A gene, ATM, that is mutated in the autosomal recessive disorder ataxi
a telangiectasia (AT) was identified by positional cloning on chromoso
me 11q22-23. AT is characterized by cerebellar degeneration, immunodef
iciency, chromosomal instability, cancer predisposition, radiation sen
sitivity, and cell cycle abnormalities. The disease is genetically het
erogeneous, with four complementation groups that have been suspected
to represent different genes. ATM, which has a transcript of 12 kiloba
ses, was found to be mutated in AT patients from all complementation g
roups, indicating that it is probably the sole gene responsible for th
is disorder. A partial ATM complementary DNA clone of 5.9 kilobases en
coded a putative protein that is similar to several yeast and mammalia
n phosphatidylinositol-3' kinases that are involved in mitogenic signa
l transduction, meiotic recombination, and cell cycle control. The dis
covery of ATM should enhance understanding of AT and related syndromes
and may allow the identification of AT heterozygotes, who are at incr
eased risk of cancer.