In vitro dexamethasone treatment does not induce alternative ATM transcripts in cells from Ataxia-Telangiectasia patients

Sci Rep. 2020 Nov 19;10(1):20182. doi: 10.1038/s41598-020-77352-z.

Abstract

Short term treatment with low doses of glucocorticoid analogues has been shown to ameliorate neurological symptoms in Ataxia-Telangiectasia (A-T), a rare autosomal recessive multisystem disease that mainly affects the cerebellum, immune system, and lungs. Molecular mechanisms underlying this clinical observation are unclear. We aimed at evaluating the effect of dexamethasone on the induction of alternative ATM transcripts (ATMdexa1). We showed that dexamethasone cannot induce an alternative ATM transcript in control and A-T lymphoblasts and primary fibroblasts, or in an ATM-knockout HeLa cell line. We also demonstrated that some of the reported readouts associated with ATMdexa1 are due to cellular artifacts and the direct induction of γH2AX by dexamethasone via DNA-PK. Finally, we suggest caution in interpreting dexamethasone effects in vitro for the results to be translated into a rational use of the drug in A-T patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alternative Splicing / drug effects*
  • Alternative Splicing / genetics
  • Ataxia Telangiectasia / drug therapy
  • Ataxia Telangiectasia / genetics
  • Ataxia Telangiectasia / pathology*
  • Ataxia Telangiectasia Mutated Proteins / genetics*
  • Ataxia Telangiectasia Mutated Proteins / metabolism
  • Cell Line
  • Dexamethasone / pharmacology*
  • Fibroblasts / drug effects
  • Fibroblasts / pathology
  • Gene Knockout Techniques
  • HeLa Cells
  • Histones / metabolism
  • Humans
  • Limit of Detection
  • Phosphorylation / drug effects

Substances

  • H2AX protein, human
  • Histones
  • Dexamethasone
  • ATM protein, human
  • Ataxia Telangiectasia Mutated Proteins