We have detected DNA polymerase beta (Pol), known as a key nuclear base excision repair (BER) protein, in mitochondrial protein extracts derived from mammalian tissue and cells. Manipulation of the N-terminal sequence affected the amount of Pol in the mitochondria. Using Pol fragments, mitochondrion-specific protein partners were identified, with the interactors functioning mainly in DNA maintenance and mitochondrial import. Of particular interest was the identification of the proteins TWINKLE, SSBP1, and TFAM, all of which are mitochondrion-specific DNA effectors and are known to function in the nucleoid. Pol directly interacted functionally with the mitochondrial helicase TWINKLE. Human kidney cells with Pol knockout (KO) had higher endogenous mitochondrial DNA (mtDNA) damage. Mitochondrial extracts derived from heterozygous Pol mouse tissue and KO cells had lower nucleotide incorporation activity. Mouse-derived Pol null fibroblasts had severely affected metabolic parameters. Indeed, gene knockout of Pol caused mitochondrial dysfunction, including reduced membrane potential and mitochondrial content. We show that Pol is a mitochondrial polymerase involved in mtDNA maintenance and is required for mitochondrial homeostasis.KEYWORDS DNA polymerase beta, mitochondrial DNA repair, TFAM, base excision repair, mitochondria, mitochondrial health, mutational studies C ellular DNA repair is critical for genomic stability, and the accumulation of DNA damage has been linked to many debilitating human disorders, including accelerated aging, cancer, and neurodegeneration (reviewed in references 1 and 2). Mammalian cells have two genomes, nuclear and mitochondrial, and both have the ability to replicate, accumulate DNA damage, and propagate mutations. The nucleus contains the vast majority of the mammalian genome and has extensive ability to repair complex bulky adducts, double-strand breaks (DSB), single-strand breaks (SSB), and hundreds of chemical DNA modifications. The ability to effectively repair this breadth of damage is achieved through multiple, often overlapping, DNA repair pathways. In contrast, the repair of mitochondrial DNA (mtDNA) is a more limited version of nuclear DNA (nDNA) repair. Mitochondria lack nucleotide excision repair, and the presence of double-strand break repair is debated (recently reviewed in reference 3). Despite the mitochondria having attenuated DNA repair capabilities compared to the nucleus, the accumulation of mtDNA damage is not without consequence. Ineffective mtDNA maintenance is the underlying cause of many human diseases, including Alpers syndrome and chronic progressive external ophthalmoplegia (CPEO) caused by mutations in mitochondrial polymerase gamma (Pol␥) or the TWINKLE helicase (4-6). The accu-