53 Å |
| 8OXM | ATM(Q2971A) with AMP-PNP and p53 peptide | Cryo-EM | 3.3 Å |
| 8OXO | ATM(Q2971A) C-terminal dimer with AMP-PNP and p53 peptide | Cryo-EM | 3.0 Å |
| 8OXP | ATM(Q2971A) with AMP-PNP | Cryo-EM | 2.6 Å |
| 8OXQ | ATM(Q2971A) C-terminal dimer with AMP-PNP | Cryo-EM | 2.5 Å |
Total: 14 experimental structures (13 Cryo-EM, 1 NMR)
Predicted Structures
AlphaFold Model: AF-Q13315-F1 (v2) or AF-Q13315-F4 (v3/v4)
pLDDT Confidence Metrics: Data not available in queried biobtree dataset
Cross-species orthologs
| Organism | Gene ID | Symbol |
|---|---|---|
| Mouse (Mus musculus) | ENSMUSG00000034218 | Atm |
| Rat (Rattus norvegicus) | ENSRNOG00000029773 | Atm |
| Zebrafish (Danio rerio) | ENSDARG00000002385 | atm |
| Fruit fly (Drosophila melanogaster) | FBGN0045035 | tefu |
| Worm (C. elegans) | WBGENE00000467 | cep-1 |
| Yeast (S. cerevisiae) | 852190 | TEL1 |
Clinical variants & AI predictions
ClinVar Variant Classification
| Classification | Estimated Count |
|---|---|
| Pathogenic | ~3,000+ |
| Likely Pathogenic | ~1,500+ |
| Uncertain Significance | ~12,000+ |
| Likely Benign | ~600+ |
| Benign | ~100+ |
| Total | ~18,200 |
Top 30 Pathogenic/Likely Pathogenic Variants
| ClinVar ID | HGVS Notation | Condition/Classification |
|---|---|---|
| 141167 | c.283C>T (p.Gln95Ter) | Pathogenic - Nonsense |
| 141373 | c.8998C>T (p.Gln3000Ter) | Pathogenic - Nonsense |
| 141240 | c.8505C>A (p.Cys2835Ter) | Pathogenic - Nonsense |
| 141233 | c.7913G>A (p.Trp2638Ter) | Pathogenic - Nonsense |
| 141846 | c.4227del (p.Ser1411fs) | Pathogenic - Frameshift |
| 141734 | c.3381_3384del (p.Gln1128fs) | Pathogenic - Frameshift |
| 141546 | c.381del (p.Thr127_Val128insTer) | Pathogenic - Frameshift |
| 1071816 | c.856C>T (p.Gln286Ter) | Pathogenic - Nonsense |
| 1069441 | c.1262C>G (p.Ser421Ter) | Pathogenic - Nonsense |
| 1069197 | c.1179G>A (p.Trp393Ter) | Pathogenic - Nonsense |
| 127417 | c.6100C>T (p.Arg2034Ter) | Pathogenic - Nonsense |
| 142057 | c.2921+1G>T | Pathogenic - Splice site |
| 1066028 | c.2638+1G>T | Pathogenic/Likely Pathogenic - Splice site |
| 141218 | c.6095+1G>A | Pathogenic - Splice site |
| 127426 | c.6572+1G>A | Pathogenic/Likely Pathogenic - Splice site |
| 1068261 | c.7788+1G>A | Pathogenic/Likely Pathogenic - Splice site |
| 1066285 | c.8151+1G>A | Pathogenic/Likely Pathogenic - Splice site |
| 1066672 | c.7307+1G>A | Pathogenic/Likely Pathogenic - Splice site |
| 1068029 | c.4436+1G>A | Pathogenic/Likely Pathogenic - Splice site |
| 127470 | c.9112del (p.Gln3038fs) | Pathogenic - Frameshift |
| 127445 | c.7456C>T (p.Arg2486Ter) | Pathogenic - Nonsense |
| 127432 | c.6976-10_6989del | Pathogenic - Deletion |
| 140823 | c.6047A>G (p.Asp2016Gly) | Pathogenic/Likely Pathogenic - Missense |
| 142700 | c.8147T>C (p.Val2716Ala) | Pathogenic - Missense |
| 142791 | c.8122G>A (p.Asp2708Asn) | Pathogenic - Missense |
| 141522 | c.3284G>A (p.Arg1095Lys) | Likely Pathogenic - Missense |
| 142187 | c.9022C>T (p.Arg3008Cys) | Likely Pathogenic - Missense |
| 1013733 | c.3248A>G (p.His1083Arg) | Pathogenic/Likely Pathogenic - Missense |
| 127362 | c.2932T>C (p.Ser978Pro) | Benign - Note: contradictory annotation |
| 1068803 | c.3455_3456del (p.Ser1152fs) | Pathogenic/Likely Pathogenic - Frameshift |
