Aging and DNA polymerase  deficiency (-pol ؉/؊ ) interact to accelerate the development of malignant lymphomas and adenocarcinoma and increase tumor bearing load in mice. Folate deficiency (FD) has been shown to induce DNA damage repaired via the base excision repair (BER) pathway. We anticipated that FD and BER deficiency would interact to accelerate aberrant crypt foci (ACF) formation and tumor development in -pol haploinsufficient animals. FD resulted in a significant increase in ACF formation in wild type (WT) animals exposed to 1,2-dimethylhydrazine, a known colon and liver carcinogen; however, FD reduced development of ACF in -pol haploinsufficient mice. Prolonged feeding of the FD diet resulted in advanced ACF formation and liver tumors in wild type mice. However, FD attenuated onset and progression of ACF and prevented liver tumorigenesis in -pol haploinsufficient mice, i.e. FD provided protection against tumorigenesis in a BER-deficient environment in all tissues where 1,2-dimethylhydrazine exerts its damage. Here we show a distinct down-regulation in DNA repair pathways, e.g. BER, nucleotide excision repair, and mismatch repair, and decline in cell proliferation, as well as an up-regulation in poly(ADP-ribose) polymerase, proapoptotic genes, and apoptosis in colons of FD -pol haploinsufficient mice.Folate deficiency is an important public health concern because of the role folate plays in the development of many different health problems, including neural tube defects, cardiovascular disease, Alzheimer disease, and cancer, specifically colon cancer. It has been proposed that the carcinogenic properties of folate deficiency may be related to a decrease in DNA methylation, perhaps as a function of reduced S-adenosylmethionine levels, an increase in the uracil content of DNA, or an increase in oxidative stress by alterations in thiol switches. Folate deficiency has also been shown to increase (in cells, animal models, and humans) levels of single strand breaks (1-5), micronucleus formation (6, 7), chromosomal aberration (8, 9), and mutation frequency (10, 11), all potentially downstream effects of high levels of uracil in DNA and oxidative damage to DNA.The DNA repair pathway for removal of uracil and oxidized bases is the base excision repair (BER) 2 pathway. The BER pathway is believed to repair small, non-helix-distorting lesions in the DNA. It has been estimated to be responsible for the repair of as many as one million nucleotides per cell per day (12), stressing its importance in the maintenance of genomic stability. It has been suggested that BER has evolved in response to in vivo exposure of DNA to reactive oxygen species and endogenous alkylation, and that this pathway suppresses spontaneous mutagenesis (13). In the initial elucidation of the BER pathway the following steps were involved: (i) removal of the damaged base by a DNA glycosylase; (ii) incision of the phosphate backbone by an endonuclease; (iii) synthesis of new DNA by a polymerase; (iv) excision of the deoxyribose phosphate moie...