The base-excision repair pathway has evolved to repair a diverse range of base modifications and base losses as well as damage to the sugar-phosphate backbone of DNA. This damage may arise through spontaneous base hydrolysis (Lindahl and Anderson, 1972), endogenous oxidative metabolism (Lindahl, 1990), or exposure to genotoxic agents, including agents that exert their effects via the formation of reactive oxygen species, such as peroxides and ionizing radiation (reviewed by Demple and Harrison, 1994).The major cytotoxic lesion following exposure of cells to ionizing radiation is considered to be the DNA double-strand break (dsb) associated with other lesions in damage complexes termed local-multiply (or regional)-damaged sites (Ward et al, 1994). However, apurinic/apyrimidinic (AP) sites are major lesions resulting from the direct effects of radiation on DNA bases or following glycosylase-mediated excision of specific modified bases. The action of AP endonucleases on these AP sites produces single-strand breaks that are likely to contribute to the formation of dsb if they are in close proximity to other lesions. Disruption of the sugar-phosphate backbone of DNA also occurs causing strand breaks with atypical termini (Teoule, 1987). These include 3′ phosphate and 3′-phosphoglycolate termini which cannot be used as primers for DNA synthesis by Escherichia coli DNA polymerase I or T4 DNA polymerase (Henner et al, 1983), since a 3′ hydroxyl terminus is required. Consequently, these 3′ terminal modified deoxyribose moieties constitute blocks to DNA repair synthesis.If unrepaired, both AP sites and 3′ blocked termini can be toxic (Demple et al, 1986), and AP sites can also be mutagenic (Loeb and Preston, 1986). The major cellular enzymes responsible for initiating the repair of these sites are class II AP endonucleases (reviewed by Doetsch and Cunningham, 1990;Demple and Harrison, 1994;Barzilay and Hickson, 1995). AP endonucleases incise the phosphodiester backbone 5′ to the abasic site to generate 3′ phosphate and 5′ deoxyribose phosphate termini. Additionally, the 3′-diesterase activity processes blocked 3′ termini to produce 3′ hydroxyl termini (Demple and Harrison, 1994;Winters et al, 1994). The 5′ deoxyribose phosphate group is excised by a deoxyribose phosphodiesterase, giving 5′ phosphate, and the single nucleotide gap thus generated can be filled by a DNA polymerase and repair completed by a DNA ligase.In Summary Apurinic/apyrimidinic (AP) sites in DNA are potentially lethal and mutagenic. They can arise spontaneously or following DNA damage from reactive oxygen species or alkylating agents, and they constitute a significant product of DNA damage following cellular exposure to ionizing radiation. The major AP endonuclease responsible for initiating the repair of these and other DNA lesions in human cells is HAP1, which also possesses a redox function. We have determined the cellular levels of this enzyme in 11 human tumour and fibroblast cell lines in relation to clonogenic survival following ionizing radiati...