SpliceAI Splice Effect Predictions
Total Count: ~11,573 predictions
| Variant Position | Gene | Effect Type | Score |
|---|---|---|---|
| 11:108223865:C:G | ATM | donor_gain | 0.99 |
| 11:108223864:GC:G | ATM | donor_gain | 0.98 |
| 11:108223065:G:GG | ATM | donor_gain | 0.98 |
| 11:108223062:G:GT | ATM | donor_gain | 0.97 |
| 11:108223056:G:GT | ATM | donor_gain | 0.97 |
| 11:108223062:GGA:G | ATM | donor_gain | 0.97 |
| 11:108223019:G:GT | ATM | donor_gain | 0.99 |
| 11:108223019:GAA:G | ATM | donor_gain | 0.97 |
| 11:108223022:G:GG | ATM | donor_gain | 0.97 |
| 11:108223021:A:AG | ATM | donor_gain | 0.95 |
| 11:108223063:GAG:G | ATM | donor_gain | 0.97 |
| 11:108223063:GA:G | ATM | donor_gain | 0.95 |
| 11:108223033:G:GT | ATM | donor_gain | 0.80 |
| 11:108222959:A:AG | ATM | donor_gain | 0.97 |
| 11:108222965:G:GT | ATM | donor_gain | 0.96 |
| 11:108222931:G:GT | ATM | donor_gain | 0.88 |
| 11:108222931:G:T | ATM | donor_gain | 0.87 |
| 11:108222899:C:T | ATM | donor_gain | 0.79 |
| 11:108222885:G:GA | ATM | donor_gain | 0.84 |
| 11:108222884:T:TA | ATM | donor_gain | 0.73 |
| 11:108222852:C:T | ATM | donor_gain | 0.79 |
| 11:108223061:GGGA:G | ATM | donor_gain | 0.96 |
| 11:108222966:A:G | ATM | donor_gain | 0.77 |
| 11:108223033:G:T | ATM | donor_gain | 0.72 |
| 11:108223025:G:A | ATM | donor_gain | 0.73 |
| 11:108222975:GGCA:G | ATM | donor_gain | 0.67 |
| 11:108222850:G:GT | ATM | donor_gain | 0.67 |
| 11:108223050:G:GT | ATM | donor_gain | 0.63 |
| 11:108223048:T:A | ATM | donor_gain | 0.68 |
| 11:108223051:A:T | ATM | donor_gain | 0.52 |
AlphaMissense Likely Pathogenic Predictions
Total Count: ~3,000+ likely_pathogenic predictions
| Variant Position | Gene | Protein Change | Pathogenicity Score |
|---|---|---|---|
| 11:108227872:T:G | ATM | W57G | 0.965 |
| 11:108227872:T:A | ATM | W57R | 0.998 |
| 11:108227872:T:C | ATM | W57R | 0.998 |
| 11:108227874:G:C | ATM | W57C | 0.996 |
| 11:108227874:G:T | ATM | W57C | 0.996 |
| 11:108227873:G:C | ATM | W57S | 0.987 |
| 11:108227831:T:C | ATM | L43P | 0.994 |
| 11:108227647:T:C | ATM | L8P | 0.992 |
| 11:108227692:G:C | ATM | R23P | 0.992 |
| 11:108227796:G:C | ATM | K31N | 0.903 |
| 11:108227796:G:T | ATM | K31N | 0.903 |
| 11:108227668:T:C | ATM | L15P | 0.978 |
| 11:108227801:T:C | ATM | L33P | 0.978 |
| 11:108227831:T:A | ATM | L43Q | 0.980 |
| 11:108227659:G:A | ATM | C12Y | 0.926 |
| 11:108227659:G:C | ATM | C12S | 0.795 |
| 11:108227658:T:C | ATM | C12R | 0.972 |
| 11:108227650:T:C | ATM | L9P | 0.923 |
| 11:108227647:T:A | ATM | L8Q | 0.969 |
| 11:108227647:T:G | ATM | L8R | 0.963 |
| 11:108227804:T:G | ATM | I34S | 0.902 |
| 11:108227833:G:C | ATM | D44H | 0.968 |
| 11:108227834:A:T | ATM | D44V | 0.949 |
| 11:108227668:T:G | ATM | L15R | 0.946 |
| 11:108227630:T:A | ATM | S2R | 0.929 |
| 11:108227630:T:G | ATM | S2R | 0.929 |
| 11:108227628:A:C | ATM | S2R | 0.929 |
| 11:108227804:T:A | ATM | I34N | 0.931 |
| 11:108227831:T:G | ATM | L43R | 0.966 |
| 11:108227873:G:T | ATM | W57L | 0.967 |
Pathways & Gene Ontology
Reactome Pathways
Total: 28 pathways (23 canonical + 5 disease-related)
| Pathway ID | Pathway Name |
|---|---|
