Neuropediatrics 2008; 39(1): 43-45
DOI: 10.1055/s-2008-1076736
Short Communication

© Georg Thieme Verlag KG Stuttgart · New York

Different Clinical and Immunological Presentation of Ataxia-Telangiectasia within the Same Family

A. Soresina 1 , A. Meini 1 , V. Lougaris 1 , G. Cattaneo 1 , S. Pellegrino 2 , M. Piane 3 , F. Darra 4 , A. Plebani 1
  • 1Department of Pediatrics and Institute of Molecular Medicine “A. Nocivelli”, University of Brescia, Brescia, Italy
  • 2Department of Pediatrics, University of Messina, Messina, Italy
  • 3Department of Experimental Medicine and Pathology, University “ La Sapienza,” Rome, Italy
  • 4Department of Pediatric Neurology, University of Verona, Verona, Italy
Further Information

Publication History

received 24.08.2007

accepted 05.09.2007

Publication Date:
26 May 2008 (online)

Abstract

Ataxia-telangiectasia is a rare multisystem neurodegenerative genetic disorder due to mutation of ATM gene. The clinical expression and the immunological abnormalities are variable and apparently not associated with the type of ATM mutations. We report on two siblings affected by A-T with different clinical and immunological presentations; in particular in one the immunological phenotype was reminiscent of hyper IgM syndrome.

References

  • 1 Benkerrou M, Gougeon ML, Griscelli C, Fischer A. Hypogammaglobulinemie G e A avec hypergammaglobulinemie M: a propos de 12 observations.  Arch Fr Pediatr. 1990;  47 345-349
  • 2 Ferrari S, Giliani S, Insalaco A, Al-Ghonaium A, Soresina AR, Loubser M. et al . Mutations of CD40 gene cause an autosomal recessive form of immunodeficiency with hyper IgM.  PNAS. 2001;  98 12614-12619
  • 3 Giovannetti A, Mazzetta F, Caprini E, Aiuti A, Marziali M, Pierdominici M. et al . The T cell receptor Vb repertoire is restricted in ataxia-telangiectasia by skewed usage of variable genes, decreased thymic output and peripheralT cell expansion.  Blood. 2002;  100 4082-4089
  • 4 Lavin FM, Lederman HM. Chromosomal breakage syndromes associated with immunodeficiency. In: Stiehm ER, Ochs HD, Winkelstein JA, editors. Immunologic Disorders in Infants and Children. 5th edn., Philadelphia: Elsevier Sauders 2004: 580-604
  • 5 Levis WR, Dattner AM, Shaw JS. Selective defects in T cell function in ataxia telangiectasia.  Clin Exp Immunol. 1979;  37 44-49
  • 6 Lumsden JM, MacCarty T, Petiniot LK, Shen R, Barlow C, Wynn TA. et al . Immunoglobulin class switch recombination is impaired in Atm-deficient mice.  J Exp Med. 2004;  200 1111-1121
  • 7 MacFarlin DE, Strober W, Waldmann TA. Ataxia-telangiectasia.  Medicine. 1972;  51 281-314
  • 8 Quartier P, Bustamante J, Sanal O, Plebani A, Debrè M, Deville A. et al . Clinical, immunologic and genetic analysis of 29 patients with autosomal recessive hyper IgM syndrome due to activation-induced cytidine deaminase deficiency.  Clin Immunol. 2004;  100 22-29
  • 9 Sadighi AA, Humprey RL, Winkelstein JA, Loed DM, Lederman HM. Oligo/monoclonal gammopathy and hypergammaglobulinemia in ataxia-telangiectasia: a study of 90 patients.  Medicine. 1999;  78 370-381
  • 10 San Martin BR, Chen HT, Nussenzweig A, Nussenzweig MC. ATM is required for efficient recombination between immunoglobulin switch regions.  J Exp Med. 2004;  200 1103-1110
  • 11 Savitsky K, Bar-Shira A, Gilad S, Rotman G, Ziv Y, Vanagaite L. et al . A single ataxia telangiectasia gene with a product similar to PI-3 kinase.  Science. 1995;  268 1749-1753
  • 12 Stewart GS, Last JI, Stankovic T, Haites N, Kidd AM, Byrd BJ. et al . Residual ataxia telangiectasia mutated protein function in cells from ataxia telangiectasia patients, with 5762ins137 and 7271t→g mutations, showing a less severe phenotype.  J Biol Chem. 2001;  27 30133-30141
  • 13 Tangsinmankong N, Wayne AS, Howenstine MS, Washington KR, Langston C, Gatti RA. et al . Lymphocytic interstitial pneumonitis, elevated IgM concentration, and hepatosplenomegaly in ataxia-telangiectasia.  J Pediatr. 2001;  138 939-941

Correspondence

A. SoresinaMD 

Istituto di Clinica Pediatrica

Spedali Civili

P. le Spedali Civili

25123 Brescia

Italy

Phone: +39/030/399 57 00

Fax: +39/030/338 80 99

Email: soresina@med.unibs.it