The induction of skin cancer involves both mutagenic and proliferative responses of the epidermis to ultraviolet (UV) light. It is believed that tumor initiation requires the mutagenic replication of damaged DNA by translesion synthesis (TLS) pathways. The mechanistic basis for the induction of proliferation, providing tumor promotion, is poorly understood. Here, we have investigated the role of TLS in the initiation and promotion of skin carcinogenesis, using a sensitive nucleotide excision repair-deficient mouse model that carries a hypomorphic allele of the error-prone TLS gene Rev1. Despite a defect in UV-induced mutagenesis, skin carcinogenesis was accelerated in these mice. This paradoxical phenotype was caused by the induction of inflammatory hyperplasia of the mutant skin that provides strong tumor promotion. The induction of hyperplasia was associated with mild and transient replicational stress of the UV-damaged genome, triggering DNA damage signaling and senescence. The concomitant expression of Interleukin-6 (IL-6) is in agreement with an executive role for IL-6 and possibly other cytokines in the autocrine induction of senescence and the paracrine induction of inflammatory hyperplasia. In conclusion, error-prone TLS suppresses tumor-promoting activities of UV light, thereby controlling skin carcinogenesis.DNA translesion synthesis ͉ Interleukin-6 ͉ skin cancer ͉ tumor initiation ͉ tumor promotion T umor initiation by mutagenic agents and tumor promotion by inflammatory agents are critical determinants of carcinogenesis. Ultraviolet light (UV) is considered a complete carcinogen, as it induces not only mutations but also a mild inflammatory and proliferative response of the skin, mediated by growth factors and inflammatory cytokines (1-3).Mutagenesis induced by DNA-damaging agents depends on specialized translesion synthesis (TLS) DNA polymerases that replicate damaged nucleotides, such as UV-induced photolesions, in an error-prone fashion. Thereby, TLS safeguards the perpetuation of replication on damaged templates at the expense of mutagenesis (4). Rev1 is a key actor in error-prone TLS (5). Although the protein can incorporate deoxycytosines opposite abasic nucleotides and some damaged guanines, Rev1 plays a regulatory, rather than a catalytic, role in error-prone TLS of other damages, including photolesions (5-7). The role of Rev1 in a particularly error-prone subpathway of TLS of photolesions is mediated by its N-terminal BRCT domain (6, 7). In agreement, mouse embryonic stem cells with a disruption of this domain (Rev1 B/B cells) lack all UV-induced nucleotide transversion mutations and part of the transitions (8). Nevertheless, this Rev1 allele is hypomorphic as in Rev1 B/B cells photolesions ultimately are replicated, in contrast to completely Rev1-deficient cells (7). Rev1 B/B mice display no spontaneous phenotypes, unlike completely Rev1-deficient mice, supporting the hypomorphic nature of the Rev1 B allele, also at endogenous DNA damages (8, 9).Here, we have investigated the premise that t...