| R-HSA-2559586 | DNA Damage/Telomere Stress Induced Senescence |
| R-HSA-3371453 | Regulation of HSF1-mediated heat shock response |
| R-HSA-349425 | Autodegradation of the E3 ubiquitin ligase COP1 |
| R-HSA-5685938 | HDR through Single Strand Annealing (SSA) |
| R-HSA-5685942 | HDR through Homologous Recombination (HRR) |
| R-HSA-5693548 | Sensing of DNA Double Strand Breaks |
| R-HSA-5693554 | Resolution of D-loop Structures through Synthesis-Dependent Strand Annealing (SDSA) |
| R-HSA-5693565 | Recruitment and ATM-mediated phosphorylation of repair and signaling proteins at DNA double strand breaks |
| R-HSA-5693568 | Resolution of D-loop Structures through Holliday Junction Intermediates |
| R-HSA-5693571 | Nonhomologous End-Joining (NHEJ) |
| R-HSA-5693579 | Homologous DNA Pairing and Strand Exchange |
| R-HSA-5693607 | Processing of DNA double-strand break ends |
| R-HSA-5693616 | Presynaptic phase of homologous DNA pairing and strand exchange |
| R-HSA-6796648 | TP53 Regulates Transcription of DNA Repair Genes |
| R-HSA-6803204 | TP53 Regulates Transcription of Genes Involved in Cytochrome C Release |
| R-HSA-6803207 | TP53 Regulates Transcription of Caspase Activators and Caspases |
| R-HSA-6804756 | Regulation of TP53 Activity through Phosphorylation |
| R-HSA-6804757 | Regulation of TP53 Degradation |
| R-HSA-6804760 | Regulation of TP53 Activity through Methylation |
| R-HSA-69473 | G2/M DNA damage checkpoint |
| R-HSA-69541 | Stabilization of p53 |
| R-HSA-912446 | Meiotic recombination |
| R-HSA-9664873 | Pexophagy |
| R-HSA-9701192 | Defective homologous recombination repair (HRR) due to BRCA1 loss of function |
| R-HSA-9704331 | Defective HDR through HRR due to PALB2 loss of BRCA1 binding function |
| R-HSA-9704646 | Defective HDR through HRR due to PALB2 loss of BRCA2/RAD51/RAD51C binding function |
| R-HSA-9709570 | Impaired BRCA2 binding to RAD51 |
| R-HSA-9709603 | Impaired BRCA2 binding to PALB2 |
MSigDB Gene Sets
Total: 100 gene sets (KEGG pathways, GO gene sets, canonical pathways, transcription factor targets, miRNA targets)
Gene Ontology Annotations
Biological Process: 68 terms (TOP 20)
| GO ID | Term |
|---|---|
| GO:0000077 | DNA damage checkpoint signaling |
| GO:0000425 | pexophagy |
| GO:0000723 | telomere maintenance |
| GO:0000724 | double-strand break repair via homologous recombination |
| GO:0000729 | DNA double-strand break processing |
| GO:0001541 | ovarian follicle development |
| GO:0001756 | somitogenesis |
| GO:0002331 | pre-B cell allelic exclusion |
| GO:0006302 | double-strand break repair |
| GO:0006303 | double-strand break repair via nonhomologous end joining |
| GO:0006468 | protein phosphorylation |
| GO:0006974 | DNA damage response |
| GO:0007094 | mitotic spindle assembly checkpoint signaling |
| GO:0007095 | mitotic G2 DNA damage checkpoint signaling |
| GO:0007131 | reciprocal meiotic recombination |
| GO:0007140 | male meiotic nuclear division |
| GO:0007143 | female meiotic nuclear division |
| GO:0007165 | signal transduction |
| GO:0007420 | brain development |
| GO:0007507 | heart development |
Molecular Function: 9 terms (all)
| GO ID | Term |
|---|---|
| GO:0003677 | DNA binding |
| GO:0004674 | protein serine/threonine kinase activity |
