DNA damage can lead to either DNA repair with cell survival or to apoptotic cell death. Although the biochemical processes underlying DNA repair and apoptosis have been extensively studied, the mechanisms by which cells determine whether the damage will be repaired or the apoptotic pathway will be activated is largely unknown. We have studied the role of nucleotide excision repair (NER) in cisplatin DNA damage-induced apoptotic cell death using both normal human fibroblasts and NERdefective xeroderma pigmentosum (XP) XPA and XPG cells. It also showed that a functional XPC protein was required for the association of the ATM protein to genomic DNA. These results suggest that the NER process may prevent the cisplatin treatment-induced apoptosis by activating the ATM protein, and that the presence of the XPC protein is essential for recruiting the ATM protein to the DNA template.Many anticancer drugs are targeted to the genomic DNA of cancer cells to generate DNA damage and block DNA replication and/or gene transcription, resulting in cell cycle arrest and apoptotic cell death (apoptosis). However, cancer cells can avoid this DNA damage-induced cell death through several mechanisms. DNA repair is one of the most important mechanisms that prevent DNA damage-induced cell death (1). Although many studies have been done regarding DNA repair and apoptosis (2-7), the molecular mechanism that determines whether the damage will be repaired or that the damaged cells will undergo apoptosis is largely unknown. The lack of such knowledge has significantly limited our understandings of cancer cell drug resistance and hindered our abilities in the design and development of new drugs for effective cancer treatment.Nucleotide excision repair (NER) 2 is the major DNA repair pathway utilized in the repair of bulky DNA damage generated by most environmental insults and therapeutic drugs (1,8,9). The NER process is initiated by DNA damage recognition and the binding of the XPC-HR23B complex to damaged DNA (10 -14), which further recruits other NER components including XPA, TFIIH, XPG, and XPF/ERCC1 to the damaged site (12,13,15,16). The XPG protein makes a 3Ј incision, which is followed by a 5Ј incision made by the XPF/ERCC1, resulting in a singlestranded gap of 27-32 nucleotides (17). The DNA polymerases (pol ⑀ or pol ␦) fill the gap and the DNA ligase seals the gap to complete the DNA repair process. Interestingly, defects in most of the NER proteins, including XPA, XPB, XPD, XPF and XPG, lead to elevated sensitivities of the cells to many DNA damaging reagents. However, defects of XPC and XPE proteins do not cause increased sensitivity of the cells to DNA damaging treatment (18). Therefore, studying the DNA damage-mediated signaling process in these NER-defective cells will provide important insights into the mechanism of DNA repair in preventing DNA damage-induced apoptosis.DNA damage also promotes cell cycle checkpoint regulation. Both ATM and ATR proteins play important roles in DNA damage-induced cell cycle checkpoint regulation...