The Artemis nuclease is required for V(D)J recombination and for repair of an as yet undefined subset of radiation-induced DNA double strand breaks. To assess the possibility that Artemis acts on oxidatively modified double strand break termini, its activity toward model DNA substrates, bearing either 3-hydroxyl or 3-phosphoglycolate moieties, was examined. A 3-phosphoglycolate had little effect on Artemis-mediated trimming of long 3 overhangs (>9 nucleotides), which were efficiently trimmed to 4 -5 nucleotides. However, 3-phosphoglycolates on overhangs of 4 -5 bases promoted Artemis-mediated removal of a single 3-terminal nucleotide, while at least 2 nucleotides were trimmed from identical hydroxyl-terminated substrates. Artemis also efficiently removed a single nucleotide from a phosphoglycolate-terminated 3-base 3 overhang, while leaving an analogous hydroxyl-terminated overhang largely intact. Such removal was completely dependent on DNA-dependent protein kinase and ATP and was largely dependent on Ku, which markedly stimulated Artemis activity toward all 3 overhangs. Together, these data suggest that efficient Artemismediated cleavage of 3 overhangs requires a minimum of 2 nucleotides, or a nucleotide plus a phosphoglycolate, 3 to the cleavage site, as well as 2 unpaired nucleotides 5 to the cleavage site. Shorter 3-phosphoglycolate-terminated overhangs and blunt ends were also processed by Artemis but much more slowly. Consistent with a role for Artemis in repair of terminally blocked double strand breaks in vivo, human cells lacking Artemis exhibited hypersensitivity to x-rays, bleomycin, and neocarzinostatin, which all induce 3-phosphoglycolate-terminated double strand breaks.The Artemis genetic locus was identified by virtue of its association with a form of BϪ TϪ NKϩ severe combined immune deficiency (SCID) 2 in humans, designated RS-SCID (radiationsensitive SCID) (1) or SCIDA (Athabascan SCID) (2). The Artemis protein is a nuclease that is activated by DNA-dependent protein kinase (DNA-PK) and is required for the opening of hairpin ends formed during V(D)J recombination (3), thus accounting for the SCID phenotype associated with Artemis deficiency. SCIDA and RS-SCID fibroblasts are radiation-sensitive but fail to repair only a small fraction of radiation-induced DNA double strand breaks (DSBs) (4 -6). In vitro, activated Artemis removes 5Ј overhangs from DNA ends and shortens 3Ј overhangs (7), raising the possibility that during DSB repair in vivo, Artemis may trim overhangs that otherwise cannot be processed to give ligatable ends.About half of DNA breaks induced by ionizing radiation bear 3Ј-phosphoglycolate (3Ј-PG) termini in various contexts (7) that must be removed in order to allow gap filling by DNA polymerases and and ligation by DNA ligase IV (8). Although tyrosyl-DNA phosphodiesterase (TDP1) is the only identified enzyme capable of processing 3Ј-PGs on 3Ј overhangs (9), TDP1 mutant cells show only marginal radiosensitivity (10), suggesting the existence of an alternative pathway for processi...