Ten lines. of. skin fibroblasts from individuals with genetic disorders predisposing to a high risk of cancer were compared with nine lines from normal adult-donors with respect to chromatid damage after x-irradiation [25, 50, and 100 rad (0.25 0.50, and 1 gray)] during G2 phase. The 10 cell lines represented five genetic disorders: Bloom syndrome, familial polyposis, Fanconi anemia, Gardner syndrome, and xeroderma.pigmentosum, complementation groups A(XP-A), C(XP-C), E(XP-E), and variant (XP-Va).. The incidence of chromatid breaks in all cancer-prone lines except XP-E and XP-A was significantly higher. than in the normal lines; The incidence of chromatid gaps in all cancer-prone lines except XP-A and XP-Va was significantly higher than in the normal lines. Because each chromatid apparently contains a-single continuous DNA double strand, chromatid breaks and gaps represent unrepaired DNA strand breaks arising directly or indirectly during excision repair of x-ray-inducedDNA damage. These cytogenetic data together with results-from use of the DNA repair.inhibitor arabinofuranosyl cytosine (cytosine arabinoside) suggest that cells from all of these cancer-prone individuals are deficient in some step of DNA repair, predominantly excision repair operative during the G2-prophase period of the cell cycle.-It appears that these DNA repair. deficiencies are associated with a genetic predisposition to a high risk of cancer.A number of inherited human disorders, including ataxia telangiectasia, Gardner syndrome (GS), familial polyposis (FP), Fanconi anemia (FA), Bloom syndrome (BS), and xeroderma pigmentosum (XP), predispose the individual to a high risk of cancer. Cells from these individuals are useful for elucidating mechanisms of carcinogenesis. A deficiency in the repair of UV-induced DNA damage was described in 1968 (1) in cells from XP individuals with a high incidence of skin cancer. Subsequently, studies on ataxia telangiectasia and FA cells provided some evidence that these cells may be defective in repair of DNA damage produced by ionizing radiation or DNA crosslinking agents (2-9). However, numerous attempts with biochemical methods have failed to reveal a DNA repair deficiency(ies) in all of these genetic disorders. When exposed to ionizing radiation during the G2 phase of the cell cycle, skin fibroblasts from ataxia telangiectasia and FA individuals show a high incidence of chromatid breaks or gaps at metaphase compared.with cells from normal individuals (3,8,9). Because. each chromatid apparently contains a single continuous DNA double strand, chromatid breaks and gaps represent unrepaired DNA strand breaks (3,[8][9][10][11][12][13][14][15][16][17]. These strand breaks could arise directly or indirectly during excision repair of the DNA damage produced by ionizing radiation (9, 13, 16). In view of this interpretation of cytogenetic results, cells from at least two of the.genetic disorders, ataxia telangiectasia and FA, appear to have a DNA repair defect operative during G2-prophase.The present stud...