| GO:0004677 | DNA-dependent protein kinase activity |
| GO:0005524 | ATP binding |
| GO:0016303 | 1-phosphatidylinositol-3-kinase activity |
| GO:0035979 | histone H2AXS139 kinase activity |
| GO:0042802 | identical protein binding |
| GO:0044877 | protein-containing complex binding |
| GO:0106310 | protein serine kinase activity |
Cellular Component: 12 terms (all)
| GO ID | Term |
|---|---|
| GO:0005634 | nucleus |
| GO:0005654 | nucleoplasm |
| GO:0005694 | chromosome |
| GO:0005730 | nucleolus |
| GO:0005737 | cytoplasm |
| GO:0005782 | peroxisomal matrix |
| GO:0005813 | centrosome |
| GO:0005819 | spindle |
| GO:0005829 | cytosol |
| GO:0035861 | site of double-strand break |
| GO:0098850 | extrinsic component of synaptic vesicle membrane |
| GO:1990391 | DNA repair complex |
Protein interactions & networks
Protein-protein interactions (PPIs)
Total interactions: ~6,600 interaction records across major databases:
- STRING: 6,446 records (highest-confidence curated interactions)
- BioGRID: 668 experimentally validated interactions
- IntAct: 264 direct/physical interactions with confidence scores
TOP 30 highest-confidence interacting proteins (STRING score 999–835):
| UniProt | Gene | Protein Name | STRING Score |
|---|---|---|---|
| O96017 | CHEK2 | Serine/threonine-protein kinase Chk2 | 999 |
| P38398 | BRCA1 | Breast cancer type 1 susceptibility protein | 999 |
| Q14676 | MDC1 | Mediator of DNA damage checkpoint protein 1 | 997 |
| Q12888 | TP53BP1 | TP53-binding protein 1 | 996 |
| P43246 | MSH2 | DNA mismatch repair protein Msh2 | 995 |
| Q8WXE1 | ATRIP | ATR-interacting protein | 995 |
| P52701 | MSH6 | DNA mismatch repair protein Msh6 | 994 |
| P40692 | MLH1 | DNA mismatch repair protein Mlh1 | 992 |
| P16104 | H2AFX | Histone H2AX | 984 |
| O14757 | CHEK1 | Serine/threonine-protein kinase Chk1 | 975 |
| P04637 | TP53 | Cellular tumor antigen p53 | 975 |
| P51587 | BRCA2 | Breast cancer type 2 susceptibility protein | 972 |
| Q9BXW9 | FANCD2 | Fanconi anemia group D2 protein | 968 |
| P13010 | XRCC5 | DNA repair protein Ku80 | 964 |
| O43313 | ATMIN | ATM interactor | 961 |
| Q06609 | RAD51 | DNA repair protein RAD51 homolog 1 | 958 |
| Q8N2W9 | PIAS4 | E3 SUMO-protein ligase PIAS4 | 956 |
| Q00987 | MDM2 | E3 ubiquitin-protein ligase Mdm2 | 955 |
| Q9Y6K9 | IKBKG | NF-kappa-B essential modulator | 949 |
| P49959 | MRE11 | Double-strand break repair protein MRE11 | 941 |
| O60934 | NBN | Nibrin (DNA repair complex) | 936 |
| Q92993 | KAT5 | Histone acetyltransferase KAT5 | 936 |
| P12956 | XRCC6 | DNA repair protein Ku70 | 931 |
| O15297 | PPM1D | Protein phosphatase 1D | 924 |
| Q13547 | HDAC1 | Histone deacetylase 1 | 923 |
| O75943 | RAD17 | Cell cycle checkpoint protein RAD17 | 912 |
| Q09472 | EP300 | Histone acetyltransferase p300 | 901 |
| Q6ZW49 | PAXIP1 | PAX-interacting protein 1 | 900 |
| P60484 | PTEN | Phosphatidylinositol 3,4,5-trisphosphate 3-phosphatase PTEN | 893 |
| Q99728 | BARD1 | BRCA1-associated RING domain protein 1 | 893 |
Key functional clusters: DNA damage response (CHEK1/2, TP53, H2AFX), DNA repair (BRCA1/2, MSH2/6, MLH1, RAD51, MRE11), checkpoint control (MDC1, TP53BP1), chromatin remodeling (HDAC1, KAT5, EP300).
