The extent and location of DNA repair synthesis in a double-stranded oligonucleotide containing a single dUMP residue have been determined. Gently prepared Escherichia coli and mammalian cell extracts were employed for excision repair in vitro. The size of the resynthesized patch was estimated by restriction enzyme analysis of the repaired oligonucleotide. Following enzymatic digestion and denaturing gel electrophoresis, the extent of incorporation of radioactively labeled nucleotides in the vicinity of the lesion was determined by autoradiography. Cell extracts of E. coli and of human cell lines were shown to carry out repair mainly by replacing a single nucleotide. No significant repair replication on the 5' side of the lesion was observed. The data indicate that, after cleavage of the dUMP residue by uracil-DNA glycosylase and incision of the resultant apurinic-apyrimidinic site by an apurinic-apyrimidinic endonuclease activity, the excision step is catalyzed usually by a DNA deoxyribophosphodiesterase rather than by an exonuclease. Gap-filling and ligation complete the repair reaction. Experiments with enzyme inhibitors in mammalian cell extracts suggest that the repair replication step is catalyzed by DNA polymerase 13.DNA bases altered by hydrolytic deamination, oxygen radical-induced damage, and alkylation are often excised by DNA glycosylases (44,54). Certain mismatched residues, such as adenine or thymine opposite guanine, may also be removed by specific DNA glycosylases (1, 56, 57). Thus, a common intermediate in the repair of several different types of DNA damage is an apurinic-apyrimidinic (AP) site. Such sites are also generated by nonenzymatic hydrolysis of base-sugar bonds, in particular by depurination (26), and as a consequence of exposure to ionizing radiation (12,27,34). AP endonucleases, for example, Escherichia coli exonuclease III and endonuclease IV, rapidly incise DNA at the 5' side of an AP site (9). Subsequently, an excision step occurs to generate a small gap, which is filled in by repair replication. A DNA ligase completes the repair process. These consecutive events take place rapidly and efficiently in vivo. It has been shown that AP sites occur transiently in DNA after X-irradiation of mammalian cells but disappear in 2 to 4 min without any detectable accumulation of DNA containing single-strand interruptions (34).The excision of a depurinated-depyrimidinated site has remained the least understood of these events in the base excision repair process. Early work by Painter and Young (37) and Regan and Setlow (40) showed that repair replication of X-irradiated and alkylated DNA in vivo involved the filling-in of much smaller gaps than those observed after UV light-induced DNA damage. Subsequent studies have also indicated that patches only 1 to 4 nucleotides long may be generated during repair of AP sites (8,32). The excision of a 5'-terminal base-free sugar-phosphate residue, possibly accompanied by the removal of one or a few adjacent residues, has been ascribed to exonuclease acti...