Similarities exist between the progressive cerebellar ataxia in ataxia tela
ngiectasia (AT) patients and a number of neurodegenerative diseases in both
mouse and man involving specific mutations in ion channels and/or ion chan
nel activity. These relationships led us to investigate the possibility of
defective ion channel activity in AT cells. We examined changes in the memb
rane potential of AT fibroblasts in response to extracellular cation additi
on and found that the ability of AT fibroblasts to depolarize in response t
o increasing concentrations of extracellular K+ is significantly reduced wh
en compared with control fibroblasts. Electrophysiological measurements per
formed with a number of AT cell lines, as well as two matched sets of prima
ry AT fibroblast cultures, reveal that outward rectifier K+ currents are la
rgely absent in AT fibroblasts in comparison with control cells. These K+ c
urrent defects can be corrected in AT fibroblasts transfected with the full
-length ATM cDNA. These data implicate, for the first time, a role for ATM
in the regulation of K+ channel activity and membrane potential.