Ionizing radiation induces clustered DNA damage where two or more lesions are located proximal to each other on the same or opposite DNA strands. It has been suggested that individual lesions within a cluster are removed sequentially and that the presence of a vicinal lesion(s) may affect the rate and fidelity of DNA repair. In this study, we addressed the question of how 8-oxoguanine located opposite to normal or reduced abasic sites would affect the repair of these sites by the base excision repair system. We have found that an 8-oxoguanine located opposite to an abasic site does not affect either the efficiency or fidelity of repair synthesis by DNA polymerase . In contrast, an 8-oxoguanine located one nucleotide 3-downstream of the abasic site significantly reduces both strand displacement synthesis supported by DNA polymerase  or ␦ and cleavage by flap endonuclease of the generated flap, thus inhibiting the long-patch base excision repair pathway.Random energy deposition by ionizing radiation induces a wide array of different DNA lesions (1). Ionizing radiation induces damage in DNA by direct ionization and through generation of hydroxyl radicals that attack DNA, resulting in single strand breaks (SSBs) 1 and oxidative damage to sugar and base residues (2). Two or more DNA lesions of the same or different nature may be produced proximal to each other on opposite DNA strands, generally within two helical turns of the DNA. These various types of DNA damage, known as "clustered DNA lesions", may include strand breaks that contain damaged DNA termini accompanied by multiple base lesions of varying complexity. 8-oxoguanine is one of the most abundant types of oxidative base damage and is frequently found as a component of clustered lesions (3, 4). For densely ionizing radiation (such as ␣-particles), the yield of clustered DNA damage is high, with Ͼ50% of the SSB having a vicinal lesion (3). Recently, using enzymatic methods, it was demonstrated that ionizing radiation indeed induces clustered DNA damage containing oxidized bases and that this type of clustered damage constitutes about 50 -80% of the total DNA damage (4).Base excision repair (BER) pathways and the SSB repair pathway are the major repair systems that contribute to the processing of oxidative lesions (5-7). BER involves several steps, i.e. removal of a damaged base by a DNA glycosylase, nicking of an AP site by AP endonuclease, repair synthesis, and finally the sealing of the nick by DNA ligase (8). All of these reactions may be affected by the presence of a neighboring lesion. Several groups (reviewed in Refs. 9 and 10) have extensively studied the effects of opposing or multiple tandem lesions on DNA glycosylases and AP endonucleases. However, very little is known about the effect of these lesions on subsequent BER steps. In particular, both the fidelity and efficiency of the DNA repair synthesis step, supported by DNA polymerase  (pol ) and ␦ (pol ␦), may be affected by the presence of a base lesion on the template strand.AP sites or SSBs...