A damage-speci®c DNA binding protein (DDB) activity is absent from a subset (DDB 7 ) of cells from individuals initially classi®ed as group E of xeroderma pigmentosum (XP), a hereditary, photosensitive disease with a high incidence of skin malignancies. In these cases, mutations have been identi®ed in the DDB2 gene (DDB2 7 ) that codes for the small subunit, p48, of the DDB heterodimer. In four DDB2 7 strains, neither p48 nor DDB activity were observed before or after UVirradiation, despite an unusually strong up-regulation of DDB2 mRNA levels after UV-irradiation. In a ®fth strain, XP82TO, p48 was detectable and both DDB2 mRNA and p48 levels were more up-regulated after UVirradiation than in normal primary cells. Moreover, DDB activity also became apparent after irradiation. XP82TO showed very mild clinical manifestations compared with the other DDB 7 patients. These results, coupled with our ®ndings that most, if not all DDB + cells classi®ed as XP-E were misclassi®ed, suggests a direct correlation between DDB2 levels and the XP-E phenotype. Oncogene (2001) 20, 7041 ± 7050.