Xeroderma pigmentosum (XP) patients are highly sensitive to sunlight, and t
hey suffer from a high incidence of skin cancers. The variant form of XP re
sults from mutations in the hRAD30A gene, which encodes the DNA polymerase
in humans, hPol eta. Of the eukaryotic DNA polymerases,only human Pol eta a
nd its yeast counterpart have the ability to replicate DNA containing a cis
-syn thymine-thymine (T-T) dimer. Here we measure the fidelity of hPol eta
on all four nondamaged template bases and at each thymine residue of a cis-
syn T-T dimer. Opposite all four nondamaged template bases, hPol eta mis-in
corporates nucleotides with a frequency of similar to 10(-2) 10(-3), and im
portantly, hPol(eta) synthesizes DNA opposite the T-T dimer with the same a
ccuracy and efficiency as opposite the nondamaged DNA. The low fidelity of
hPol eta may derive from a flexible active site that renders the enzyme mor
e tolerant of geometric distortions in DNA and enables it to synthesize DNA
past a T-T dimer.