How human DNA repair proteins survey the genome for UVinduced photoproducts remains a poorly understood aspect of the initial damage recognition step in nucleotide excision repair (NER). To understand this process, we performed single-molecule experiments, which revealed that the human UV-damaged DNA-binding protein (UV-DDB) performs a 3D search mechanism and displays a remarkable heterogeneity in the kinetics of damage recognition. Our results indicate that UV-DDB examines sites on DNA in discrete steps before forming long-lived, nonmotile UV-DDB dimers (DDB1-DDB2) 2 at sites of damage. Analysis of the rates of dissociation for the transient binding molecules on both undamaged and damaged DNA show multiple dwell times over three orders of magnitude: 0.3-0.8, 8.1, and 113-126 s. These intermediate states are believed to represent discrete UV-DDB conformers on the trajectory to stable damage detection. DNA damage promoted the formation of highly stable dimers lasting for at least 15 min. The xeroderma pigmentosum group E (XP-E) causing K244E mutant of DDB2 found in patient XP82TO, supported UV-DDB dimerization but was found to slide on DNA and failed to stably engage lesions. These findings provide molecular insight into the loss of damage discrimination observed in this XP-E patient. This study proposes that UV-DDB recognizes lesions via multiple kinetic intermediates, through a conformational proofreading mechanism.DNA damage recognition | single-molecule tracking | DNA tightrope | human nucleotide excision repair U nrepaired photoproducts in the genome arising from exposure to UV irradiation can be highly mutagenic and three pathways have evolved in mammalian cells to process these lesions, which include (i) global genomic repair, (ii) transcription-coupled repair, and (iii) translesion synthesis (1-5). During global genomic repair, cyclobutane pyrimidine dimers (CPDs) and pyrimidine(6-4)pyrimidone photoproducts [(6-4) photoproducts] are repaired by the nucleotide excision repair (NER) pathway that recognizes and excises bulky helix distorting lesions in the genome (6, 7). The recognition of CPD lesions in UV-damaged chromatin is mediated by UV-damaged DNAbinding protein (UV-DDB), composed of the tightly associated heterodimer of damage-specific DNA binding protein (DDB) 1 (p127) and DDB2 (p48) (5,8). Following surveillance and CPD identification by UV-DDB, NER proceeds via lesion handover to XPC-hHR23B-centrin2 (XPC) followed by damage verification, helix opening and stabilizing of the repair intermediates, dual incision of the DNA in the context of the lesion, repair synthesis, and DNA ligation (7). In contrast to global genomic repair, transcription-coupled repair is initiated when CPD lesions in transcribed chromatin cause stalling of RNA polymerases (3). In mammalian NER, these two pathways converge after damage detection and are orchestrated by over 30 different gene products (9). Deficiencies in the molecular functions in seven of these NER proteins lead to various forms of the autosomal recessive disor...