Ataxia-telangiectasia (A-T) is characterized by a markedly increased sensit
ivity to ionizing radiation, increased incidence of cancer, and neurodegene
ration, especially of the cerebellar Purkinje cells. Ionizing radiation oxi
dizes macromolecules and causes tissue damage through the generation of rea
ctive oxygen species (ROS), We therefore hypothesized that A-T is due to ox
idative damage resulting from loss of function of the A-T gene product. To
assess this hypothesis, we employed an animal model of A-T, the mouse with
a disrupted Atm gene, We show that organs which develop pathologic changes
in the Atm-deficient mice are targets of oxidative damage, and that cerebel
lar Purkinje cells are particularly affected. These observations provide a
mechanistic basis for the A-T phenotype and lay a rational foundation for t
herapeutic intervention.