AMONG the more frequent oxidative DNA injuries is the formation of aba
sic sites (AP sites) resulting from removal of purine or pyrimidine ba
ses, estimated to occur at a rate of 1 x 10(4)/genome/24 h. A defect i
n DNA repair at this level could account for the accumulation of mutat
ions and subsequent genome instability. We have identified missense mu
tations in the APE gene coding for a multifunctional DNA repair enzyme
, AP endonuclease in eight of 11 patients with amyotrophic lateral scl
erosis (ALS) and familial ALS. These mutations could affect the repair
of abasic sites leading to the accumulation of mutations in neurons,
resulting in their degeneration and death. Our findings implicate muta
ted AP endonuclease in the pathogenesis of ALS.