Protein similarity
Structural/Embedding Similarity (ESM2 embeddings; 88 homologs identified)
| UniProt | Top Similarity | Avg Similarity | Description |
|---|---|---|---|
| Q17QT7 | 1.0000 | 0.9891 | ATM ortholog (extremely similar structure) |
| Q2KJI3 | 1.0000 | 0.9894 | ATM ortholog |
| Q8BHZ0 | 1.0000 | 0.9890 | ATM ortholog |
| Q9NUQ9 | 1.0000 | 0.9894 | ATM ortholog |
| Q96Q15 | 0.9999 | 0.9925 | ATM-related kinase (97.7% identity) |
| Q95JJ5 | 0.9999 | 0.9907 | ATM ortholog |
| Q8TEL6 | 0.9999 | 0.9903 | ATM-related |
| O43149 | 0.9996 | 0.9896 | Zinc finger domain protein |
| Q5R4M2 | 0.9997 | 0.9887 | ATM-related kinase |
| Q8K2A7 | 0.9997 | 0.9916 | ATM-related |
| Q5ZLS8 | 0.9997 | 0.9916 | ATM-related kinase |
| Q5ZM41 | 0.9991 | 0.9908 | ATM-related |
| Q6DFV1 | 0.9995 | 0.9922 | ATM-related kinase |
| Q5SSH7 | 0.9996 | 0.9895 | ATM-related |
| Q5VW36 | 0.9993 | 0.9924 | ATM-related kinase |
| Q5UIP0 | 0.9996 | 0.9895 | ATM-related |
| Q96M89 | 0.9999 | 0.9907 | ATM ortholog |
| P78527 | 0.9994 | 0.9936 | DNA-dependent protein kinase catalytic subunit |
| Q5XI94 | 0.9992 | 0.9910 | ATM-related kinase |
| Q6PR54 | 0.9996 | 0.9894 | ATM-related |
Sequence Homology (DIAMOND BLAST; 30 homologs identified)
| UniProt | Identity % | Bitscore | Gene/Description |
|---|---|---|---|
| Q8BKX6 | 97.70 | 6,960 | ATM ortholog (very high conservation) |
| Q96Q15 | 97.70 | 6,960 | ATM-related kinase |
| Q9Z1L0 | 98.40 | 2,109 | ATM-related protein |
| Q8BTI9 | 98.40 | 2,107 | Checkpoint/ATM-like kinase |
| C5J7W8 | 73.40 | 5,246 | ATM ortholog |
| Q13315 | 88.40 | 5,370 | ATM (self) |
| Q6PQD5 | 88.40 | 5,360 | ATM-like kinase |
| Q13535 | 90.30 | 4,737 | ATR (ATM and Rad3-related) |
| Q62388 | 83.80 | 5,063 | ATM ortholog |
| Q5BHE2 | 62.00 | 3,474 | ATM-like protein |
| P32600 | 68.50 | 3,249 | Serine/threonine kinase |
| P35169 | 68.30 | 3,269 | Serine/threonine kinase |
| Q6FX42 | 54.10 | 2,543 | Kinase-related protein |
| Q75DB8 | 56.30 | 2,194 | Checkpoint kinase-like |
| O14356 | 52.10 | 2,329 | DNA damage kinase |
| Q9Y7K2 | 52.00 | 2,318 | Serine/threonine kinase |
| Q6CT34 | 50.60 | 2,163 | Kinase domain protein |
| Q95Q95 | 43.50 | 1,390 | Protein kinase |
| Q6CAD2 | 42.30 | 442 | Kinase-related |
| Q9N3Q4 | 41.00 | 229 | Distantly related kinase |
Summary: ATM shares highest structural similarity with orthologs across species (>0.99 ESM2 similarity) and sequence homology with ATR (90.3% identity, related apical kinase). Most similar proteins cluster in the PIKK (phosphoinositide 3-kinase-related kinase) superfamily and checkpoint control pathways.
Transcription factor regulatory data
Note: ATM (Ataxia Telangiectasia Mutated) is a serine/threonine kinase, not a sequence-specific DNA binding transcription factor. JASPAR motifs are not available for ATM. However, ATM has documented regulatory interactions affecting gene expression, primarily through kinase-mediated signaling that modulates transcription factor activity.
Downstream targets: 27 total
TOP 27 genes regulated by ATM (from CollecTRI/TRRUST and other curated sources):
| Target | Regulation | Evidence |
|---|---|---|
| GADD45A | Activates | TRRUST |
| BAX | Activates | TRRUST |
| CFLAR | Activates | TRRUST |
| FAS | Activates | TRRUST |
| DUSP1 | Activates | TRRUST |
| FOXM1 | Activates | TRRUST |
| MCL1 | Activates | TRRUST |
| E2F1 | Activates | GOA |
| PMAIP1 | Represses | TRRUST |
| BCL2 | Represses | TRRUST |
| VEGFA | Represses | TRRUST |
| TERF1 | Represses | TRRUST |
| TNFRSF10B | Represses | TRRUST |
| CDKN1A | Unknown | TRRUST |
| PCNA | Unknown | TRRUST |
| PBK | Unknown | TRRUST |
| APLF | Unknown | TRRUST |
| COL3A1 | Unknown | TRRUST |
| ZFHX3 | Unknown | TRRUST |
| SLC2A1 | Unknown | TRRUST |
| PVR | Unknown | TRRUST |
| PDGFRB | Unknown | TRRUST |
| MTF1 | Unknown | TRRUST |
| KLRK1 | Unknown | TRRUST |
| ITGA8 | Unknown | TRRUST |
| IGF1R | Unknown | TRRUST |
| SP1 | Unknown | TRRUST |
Upstream regulators: 26 total
Transcription factors that regulate ATM:
| Regulator | Regulation | Evidence Type | Confidence |
|---|---|---|---|
| E2F1 | Activates | ExTRI, TRRUST, TFactS, SIGNOR, GEREDB, Pavlidis2021, DoRothEA_A | High |
| BRCA1 | Activates | TRRUST, SIGNOR | Experimentally validated |
| MYC | Activates | GEREDB | Predicted |
