Plasmid DNA was rirradiated or treated with H202 in the presence of Cu2+ to generate oxygen free radical-induced lesions. Open circular DNA molecules were removed by ethidium bromide/CsCI density gradient centrifugation. The closed circular DNA fraction was treated with the Escherichia coli reagent enzymes endonuclease IH (Nth protein) and Fpg protein. This treatment converted DNA molecules containing the major base lesions pyrimidine hydrates and 8-hydroxyguanine to a nicked form. Remaining closed circular DNA containing other oxygen radical-induced base lesions was used as a substrate for nudeotide excision-repair in a cell-free system. Extracts from normal human cells, but not extracts from xeroderma pigmentosum cells, catalyzed repair synthesis in this DNA. The repair defect in the latter extracts could be specifically corrected by in vitro complementation. The data suggest that accumulation of endogenous oxidative damage in cellular DNA from xeroderma pigmentosum patients contributes to the increased frequency ofinternal cancers and the neural degeneration occurring in serious cases of the syndrome.UV light and ionizing radiation induce the formation of different and diverse types of DNA lesions. After exposure of DNA to UV light, pyrimidine dimers are the main products, whereas oxygen free radicals produced by ionizing radiation generate single-and double-strand breaks as well as a variety of ring-saturated, ring-fragmented, and oxidized base derivatives. Different DNA repair processes are used by cells to correct the damage: pyrimidine dimers are removed as part of oligonucleotides in a nucleotide excision-repair pathway initiated by a multisubunit incision nuclease, while several oxidized bases are liberated in free form by DNA glycosylases in a base excision-repair process. In cells from patients with the human inherited disease xeroderma pigmentosum (XP), incision at pyrimidine dimers is defective. As a consequence, the main symptoms of XP involve skin and eye lesions occurring after exposure to sunlight, including multiple skin cancers. However, other symptoms of XP are not readily explained as being due to UV-induced DNA damage. In severe cases, sometimes termed de SanctisCacchione syndrome, patients exhibit progressive neurological deterioration with massive loss of neurons and a 10-to 20-fold increase in frequency of several types of internal cancers (1). The origins of these symptoms have been unclear, but they could arise because of accumulation of DNA damage generated by exposure to environmental chemical mutagens or reactive cellular metabolites (2). In the latter regard, DNA is known to undergo endogenous damage due to hydrolysis, reaction with active oxygen, and nonenzymatic methylation. However, the main known lesions introduced in this fashion are corrected by base excision-repair (3).Reagent Enzymes and DNA Substrates. The following proteins were purified from Escherichia coli overproducer strains as described: E. coli endonuclease III (Nth protein) (4), E. coli Fpg protein (5), a...