Mechanisms contributing to disease-associated trinucleotide repeat instability are poorly understood. DNA ligation is an essential step common to replication and repair, both potential sources of repeat instability. Using derivatives of DNA ligase I (hLigI)-deficient human cells (46BR.1G1), we assessed the effect of hLigI activity, overexpression, and its interaction with proliferating cell nuclear antigen (PCNA) upon the ability to replicate and repair trinucleotide repeats. Compared with LigI ؉/؉ , replication progression through repeats was poor, and repair tracts were broadened beyond the slipped-repeat for all mutant extracts. Increased repeat instability was linked only to hLigI overexpression and expression of a mutant hLigI incapable of interacting with PCNA. The endogenous mutant version of hLigI with reduced ligation activity did not alter instability. We distinguished the DNA processes through which hLigI contributes to trinucleotide instability. The highest levels of repeat instability were observed under the hLigI overexpression and were linked to reduced slipped-DNAs repair efficiencies. Therefore, the replication-mediated instability can partly be attributed to errors during replication but also to the poor repair of slipped-DNAs formed during this process. However, repair efficiencies were unaffected by expression of a PCNA interaction mutant of hLigI, limiting this instability to the replication process. The addition of purified proteins suggests that disruption of LigI and PCNA interactions influences trinucleotide repeat instability. The variable levels of age-and tissue-specific trinucleotide repeat instability observed in myotonic dystrophy patients and transgenic mice may be influenced by varying steady state levels of DNA ligase I in these tissues and during different developmental windows.More than 40 hereditary diseases are caused by gene-specific repeat instability (1). Changes at trinucleotide repeats (TNRs) 3 constitute the largest component of this group, causing at least 15 different human diseases, including myotonic dystrophy (DM1), Huntington disease, and fragile X syndrome (FRAXA). Repeat changes in humans are expansion-biased and occur both in parent-to-offspring transmissions and in somatic tissues. The formation of unusual DNA structures during DNA replication and/or aberrant repair of these intermediates has been postulated as the likely source for the development of repeat tract changes (1-3), although the exact molecular mechanisms are unclear. Various proteins have been identified as players in the mutagenic process of TNR instability, including FEN1 (4 -6), OGG1 (7), and some mismatch repair factors, such as MSH2, MSH3, and PMS2 (8 -13). All processes suggested to be involved in repeat instability require a nick located within or proximal to the repeat tract, which ultimately must be ligated. Importantly, many proposed mechanisms of repeat instability involve slippage at the nick (1, 2, 7).Ligation is an essential step in DNA replication, repair, and recombination (14, 1...