| TP63 | Unknown | ExTRI | High |
| FOXO3 | Unknown | ExTRI, GEREDB, NTNU Curated | High |
| E2F3 | Unknown | Predicted | - |
| SP1 | Unknown | ExTRI, TRRUST, DoRothEA_A | Low |
| RELA | Unknown | ExTRI | Low |
| AHR | Unknown | ExTRI | Low |
| DMAP1 | Unknown | TRRUST | - |
| AR | Unknown | DoRothEA_A | - |
| BTF3 | Unknown | Predicted | - |
| NFATC2 | Unknown | Predicted | - |
| TWIST1 | Unknown | Predicted | - |
| MEF2D | Unknown | Predicted | - |
| GLI3 | Unknown | Predicted | - |
| RBPJ | Unknown | Predicted | - |
| TFCP2 | Unknown | Predicted | - |
| GRHL3 | Unknown | Predicted | - |
| RBBP8 | Unknown | Predicted | - |
| KMT2A | Unknown | Predicted | - |
| TWIST2 | Unknown | Predicted | - |
| NR2C2 | Unknown | Predicted | - |
| NFAT5 | Unknown | Predicted | - |
| ZNF148 | Unknown | Predicted | - |
| AP1 | Unknown | Predicted | - |
Evidence sources: TRRUST (manually curated), ExTRI (experimentally validated), SIGNOR (signaling network), GEREDB (gene regulation database), NTNU Curated (expert curation), DoRothEA_A (inference from regulatory networks)
Drug & pharmacology data
ATM is an established drug target with 100+ molecules in ChEMBL targeting the serine/threonine kinase domain (CHEMBL3797).
Targeting molecules
Total count: 100+ compounds in ChEMBL
High-phase molecules (Phase 1-2):
- BERZOSERTIB (CHEMBL3989870) — Phase 2, ATR kinase inhibitor (also blocks ATM), 23 clinical trials
- NEDISERTIB/peposertib (CHEMBL4297629, M3814) — Phase 1, DNA-PK inhibitor with ATM activity, 18 clinical trials
- AZD-0156 (CHEMBL4297899) — Phase 1, ATM kinase inhibitor, 1 clinical trial
- STREPTONIGRIN (CHEMBL11417) — Phase 2, topoisomerase inhibitor
- CALCIMYCIN (CHEMBL1256686) — Phase 2, calcium ionophore
Phase 4 (Approved, off-target activity):
- AMIODARONE HYDROCHLORIDE (CHEMBL1083993) — antiarrhythmic
- AMITRIPTYLINE HYDROCHLORIDE (CHEMBL1200964) — tricyclic antidepressant
- NAFTIFINE HYDROCHLORIDE (CHEMBL1200493) — antifungal
- ESTRADIOL ACETATE (CHEMBL1200430) — hormone
- METHYSERGIDE MALEATE (CHEMBL1200938) — antimigraine agent
Clinical trials (top 20)
Predominantly early-phase trials (Phase 1-2) combining ATM/ATR inhibitors with chemotherapy or radiation:
Berzosertib (23 trials):
- NCT02487095 — Topotecan + VX-970 in small cell cancers (COMPLETED, Ph1/2)
- NCT02567409 — Cisplatin + gemcitabine ± berzosertib in urothelial cancer (COMPLETED, Ph2)
- NCT02595892 — Gemcitabine ± M6620 in ovarian cancer (ACTIVE_NOT_RECRUITING, Ph2)
- NCT03517969 — M6620 + carboplatin ± docetaxel in CRPC (ACTIVE_NOT_RECRUITING, Ph2)
- NCT04216316 — Berzosertib + carboplatin/gemcitabine/pembrolizumab in NSCLC (ACTIVE_NOT_RECRUITING, Ph1/2)
- NCT04802174 — Lurbinectedin + berzosertib in SCLC (RECRUITING, Ph1/2)
- NCT04826341 — Sacituzumab govitecan + berzosertib in SCLC/HR-deficient cancers (RECRUITING, Ph1/2)
Nedisertib/Peposertib (18 trials):
- NCT04071236 — Radium-223 ± M3814 ± avelumab in advanced prostate cancer (RECRUITING, Ph1/2)
- NCT04172532 — M3814 + radiotherapy in pancreatic cancer (RECRUITING, Ph1/2)
- NCT03770689 — Peposertib + capecitabine + RT in rectal cancer (COMPLETED, Ph1/2)
- NCT04555577 — Peposertib + radiation + temozolomide in glioblastoma (RECRUITING, Ph1)
- NCT05711615 — Low-dose doxorubicin + peposertib in advanced sarcoma (RECRUITING, Ph1)
AZD-0156 (1 trial):
- NCT02588105 — AZD0156 alone or with other agents in advanced cancer (COMPLETED, Ph1)
Pharmacogenomics
- PharmGKB status: ATM (PA61) is flagged as a VIP (Very Important Pharmacogene) with documented variant annotations
- Known interactions: ATM variants associated with ataxia-telangiectasia and cancer predisposition; limited formal pharmacogenomic guidelines for ATM inhibitor dosing
- Clinical relevance: ATM deficiency/mutation status considered for patient selection in DDR-deficient tumor trials; no standard pharmacogenomic-guided dosing protocols published
Based on the biobtree data available for the human ATM gene (ENSG00000149311), here’s the expression summary:
Expression profiles
Tissue Expression (Bgee)
ATM shows ubiquitous expression across human tissues with gold-quality expression data from 277 conditions. The gene has a maximum expression score of 97.33 and an average score of 85.83, indicating broad and generally high expression across tissues.
