Mutations in the three genes encoding the heterotrimeric RNase H2 complex cause Aicardi-Goutières Syndrome (AGS). Our mouse RNase H2 structure revealed that the catalytic RNase H2A subunit interfaces mostly with the RNase H2C subunit that is intricately interwoven with the RNase H2B subunit. We mapped the positions of AGS-causing RNase H2A mutations using the mouse RNase H2 structure and proposed that these mutations cause varied effects on catalytic potential. To determine the functional consequences of these mutations, heterotrimeric human RNase H2 complexes containing the RNase H2A subunit mutations were prepared, and catalytic efficiencies and nucleic acid binding properties were compared with the wild-type (WT) complex. These analyses reveal a dramatic range of effects with mutations at conserved positions G37S, R186W, and R235Q, reducing enzymatic activities and substrate binding affinities by as much as a 1000-fold, whereas mutations at non-conserved positions R108W, N212I, F230L, T240M, and R291H reduced activities and binding modestly or not at all. All mutants purify as three-subunit complexes, further supporting the required heterotrimeric structure in eukaryotic RNase H2. These kinetic properties reveal varied functional consequences of AGS-causing mutations in the catalytic RNase H2A subunit and reflect the complex mechanisms of nuclease dysfunction that include catalytic deficiencies and altered protein-nucleic acid interactions relevant in AGS.Aicardi-Goutières Syndrome (AGS) 2 is a rare genetic neurological disorder that mimics congenital viral infection with evidence of high interferon-␣ levels in serum and cerebrospinal fluid (1, 2). Mutations in the five genes RNASEH2A, RNASEH2B, RNASEH2C, TREX1, and SAMHD1 are known to cause AGS (3-5). The RNASEH2A, RNASEH2B, and RNASEH2C genes encode the RNase H2 heterotrimeric complex that recognizes and cleaves ribonucleotides present in RNA/DNA duplexes (4, 6). The TREX1 gene encodes a homodimeric 3Ј 3 5Ј DNA exonuclease (7-12), and the SAMHD1 gene encodes an enzyme of unknown function. The identification of disease-causing mutations in genes encoding the nucleases RNase H2 and TREX1 provides evidence for the concept that failure to properly process endogenous nucleic acids triggers an interferon-mediated immune response, helping to explain the phenotypic overlap of AGS with congenital infection (13). Furthermore, there is emerging evidence for a clinical, biochemical, and genetic connection between AGS and related autoimmune disorders including systemic lupus erythematosus, indicating that dysfunctional nucleic acid metabolism leads to immune activation and an autoimmune phenotype (14).RNase H2 provides the majority of ribonuclease H activity in human cells (15). All ribonuclease H enzymes specifically recognize RNA/DNA hybrids and hydrolyze the ribonucleotidecontaining polynucleotide strand. These enzymes are divided into two major families, type 1 and type 2, based on amino acid sequence similarities and distinguishing biochemical properties that sugge...