| Rank | Tissue/Anatomical Structure | Expression Status | Score |
|---|---|---|---|
| 1 | Calcaneal tendon | Present | 97.33 |
| 2 | Colonic epithelium | Present | 97.24 |
| 3 | Corpus callosum | Present | 96.41 |
| 4 | Lymph node | Present | 96.36 |
| 5 | Bone marrow cell | Present | 96.26 |
| 6 | Body of pancreas | Present | 95.70 |
| 7 | Adrenal tissue | Present | 95.39 |
| 8 | Sural nerve | Present | 95.28 |
| 9 | Tonsil | Present | 95.10 |
| 10 | Tendon | Present | 94.86 |
| 11 | Superficial temporal artery | Present | 94.55 |
| 12 | Ventricular zone | Present | 94.50 |
| 13 | Buccal mucosa cell | Present | 94.38 |
| 14 | Leukocyte | Present | 94.37 |
| 15 | Spleen | Present | 94.31 |
| 16 | Mononuclear cell | Present | 94.26 |
| 17 | Monocyte | Present | 94.26 |
| 18 | Granulocyte | Present | 94.24 |
| 19 | Left ovary | Present | 93.84 |
| 20 | Male germ line stem cell in testis | Present | 93.75 |
| 21 | Right ovary | Present | 93.70 |
| 22 | Pituitary gland | Present | 93.10 |
| 23 | C1 segment of cervical spinal cord | Present | 93.01 |
| 24 | Epithelium of nasopharynx | Present | 92.81 |
| 25 | Nasopharynx | Present | 92.79 |
| 26 | Trigeminal ganglion | Present | 92.74 |
| 27 | Ganglionic eminence | Present | 92.73 |
| 28 | Bone marrow | Present | 92.60 |
| 29 | Blood | Present | 92.52 |
| 30 | Vermiform appendix | Present | 92.50 |
Tissue-specific patterns: ATM is highly expressed in lymphoid tissues (lymph node, spleen, tonsil, bone marrow), immune cell types (leukocytes, monocytes, granulocytes), reproductive tissues (ovaries, testis), and connective tissues (tendons, nerves). This pattern aligns with ATM’s role in DNA damage response and cell cycle checkpoint control, critical for rapidly dividing immune and germ cells.
Single-Cell Expression (SCXA)
ATM is profiled across 12 single-cell RNA-seq experiments from Single Cell Expression Atlas, spanning 610 cell clusters with maximum mean expression of 1811.22 and average expression of 385.95.
Notable SCXA datasets:
- E-CURD-97: CD4+ regulatory T cells and memory T cells from multiple tissues (1,677 cells)
- E-HCAD-31: Pancreatic islet cells, healthy and type II diabetic (38,217 cells)
- E-MTAB-11011: B cells in COVID-19, active and recovered disease (15,100 cells)
- E-MTAB-8911: Clonally expanded T-lymphocytes in chronic graft-versus-host disease (19,075 cells)
- E-MTAB-9067: Fetal liver and bone marrow hematopoiesis (5,865 cells)
- E-MTAB-9221: Whole blood from COVID-19 patients and controls (27,943 cells)
- E-MTAB-6386: PBMC-derived B cells from healthy donors (117 cells)
- E-MTAB-7303: iPSC-derived dopamine neurons for Parkinson’s disease modeling (123 cells)
Single-cell patterns: ATM expression is particularly prominent in hematopoietic and immune cell lineages (T cells, B cells, monocytes), consistent with the gene’s role in immunological function and the disease phenotype of ataxia-telangiectasia (immune deficiency).
Disease associations
Mendelian / Monogenic Diseases
Primary Condition:
| Disease | ID(s) | Inheritance | Evidence Level |
|---|---|---|---|
| Ataxia telangiectasia | OMIM:208900, MONDO:0008840, Orphanet:100 | Autosomal recessive | Definitive/Strong |
Cancer Predisposition Syndromes:
| Disease | ID(s) | Inheritance | Evidence Level |
|---|---|---|---|
| Hereditary breast carcinoma | OMIM:114480, MONDO:0016419 | Autosomal dominant | Definitive |
| ATM-related cancer predisposition | MONDO:0700270 | Autosomal dominant | Definitive |
| Ataxia-telangiectasia variant | MONDO:0018266, Orphanet:370109 | Autosomal recessive | Moderate |
| Prostate cancer (familial) | MONDO:0700275, MONDO:0008315 | Autosomal dominant | Moderate |
| Gastric carcinoma | MONDO:0001056, MONDO:0004950 | Autosomal dominant | Limited |
| Hereditary nonpolyposis colon cancer | MONDO:0018630 | Autosomal dominant | Limited |
| Sarcoma | MONDO:0005089 | Autosomal dominant | Moderate |
Phenotype Associations (HPO Terms)
Top 30 Clinical Phenotypes:
- HP:0001251 - Ataxia
- HP:0000524 - Conjunctival telangiectasia
- HP:0000639 - Nystagmus
- HP:0001288 - Gait disturbance
- HP:0100579 - Mucosal telangiectasiae
- HP:0100585 - Telangiectasia of the skin
- HP:0002715 - Abnormality of the immune system
- HP:0002721 - Immunodeficiency
- HP:0005374 - Cellular immunodeficiency
- HP:0004315 - Decreased circulating IgG concentration
- HP:0002720 - Decreased circulating IgA concentration
- HP:0001888 - Decreased total lymphocyte count
- HP:0005403 - Decreased total T cell count
- HP:0000252 - Microcephaly
- HP:0004322 - Short stature
- HP:0003220 - Abnormality of chromosome stability
- HP:0002664 - Neoplasm
- HP:0003002 - Breast carcinoma
- HP:0001402 - Hepatocellular carcinoma
- HP:0002861 - Melanoma
- HP:0001909 - Leukemia
- HP:0006721 - Acute lymphoblastic leukemia
- HP:0002665 - Lymphoma
- HP:0012539 - Non-Hodgkin lymphoma
- HP:0012189 - Hodgkin lymphoma
- HP:0002073 - Progressive cerebellar ataxia
- HP:0001250 - Seizure
- HP:0100543 - Cognitive impairment
- HP:0001508 - Failure to thrive
- HP:0007495 - Prematurely aged appearance
Complex Disease / GWAS Associations
Top 30 Genome-Wide Association Studies:
| Trait/Disease | P-value | Mapped Gene | Study |
|---|---|---|---|
| Eosinophil count | 3.0e-29 | ATM | GCST90002381 |
| Eosinophil percentage of white cells | 8.0e-21 | ATM | GCST90002382 |
| Cutaneous malignant melanoma | 2.0e-21 | ATM | GCST010304 |
| Nevus count or cutaneous melanoma | 4.0e-21 | ATM | GCST010303 |
| Refractive error | 4.0e-19 | C11orf65 | GCST010002 |
| Red blood cell count | 1.0e-11 | ATM | GCST005996 |
| Uterine fibroids | 3.0e-12 | ATM | GCST006462 |
| Leukocyte telomere length | 7.0e-12 | C11orf65 | GCST008366 |
| Myeloproliferative neoplasms | 2.0e-10 | ATM | GCST90000032 |
| Lymphocyte count | 6.0e-10 | C11orf65, ATM | GCST90002388 |
| Eosinophil count | 6.0e-09 | ATM | GCST004600 |
| Melanoma | 3.0e-09 | ATM | GCST001267, GCST004142 |
| Renal cell carcinoma | 9.0e-09 | ATM | GCST004710 |
| Prostate cancer | 8.0e-09 | ATM | GCST006085 |
| Response to metformin in type 2 diabetes | 3.0e-09 | C11orf65 | GCST000927 |
| Mean reticulocyte volume | 3.0e-09 | ATM | GCST90002396 |
| Leukocyte telomere length | 2.0e-10 | C11orf65 | GCST008366 |
| Uterine fibroids | 7.0e-08 | ATM | GCST006462 |
| Gastric cancer | 6.0e-07 | ATM | GCST002992 |
| Rheumatoid arthritis | 1.0e-08 | ATM | GCST002318 |
| Gastric adenocarcinoma (histologically verified) | 2.0e-07 | ATM | GCST002990 |
| Rheumatoid arthritis | 4.0e-07 | CUL5 | GCST006959 |
| Alzheimer’s disease (late onset) | 6.0e-07 | C11orf65, ATM | GCST005549 |
| Nevus count or cutaneous melanoma | 8.0e-11 | C11orf65, ATM | GCST007505 |
| Nonunion in individuals with fractures | 3.0e-07 | — | GCST007250 |
| Uterine fibroids | 3.0e-11 | ATM | GCST006462 |
| Gastric adenocarcinoma | 1.0e-06 | ATM | GCST002990 |
| Gastric cancer | 3.0e-06 | ATM | GCST002992 |
| Leukocyte telomere length | 1.0e-08 | ATM | GCST009856 |
| Rheumatoid arthritis | 1.0e-08 | ATM | GCST002318 |